Senate Trumpcare: the Worst of all Worlds
It decimates the Medicaid coverage of millions. Indeed, it’s worse than the House GOP plan. But like Mitch McConnell itself it’s very devious. It is worse than the House bill but it wreaks its pain more slowly.
There’s a lot to absorb here, but this is the bottom line:
- MEDICAID: It’s MORE draconian and cruel to Medicaid enrollees than the House version…but delays the worst of it by a few more years.
“Seriously, that’s it in a nutshell. It phases out the ACA’s Medicaid expansion more gradually…but as the years pass, would eventually squeeze even more people off their coverage…mainly via non-ACA Medicaid, which means that this bill really has little to do with “repealing Obamacare” and is mainly about giving massive tax cuts to the ultra-rich at the expense of the poor and low-income workers.”
Remember the alleged aim of the GOP in repealing Obamacare was to lower premiums and deductibles.
The Senate GOP’s health care bill is a strange document. It doesn’t fix what conservatives dislike most about Obamacare. But it takes what everyone else hates about Obamacare and makes it much, much worse.”
“The new world created by the Senate health care bill will be based around higher-deductible plans that cover fewer health benefits and cost people more. The plan degrades Obamacare’s insurance regulations, and cuts insurance subsidies so that Americans won’t be able to afford plans as generous as the ones they purchase now. If the Medicaid expansion really does die out in 2024, then the poorest of the poor will be pushed from comprehensive, low-cost health insurance to extremely high-deductible plans.”
So the worst of all worlds-less coverage for higher premiums and deductibles. So who does win?
1. People who think the rich pay too much in taxes and deserve a huge tax cut.
2. The Republicans get to dance on the grave of something with Obama’s name in it. They have the satisfaction of destroying a Democratic legacy.
Trump had said he would abolish Obamacare but that he would also lower premiums and deductibles. Surprisingly, Trump sometimes says things that aren’t true-sorry if anyone’s illusions are shattered!
In our next episode we discover that-Santa Claus isn’t real.
“Trump has made these complaints about Obamacare, which are shared by many insurance customers and critics of the bill alike, a centerpiece of his rhetoric on health care for years.”
“Our healthcare plan will lower premiums & deductibles — and be great healthcare!” he tweeted last month. A few days earlier he tweeted that Republicans would provide “much lower premiums & deductibles.” In March, he complained that “deductibles are so high you don’t even get to use [insurance]” under Obamacare.
“But the Senate bill released last week and the House bill passed last month take the opposite approach: They include policies that encourage higher deductibles and dramatically raise out-of-pocket costs, in some cases by thousands of dollars per person. The president has embraced both efforts even though they violate his repeated promises.”
This is because:
1. He’s a pathological liar
2. He doesn’t have much command of logic anyway
“There’s no question that people in the individual insurance market would end up with higher deductibles under the Senate bill, much like the House,” Larry Levitt, senior vice president at the Kaiser Family Foundation, told NBC News.
So after running against Obamacare for eight years for the sin of raising premiums and deductibles-often without taking into account that premiums would have gone up anyway; and that comparing premiums in 2014 against 2008 without factoring that in is misleading-the GOP plan raises premiums and deductibles.
“It’s not hard to understand why deductibles would go up under the two Republican plans. There are two major provisions in the Senate bill, for example, that specifically affect deductibles and expenses.”
“First, the Senate bill encourages customers to sign up for plans with higher deductibles. Under Obamacare, the amount of subsidies customers receive to buy coverage are pegged to the price a “silver” plan, which covers about 70 percent of the average user’s medical costs. The average deductibles for these plans right now are about $3,500 for individuals and $7,500 for families, according to an analysis by the consumer site HealthPocket.”
“But the Senate bill instead pegs its subsidies to insurance plans that cover only 58 percent of costs. Similar plans on the marketplace this year have average deductibles of more than $6,000 for individuals and $12,000 for families.”
“That means customers face an increase of thousands of dollars in deductibles unless they pay more in premiums.”
“That’s not the only provision that hikes deductibles, though. Both the House and Senate bills eliminate subsidies that were created just to lower deductibles for low-income customers.”
“Under Obamacare, insurers cover a large portion of out-of-pocket costs for individuals making up to 250 percent of the federal poverty level — about $30,000 for an individual and $61,000 for a family of four. In exchange, the federal government reimburses them for the difference. The theory is that customers in this income range would otherwise struggle to benefit from a silver plan with deductibles of $7,500.”
“But the House and Senate bills each eliminate these cost-sharing provisions — and the effects would be dramatic, according to a Kaiser Family Foundation analysis. If you’re an individual making around $18,000 a year, your effective deductible would be about $255 under Obamacare. Under the Senate bill, though, that number would jump to over $6,000 — almost 24 times higher.”
Someone making $18,000 per year sees their effective deductible rise from $255 under Obamacare to $6,000 under Trumpcare.
Truly only a bill that either a really selfish rich person lacking empathy or a Republican partisan hack like Mitch McConnell could love.
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.