Tag Archives: The Politics of Healthcare Insurance

Conservative Club for Growth wants to push moderate GOPer’s to approve Trump/Ryancare…

Sounds kinda like a waste of money to me….

Moderate Republicans right now are in their home districts getting an earful from their OWN voters screaming to NOT Repeal their healthcare….

The Club for Growth ain’t gonna supply any votes….

They may threaten with ads to fo after some people…

But moderate GOP lawmakers can hear and read…..

And Repealing Obamacare to make Trump happy isn’t gonna assure them a job next November….

The conservative Club for Growth said Monday that it is targeting 10 moderate House Republicans with a $1 million ad campaign, offering a glimpse into the right’s strategy for pushing through a GOP health-care overhaul.

The ads, set to begin Tuesday, come at the beginning of a two-week congressional recess — and after the latest bid to reconcile warring GOP lawmakers and resurrect the American Health Care Act fell short last week.

But the Club for Growth sees a path to the bill’s passage: convincing more moderate — or less stridently conservative — Republicans to swallow a proposal favored by the House Freedom Caucus that would allow states to seek waivers of several Affordable Care Act insurance mandates. Those mandates form the core of the ACA’s protections allowing Americans with preexisting medical conditions to buy affordable insurance plans, and numerous lawmakers have balked at the request.

The Club for Growth is betting that the bill could find its way to passage if the mandate waivers win over the vast majority of the Freedom Caucus’s roughly three dozen members, and if other House Republicans who had announced plans to vote for an earlier version of the bill don’t withdraw their support as a result….

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The Republican embrace of Obamacare….

One of the best things about the program seems to be the SERIOUS Trump/Ryan efforts to Repeal it….

As the spot light turned on the idea that the program used by tens of millions of Americans COULD go away?

People went to the streets, the media went on high alert and those on the right across the country who voted FOR Donald Trump went to town hall meeting and told their lawmakers NOT to cancel their healthcare coverage….

All of this has united different groups of Americans to move the approval numbers in the polls to a slim Majority of Americans AGAINST a Repeal and a growing number of their lawmakers and Governors looking to keep most the Affordable Healthcare program in tact….

The politics of Obamacare have changed….

The House’s debate over repealing ObamaCare has had an unintended effect: Republicans are now defending key elements of President Obama’s health law.

Many House Republicans are now defending ObamaCare’s protections for people with pre-existing conditions, in the face of an effort by the conservative House Freedom Caucus to repeal them.

Some Republican lawmakers are also speaking out in favor of ObamaCare’s expansion of Medicaid and its mandates that insurance plans cover services like mental health and prescription drugs.

Rep. Patrick McHenry (R-N.C.), the GOP’s chief deputy whip, said Wednesday that Freedom Caucus calls for states to be able to apply for waivers to repeal pre-existing condition protections are “a bridge too far for our members.”

Those ObamaCare protections include what is known as community rating, which prevents insurers from charging higher premiums to people with pre-existing conditions, and guaranteed issue, which prevents insurers from outright denying coverage to them.

McHenry spoke in personal terms about the importance of keeping in place those Affordable Care Act (ACA) provisions, contained in Title I of the law.

“If you look at the key provisions of Title I, it affects a cross section of our conference based off of their experience and the stories they know from their constituents and their understanding of policy,” McHenry said.

“My family history is really bad and so my understanding of the impact of insurance regs are real and I believe I’m a conservative, so I look at this, understand the impact of regulation, but also the impact of really bad practices in the insurance marketplace prior to the ACA passing,” he continued. “There are a lot of provisions that I’ve campaigned on for four election cycles that are part of the law now that I want to preserve.”……

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Trump and Ryan could lose Trumpcare battle—and still destroy Obamacare

 By Egberto Willies   @  Daily Kos

The Trumpcare bill, which seeks to replace the Affordable Care Act, seems to be hanging by a thread. Public opinion polls now show Obamacare above water and Trumpcare under water. Gambling types would surely bet that the bill—in just about every form—will fail. But that would be nothing more than a short-term gain, and it is important that progressives understand that—right now.

Rejoicing in this likely upcoming win is a fool’s errand. Why? Because for many Americans, specifically those who are not on Medicaid, Obamacare is a financial strain. I am self-employed, and I’m paying about $1,200 a month with a family deductible of $12,000. My plan is an HMO. But in past years a program like this would be considered a “catastrophic” plan. I would have to spend $26,400 before the insurance kicks in. To be fair, the doctor fees are an affordable $40.00 to $100.00, and labs and medicine are discounted.

