Republicans may have promised to repeal or at least do a big makeover of Obamacare now that they control both the House and the Senate, but most experts believe it’s lip service only.
The 2010 Affordable Care Act is in full force across the country, with internet-based health insurance exchanges up and running, expanded Medicaid in 28 states and strict new requirements for health insurers. Here are five reasons the GOP-led Congress won’t be able to change much.
The veto.
This is the big one: President Barack Obama still has veto power. Republicans may have a majority in the Senate, but they don’t have the 60 seats needed to override a Democratic-led filibuster or a presidential veto. And Obama’s not going to allow his signature piece of legislation to be gutted.
They like it.
Republicans actually like a lot about Obamacare. It’s great business for health insurance companies, which in turn give plenty of money to Republicans. Republicans have also always agreed that more Americans need to be covered by health insurance. They just haven’t always agreed on how to get there.
“The five major national health insurers have all seen their stock price at least double — one has almost tripled — since the ACA was enacted, and they’ve all been raising their earnings estimates,” says Jay Angoff, who helped construct health reform at the Health and Human Services department before returning to private law firm Mehri & Skalet. "Republicans are not going to try to repeal a law that has been such a boon to insurers: They are still a Republican constituency group."
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