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Tuesday, July 18, 2017

The Affordable Care Act Is Barack Obama and the Democrats' Xanatos Gambit

And it has so far succeeded beyond any of their wildest dreams.

As we've seen since January 20th, while the House of Representatives -- being a highly polarized and deeply partisan shitshow thanks to the gerrymandering apocalypse back in 2010 -- was able to pass a bill that could actually become law, the far more moderate Senate has tried to pass their own version three times, and each time they've crashed and burned spectacularly. And unlike the Senate from 2008-2011, there hasn't been a single filibuster involved (as a budget maneuver, it can't be filibustered, and this was completely intentional). Despite having a majority in both chambers and one of their own in the White House, Republicans can't do this one thing they've been chomping at the bit and salivating to do for the last 8 years. Because rather than being a symbolic gesture they know will never happen, this time it has actual consequences because they have a stooge willing to sign it.

First, in case you don't speak fluent TVTropes terminology, a Xanatos Gambit is a plan that cannot fail, because it fulfills multiple goals simultaneously. Such that no matter how its opponents try to thwart it, one or more of the plan's goals will get furthered. They simply can't all be foiled. It's named for the character of David Xanatos, an antagonist from the Gargoyles TV show from the mid-1990s, because he had a penchant for these types of plans.

The Affordable Care Act has been implemented so far and become such an integral part of the American healthcare system that no matter what the Republicans do, Obama comes out ahead. Because there are only 3 possible outcomes. In 2 of them, Republicans are summarily fucked. In the third, they'll have to concede that the guy they've been trying to fuck over won in the end:

Scenario 1: Republicans Fail to Repeal or Replace the ACA (Status Quo)

This would, of course, mean that they've broken a promise they've been campaigning on for nearly a decade. The hardcore Republican voting base isn't going to accept this quietly. While they won't vote for a Democrat, they're more likely to just stay home and not vote at all out of disillusionment. As we inch closer to the 2018 midterms, this does not bode well for Republicans in vulnerable seats (which, as the special elections this year have proven, may be far more vulnerable than they think).

Scenario 2: Republicans Succeed in Repealing and/or Replacing the ACA

This is frankly the worst of the 3. Because for any bill to get the 51 votes it would need to pass the Senate, it would have to be cruel enough to appease sociopaths like Lee and Cruz, but restrained enough to get the votes of moderates like Murkowski and Capito. If by some miracle that happened -- and if by an even greater miracle, the House managed to pass it -- it would be a bill that would still kick anywhere from 22 million to 32 million people off their insurance. Many of these people live in Republican strongholds: the rural South, the Rust Belt, and the deep red center (Kansas, Oklahoma, South Dakota, etc.).

These folks are going to see their situation on the ground rapidly deteriorate. As rural hospitals shutter without Medicaid. As areas hit hard by the opioid crisis -- areas that overwhelmingly voted for Trump -- suffer even more devastating loss of life due to overdose. As people who didn't even know that they have insurance because of the ACA suddenly find themselves unable to get even the simplest healthcare.

And they're going to blame the people in charge. Republicans. Because there will be nobody else responsible for their hardships. Again, as we inch closer to the 2018 midterms, this is going to become even more of a prominent issue.

Scenario 3: Republicans Amend and Improve the ACA

The most likely scenario, and frankly the only one that won't mean Republicans getting walked to the electoral guillotine next year. If, after failing like a snake trying to play Dance Dance Revolution, they finally decide that maybe it's time to work with Democrats and actually legislate to fix the ACA's flaws instead of pitching out baby, bathwater, bathtub, bathroom, and entire neighborhood, Obama will come out the furthest. Because he'll have forced their hand to build on his signature accomplishment. And history will forever remember that the Affordable Care Act was the work of the nation's first black President, whom a bunch of old racist white guys tried to blow up and found out they couldn't without taking themselves with it.

And the part that would really burn their biscuits?

Not only does Obama win, we all do.

Because even more than black folk in positions of power, that's what Republicans fear most.

The people winning.