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No, GOP’s Obamacare Update Doesn’t Make Rape A Pre-Existing Condition

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The American Left is finishing its sixth straight month of losing it. They have been pegged at “total freakout” for so long now that it is impossible to tell when anything they say is valid or wildly exaggerated.

Take the headline you undoubtedly saw, or had forwarded to you on social media if you interact much with people on the Left, which proclaimed that the American Health Care Act—House Republicans’ Obamacare tweaks—makes sexual assault a pre-existing condition.

https://twitter.com/emmaroller/status/860174005784989697

What’s actually going on here? The House bill, which mostly just tinkers with Obamacare instead of actually repealing it, still contains a requirement that insurers have to cover people with pre-existing conditions. But a late addition, the MacArthur Amendment, gives states the ability to ask the federal government for a waiver that would allow insurers to charge people with pre-existing conditions higher rates.

The amendment itself—and I had to search around for a while to find its actual text rather than somebody’s short-stroke summary of it—makes no mention of sexual assault or rape.

Ah, but somebody realized that rape victims sometimes suffer medical problems as a consequences of the assault and that these problems would count as “pre-existing conditions” under the law. They would count as such because they have always counted as pre-existing conditions. But so would any number of other conditions resulting from other tragic and unfortunate events. In other words, this headline is so misleading that even PolitiFact rates it as “Mostly False.”

The new law does not “make” sexual assault a pre-existing condition. The medical consequences of rape have always been considered a pre-existing condition, because that’s what the phrase “pre-existing condition” means. It refers to a condition that existed previously.

“Pre-existing condition” is not a value judgment. It does not imply that the pre-existing condition is the patient’s fault, or that this person is somehow unworthy of receiving medical treatment. It is a merely factual description, but one that has special relevance when talking about insurance. When you require insurance coverage for a pre-existing condition, it’s no longer insurance. Insurance is a financial mechanism for hedging against an unknown future risk, not a way of seeking compensation for damage that has already occurred.

If that seems like a nitpicking distinction, it’s one with very big real-world consequences. Telling insurance companies that they have to cover pre-existing conditions and can’t charge more for that coverage breaks the actuarial calculation behind insurance and contributes to the “death spiral” of escalating premiums, which we could already see under Obamacare. So you can understand why there’s a rational argument for not requiring pre-existing conditions of any kind to be covered under the heading of “insurance.”

So are Democrats making this claim about sexual assault because they want to lobby for free medical treatment for victims of sexual assault—a worthy cause they just discovered five minutes ago? No, they’re doing it because evoking sexual assault victims, as opposed to sufferers of any other kind of pre-existing condition, packs a special emotional wallop. Then when somebody responds by carefully and rationally explaining what’s really going on and why pre-existing conditions can’t be covered if health insurance is going to function properly—as I just did above—that person suddenly looks like a callous heel. How can he approach the issue with such cool logic? How can he be so insensitive to the victims?

In short, it’s a raw appeal to emotion, specifically designed to make rational analysis of the issues look not just inappropriate, but positively immoral.

The Appeal to Emotion is a fallacy that’s thousands of years old, but what makes this particular case a microcosm of today’s style of argument is one extra twist. If the purpose of the Appeal to Emotion is to make logical analysis seem insensitive, the purpose here is to make the user of logic seem insensitive specifically to women. This fits right in with the target audience’s prejudices. Of course those evil people on the Right, those old white men reveling in their patriarchal privilege, would be callously indifferent to the suffering of women. Of course they want women to bear the blame for their own sexual assaults. It’s just like “The Handmaid’s Tale.” We knew it all along!

That’s what makes the headline “too good to check” and ensures its entry into the natural life cycle of a “fake news” story: blaring viral headlines, followed by low-key, surreptitious corrections in the more reputable outlets, followed by the cementing of the headline as an established fact that will never be dislodged from the minds of its target audience. We’ll still be hearing about it 30 years from now.

This fits into a larger problem with how the Left tends to interact with everyone else while they’re in Perpetual Rage Mode. As someone who attempts to interact with the other side pretty regularly on social media—and not always just to score rhetorical points—I’ve begun to notice a distinct pattern. People on the Left will interact with someone on the Right just long enough to be able to find some sign, some slip of the tongue, some violation of accepted speech codes (like not being a prig about Cinco de Mayo) that allows them to dismiss that person as racist, sexist, homophobic, or just insensitive—which provides an excuse to ignore anything he has to say. The conclusion is always the same: all arguments from the Right can be dismissed without consideration because they come from bigots.

They need to stop doing this, and not for our sake—if you’re on the Right, you’re probably used to coping with an omnipresent background radiation of political hostility—but for their own sake. It is a spectacularly unconvincing method of argument that drives people back into their own social media “filter bubbles.” It doesn’t convince anyone. It just convinces them not to talk to you any more. Then you end up on an evening in November, stunned at the fact that so many people voted for a candidate whose sole political function is to stick a finger in your eye.

The Left is already paying the price for making “race, class, and gender” into a substitute for argument and persuasion. They might want to consider not digging that hole any deeper.

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