A look at the House Republican health care bill

May 21, 2017
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The new bill will undergo changes in the senate, by Republicans who don’t like everything their colleagues from the House have sent to them to consider and pass.

Two important pieces of the ACA, that employers offer health insurance and the “individual mandate” that says that people should get insurance or be taxed, will go.

Medicaid. The Medicaid reforms in this bill are historic and potentially transformational, ten times more significant than the welfare reform bill of 1996.

Unfortunately, this White House is not in a position to make a case to the American people because the president has been all over the place in the debate and, more importantly, seems not to understand the issue or policy specifics well.

The bill, which could cause 24 million people to lose insurance coverage, must still be passed by the Senate, despite President Trump’s declaration of victory.

The outspoken and immediate skepticism pointed to a long road ahead in the Senate.

He said: “Thank you Mr Trump for admitting that universal health care is the better way to go”. According to Reuters, these taxes paid for Obamacare, and Republicans have not yet said how they would pay for the parts of the law they want to keep.

“You will glow in the dark on this one”, House Minority Leader Nancy Pelosi dramatically warned, predicting Republicans will be radioactive with voters in the 2018 midterm elections.

Back in 2010, the Democrats held Congress and the White House and used their majorities to jam through an unpopular health care law on a partisan basis, just as Republicans have done now.

Kim Buckey, VP of Client Services at DirectPath, said a CBO estimate is a must-have component for any bill presented to the Senate.

In the end, passage mattered less about how the bill played in public polls – poorly – or among key interest groups – almost all opposed. The AHCA still has to clear the Senate which it won’t, at least not as presently constructed. Nevada’s Sen. Dean Heller and Ohio’s Sen.

There was immediate evidence of the political pressure that awaits.

Unlike the House, the Republican majority there is narrow, and already some in the party are showing misgivings about the current legislation. An $880 billion cut to Medicaid, which provides health care coverage to roughly one 1 of every 5 Americans (and would cover more if not for the 19 states that have turned down Obamacare’s Medicaid expansion).

An earlier version of the Republican plan to repeal Obamacare collapsed in March, torpedoed by opposition from both moderates and conservatives in the party – dealing Trump one of the most stinging setbacks since he took office.

At the “IAmAPreexistingCondition” hashtag on Friday, Twitter users including actress Alyssa Milano described how the proposed House law could affect them or family members dealing with serious illnesses. “Yes, premiums will be coming down”, President Trump said from the Rose Garden on Thursday.

Republicans “took a bill that didn’t reduce the cost of premiums, that didn’t expand health coverage for all, that didn’t protect people with pre-existing conditions and that nobody liked, and nobody wanted, and decided it was good policy”, Ryan said Thursday.

Trump: The new bill repeals most of the Obamacare-related taxes.

The provision was of particular concern to a number of Senate Republicans who represent states that expanded Medicaid, including Nevada’s Heller and Arizona’s Flake, who may face tough re-election challenges next year.

Health and Human Services Secretary Tom Price speaks in the Rose Garden of the White House in Washington after the House pushed through a health care bill

 

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