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2012

President Trump might want to run his ObamaCare backup plan by Mitch McConnell

There are some people who believe that President Trump is a political genius. Despite never running for office before 2016, he won the White House through his impeccable instincts and deep insight, they say. But there are others who believe he benefited from good timing, a weakened Republican Party, an opponent weighed down by an antagonistic press and the unceasing efforts of the FBI director to destroy her, and some good old-fashioned luck, all of which allowed him to bumble his way into the Oval Office.

Now which interpretation of Trump would be suggested by this:

In an Oval Office meeting featuring leaders of conservative groups that are already lining up against House Republicans’ plan to repeal and replace ObamaCare, President Donald Trump revealed his plan in the event the GOP effort doesn’t succeed: Allow ObamaCare to fail and let Democrats take the blame, sources at the gathering told CNN. [CNN]

In a moment we’ll address the politics of this strategy and whether it could actually succeed. But before we do, let’s take a moment to consider the human consequences of what Trump is suggesting.

When he says he’ll allow ObamaCare to fail, what he’s saying is that his plan is to promote the maximum amount of suffering he can so that he’ll have something to bash Democrats with. If he genuinely believes that the law is the hellish nightmare he and Republicans keep saying it is, that means he’s willing to subject Americans to even more of its tortures while he reaps the political benefit.

As it happens, the Affordable Care Act has some issues that ought to be addressed, but on the whole it’s working quite well, so Trump’s plan would be a great service to the tens of millions of Americans who would be able to keep their insurance and the health security they now enjoy.

Now let’s consider this as a political strategy.

Trump’s apparent belief is that even though Republicans control the White House and Congress, the power of his bully pulpit is so extraordinary that he can attribute the GOP’s own failure to the opposition, and Americans will all accept what he says. But there’s a simple truth of American politics he may not grasp: The party in power, and particularly the president, are responsible in the public’s mind for pretty much everything that happens. Sometimes that means the president gets more credit or blame than he deserves. But trying to argue that it’s the party with no power that bears responsibility for what’s happening in the country almost never works.

Trump might want to ask Mitch McConnell how likely the wait-for-things-to-go-wrong-and-blame-the-Democrats strategy is to succeed. When Barack Obama was elected, McConnell realized that gumming up the gears of government might subject the opposition to some strongly-worded editorials, but the subtleties of who was to blame wouldn’t really register with the public. All they’d see was that "Washington" couldn’t get anything done, and they’d blame the president’s party. Which is why Republicans could execute a strategy of unending obstruction throughout Obama’s presidency and be rewarded with two huge midterm election wins that gave them back control of Congress.

I suspect that Trump is working off a fundamentally inaccurate logic here, one that goes like this: "People believe whatever I tell them. ObamaCare is the Democrats’ law. If I tell them whatever they don’t like about health care is the Democrats’ fault, they’ll buy it."

The first problem is that only Trump’s supporters believe whatever he tells them — and they’re a minority of the country. The second problem is that he’s the president now, and he’s responsible for everything. Just as Obama got blamed for weaknesses in the American health system that predated the ACA (like insurers limiting provider networks to cut costs, a trend that started years ago), Trump will be blamed for whatever he and the Republicans haven’t fixed.

He and his party are facing a Catch-22, whether they know it or not: If they succeed in passing their plan, they’ll get blamed for the catastrophic consequences that will ensue (millions losing coverage, increased costs for others, the potential collapse of the individual market), but if they don’t pass their plan, the GOP base, which has been promised repeal of the ACA for seven years, will be enraged. Pass it and Democratic voters will flock to the polls in 2018 to punish them; fail to pass it and Republican voters will stay home in disgust.

So Trump is considering the old Marxist tactic of "heightening the contradictions," where you make the situation so bad that the public turns to you to save them. But it doesn’t work when you’re the one in power.

That may be why the Trump administration is telling people not to refer to the Republican bill as "TrumpCare." It’s almost as if they know it’s a turkey, and don’t want to be too closely associated with it.