It was a short time after passage of HR 1628 (American Health Care Act AHCA) by 217 Republican members of the House when they were celebrating their success in “repealing and replacing” Obamacare (ACA) by a “photo op”, smoking cigars and drinking the political Koolaid in the White House Rose Garden with the President. We will not know what the ultimate effect of this House approved legislation will have on the public until it is finally defined by a bill signed into law by the President. Until then we can only analyze the bill configuration we have available to us. To that end, the underlying analysis is provided.
There are some basic observations in order. This legislation ultimately removes government from a significant level of involvement in the healthcare system and opens insurance companies to redefine coverage and the associated premium costs. Additionally, state governments will have a new significant level of participation, defining mandatory coverage requirements and allocation of resources. For example, it is my understanding that a state may institute as its’ mandatory coverage level to the lowest level of coverage in another state. There are also massive cuts to Medicaid, something of the order of a trillion dollars over a period of years. Those cuts will provide the funding which ultimately will be used to reduce the taxes of those earning over two thousand dollars per year.
Reflected below are the elements of Obamacare (ACA), their status under this bill and the approximate number of people affected by that element where applicable.
What Stays:
- Dependents covered to age 26-100 million
- Federal exchanges continues
- Subsides based on income remains but are adjusted lower
- Individual mandate remains at a 30% surcharge
- Subsides cannot pay for abortions
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What Expands Under AHCA
- HSA limits are increased
- Federal subsidies covers “from” and “not from” exchanges
What Changes Under AHCA
- There are no limits to premium increases
- No limits on insurance company profits
- Expanded Medicaid would end for new new enrollees in 2020
- Mental health and addiction services eliminated-334 million
- Preventive and wellness services eliminated-334 million
- Pregnancy, maternity care and newborn care not covered-63 million
- Birth control coverage eliminated-63 million
- Breastfeeding coverage eliminated-63 million
- Pediatric vision and dental care eliminated-80 million
- Part D Medicare doughnut hole reinstated-55 million
- Caps reinstated-280 million
- 880 Billion dollar cuts to medicaid-see below
The Kaiser Family Foundation’s analysis on some of the bill’s aspects states preexisting conditions exist in 30% of the population under the age of 65. Medicaid provides acute care and long term care for 6 million medicare seniors and 10 million seniors under the age of 65 who have disabilities. The 880 billion dollar cut to medicaid will cut life critical aid to this demographic group while giving a 600 billion dollar tax break to the top 2% wage earners.
These medicaid cuts as usual will impact those least cared about by the representatives that receive their dark money campaign funds from Citizens United and other black hole sources. Kids with cancer, the disabled, and seniors in assisted living facilities will all know the pain, financial hardship, and death cycles provided by some selfish and stupid representatives whose attitude is PARTY UBER ALLES.
The fragile lives of tens of millions of Americans are in the hands of 545 voting members of congress. They can choose for their constituents LIFE, DEATH or BANKRUPTCY! THEY SHOULD CHOOSE WISELY, BUT WILL THEY?
THE FUTURE BEGINS TODAY!
GEISNER 05/08/17 DOLLARBILLBRIGADE.COM™
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