“This is the case in other states as well, meaning many rural and small-town Trump supporters may soon see that Make America Great Again means accelerating economic decline and social devastation. Mr. Trump shows little understanding of the intricate interplay of subsidies and rules in the health care system, and probably has no inkling that federal taxes collected from liberal states like California, Massachusetts and New York heavily subsidize vital health services, businesses and family benefits in the very places that voted heavily for him. In delegating plans for huge health care cutbacks to hard-right congressional Republicans, he will be hurting his own base.”
Where should Democrats head after their recent electoral rout? As it happens, coming fights about federally subsidized health insurance offer the party a golden opportunity to engage people far beyond its urban strongholds, in communities that will be hard hit by Republican plans to shrink Medicaid, privatize Medicare and eliminate the taxes that pay for Obamacare subsidies.