Kendall Stanley - Bye-bye health care

20 March, 2017, 06:12 | Author: Leticia Walters
  • Rep. Sheila Jackson Lee D-Texas opposes the Republican health care bill during work by the House Budget Committee on Capitol Hill in Washington Thursday March 16 2017

That's 17 percent fewer than if the ACA remained in effect. The federal government pays a share of each state's cost of providing care for beneficiaries.

As it is the ACA places a relatively small 3.8% on the investment income of the richest families which affects about 2% of households or couples earning more than $250,000 a year.

"We urgently need a patient-centered, integrated healthcare model that provides individuals the freedom of choice, physicians the freedom to practice, and those with chronic disease, addiction or illness the freedom to live their lives knowing they have access to quality, affordable healthcare", Fitzpatrick said. While the ACA may have been a step in the right direction, the plan still leaves too many without any insurance, has permitted skyrocketing deductibles and premiums, and ignores outrageous drug prices.

The push-back from House Republicans was swift and highly anticipated Tuesday in wake of the Congressional Budget Office releasing its report on their plan to repeal the Affordable Care Act. When reductions in tax credits and other subsidies raise out-of-pocket costs for health insurance, fewer people will buy coverage, particularly if they can go without it, safe in the knowledge that they can buy coverage whenever they get sick.

Though facts mean little to President Donald Trump, opponents of the GOP plan should stick to them and put them in context.

To appease conservative lawmakers, House Speaker Paul Ryan and Republican leadership are looking at giving states the optionof requiring able-bodied Medicaid recipients to work, a provision Republicans have long wanted. It's a means of providing access to the health care provider by covering a portion of the cost. The Affordable Care Act, better known as Obamacare, transferred some of the responsibility for paying for uncompensated care from cities, counties and states and gave it to the federal government.

Economist Gail Wilensky sees a middle way between supporters and detractors of the bill's treatment of Medicaid.

Sam Wilson is state director of AARP Wisconsin. "The Republicans who want to cut [Social Security] & Medicaid are wrong", he tweeted in 2015. In a statement, he said the proposed Medicaid changes would force states to "ration care".

The Republican plan will be bad for some people and good for others.

"After considering the current healthcare bill in a thorough and deliberate manner, I have concluded that, although the American Health Care Act focuses on several much-needed reforms to our healthcare system, in its current form I can not support this legislation", Fitzpatrick wrote on Facebook on Sunday. The federal government now matches that amount. This would likely result in a greater burden on states, which could lead some states to reduce or restrict benefits, or to opt out of the Medicaid expansion altogether, and thus to a large rollback of assistance to the poorest Americans. Wilensky calls it the "unsung hero" of Obamacare. Instead of an open-ended payment where Washington contributes on average 57 percent of Medicaid costs incurred by states, the federal outlays to states would be capped.

"What we want to do is get the federal government really as much out of the business as we can", Rokita said.

It's a gradual approach, with additional options for states.

A second concern is the proposed elimination of several health programs including numerous health education and preventative health efforts we now have. Capping the contribution will simply cause states to spend less on the neediest population, says Derksen, a medical doctor and a Republican who helped write parts of the ACA that pertain to rural care.

That redesign is estimated to come with deep spending cuts. The reality is, jobs were not lost and the number of part-time workers did not rise.

The future of Medicaid could become a pivotal issue as the health care debate moves to the Senate.

The better way to deal with costs, he argues, is to encourage more Medicaid expansion waivers to allow states more flexibility with their own programs - waivers such as those granted to IN and Arizona that have taken creative approaches to containing costs.

"Congress not only listened to President Trump in his call for immediate action but also the millions of Americans who were devastated by Obamacare", he said.

But Trump's goal does not seem to be "repeal and replace".

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