Our senators must vote no on Senate's Trumpcare bill

Our senators must vote no on Senate's Trumpcare bill

Their lobby group, AHIP, or America's Health Insurance Plans, railed against Cruz's proposals in lobbyist-speak earlier this week, in a press release with the sub-heading, "Policies that increase uncertainty or threaten instability should be avoided". However, that would leave all the sick people in the Obamacare plans, likely causing their premiums to skyrocket. "As a result, millions of more individuals will become uninsured".

Meanwhile, the Senate on Thursday released the latest version of the BCRA, which still calls for deep Medicaid cuts that would disproportionately hurt the poor, the elderly, the disabled and, yes, even the middle-class families that make use of the program. As recently as Friday, during an address to the nation's governors, Vice President Mike Pence said the "legislation ensures that every American with preexisting conditions has access to the coverage and care they need ― no exceptions".

Under the Cruz approach, an insurer can offer plans that don't comply with such requirements, provided they also offer coverage that does. That means just one more GOP senator coming out against the motion to proceed would stop the bill, as written, in its tracks.

Some insurers are anxious because of a technical change with huge practical implications: Health plans that enroll healthier customers would no longer have to cross-subsidize those with sicker patients, as is now required. Republican leadership has struggled to secure a majority of votes in the Senate to pass their new health care plan. Medicaid is also the primary source of coverage for people of all ages with severe disabilities.

But some analysts say McConnell risks undermining workplace coverage.

The answer is that for Republicans, the policy details of health insurance don't matter. Paul says he's all for "injecting more capitalism" to save the health care industry, but he won't support "crony capitalism".

"Allowing individuals to purchase insurance with pre-tax dollars eliminates one of the advantages to employer-provided insurance", said Elizabeth Carpenter of the Avalere Health consulting firm.

Medical services representing the three essential health benefits receiving the lowest share of the average annual premium were: maternity/newborn care (6 percent); rehabilitative care (2 percent); and pediatric dental and vision care (1 percent). But the money will be going to shore up private insurance, not the Medicaid program.

"Most Americans oppose the BCRA's untenable cuts to Medicaid and its disregard for the families who need guaranteed, affordable health coverage", Baker continued. Like the earlier Senate bill, the latest proposal phases out federal funding for able-bodied, childless adults provided under Obamacare in states that expanded Medicaid.

Also weighing in was the American Medical Association, the physicians' organization, which said Medicaid cuts and "inadequate subsidies" in the bill would lead to "millions of Americans losing health insurance coverage".

A couple of moderate Republican senators, according to some reports, had asked that the Medicaid cuts be considered separately, arguing that outside of the Medicaid expansion, the funding structure was not changed by the ACA. This includes the American Medical Association, the American Hospital Association, the American Nurses Association, AARP, the American Cancer Society, the Children's Hospital Association and the National Rural Health Association. The state's chief executive this week did not sound enthused with the bill, particularly as it relates to residents in his state covered under the Obamacare-era expansion of Medicaid.

Almost two-thirds of the public opposes (65 percent) major reductions in federal funding for Medicaid as part of a plan to repeal and replace the ACA, and most continue to oppose these reductions even after hearing arguments in support of them.

"If they don't get this done now, I don't know when it'll happen", the adviser said.

"I realize the reality is, we're not going to change it when it comes back here", said Meadows, chairman of the House Freedom Caucus, the most conservative group in Congress.