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It's not gone. It's just that if you didn't have insurance in 2016 and check the "Full-year coverage" box on line 61 "Health care: individual responsibility" of your 1040, the IRS probably won't do an audit, learn that you weren't covered, and chase you for it on your 2016 Federal tax return.
The law still exists. It's just less likely to be enforced.
This is the way I read it also. Trump can't make it "gone" on his own. He can lead on how he wants it pursued though. Kinda like Obama with immigration.
Once again the arguments flip. It will now be good to not enforce our laws.
If you meant "regulations" rather than "legislation", then yeah. The executive branch creates the regulations. Congress creates legislation. The President can't stop that. All he can do is veto it.
Regulations come from the federal agencies, not Congress. As in, HHS created the legislation mandating that insurers cover contraception with no deductible or copays to their insured women, all of the regulations created by the EPA to stifle the coal industry and gain control of the countries waterways, myriad IRS regulations we all know and love.
So as I heard it this morning, President Trump sent a memo to government agencies not to create any more regulations, until he has had a chance to review them, and there is anticipation that many of these regulations will be overturned, thrown out, tossed out of existence, whatever it is that happens to old, warn out, repetitive or onerous regulations.
I have no idea what form of healthcare is on the horizon.
Get in line with 330 million other Americans who have no idea what health care might be in a few years.
It's a pretty safe bet that Medicare won't change much. The 65+ set votes and anyone 50+ is going to violently object to their deal being changed in any way. That's the political 3rd rail.
I think it's a pretty safe bet that Medicaid will get crushed. Medicaid and CHIP kid Medicaid people don't vote. Even if the ACA expansion remains, what Medicaid covers is surely going to be gutted. I figure the Federal government will just give the states block grants and let the states figure out how to spend the money. When it's 50 cents on the dollar from 2016 funding levels, there is going to be some pretty tight rationing. The big one is that 31% of Medicaid pays for the elderly in nursing homes who have run out of money. It's tough to kick grandma out into the street so I don't see how that part can be cut very much. That makes for enormous cuts in services for anybody else. Forget about anything fancy for the expensive behavior-induced chronic things like diabetes, heart disease, and pulmonary disease. No expensive drugs like Solvaldi for treating Hep C, Abilify for bipolar/schizophrenia, or Truvada for HIV. No heroic operations. Take two aspirin.
I figure the "you can't turn away uninsured people at the Emergency Room" mandate is going to go away. If you're an illegal, you die. Anybody Medicaid or CHIP will only have limited access and be told they need to stop using the ER as a medical walk-in. That might actually make the ER cheaper for citizens paying cash. Right now, those people subsidize the illegals who don't pay and the Medicaid/CHIP people where the hospital loses money.
I don't have a clue what will happen with everybody else on paid individual private insurance. The Republicans don't want healthy people (through higher premiums) or wealthy people (through higher taxes) to subsidize unhealthy people. You can't do anything without addressing the cost side and that's largely labor costs in the medical cartel. That's 18% of GDP with the largest lobby on the planet standing in the way of any kind of cost cutting. The populist Trump message is very different from the Republican establishment message. Who knows? Somehow, I think doctors, nurses, and all the other labor that make up most of the cost are going to continue making similar money. If unhealthy people aren't subsidized and they have to pay market rate, most won't be able to afford it.
I've always had gold-plated corporate group health insurance. I doubt that will change at all. Poor people will get crushed. The middle class buying their own in the exchanges today is anyone's guess.
he put a stop to any new laws and a stop to enforcing the old-- it's all wait and see now
Seriously?
Try reading the thread, it was already explained.
Quote:
Originally Posted by GeoffD
Get in line with 330 million other Americans who have no idea what health care might be in a few years.
It's a pretty safe bet that Medicare won't change much. The 65+ set votes and anyone 50+ is going to violently object to their deal being changed in any way. That's the political 3rd rail.
I think it's a pretty safe bet that Medicaid will get crushed. Medicaid and CHIP kid Medicaid people don't vote. Even if the ACA expansion remains, what Medicaid covers is surely going to be gutted. I figure the Federal government will just give the states block grants and let the states figure out how to spend the money. When it's 50 cents on the dollar from 2016 funding levels, there is going to be some pretty tight rationing. The big one is that 31% of Medicaid pays for the elderly in nursing homes who have run out of money. It's tough to kick grandma out into the street so I don't see how that part can be cut very much. That makes for enormous cuts in services for anybody else. Forget about anything fancy for the expensive behavior-induced chronic things like diabetes, heart disease, and pulmonary disease. No expensive drugs like Solvaldi for treating Hep C, Abilify for bipolar/schizophrenia, or Truvada for HIV. No heroic operations. Take two aspirin.
I figure the "you can't turn away uninsured people at the Emergency Room" mandate is going to go away. If you're an illegal, you die. Anybody Medicaid or CHIP will only have limited access and be told they need to stop using the ER as a medical walk-in. That might actually make the ER cheaper for citizens paying cash. Right now, those people subsidize the illegals who don't pay and the Medicaid/CHIP people where the hospital loses money.
I don't have a clue what will happen with everybody else on paid individual private insurance. The Republicans don't want healthy people (through higher premiums) or wealthy people (through higher taxes) to subsidize unhealthy people. You can't do anything without addressing the cost side and that's largely labor costs in the medical cartel. That's 18% of GDP with the largest lobby on the planet standing in the way of any kind of cost cutting. The populist Trump message is very different from the Republican establishment message. Who knows? Somehow, I think doctors, nurses, and all the other labor that make up most of the cost are going to continue making similar money. If unhealthy people aren't subsidized and they have to pay market rate, most won't be able to afford it.
I've always had gold-plated corporate group health insurance. I doubt that will change at all. Poor people will get crushed. The middle class buying their own in the exchanges today is anyone's guess.
ACA was just, for the most part, an expansion of Medicaid.
Where do people on Medicaid go for their healthcare? If you are on Medicaid and have the flu a doctor can see you in 6 weeks. so the ER.
They may not know how much it costs, but some in here don;t have clue how it works.
Not so. What about those of us who buy insurance on the exchange:full price, no subsidies?
Medicaid? Not.
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