[public-health] MEDICAL: INSURANCE : HEALTH CARE: INSURANCE : UNITED STATES: GOVERNMENT : HEALTH CARE REFORM : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE: CLIMATE CHANGE DECEIT : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE : CLIMATE CHANGE DENIAL : DISINFORMATION : UNITED STATES: POLITICS: POLITICAL PARTIES: REPUBLICAN PARTY, TEA PARTY : INDUSTRIES: PETROLEUM : LIBERTARIANISM : RACISM : BIGOTRY : EXTREMISM : HATE GROUPS : INTOLERANCE : DONALD TRUMP : BLATANT FALSEHOODS : SERIAL LIARS : REPUBLICAN WAR ON WOMEN : RAPE CULTURE : SEXISM : NEO-NAZIS : KU KLUX KLAN : RELIGION: CHRISTIANS: RELIGIOUS RIGHT : VIOLATIONS OF THE CONSTITUTION : MEDIA SUPPRESSION : LEGAL ISSUES : REPUBLICAN OBAMACARE REPEAL : MEDIA : FREEDOM OF THE PRESS : CENSORSHIP : POLITICS: VOTER SUPPRESSION : DICTATORSHIPS : OLIGARCHIES : FAKE NEWS : MENTAL ILLNESS: House Republicans’ Health-Care Amendments are Making a Terrible Plan Worse

 

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MEDICAL: INSURANCE :

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House Republicans‘ Health-Care Amendments
are Making a Terrible Plan Worse

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House Republicans‘ Health-Care Amendments
are Making a Terrible Plan Worse

By Jared Bernstein

May 4, 2016  at 6:00 AM

Washington Post

https://www.washingtonpost.com/posteverything/wp/2017/05/04/
house-republicans-health-care-amendments-are-making-a- terrible-plan-worse/?utm_term=.98fb6df3379e

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A shorter URL for the above link:

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http://tinyurl.com/mqx8utc

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If the latest run by House Republicans at repealing the Affordable Care Act founders, it will, according to numerous reports, be because moderate Republicans were not willing to support the loss of health-care protections that are highly valued by their constituents. Their main concern, according to WaPo, is   losing a core protection in the Affordable Care Act for people with preexisting conditions, as is possible under the latest GOP plan. However, an ill-conceived amendment to assuage the moderates, discussed below, appears to be shifting the momentum, so this is far from over.

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But before I get to that, lets be crystal clear about this. The problem with the House Republican health-care replacement is not merely that it takes us back to the days when insurers could charge a lot more to people with preexisting conditions (which Ill refer to as pre-X). Its not only that it will bring back coverage limits and medical underwriting, allowing insurers to again raise premiums for people with cancer, asthma, heart disease, and even that common ailment afflicting half of our population: being female.

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The problem with the House replacement bill is the same as it ever was, only worse. Tens of millions of people will lose health coverage, premium costs will rise for older and moderate-income persons seeking coverage in the individual market, and Medicaid will cease to cover millions of low-income people. While we havent, and wont, I fear, see a new, official score of the latest iteration of the bill, my strong view is that it will more than unwind the benefits of the Affordable Care Act and, in the process, deliver a huge tax break to the richest households.

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snip

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Lets tie this change to the basic architecture of health-care reform. Fundamental to this architecture is risk-pooling, wherein healthier people subsidize sicker ones. But thats not how this plan would work, or, more likely, not work.

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Moderate Republicans, to their credit, objected to ending the coverage of pre-X and, at least at first, didnt appear to buy the solution to this problem on offer from their fellow Rs: high-risk pools. These are what they sound like  you separate out the sickest people and pool them together. Obviously, since theyre the most expensive to cover, the people swimming in these pools will need to be either very rich or very subsidized.

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History is replete with examples of high-risk pools that have foundered on this logic. Its not that they cant work. Its that they dont work, because theyre always underfunded. And this is where the latest wrinkle comes in.

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The complete article may be read at the URL above.

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Sincerely,
David Dillard
Temple University
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[public-health] MEDICAL: INSURANCE : HEALTH CARE: INSURANCE : UNITED STATES: GOVERNMENT : HEALTH CARE REFORM : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE: CLIMATE CHANGE DECEIT : ENVIRONMENT GLOBAL WARMING AND CLIMATE CHANGE : CLIMATE CHANGE DENIAL : DISINFORMATION : UNITED STATES: POLITICS: POLITICAL PARTIES: REPUBLICAN PARTY, TEA PARTY : INDUSTRIES: PETROLEUM : LIBERTARIANISM : RACISM : BIGOTRY : EXTREMISM : HATE GROUPS : INTOLERANCE : DONALD TRUMP : BLATANT FALSEHOODS : SERIAL LIARS : REPUBLICAN WAR ON WOMEN : RAPE CULTURE : SEXISM : NEO-NAZIS : KU KLUX KLAN : RELIGION: CHRISTIANS: RELIGIOUS RIGHT : VIOLATIONS OF THE CONSTITUTION : MEDIA SUPPRESSION : LEGAL ISSUES : REPUBLICAN OBAMACARE REPEAL : MEDIA : FREEDOM OF THE PRESS : CENSORSHIP : POLITICS: VOTER SUPPRESSION : DICTATORSHIPS : OLIGARCHIES : FAKE NEWS : MENTAL ILLNESS: House Republicans’ Health-Care Amendments are Making a Terrible Plan Worse

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