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Well, here is your big chance............oh wait, that's right, the Republicans, led by your leader, can't seem to come up with anything better. How about them fixing it and then you have room to crow.
The Promise was Repeal AND Replace, seems some here conveniently forget.
Specifically, Trump promised to " replace Obamacare with something wonderful that will take care of everybody and the government is going to pay for it".
Heck of a lot of people voted for Trump based upon his promise.
Subsequent, Trump did the " who knew healthcare was so complicated" thing.
Obama made clear he was willing to sign any bill that would result in lower premiums while maintaining the Essential Services.
Trump indicated a willingness to sign any bill that allowed him to say he killed Obamacare regardless of the impact on the masses.
Specifically, Trump promised to " replace Obamacare with something wonderful that will take care of everybody and the government is going to pay for it".
Heck of a lot of people voted for Trump based upon his promise.
Subsequent, Trump did the " who knew healthcare was so complicated" thing.
Obama made clear he was willing to sign any bill that would result in lower premiums while maintaining the Essential Services.
Trump indicated a willingness to sign any bill that allowed him to say he killed Obamacare regardless of the impact on the masses.
I don't know what you're complaining about we all know the most important thing is tax cuts for wealthy people. That fixes everything with that amazing trickle down.
Wow. So how are Republicans going to explain to their constituents that the healthcare system is going down on their watch, after they promised for seven years to replace the ACA and spent the last year failing to do so?
You do know that they own it now, right? They control any and all institutions that would be able to either fix it or replace it. There's nothing the Democrats can do about it. It has to be the GOP.
I'm thinking American voters are going to be pretty pissed off come next November if the Republicans allow the ACA to go down.
Block grants should be given to the states. Let each state decide how to run its health care system. We can learn a lot from 50 individual state laboratories, experimenting with what works best. It's clear that the ACA's one-size-fits-all is making a lot of people unhappy.
I'm glad I live in a state that supports the law. States like Texas and Florida with the highest uninsured rates, should be allowed to let their poor suffer, as they've done for decades.
I don't buy into geographical solutions. Cancer is Cancer, no matter where one lives.
ACA established a baseline
All healthcare insurance is regulated at the state level. No two state have the same regulations down to the medications that must be covered.
Insurers charge different premiums for the same plan within the same state dependent upon the geographical location of the insured. What matters:
Ratio of claims made and type of claims : local population.
Ratio of healthcare providers: local population.
Ratio number hospital beds : local population.
Number of insurers in the local market.
The poorer the local population the more likely the population is sicker, thus more claims made. This is certainly not limited to inner cities. Kirya Joel, NY is the poorest community in the US. No shortage of desperately poor people throughout Appalachia. Rural America is bursting with poverty in every state.
There are states without a single Level One Trauma Care hospital. It is necessary to airlift people to appropriate hospitals across state lines. Somebody's got to pay for it.
insurers have been exiting the Individual Plan Market for more than 25 years because they cannot make a buck. To keep some semblance of a marketplace, pre ACA states had to develop their own strategies. Some subsidized insurers. Most allowed insurers to exclude preexisting conditions. Some states determined which conditions could be excluded while some states allowed insurers to exclude whatever they chose not to insure. Imagine if insurers were able to exclude anyone ever diagnosed with Diabetes- 20 million and just as many with undiagnosed Diabetes.
There are reasons why the US is ranked in 47 th place in healthcare, after Iran.
Finally - Trump does something good....make prices go up so more people will die younger (less SS, etc.) and GDP will increase due to the higher prices also.
Unfortunately......it's not going to do what he claimed (make it better and cheaper).
Oh, it's TrumpCare now - not ObamaCare. Obama Cared, Trump Doesn't. He has his.
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