I understand these costs intellectually, in the context of the corrupt health care system that we have. I understand that the drug companies, the hospitals, and the insurance companies are businesses with shareholders. They all want to show growth, regardless of whether they provide more value or services. That growth consists of an unwarranted increase in health care costs across the board.

University of Houston professor Seth Chandler wrote a piece titled “Republican Stalemate Will Test Whether Obamacare Is Indeed Collapsing” that pointed out a reality about Obamacare. He predicts that we are headed for a stalemate—and progressives should not consider that a win….

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Trump moves embrace MORE House cuts in Healthcare…Trump/Ryancare Update 3/1017

As the effort mounts to get the Trump/Ryancare thru the US House by moving away from Donald Trump’s views to the Ryan views?

The proposed plan moves to the right, which will make the bill harder to get approved in the US Senate….

With THAT?

The thinking is that Trump may be seeting the stage for Trump to blame the Democrats for a failure to get a Repeal done….

President Trump, after a halting start, is now marshaling the full power of his office to win over holdout conservatives and waffling senators to support the House Republicans’ replacement for the Affordable Care Act.

There are East Room meetings, evening dinners and sumptuous lunches — even a White House bowling soiree. Mr. Trump is deploying the salesman tactics he sharpened over several decades in New York real estate. His pitch: He is fully behind the bill to scotch President Barack Obama’s signature domestic achievement, but he is open to negotiations on the details.

In so doing, Mr. Trump is plunging personally into his first major legislative fight, getting behind a bill that has been denounced by many health care providers and scorned by his base on the right. If it fails, Mr. Trump will find it difficult not to shoulder some of the blame.

“He understands the power he has as president to drive the legislative process,” said Representative Patrick T. McHenry, Republican of North Carolina and a top House vote counter, who was part of a meeting with Mr. Trump in the East Room on Tuesday….

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The White House is privately lining up behind conservative calls to roll back Obamacare’s Medicaid expansion sooner than the health care reform bill currently calls for, two senior administration officials and a senior House conservative aide told CNN on Thursday.

Nobody wants their name on the Republican health care bill
Nobody wants their name on the Republican health care bill
White House officials are beginning to urge House GOP leadership to include an earlier sunset of the Medicaid expansion funds authorized under Obamacare than the 2020 date set by the current bill. The change comes just days after the bill was unveiled and follows a blitz of activism aimed squarely at the White House and President Donald Trump, who has met with conservative leaders in recent days.

Such a move, however, could blow up the already fragile efforts to repeal the Affordable Care Act.

Ending the Medicaid expansion sooner could complicate prospects for the bill in the Senate. And it would likely infuriate Republican governors in states that accepted federal funds for the expansion, who face the prospect of many people losing coverage they gained under Obamacare….

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Most American’s want to KEEP Obamacare…Poll

Against these feelings House Republicans and Trump are trying to force a vote of a Repeal/Replace bill that lackas support from Democrats  AND Conservative Republicans…

A national Monmouth University Poll conducted right before Congressional Republicans unveiled their health care plan this week found that 1-in-3 Americans believe any such reform would drive up their costs compared with 1-in-5 who anticipate their costs going down. Most Americans prefer to keep the Affordable Care Act in place with improvements, while still retaining the ACA’s individual mandate. The bottom line for most Americans will be how any changes to the ACA will impact their own health care costs.

Before House Republicans revealed their new health care legislation, most Americans (51%) said they would prefer to keep the Affordable Care Act and work to improve it, with another 7% saying they want to keep the ACA entirely intact. Just 4-in-10 want to see the ACA repealed, either with a replacement put in place (31%) or repealed entirely without a replacement (8%). The poll finds majority support for retaining the ACA regardless of how individuals get health care coverage – such as through an employer (57% prefer to keep the law), a privately purchased plan (55%), or publicly funded coverage (63%).

There may be a pitched battle over the Republican plan since it is not clear how similar or different it may be from the ACA. Two-thirds (66%) of those who want to repeal Barack Obama’s signature policy say it is very important to them that Congress follow through on this GOP promise. On the other hand, a similar 60% of those who want to keep the law say it is very important to them that the ACA remains basically intact.

