What's next for the GOP Obamacare replacement?

What's next for the GOP Obamacare replacement?

Perhaps, in the privacy of their own homes, the savvier ones are popping the champagne corks.

Obamacare is popular in many states, even some controlled by Republicans. Under the GOP's replacement plan, however, the tax credits are the same across states. And, true, it does away with numerous Obamacare provisions that conservatives most reviled, including the individual mandate to buy insurance and a bevy of taxes.

Democrats and their allies in the liberal policy community are not wrong to fret about that. The new Affordable Health Care Act eliminates the ACA's cost-sharing subsidies for low-income people and replaces Obamacare's premium credits with flat tax credits that increase only with age. The Republican bill dumps this necessary provision and it is unclear how that would impact the MA individual mandate.

"If they have some suggestions that improve predictability, fairness to all the participants - including insurance companies - then we have something to talk about", she said.

The Republican plan differs from Medicare Part D in an important way, however: Its penalty lasts only 12 months.

Now it's an argument about whose subsidized-regulated-individual-market-plus-some-Medicaid thingy works better. What would it do to the federal deficit?

Trumpcare would also devastate Medicaid, which provides the most vulnerable Americans with essential health coverage: kids in low-income families, pregnant women who otherwise could not afford maternity care, seniors, and Americans with disabilities.

The GOP bill doesn't pay for any of this.

"That might give him some political capital to use on this health care fight; because this is going to be a battle, and I don't know if he's going to be able to win it", he said. Medicaid is the federal-state program that covers health care for the poor.

The Republican-proposed legislation replacing the Affordable Health Care Act was put together in a guarded secure room by a few select Republicans.

Deciding how much of total health care expenditures should be shared across the population and how to share it is the fundamental conundrum of health care policy.

Needham has a point. Action on Obamacare was an "urgent necessity" he said. We're fortunate to have Romneycare as a bulwark against the gutting of Obamacare, but if the GOP plan becomes law the state's health care system could suffer a body blow. Obamacare is coming apart at the seams. It represented the maximum politically feasible distance Democrats could move toward their top goal, universal coverage. Rand Paul (R-Ky.), and it doesn't offer much for the moderate Republicans, especially in the Senate, who have sounded the alarm bells that phasing out Medicaid's expansion the way the bill does it would throw millions of people off healthcare.

But the President is open to changes to the bill, which will surely look different once it goes through the various committees and amendment processes.



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