Thursday, May 4, 2017

And Reduce The Surplus Population


Here is what the bill actually does:

Takes a machete to Medicaid. The bill would cut $880 billion over 10 years from Medicaid, the program that provides health care to about 74 million poor, disabled and elderly Americans. That’s one-fourth of its budget. As a result, 14 million fewer people would have access to health care by 2026, according to a C.B.O. analysis of the earlier bill, which contained similar Medicaid provisions... [and] special education programs, which receive about $4 billion from Medicaid every year.

Slashes insurance subsidies. It would provide $300 billion less over 10 years to help people who do not get insurance through employers and have to buy their own policies. This would hurt lower-income and older people the hardest. For example, a 60-year-old living in Phoenix and earning $40,000 would have to pay an additional $12,370 a year to buy a policy, according to the Kaiser Family Foundation. Many people who find themselves in this situation would have no choice but to forgo insurance.

Eliminates the individual mandate. Many people hate that the A.C.A. requires people to buy health insurance or pay a penalty. But without the mandate, fewer younger and healthier people would buy coverage. This would lead to what health experts call a “death spiral” as insurers raise rates because they are left covering people who are older and sicker, leading to even more people dropping coverage. Eventually, companies could stop selling policies directly to individuals in much of the country.

Guts protections for people with pre-existing conditions. An amendment by Representative Tom MacArthur of New Jersey would allow states to waive the requirement that insurers sell policies to people with prior health problems and not charge them higher rates. The chief executive of Blue Shield of California said the bill “could return us to a time when people who were born with a birth defect or who became sick could not purchase or afford insurance.” Republicans say they will require that states with waivers offer high-risk pools and find other ways to help treat these people. The bill offers $138 billion over 10 years to help states pay for such programs. Health experts say this is far too little; Larry Levitt of the Kaiser Foundation estimates that at least $25 billion a year would be needed.

Makes insurance less comprehensive. The bill would also let states waive a requirement under Obamacare that insurers cover a list of essential services. This means people in some places might not have access to maternity care or cancer treatment. This provision could also hurt people who get insurance through work, because federal regulations allow employers to opt into the rules of any state for the purposes of determining annual and lifetime limits on coverage, according to an analysis by the Brookings Institution.

Defunds Planned Parenthood. Republicans have included a provision that takes federal money away from the organization, which provides birth control, cancer screenings and other health services to 2.5 million people, mainly women. About 60 percent of people who use Planned Parenthood depend on government programs like Medicaid.
--  New York Time Editorial, 5/4/17: "The Trumpcare Disaster
    (All Links Above In Original)

...In in the summer of 2009, Ryan argued that the healthcare bill was moving too quickly through Congress without an adequate CBO estimate and a full understanding of the legislation. "If you rush this through before anyone even knows what it is, that's not good democracy," he explained... "I don't think we should pass bills that we haven't read that we don't know what they cost."

Just a few hours before a scheduled vote on a bill to repeal the Affordable Care Act, the House voted 429-0 to strip out a provision in that legislation that would have exempted members of Congress and their staffers from some of the most radical changes to health care law...

“They planned to exempt themselves from Trumpcare until they got caught,” Rep. Jan Schakowsky (D-IL) accused Republicans from the House floor.
-- Alice Ollstein, TPM, "House Votes To Eliminate Congress Carve-Out From O’Care Repeal Bill"

Today, I hope there is a hell. If such a place has a use, it is to house people who celebrate with a cold beer after voting to endanger the lives of millions to enrich the already wealthy. These people should be trembling in fear before the justice and wrath of God. But since they did not see fit to acknowledge God, God gave them up to a debased mind and to [do] things that should not be done. They were filled with every kind of wickedness, evil, covetousness, malice. Full of envy, murder, strife, deceit, craftiness, they are gossips, slanderers, God-haters, insolent, haughty, boastful, inventors of evil, rebellious towards parents, foolish, faithless, heartless, ruthless. They know God’s decree, that those who practise such things deserve to die—yet they not only do them but even applaud others who practise them.
--  Adam Kotsko / An und für sich: "A Theological Reflection On The Obamacare Repeal Vote"


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