The president has thrown his full weight behind a contested plan by House Republicans to replace Obamacare, battling to overcome resistance from the party's right wing in hopes of meeting a key campaign pledge. As expected, it was rebuked by Democrats. "And we think, with this bill, we would give more control to the states, and allow them to drive efficiencies that would increase quality and also reduce costs". Some of those are the shift from a fee-for-service payment model to value-based reimbursement; a rise in high deductible plans and increased consumer responsibility; and partnerships between health care entities like hospitals, ambulance services and nursing homes.
This is hardly new.
According to Cohn's study, those who will see their costs go up by at least $7,500 per year due to lost subsidies voted for Trump over Clinton 58-39.
More conservative members of Congress who have seen details of the coming budget, the same folks fighting Obamacare Lite, say that Trump's budget likely isn't going to go far enough to begin reversing economic damage even if Congress followed all of its recommendations. "It says, 'Are you with Washington or are you with West Virginia?' Because there are no two ways about it: This is absolutely going to hurt West Virginia children and families". Under the ACA, tax credits created to help consumers pay for marketplace insurance plans are based on income and the cost of a benchmark plan in an individual's exchange. Obamacare should be completely repealed before any replacement or reforms are introduced. But we are not starting from square one and the current bill runs the risk of expanding our already massive health care entitlement programs.
If the new, Donald Trump-backed health care plan, proposed by Republican House Speaker Paul Ryan to "repeal and replace" the Affordable Care and Patient Protection Act of 2010, successfully passes the House and Senate and is signed into law by Trump, numerous Americans most directly hurt by the new law will be Trump voters themselves.
Senator Ted Cruz of Texas: Cruz reportedly said on March 8 that he had "significant concerns" about the plan and that it could pass the Senate in its current form.
In addition to these rollbacks, the House bill calls for the elimination of all but one of the other taxes used to fund Obamacare, including taxes charged to insurance providers, pharmaceutical companies and medical device manufacturers.
"Next, and this is important, our plan ensures there will be a stable transition". Sure, they're trying to pull a fast one on us with the jury-rigged, sure-to-fail replacement for Obamacare.
Paul has his own solution for rebuilding the individual market: Allow Americans to join buying groups that would allow them to buy down premiums and guarantee they wouldn't be excluded because of pre-existing conditions.
Speaker Ryan and the Republican-led House are pushing an idea in larger penalties long pushed by the insurance industry.
That means there will be debate, debate and more debate.
Getting health care right has been elusive since the buck stopped with President Truman. "Everybody's going to be taken care of".
Matt Cartwright, incumbent candidate for the 17th Congressional District, speaks with the Times Tribune editorial board Wednesday.