“Most Republican-controlled states are still refusing to expand Medicaid, even though Washington would bear the vast majority of the costs. Utah held a direct referendum on Medicaid expansion, which passed easily – so the will of the voters was clear, even in a very conservative state. Yet GOP legislators are blocking the expansion anyway.

And now the Trump administration, having failed to repeal the ACA when Republicans controlled Congress, is suing to have the whole thing declared unconstitutional in court – because what could be a better way to start off the 2020 campaign than taking insurance away from 20 million Americans?

The point is that it’s no longer possible to see any of this as part of a clever political strategy, even a nefariously cynical one. It has entered the realm of pathology instead. It’s now clear that Republicans just have a deep, unreasoning hatred of the idea that government policy may help some people get health care.

Why? The truth is that I don’t fully get it. Maybe it’s anger at the thought of anyone getting something they didn’t earn themselves, unless it’s an inheritance from daddy. Maybe it’s a sense that a lot of gratuitous suffering is or should be part of the human condition, or God’s plan, or something. I try to understand how others think, but in this case I really do find it hard.

Whatever the reason, however, the fact is that whatever they may claim, today’s Republicans hate the idea of poor and working-class Americans getting the health care they need.”

Source: Republicans Really Hate Health Care – They’ve gone beyond cynicism to pathology

Paul Krugman, journalist, economist