President Trump reneged on promises about health insurance for all to win a House vote on a bill to repeal Obamacare and cut taxes on the rich, but now Republicans have to live with the consequences, writes Michael Winship.

By Michael Winship

This just in: Health care is not a game. It’s a matter life or death for millions and millions of Americans. But you sure wouldn’t know it from watching Donald Trump and House Republicans celebrate their narrow victory on Thursday.

The House managed to pass a bill, the American Health Care Act (AHCA), aimed at altering or eradicating provisions of Obamacare, a somewhat muted version of the “repeal and replace” battle cry screamed throughout the election campaign but one that nevertheless will still devastate all but the richest of society with exorbitant medical costs that many cannot afford. Medicaid would be slashed by hundreds of millions. Twenty-four million fewer would be left without health insurance.

But the Republicans celebrated this impending tragedy with cheers on Capitol Hill and then got on buses to the White House for some further revelry in the Rose Garden.

“Trump basked in adulation as lawmakers heaped praise on him,” Ashley Parker reported in The Washington Post: “… Including Trump and [vice president Mike] Pence, a dozen lawmakers and officials spoke, a snaking queue — nearly all white men — who took turns stepping to the lectern to claim their reward: cable news coverage, orchestrated by a president who values it above almost all else.”

Trump shouted, “How am I doing? I’m president. Hey, I’m president. Can you believe it?” Not if I don’t want to. It all felt like a chintzy version of the victory party after a high school football championship, except no one dared douse Coach Trump or assistant coaches Pence and Paul Ryan with Gatorade. Which was unfortunate.

Democrats got into the act, too, singing, “Hey hey hey, goodbye!” at the Republicans in the House chamber, reminding the GOP that they had just cast a vote that may cost many of them their seats in the 2018 midterms. The whole thing was very classy, as if the Founders high-fived, fist-bumped and burst into “We Are the Champions” after signing the Declaration of Independence.

The fact is, few Republicans have even read the bill. They did not wait for a cost estimate from the Congressional Budget Office before ramming it through. No hearings were held; no group was given the opportunity to raise its objections in such a public forum: no American Cancer Society, AARP, the March of Dimes, the American Hospital Association — all of which, along with many other professional and advocacy organizations, have made their opposition known. No American Medical Association, which announced, “millions of Americans will lose their health insurance as a direct result of this proposal…”

“Not only would the AHCA eliminate health insurance coverage for millions of Americans, the legislation would, in many cases, eliminate the ban against charging those with underlying medical conditions vastly more for their coverage.”

Tax Cut for the Rich

But if you’re looking for the real reasons Republicans were throwing themselves a frat party on Thursday, heed first the words of Sister Carol Keehan, president of the Catholic Health Association of the United States: “It is critically important to look at this bill for what it is. It is not in any way a health care bill. Rather, it is legislation whose aim is to take significant funding allocated by Congress for health care for very low-income people and use that money for tax cuts for some of our wealthiest citizens. This is contrary to the spirit of who we are as a nation, a giant step backward that should be resisted.”

Then remember, as Paul Kane noted in The Post, that the GOP “viewed the measure as a necessary step to demonstrate some sense of momentum and some ability to govern in GOP-controlled Washington … inside the White House, President Trump’s advisers became increasingly concerned about how little they had to show in terms of early victories.”

And so they were willing to vote for a lousy, misbegotten piece of legislation just so they could get the first round of tax cuts for the rich and to make it look as if they had accomplished something. Not exactly the Age of Pericles.

I remembered that old poem, After Blenheim, in which Robert Southey recounts the 1704 battle in which Britain’s Duke of Marlborough (ancestor of Winston Churchill) defeated the forces of France’s Louis XIV. The poem concludes:

“And everybody praised the Duke

Who this great fight did win.

‘But what good came of it at last?’

Quoth little Peterkin.

‘Why that I cannot tell,’ said he,

‘But ’twas a famous victory.'”

Never confuse motion for action, Republicans. And your “famous” victory may be Pyrrhic. Fortunately, this horrible health care legislation has a long way to go through the Senate before Donald Trump gets the chance to affix his EKG-like signature. As South Carolina Sen. Lindsey Graham tweeted on Friday, “A bill — finalized yesterday, has not been scored, amendments not allowed, and 3 hours final debate — should be viewed with caution.”

Perhaps the most relevant — if unintentional — comment came from Trump himself Thursday night when he told Australian Prime Minister Malcolm Turnbull, “You have better health care than we do.” The Land Down Under has universal health care with a private insurance option. They call it Medicare.

If the Democrats don’t immediately start playing Trump’s statement on a constant video loop between now and November 2018, they’ve lost the will to live. The White House said Trump didn’t mean anything by it (although he then doubled down on his words with a tweet) but if you’re in the mood to have a celebration of your own, lift a glass to what he told the Australian PM and make a toast to blowing up this bogus health care reform bill and giving us what Americans truly need — Medicare for all.

Michael Winship is the Emmy Award-winning senior writer of Moyers & Company and BillMoyers.com. Follow him on Twitter: @MichaelWinship. http://billmoyers.com/story/americas-health-hands-gop-frat-boys/