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ACA failed much of what it tried to do accept it covered lots more people in that sense it worked. The problem with ever getting rid of it is what happens to the people that benefited from it.
ACA failed much of what it tried to do accept it covered lots more people in that sense it worked. The problem with ever getting rid of it is what happens to the people that benefited from it.
80% are on Medicaid expansion plans, and would not be affected. Only 4 mill are on ACA plans.
80% are on Medicaid expansion plans, and would not be affected. Only 4 mill are on ACA plans.
They want to get rid of Medicaid coverage.
His vision for health reform hinges on eliminating much of the federal government's role in favor of a free-market framework built on privatization, state flexibility and changes to the tax code. The vast majority of the 20 million people now covered under Obamacare would have far less robust coverage — if they got anything at all.
“Young, healthy and wealthy people may do quite well under this vision of health care reform,” said Larry Levitt, a senior vice president at the nonpartisan Kaiser Family Foundation. “But the people who are older and poorer and sicker could do a lot worse.”
"Think about the people with Obamacare insurance who have cancer and need chemotherapy. Think of the patients with brain tumors who need an MRI scan. Think of all the patients at risk of heart attacks and strokes who need surgery. The national news media would have a field day training their cameras on all the victims of Republican heartlessness.
This of course will never happen. Even if congressional Republicans were heartless enough to do it, Donald Trump is not. As recently as last Sunday he told Lesley Stahl on 60 Minutes that there would be no repeal without replacement. And there will be no gap between repeal and replacement – not even a single day."
I had figured he was smart enough to not drop people off. But the staff he's putting under him are not that smart. I think the staff choice is what's bringing this up.
His vision for health reform hinges on eliminating much of the federal government's role in favor of a free-market framework built on privatization, state flexibility and changes to the tax code. The vast majority of the 20 million people now covered under Obamacare would have far less robust coverage — if they got anything at all.
“Young, healthy and wealthy people may do quite well under this vision of health care reform,” said Larry Levitt, a senior vice president at the nonpartisan Kaiser Family Foundation. “But the people who are older and poorer and sicker could do a lot worse.”
I had figured he was smart enough to not drop people off. But the staff he's putting under him are not that smart. I think the staff choice is what's bringing this up.
The staff Trump is choosing makes it very clear what Trump's goals are.
Price's 2015 Obamacare replacement plan largely dovetails with Ryan's own ideas and could serve as a rough blueprint.
The legislation promotes the use of health savings accounts and selling insurance across state lines, but does away with requirements that insurers offer comprehensive benefits as well as constraints on what they can charge older enrollees.
80% are on Medicaid expansion plans, and would not be affected. Only 4 mill are on ACA plans.
Medicaid expansion was part of ACA if you repeal it so goes the medicaid expansion. Now I think that's unlikely as it would be easier to break out parts of the law you don't like. Also I think they may delay changes taking effect for years (longer then Trumps in office) to hedge their bets.
That said 4 million votes can easily throw a national election.
The legislation promotes the use of health savings accounts and selling insurance across state lines, but does away with requirements that insurers offer comprehensive benefits as well as constraints on what they can charge older enrollees.
States will get more control of Medicaid via block grants, but it will remain.
I did just see that and that aspect will depend on the state. Pence removed people from Medicaid if they didn't pay a monthly amount. I don't know the details, whether that was good or bad. But the plan Tom Price likes is right in keeping with Paul Ryan, which is just tort reform, Health Savings Accounts, selling across state lines, but no cost controls and no requirements from insurers. So no "catastrophic package" or anything else, it's just basically handing it back to insurance companies to charge whatever they want. With no mandate and no cost controls, the only improvement is pre-existing conditions and keeping kids on policies.
I had figured he was smart enough to not drop people off. But the staff he's putting under him are not that smart. I think the staff choice is what's bringing this up.
This is where the conservative wing fails because they're scared of taking on Santa. It's like we all rail against Obamacare. Then it comes time to get rid of it and everyone is like "well, let's keep pre-existing conditions, don't want to seem mean." And everyone nods and is like "good idea." And then someone goes "wait, we want to make sure all the people who got Obamacare keep it." And everyone nods and is like "totally, no question." And then someone says "and really that means we need to keep the individual mandate in, or we can't pay for it." And everyone nods and is like "I see, that makes sense."
That's pathetic.
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