SEATTLE 鈥 From an upscale assisted living center here, 87-year-old Brendan Wall has some advice for members of Congress eager to : Slow down.
鈥淭hey haven鈥檛 said what they鈥檙e going to replace it with or how they鈥檙e going to replace it,鈥 said Wall, who taught philosophy and religion for more than 30 years.
鈥淚 think it鈥檚 a major crisis, and I hope to God they take enough time to think about it and act on it so that the thing will work.鈥
Wall lives at Merrill Gardens, a complex near downtown Seattle where anxiety runs high over the transition to a new administration in Washington, D.C. And while the evolving drama may not affect him directly, he and other seniors here fret about the Donald Trump administration鈥檚 vow to repeal and replace the Affordable Care Act and what it will mean for their children and grandchildren.
Wall and five other residents responded to a Kaiser Health News request for area seniors willing to share their views about health care as Trump takes over and pressure mounts on Capitol Hill to repeal the Affordable Care Act. In a news conference Wednesday, Trump again called the health law聽鈥渁 complete and total disaster,鈥 and said he intends to move quickly to replace it with something 鈥far less expensive and far better,鈥 though he offered no specifics.
Deductibles are 鈥渙ut of this world. I think they had to do something,鈥 said John Ball, 73, a retired developer. But he said that the solution is not to scrap it without an alternative. (Jovelle Tamayo for KHN)
The view from Merrill Gardens offers a snapshot of a larger national debate about the successes and failures of President Barack Obama鈥檚 signature legislation. Its residents live in liberal King County, where chose Trump. But only 125 miles away, in a rural district that voted for Trump, Republican Rep. Jaime Herrera Beutler says seniors鈥 anxieties over repeal of the Affordable Care Act are misplaced.
鈥淪eniors are right to be concerned about the future of ACA, but not because of congressional Republicans鈥 plans,鈥 spokeswoman Amy Pennington said in an email. 鈥淭he law鈥檚 fundamental flaws, phony finances and broken promises will cause it to collapse on its own 鈥斅燤edicaid expansion, exchanges and all.鈥
At Merrill Gardens, residents are more politically engaged than in many parts of the country. They avidly follow the news through local newspapers, TV, the internet and radio.
鈥淚 think it鈥檚 a major crisis,鈥 said Brendan Wall, 87, a retired religion and philosophy teacher. (Jovelle Tamayo for KHN)
The group that showed up for an open meeting in the complex鈥檚 private dining room ranged in age from early 70s to late-80s. They included retired education, business and health professionals. Loree Wagner, a center spokeswoman, said the organizers did not ask for political affiliation.
鈥淚 find this moment especially challenging,鈥 said Dick Kirkendall, 88, a retired University of Washington history professor who specialized in the presidency of Harry S. Truman. 鈥淚 have a hard time seeing what鈥檚 ahead, a harder time than I鈥檝e ever had. I have a harder time knowing what my president is going to do.鈥
Everyone in the room said they had few complaints about their existing health insurance coverage through Medicare, Medicare supplements, private pensions and Veterans Affairs programs.
But they said they fear that proposed changes 鈥斅爄ncluding plans to privatize Medicare and revamp Medicaid and Social Security 鈥斅爓ill mean less care for their families and the poor.
鈥淢y opinion is not to touch Medicare or Medicaid,鈥 said Terry Doucette, 76, a former admitting department manager for a local hospital. 鈥淚 mean, people are dependent upon it and there needs to be a warning time and coming together in a real thoughtful way, making everything work together, especially for the least fortunate.鈥
Herrera Beutler said she supports plans to protect Medicare and Social Security for seniors in the future.
Sandra Wiatr, 80, is a registered nurse. 鈥淭here were people who didn鈥檛 do lab tests, who took only half of their medication because they couldn鈥檛 afford it,鈥 she said. (Jovelle Tamayo for KHN)
In addition to Wall, Kirkendall and Doucette, the group included John Ball, 73, a former developer, Sandra Wiatr, 80, a former school nurse in the Chicago public school system and Dr. Harold Ellner, 89, a retired urologist.
Overall, they sympathized with the frustrations of those who criticized the ACA, which created online health exchanges that expanded coverage to millions, but also saw sharp rises in costs and, in some cases, limited coverage choices.
鈥淭he Obama thing had been moving out of control, particularly for middle-class people whose insurance premiums have gone up and their deductibles are unbelievable,鈥 Wall said. 鈥淭hey鈥檙e out of this world. I think they had to do something.鈥
But they also echoed the views of a recent that found that while one in five Americans support repeal alone, three-quarters either oppose repeal entirely or want to wait until details of a replacement plan are complete.聽(KHN is an editorially independent program of the foundation.)
The answer is not to scrap the plan that expanded insurance to 20 million people while offering no alternative, said Ball, who only obtained regular insurance when he qualified for Medicare eight years ago. He still lives with consequences of untreated injuries, including a broken clavicle that healed badly after a rugby injury years ago.
鈥淚鈥檓 distressed at the proposal that we chuck out the baby with the bath water,鈥 he said. 鈥淚鈥檝e seen the backside of no insurance and living with something you hoped wouldn鈥檛 be considered a pre-existing condition. I have a pretty strong identification with those people who didn鈥檛 have insurance and were suddenly brought into the fold of Obamacare.鈥
Dr. Harold Ellner, 89, a retired urologist, supports single-payer. 鈥淥bamacare seems to have been a way station on the way to universal health care.鈥 (Jovelle Tamayo/for KHN)
In her work as a school nurse, Wiatr saw many students with asthma whose families couldn鈥檛 afford medication inhalers to control the potentially life-threatening disease. When she managed a family practice clinic, she saw people try to cut medical costs at the expense of health.
鈥淭here were people who didn鈥檛 do lab tests, who took only half of their medication because they couldn鈥檛 afford it,鈥 she said. 鈥淚 am very upset because I think our politicians don鈥檛 have a clue how difficult it is for people to receive medication and adequate health care.鈥
Ellner, the urologist, worked for a local Planned Parenthood clinic after he retired and flatly said he supports a universal, single-payer health system.
鈥淥bamacare seems to have been a way station on the way to universal health care and now it鈥檚 not only being challenged, it鈥檚 being threatened,鈥 he said.
The situation now calls for compromise and compassion from political leaders, said Doucette. 鈥淲hat I want to do is simply get the hard-headed guys from both parties to meet and really want to do this instead of wanting to win,鈥 she said. 鈥淣ow, we鈥檒l see what Trump does. He has all these ideas and he thinks everyone else is on a lower level. I would like to see them work together.鈥
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