Before details of the GOP plan emerged, one-third (33%) of the public suspected that a repeal and replace effort would cause their own health care costs to go up, 20% expected their costs would go down, and 38% expected no change to their costs…..

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Republicans now want to REPAIR Obamacare….

I Told Ya So…..

(This comes out while the Media  is focused on the Supreme Court and the Ban, eh?)

Now that the Affordable Healthcare Law is the Republicans baby?

Things have shifted….

I have pointed out here Over and OVER that REPEALING the Law that is ingrained in all 50 states and effects tens of millions Americans with a Midterm election coming in LESS than two years with a President that does NOT want ANYBODY losing coverage is just TOO HARD to just kill and walk away from….

Even President Obama admitted that the law needed fixes….

But the Republicans wouldn’t allow that….

Now that THEY are in power?

It’s ok…..

People faced with the loss of their coverage had all the sudden changed their tunes…

Republicans Governors don’t want to lose the hundreds of millions of dollars in their budgets….

Insurance companies STILL want federal money to prop up the coverage for poorer people…

And Republican Congress men and women are getting people’ up in their grill’ about the prospect of losing their insurance…

Sure there are gonna be things in the law that are gonna be cut….

But the basic program is gonna be around….

The Republicans will probably give it a different name though….

Key Republican lawmakers are shifting their goal on ObamaCare from repealing and replacing the law to the more modest goal of repairing it.

It’s a striking change in rhetoric that speaks to the complexities Republicans face in getting rid of the Affordable Care Act. Many of the law’s provisions are popular, and some parts of the law that the GOP does want to repeal could have negative repercussions on the parts seen as working.

“I’m trying to be accurate on this that there are some of these provisions in the law that probably will stay, or we may modify them, but we’re going to fix things, we’re going to repair things,” House Energy and Commerce Committee Chairman Greg Walden (R-Ore.), a key player on healthcare, told reporters Tuesday.

“There are things we can build on and repair, there are things we can completely repeal,” he said….

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Oh, and the Republicans KNOW that they will need Democratic votes to do the ‘REPAIRS’ to the Law….

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Trump wants Repal/Replace Now…Do Republicans have the votes?

For the past few days the Republicans in Congress have been going back and forth about a time table for getting rid of the Affrdable Healthcare Laaw know as Obamacare….

Donald Trump just threw a wrench in things….

He wants his adopted party to tackle the issue ‘very quickly’….

(His spokesperson had said the Republicans would NOT change things until 2019…And Trump has stood by a pledge to NOT change Socila Security and Medicare)

Hmmmm?

Republicans on Capitol Hill are in disarray about how to repeal Obamacare and President-elect Donald Trump’s call on Tuesday to enact a replacement “very quickly” did nothing to clear up the turmoil.

Trump told The New York Times that he wants a repeal to happen within days and “the replace will be very quickly or simultaneously, very shortly thereafter.”

The statement took lawmakers on Capitol Hill by surprise. Many had hoped Trump would weigh in. But while he made his intentions clearer, his comments didn’t exactly offer a roadmap. Some even scoffed at the notion that repeal and replace could technically happen that soon, given the procedural and policy hurdles.

“That would be pretty fast. It’s possible,” said Senate Finance Chairman Orrin Hatch. “I don’t know that it will happen, but it could.”

The compressed timeline flies in the face of what Republicans had planned: a relatively quick vote on a budget, a fairly quick turn to repealing crucial parts of Obamacare and then, by year’s end, passage of a replacement plan.

But groups of GOP lawmakers began raising concerns — about a budget that doesn’t balance, the length of the transition period and the risk of not having a replacement ready for the 20 million people now covered under the Affordable Care Act.

Replacement is trickier: Republicans have to agree on a detailed plan, not just a set of market-oriented concepts. And they have to bring at least eight Senate Democrats on board. Failure to move ahead could leave the health system in unsustainable limbo…..

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The Democrats are watching this whole unfold….

Knowing that somewhere along the line Republicans will need Democratic help to legislate a replacement for the Healthcare Law without putting tens of millions of Americans out of health insurance and wrecking just about every state’s budget by changing Medicaid payments….Oh, and upending the countrues Insurance industry….

“There’s a little bit of onus on the president-elect,” Schumer told reporters on Capitol Hill. “What’s his replacement plan? He doesn’t seem to have one either, so it’s sort of a little like Abbott and Costello. Each of them says, ‘We must repeal and replace’ and then says, ‘You come up with the plan,’” Schumer said, pointing two fingers in opposite directions for effect.

