Realizing he’d made no friends and claimed no legislative achievements in his first four years in the Senate, Cruz decided this year he’d shed his image as an obstructionist grandstander and adopt the pose of a diligent dealmaker on health care, the issue he used to stage a government shutdown in 2013.

However, Cruz, perpetually convinced that he is the smartest man in any room, failed to master the fundamentals of health-care policy, or to anticipate that fellow conservatives might actually stand on principle. As a result, his half-baked plan to permit insurers to offer unregulated plans as long as they offered one that conformed to the Affordable Care Act requirements belly-flopped.

AD

AD

It did not take long before major insurers lowered the boom on Cruz, blasting his plan in an unusual, joint letter:

It is simply unworkable in any form and would undermine protections for those with pre-existing medical conditions, increase premiums and lead to widespread terminations of coverage for people currently enrolled in the individual market. . . . This would allow the new plans to “cherry pick” only healthy people from the existing market making coverage unaffordable for the millions of people who need or want comprehensive coverage, including, for example, coverage for prescription drugs and mental health services.

They explained: “As healthy people move to the less-regulated plans, those with significant medical needs will have no choice but to stay in the comprehensive plans, and premiums will skyrocket for people with preexisting conditions. This would especially impact middle-income families that that are not eligible for a tax credit.”

Surely Cruz could have consulted with insurers and independent health-care experts to determine whether his plan was viable. Perhaps he wasn’t interested in finding out the answer, or perhaps he proceeded in the face of obvious flaws. In any event, he cemented his image as a man with a personal agenda, but no real policy expertise.

Even more disastrously for Cruz, he found himself outflanked on the right, when Sens. Mike Lee (R-Utah) and Rand Paul (R-Ky.) balked at the plan. CNBC reported:

AD

AD

Paul actually said Wednesday that the Cruz amendment could make his problems with the Senate bill worse. The policy could drive up costs for people in the Obamacare markets . . . which the federal government would then have to step in and subsidize to prevent a death spiral. “The impressions and the rumors that we’re hearing is that’s gonna mean a lot more money in insurance bailout fund and ultimately also mean some sort of price controls,” Paul said on the conference call, adding that was “foreign to any notion of capitalism.”

Lee was blindsided by Cruz’s last-minute changes. (“Significant daylight has emerged between the Senate’s dynamic conservative duo. Once shoulder to shoulder on healthcare reform with his longtime friend, Utah Sen. Mike Lee, Texas Sen. Ted Cruz has decided to go his own way.”) At the very least, he wants more time to consider the Cruz amendment.