Here in America, President Trump and Speaker Ryan have unveiled their new healthcare proposal: The American Health Care Act (AHCA). Reactions are largely muddled, because Americans still don’t think of healthcare payment models along a simple continuum of private versus public. There is a clear tension between rural Trump supporters who can’t afford adequate healthcare on an unregulated private market and conservative lawmakers who want to privatize the burden of healthcare. The AHCA is a compromise and therefore all parties are unhappy with it.
In accordance with our previous forecast, Republican lawmakers will force the Trump-Ryan alliance do a full repeal and thereby shut down the government-run health insurance exchanges. Only one man can stand in their way: The Parliamentarian.