Paul Ryan’s American Health Care Act (AHCA) which was supposed to “repeal and replace” Obamacare did this earlier today. It’s hard to find an objective, non-political analysis of the bill, so, we will make do with what Wikipedia said.
The act would allow states to continue to enroll persons in the ACA Medicaid expansion through January 1, 2020, and would disallow further enrollment after that date. The AHCA will include age-based tax credits for those who earn less than $75,000, or $150,000 for joint filers. The bill would require insurance companies to cover pre-existing conditions. The AHCA uses a standard of ‘continuous coverage’, defined by a 63-day coverage gap, where an individual who currently has insurance and is changing insurers will not pay a higher rate with their new insurer. Individuals who wish to buy insurance but are outside of the coverage gap will pay a 30 percent premium surcharge for one year and then return to standard rates. Both healthy and the sick are required to pay the surcharge.
IMHO, none of that sounds like an appeal of Obamacare.
The Republicans were proud that the bill would have replaced Centrally-Planned Medicaid with bloc grants to the states; which is a good idea on its own, but does nothing to address the cost drivers in Obamacare that have led to soaring premiums, outrageous deductibles, and rising expenses that have been called the Obamacare “Death Spiral.”
Moderate Republicans — who, contrary to left-wing propaganda make up the majority of the Republican caucus (only 30 of 237 congressional Republicans belong to the conservative Freedom Caucus) — balked at repealing the parts of Obamacare that were “popular,” i.e. the subsidies, the requirement for insurance companies to cover pre-existing conditions, and the expansion of Medicaid in 31 states. (Supposedly, Medicaid subsidies for the expansion were to be phased out after a few years, but everyone knew this was a lie/budget gimmick to hide the cost.)
The requirement that insurance companies cover pre-existing conditions is a huge cost driver. It’s essentially saying that you can wreck your car, buy car insurance the next day, and have the insurance company buy you a new car.
The bill also did not address another significant cost-driver, the Essential Health Benefits part of Obamacare. This is the part wherein a bureaucrat at the Department of Health and Human Services forces me to buy a policy covering mastectomies, mammograms, maternity care, drug rehab, and sex reassignments even though I will never have any need of those things.
All right, then. So… according to the moderates and the Idiocracy we *have* to have expanded MedicAid coverage and we *have* to cover the pre-existing conditions of people who were too f–king irresponsible to buy health insurance.
OK, let me offer a Deplorable Proposal to solve that problem. 1. Everybody with a pre-existing conditions gets to go into Medicaid. #2. The Medicaid tax is tripled to cover all of those people and the people covered under the original expansion because, according to John Kasich, that’s what Jesus wanted us to do.
Yeah, I’m calling for a tax increase. No kidding. No fooling around. I’m serious.
If you’re going to virtue signal about how damn much you care about the poor, put some of your own damn skin in the game for once.
If we’re going to continue with this stupid idea that people have no personal responsibility for their own health care, then let’s go balls-to-the-wall, baby.