â€œRepeal and replaceâ€ is one of the few clear policy goals that unites President-elect Trumpâ€™s campaign with congressional Republicans. Something large is going to happen. Some triumphant Republican â€œrepealâ€ seems foreordained…What will Republicans actually do to replace the ACA? That is another matter. Seldom has a political party combined such comprehensive control over the practical levers of government with such limited public mandate for its policy agenda. President-elect Trump lost the popular vote by more than 2.5 million votes. His net favorability rating stands at minus six, which is about forty-nine points below the net favorability rating of President-elect Barack Obama eight years ago. According to the website yougov.com, only 35 percent of AmericansÂ believe Trump has the temperament for the presidency. Fifty-nine percentâ€œthink he is not even somewhat qualified for the job.â€
Some commentators suggest that Republican efforts to bend the health care system to their liking resemble the dog who chased the car and finally caught it on November 8. But that analogy isnâ€™t quite right. Perhaps the better analogy is the bear who chased a car: the bear will likely regret catching up, but the car wonâ€™t escape unscathed, either.