Trumpcare Simply Eviscerates Medicaid and Much of State Government Funding
To say it cuts Obamacare pretty much understates the scope of what this terrible, awful, bad, very bad no good so called healthcare bill does.
Yes, it’s a meat ax to Obamacare but it’s also a meat ax to much of what we had before. Medicaid is no longer a guaranteed program.
If there's a spike in cancer—or say opioid addiction—in your state, federal funds will help cover it all. Trumpcare ends that. 3/
— Ben Wikler (@benwikler) June 22, 2017
Medical costs have always grown faster than general rate of inflation. Under Senate Trumpcare, Medicaid caps lock to rate of inflation. 5/
— Ben Wikler (@benwikler) June 22, 2017
Basically Trumpcare is Robin Hood in reverse:
Obamacare shifted $ from rich to poor and power from states to Washington. The Senate health bill would push back. https://t.co/crwAjhnGDY
— Margot Sanger-Katz (@sangerkatz) June 23, 2017
It is a huge cut to healthcare for the poor in exchange for a giant tax cut for the rich:
“Senate Republicans’ Obamacare replacement is bad for America’s health.”
“SENATE REPUBLICAN leaders released on Thursday a draft health-care bill, supposedly designed to repeal and replace the Affordable Care Act. It includes a range of mostly unwise and ungenerous changes to the nation’s health-care system, but it might, if enacted, end up as mostly a massive, unpaid-for tax cut for wealthy people and industries with pull on Capitol Hill.”
“The bill proposes rolling back nearly all of the taxes that supported Obamacare’s health-care coverage expansion, on everything from high wages and investment income to medical devices and tanning services. It would in theory retain the “Cadillac tax” on expensive insurance plans, which is meant to discourage taxpayer-funded overspending on health care, but would delay its implementation for nearly another decade. Though the scorekeepers at the Congressional Budget Office will count the revenue the Cadillac tax would eventually raise, it is a good bet the federal government will never see any of that money. The tax has already been delayed once, and Congress has shown little interest in restraining health-care costs when doing so poses any threat to middle-class benefits.”
“The tax cuts are supposed to be financed by slashing health-care spending for people of limited means. Federal assistance that helps people afford insurance premiums would be scaled back, and the quality of taxpayer-subsidized insurance plans would decline. As deductibles rise, federal help with out-of-pocket medical expenses would also disappear. Meantime, Medicaid, the state-federal program covering the poor and near-poor, would endure punishing cuts over time, likely leading states to reduce enrollment, benefits or both. The only option for those falling off the Medicaid rolls would be skimpy insurance plans they could rarely if ever use.”
Again, the Mitch McConnell Senate version of Trumpcare is worse-but it is also more devious like the Majority Leader himself:
“The cynicism of this exercise is evident in its staging. The bill would kill a variety of taxes right away, but the subsidy and Medicaid cuts would not phase in until after the 2018 midterm election. It would be left to future Congresses to allow severe cuts to the safety net or major expansion of the federal debt, or a combination of the two. Instead of forcing this choice between Americans’ physical health and the nation’s fiscal health, senators should end this repeal-and-replace disaster now.”
Ezra Klein puts it very simply and succinctly:
The Senate GOP health bill in one sentence: poor people pay more for worse insurance
“It’s not complicated. Just cruel.”
“There are a lot of moving parts in the health bill Senate Republicans just released, but the bigger picture is straightforward. Health care expert Larry Levitt condensed it to fewer than 140 characters:
Under the Senate bill, low-income people would pay higher premiums for bigger deductibles.
— Larry Levitt (@larry_levitt) June 22, 2017
“That’s it. That’s what this bill does. In fact, it does it over and over again. Policy after policy in the bill is built to achieve the same goal: making poor people pay more for less health insurance.”
The GOP redefines the ‘applicable median benchmark plan.’ Klein elaborates:
“The Affordable Care Act didn’t simply set subsidies based on income. It also tied them to a “benchmark plan”: the second-cheapest plan in a person’s area that covers, on average, 70 percent of expected health costs. The ACA’s promise was that, with help from subsidies, you wouldn’t have to spend more than a set percentage of your income on health insurance — if premiums rise in your area, so too will the subsidies.”
Again-bottomline, is higher deductibles and less coverage.
“If all this sounds a bit in the weeds, here’s the bottom line: Low-income Americans get less money to buy crummier insurance. In the GOP bill, the measure of what is affordable has gone up and the definition of what counts as decent insurance has gone down.”
But it’s not just an attack on Obamacare but Medicaid itself-a big part of Obamacare is the Medicaid expansion.
“This basic idea is also present in the plan’s changes to Medicaid. The Senate’s plan begins to phase out the Medicaid expansion in 2021, and fully repeals it in 2024. Low-income people who were on Medicaid get moved to the exchanges, where the plans cover less, cost more, and require more out-of-pocket spending.”
“Once the Medicaid expansion is repealed, Republicans get to work on Medicaid itself, tying the amount it can spend to an inflation index that lags behind how much health care actually costs. The result is Medicaid will be able to cover fewer people and cover less of their health care in the future.”
But this is the premise of the entire Senate version of Trumpcare which is worse than the House version but also more devious.
The tax cuts now, the steep cuts in Medicaid and state government later. Just like Mitch McConnell himself, the bill is of great deviousness and no heart.
P.S. So the Gravis poll against Peter King NY2 and it has good news-almost too good to believe.
In my March poll I trailed King by 11 and thought that was very good news. Now Gravis has me up by 10? Still, the moment of truth is next week when Gravis writes up the press release.
I can use any help I can get at this point-volunteers or supporters who live in NY 2. Donations whatever your zip code. These days we can’t just support a local Dem we need a Dem Congress. Which is why I’ve donated few hundred to Jon Ossoff.
Please donate to help me in my part of the effort to fight for a Dem House-$5 or $10 can do so much.
If you feel that you can’t I, of course, understand-who is rich these days? But please do me one favor: ask yourself privately, mentally, if you really can’t spare $5 dollars. If you can honestly say you can’t, no worries.
We can have a Dem Congress, we must have a Dem Cogress, and we will.
Thank you. We must have a Dem House. And so, we will.