This is a good example of the process of how the Republican base has come to like Trump so much. Their elites either don’t know what they are talking about or are lying to them, repeatedly.
— Charles Gaba (@charles_gaba) December 23, 2015
Scott Gottlieb is supposed to be a medium size deal in the conservative health wonk community. He was one of the ten “wonks” who came up with the most recent Republican repeal and maybe replace plan. He has the sinecures and the titles to be a valued source of trusted information to conservatives. However, either he does not understand what he is talking about or he is actively misleading his audience. He started this string with the following tweet:
CMS says 2.1M or 26% of current #Obamacare enrollees under age 35 vs 33% and 29% during same time in 2015 and 2014 -> deteriorating risk mix
— Scott Gottlieb, MD (@ScottGottliebMD) December 22, 2015
That is a very strong claim that is diametrically opposed to reality. The risk pool is getting younger. We can’t say for sure that a younger risk pool is a healthier/cheaper risk pool, but it is extraordinarily likely that this is the case.
Local conservative opinion leaders will get a false signal from Gottlieb that the Exchanges are death spiraling. They have been getting those signals from conservative “wonks” and “policy” opinion leaders for five years now. Sooner or later dreaded Obamacare will collapse under its own weight and 10 million people (as you know those Chicago crooks are cooking the books, so it can’t be 17 million people) will have the freedom to choose health savings accounts or freedom.
And next year, when Obamacare does not collapse in on itself like a neutron star of fail, the same opinion leaders and expert validaters will trot out the same story.
The Republican base has been promised a lot and their party can’t deliver on those goals. The elites don’t have legitimacy because their bullshit has been marked to market so new entries with new, creatively destructive forms of bullshit have a niches that they can fill and a willing mass audience that wants to believe that this time the new guy can deliver on their promises while ignoring the elites who have no credibility.