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We all need to call our congress critters and DEMAND Medicare for everyone.
It would expand the risk pool and we'd instantly save almost 30% of healthcare spending.That's a lot of bucks. Get rid of the for-profit hospital chains ( that's billions of dollars per year, just in profits ). 16% of our healthcare dollars go to drugs. I'll bet we could get that down by at least 20% if the govt was allowed to negotiate prices like the private payers do.
And Obamacare will continue to fail and be a disaster, until Americans demand it be repealed. And it will be Obama's fault, as it is now, and it will always reflect badly on Democrats. Maybe that's a good thing?
Americans elected a republican president and a republican congress who have promised, since the ACA's inception, to repeal it. The democrats don't factor in, it's their game and their ball, so why aren't they playing? I kind of get Trump on this one, he's saying, you've had years to get your act together as a party to get things done once you got a favorable executive, so now it's time to put up or shut up.
Many employer based group plans have had no preexisting condition exclusion clauses for a long time. This means people can change jobs without losing the benefits of having health insurance. It's not something that was invented for the ACA.
Without the fines the money dissapears. When that happens the insurance companies all drop out. No, this is not a good thing for Obamacare. There is no bright side for those who side with Obamacare here.
Well, I, for one, don't 'side with' obamacare. But, I do think that whatever replaces it should cover more people, cover things that *some people* don't want covered because those things are important to *some other people*, and be affordable for all, not just for the rich. I feel like congress needs to get that right from the get-go, or trumpcare will be nothing but the bad stuff everyone hates about obamacare on steroids.
Well, I, for one, don't 'side with' obamacare. But, I do think that whatever replaces it should cover more people, cover things that *some people* don't want covered because those things are important to *some other people*, and be affordable for all, not just for the rich. I feel like congress needs to get that right from the get-go, or trumpcare will be nothing but the bad stuff everyone hates about obamacare on steroids.
The problem with moving on to tax reform is that repealing the ACA was part of GOP tax reform, knocking hundreds of millions in ACA taxes out. To make total tax cuts now will require sharp cuts in upper income tax cuts.
Besides it being Republican religion, why do we need to cut taxes at all?
I said tax reform, not tax cuts. The code needs to be drastically simplified, business and individual. If there are cuts too, great.
And it's not like Repubs can't walk and chew gum. They can think through what they expect to accomplish on the revenue side with ACA replacement AND in tax reform, so they're $ complimentary - as long as they do it within a year for so.
They should have started there. They were too afraid of the Insurance and Pharmaceutical companies. They were too afraid to lose their backing and money. We are NEVER going to get there until people quit making excuses and hold ALL politicians accountable.
+1. Until we get at the underlying costs of health care itself (US healthcare is already double the OECD average per capita) - no amount of other tweaking CAN make healthcare affordable. AHCA didn't do anything to reduce costs for patients. So many of our problems stem from special interests (campaign) money, not just healthcare. Until citizens demand that change, politicians are somewhat trapped unless all the billionaires run themselves...
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