I’m bookmarking
For all the talk about how repeal doesn’t really work without replacement…here we are.
So in seventeen days…nah.
the American people should rise up
We are just measuring right now how stupid they are (“Americans voted for change!”) and I bet you they earn high high marks on that ignoble scale.
I would think that pure repeal would give grounds for lawsuits, as there are existing obligations.
I would seriously give good money for a documentary about some of the millions of people who will die because of the ACA repeal. I want congress to see these people’s faces as much as possible. Huge posters with the faces of the condemned outside congress. How do I help make that happen?
So they covered their asses with language permitting them to add to the deficit, which isn’t that a big time yuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuge no-no in Republican land? But hey people will lose their healthcare, people will die so there’s that yuuuuuuuuuuuuuuuuuuuuuuuuuuuuge bigly win for Republicans.
Oh did I forget I’m sure there will be some related job losses-so how you’re gonna tweet fix that Pres. Donnieboy?
the complicated procedural path Republicans will have to navigate to get a repeal bill to the White House
Sure, it’s hard and it’s complicated, but for the GOP, it’s not just a chance to fuck over a lot of people, it’s a chance to fuck over a shit load of people.
Most major industrialized nations, with the exception of England, use an Exchange where health insurance carriers can compete for buyers. Also, called “managed competition.” Adam’s Smith’s “invisible hand” at work. In the nineteen sixties, the Federal Employees Health Benefits Program (FEHBP) used an exchange for health care coverage. This included members of Congress.who received a subsidy. After the ACA, no subsidy. Our fragmented health care system failed to cover 3% of the populations. The insured were paying for the uninsured. Costs were rising 14% annually. The ACA was implemented to reduced inefficiencies and waste in the system, and to guarantee coverage for all. Francella Poston
All I can say is they better be dismantling their own tax payer funded health care at the same time.
Perhaps there are better ways to provide medical insurance to 20 million people…except that the Republicans haven’t come up with a replacement or improvement. The ideological hurry of the Republicans only shows they don’t care about the American people–or at least 20 million of them. They are motivated by hatred and ignorance.
And thus the walk on thin ice begins
You forget who’s coming to the White House. Obligations? He’ll just dismiss it all as “shoddy work” and walk away.
ALL members of Congress get their insurance through the Obamacare exchanges—without any subsidy.
Here comes the screwing we knew was coming!
Tierney, you could turn Three Little Pigs into War and Peace.
That picture at the top of the article should be in every post office in this country, with the words “Most Wanted.” A more criminal pair of heartless corporate tools has rarely been depicted in print. These two really make me retch.
The Blue States - those that voted for Clinton - do not need the ACA. Almost all of these states have both the population and the financial capability to use the Constitutional authority for interstate compacts to establish together their own much simpler version of the ACA for their own citizens. This would be sort of a “soft succession” from the federal system, in order to establish their own health insurance system. And screw the Red States.
One option would be to assume that the Trump Congress won’t repeal the Medicaid expansion because a lot of Republican states, including Pence’s, have already adopted it. The other would be to assume that even the Medicaid expansion goes away.
The state-centered ACA replacement could either treat each participating state as its own actuarial territory, or it could combine the participating states into one pool- or several actuarial territories. They could also pool hospital and other medical facilities – which are among the finist in the world – and could be such a big block of customers that the drug companies wouldn’t dare try to black mail them. .
This is how it woukd work: Each participating state would require every insurer providing health insurance in the state to provide two types of policies on the state exchange in every part of the state where the insurer also provides policies in the private market. The first insurance policy option would mirror its typical employer-based policy. The second would mirror the state’s medicaid coverage. Those who do not have employer coverage would get their coverage on the state exchange.
Subsidies would be retained, and could be expanded: Income-based subsidies would mirror today’s ACA, but could also be expanded to cover a portion of premium for higher income families that really get screwed under the ACA.
Here is how it would get financed: First, new monies would be brought into the State Treasury in two ways: All of the ACA’s high income taxes that the Trump Congress intends to repeal would be recaptured dollar-for-dollar by each participating state through its tax laws. And all employers who currently pay a fine/tax under the ACA for not providing employer based coverage would pay that same amount (or higher) to the state. Those persons who decide not to get coverage would pay a similar fine/tax as an ad on to their state income tax; in that way it would be deductible from their federal incone taxes. Finally, the monies that the state was going to start paying for the Medicaid expansion would go into the pot.
Next, there would be real cost controls like this-- All providers would have to grant “most favored nation” status to the billing of policyholders. In other words, everyone covered by the program would be billed on the same basis that the insurer charges to its best private sector customers. Every prescription drug would be made available, also under a “most favored nation” approach that included the price the manufacturer sells the drug for in Canada.
All of this is very do-able. My California daughter tells me that California has already said that if the ACA is repealed, they will maintain universal coverage.
And one other benefit of this state-centered approach is that Blue America can start demanding that they no longer be required to subsidize the Red States.
Just by having the plans ready to go, they can tell the Republican Congress to go ahead and repeal Obamacare. We don’t care, because we will take care of our own.
Nancy Pelosi just made reference to such situations (and tied in the Republicans’ intention to change Medicare) in her comments - but I really wish the Democrats had been doing this on a regular basis. She said something like, “Do most 50-60 years olds want Grandma living in the guest room while they try to negotiate her care with her doctors?” That would have horrified a good percentage of older, working adults.
Time to get your plan together to short healthcare stocks because these are going to tumble.
Hopefully, everyone, on this website, will contact their Congressperson and Senators to let them know in no uncertain terms that they will pay a political price if they repeal Obamacare. Ryan , McConnell don’t care , and I suspect not one member of the Republican party cares a whit.But from my perspective it is cathartic to let these ghouls know what chaos and damage they are causing.