More Signs Tom Cotton’s Not As Smart As He Thinks

In a debate with opponent Mark Pryor last night, Republican Senate candidate Tom Cotton, who’s very much the poster boy for the GOP future if the party refuses to moderate or diversify, showed again he’s not as smart as he thinks he is. ThinkProgress’ Alice Ollstein has the story:

Tom Cotton, the Republican candidate for Arkansas’ U.S. Senate seat, has repeatedly denounced the Affordable Care Act as a failure and vowed to help repeal it if elected. But in his second and final debate Tuesday night against Democratic incumbent Mark Pryor, he went further, claiming the high-risk insurance pools that many states ran before Obamacare’s passage were better for people with pre-existing conditions than the current exchanges.

“Many people were happy with their coverage under the high-risk pool, before it was eliminated,” Cotton said. “They should have been allowed to keep that choice.”

Pryor shot back, saying his personal experience proved otherwise. “I am a cancer survivor,” he said. “I have been in the high-risk pool. I have lived there. It is no place for any Arkansan to be. If we go back to the high-risk pool, it’s like throwing sick people to the wolves.”

Many of the high risk pools Cotton praised were known for their sky-high costs, exclusion of many applicants, and strict limits on what care is covered. In Arkansas, out of pocket costs for patients in such pools could be as high as $20,000 and those with pre-existing conditions had an average 6 month waiting period for care.

Now to be fair, it’s not 100% clear whether Cotton was referring (as was Pryor) to the high-risk pools that existed in Arkansas and many other (though not all) states prior to the enactment of the Affordable Care Act, or to the new high-risk polls set up by Obamacare itself. But either way, the costs are much higher and the coverage much less extensive than under policies available via the exchanges. Maybe there’s somebody out there who did better under an unusually generous high-risk poll than under, say, an Obamacare Bronze Plan. But I’d say the burden’s on Cotton to explain what the hell he’s talking about. Certainly as a cancer survivor Pryor is in a superior position to know what it’s like to depend on high-risk pools, and Republicans everywhere have gotten away far too much with blithely talking about such pools as an “answer” without acknowledging the problem of crappy insurance at unaffordable rates.

Ed Kilgore

Ed Kilgore, a Monthly contributing editor, is a columnist for the Daily Intelligencer, New York magazine’s politics blog, and the managing editor for the Democratic Strategist.