On Monday, half a dozen Republican senators called for slowing down the repeal process. Five of them proposed an amendment that would give committees until March 3 to come up with recommendations for repeal legislation, pushing back the original, nonbinding Jan. 27 deadline. Schumer laughed at the idea that Democrats would support such an amendment even if it meant every stage of the repeal process would be delayed by roughly one month.

“The Republicans have created this stew that they’re in,” Schumer said. “They can debate among themselves but they have to be united on a plan. We’re not going to get into these internecine fights, that’s their business.”….

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Republican Governors want no cuts to Obamacare Medicaid program…

Some Republican Governors are joining several Republican Senator’s and the Democrats , in calling for NO across the board cuts in the Affordable Healthcare Program, aka Obamacare,until there is some idea on what will be put in place….

 And one CAN assume that parts of the original program that ARE actually successful will be left in tact, but relabeled to the GOPer’s likings.?…

The goal of repealing of Obamacare is begiing to bled into a a very complex political promise the Republicans are gonna suffer thru….

Cuts propsed could have a severe economic impact on state’s across the country less than 2 years before the 2018 Midterm elections….

Congressional Republicans knew their push for an immediate repeal of the Affordable Care Act would draw howls of protest from Democrats. But they are now hearing warnings from elected officials who may be harder for them to ignore: Republican governors.

In the last week, GOP Governors John Kasich of Ohio and Rick Snyder of Michigan have raised concerns about the impact a full repeal of the health law would have on their states, which rely on billions of dollars in additional federal funding to cover an expansion of Medicaid they carried out as part of Obamacare. Kasich in particular questioned the plans by Republican leaders in Congress to scrap the law without immediately replacing it.

“It’s a serious matter,” Kasich told reporters in Ohio last week. “Our hospitals needed Medicaid expansion. It has worked very well in this state.” The former GOP presidential candidate noted that about 700,000 Ohioans had secured coverage under the law, many of whom, he said, have serious health problems. “There’s room for improvement, but to repeal and not to replace, I just want to know what’s going to happen to all these people who find themselves left out in the cold,” Kasich said.

Snyder similarly touted Michigan’s embrace of the Medicaid expansion, which has covered 642,000 people in the state, as well as other elements of the ACA that the state has incorporated. “I think it’s important that as they look at the Affordable Care Act … I hope they carefully look at the success we’ve had in Michigan, because we didn’t just do Medicaid expansion,” Snyder told The Detroit News.

The governors’ comments underscore a dynamic that has long been obscured by the polarizing debate over the Affordable Care Act in Washington. While opposition to the law is nearly unanimous among Republicans in Congress, the politics of health care are far more complicated in the states….

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Note….

North Carolina’s new Democratic Governor just announced plans to add a half million of his states residents to the Medicaid rolls…

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Record Obamacare sign-up’s for 2017…Repeal it?

Maybe with the Republicans threatening to get rid of the program  more people became aware of the program…State’s and Fede’s got better at selling it….And maybe people think they’ll be grandfathered into the old system?

Me….

I think people are smarter than that….

Like Tump’s bull shit about building walls, hunting down immigrants and  other stuff?

They KNOW that in the end?

Republicans ain’t gonna do much of anything to the healthcare program for 2017, 2018 and maybe longer….

Saying they’ll Repeal the program probably HELPED more people get on line and sign up for  it…..

The Affordable Healthcare Act (ACA), also known as ObamaCare, which has been largely controversial over the past six years, has provided healthcare to over 20 million people. The fight to get the bill passed was long and painful, it involved a Supreme Court battle that the Obama Administration won and the Act went into effect in 2010.

Despite the United States having a record low rate in uninsured people, President-elect Donald Trump has vowed to repeal it within his first 100 days of office, yet has not provided strategy to do so or a replacement.

President Obama, other democrats as well, and many Americans have requested that the components of ObamaCare that work be kept, and that the ACA be revised, not repealed. Americans are still signing up for coverage in 2017, with a record one day high enrollment number of 670,000.

The deadline to get coverage was extended to Dec. 19 and thousands more signed up…..

Your coverage will continue for 2017, even if it’s repealed.

Additionally, with no strategy for repeal or replacement, It will likely continue for 2018 as well.

