Uniquely among the world’s rich countries, the United States lacks a comprehensive, universal social insurance system. This is largely due to ideological opposition by Republican Party elites. It took nearly seventy years for Democrats to achieve the expanded, still-less-than-universal coverage provided by the Affordable Care Act—against unanimous Republican opposition. Republicans have continued to sabotage the ACA, successfully blocking the extension of Medicaid coverage in nineteen states. The GOP’s primary plan for Medicare is to shift costs to the elderly. It has resisted full funding of Social Security Disability Insurance and insists that the only acceptable plan for ensuring the financial stability of Social Security is to cut benefits. Meanwhile, thirty-three states, nearly all GOP-led, have cut workers’ compensation programs since 2003, often drastically.
– Boston Review