If President elect Donald Trump manages to repeal the ACA, the repeal wouldn’t take place until 2018, so coverage for 2017 would still be good. It would likely 2019 for any new plan to take effect, to allot time for transition to a new healthcare plan, should Trump and his administration come up with one.

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2018 will feature MidTerm Elections for America…..(NOT FOR Trump)

Image 20 Million Americans going to vote with their health insurance being cancelled by Donald Trump and the Republicasn in Congress?

Anybody see a political issue with this?

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Obamacare Update…Going Nowhere fast…Even with a Repeal…

As the Republicans with anysense are coming to realize….

The Affordable Healthcare law takedown is NOT gonna be easy ….

Oh, it is to SAY so….

But with a program that affects almost 1/6 of ALL American’s?

The actual task of making sure they don’t wreck the economy and give up their majorities in BOTH Houses of congress in less than two year’s seems to be sinkling in….

And yes….

They’ll make up a new name for the it….

But the Republicans ARE gonna KEEP a good amoint of things President Obama put in place …..

Congressional Republicans say they will vote on repealing and replacing Obamacare “very quickly” early next year but may keep Obamacare in place for as long as four years.

The incoming Trump administration and Republicans on Capitol Hill are sorting out the details of how to best deconstruct the Affordable Care Act. One of the thorniest problems is how long to leave parts of the law intact — to give 20 million Americans time to find other arrangements and health insurance companies the ability to develop and price new plans.

“We need to talk with all the other parties in this and make sure that we have a smooth and stable transition,” said a senior GOP congressional aide. “That’s what is going to drive what we do — not necessarily what works best politically.”

Conservatives in the House Freedom Caucus want as little as a six-month transition period. But insurance companies argue they need at least an 18-month window to price insurance plans and to adjust to new market rules.

Previous conversations had capped the transition at about three years, but senior Republican congressional aides on Thursday expanded that to up to four years.

Those aides said that repeal will happen “very quickly” after the new Congress is sworn in, noting that the development of replacement plans will be handled as urgent business. Just because there is a long transition period doesn’t mean the process will happen slowly, they said….

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Note….

This foot dragging on Obamacare is gonna generate hard feelings from some in the Republican party who just want the WHOLE healthcare program CUT on yesterday, with NO replacment …..

Furthermore?

Insurance companies and State’s (Dem and GOP led ones) aren’t gonna be happy with an immediate shutdown of the program and gonna want years for any changes….

The tax revenue losses inviolved in cutting Obama care….

The GOP’s most likely path for repealing Obamacare immediately eliminates hundreds of billions of dollars in tax revenue that would otherwise be available to fund their replacement plan.

The large tax cut, which would go disproportionately to high earners, will seriously handcuff lawmakers as they try to cobble together a replacement plan to cover the millions of Americans dependent on Obamacare for health insurance, health care policy experts say.

With Republican Party’s strict anti-tax orthodoxy, it is difficult to envision the new GOP-controlled Congress raising taxes down the road to fund their Obamacare replacement. So while the current plan of repeal and delay contemplates a future replacement plan, the lost tax revenues is perhaps the most telling sign that a viable replacement may be either impossible to achieve or a meager substitute…..

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Trump will NOT repeal Obamacare….

Anyone who REALLY knows how these work could have told you this….

The program on the WHOLE IS a SUCESS….

The Republicans have used  it  as POLITCAL whipping stick successfully 

But it has cut the uninsured rate in America down ….

It has cut healthcare costs….

And it IS being used by a LOT of Republcan Governors….

The Healthcare Insurance companies are NOT gonna want another wholesale change in things….

So?

The program needs a fix and THAT will be done , and Democrats will go along…..

Actually?

Hillary Clintion would have also done the same….

President-elect Donald Trump said that, after conferring with President Barack Obama, he would consider leaving in place certain parts of the Affordable Care Act, an indication of possible compromise after a campaign in which he pledged repeatedly to repeal the 2010 health law.

In his first interview since his election earlier this week, Mr. Trump said one priority was moving “quickly” on the president’s signature health initiative, which he argued has become so unworkable and expensive that “you can’t use it.”

Yet, Mr. Trump also showed a willingness to preserve at least two provisions of the health law after the president asked him to reconsider repealing it during their meeting at the White House on Thursday

Mr. Trump said he favors keeping the prohibition against insurers denying coverage because of patients’ existing conditions, and a provision that allows parents to provide years of additional coverage for children on their insurance policies.

“I like those very much,” Mr. Trump said in the interview….

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