GOP sabotage of ‘Obamacare’ in today’s opinions

Some good opinion pieces at the New York Times today on the Tea-Publican efforts to sabotage “Obamacare” and replace it with their own dystopian vision of “Trumpcare.”

David Leonhardt writes, C.B.O. Report Reveals Trumpcare’s Fatal Flaws:

The Congressional Budget Office’s analysis of the House health care bill is a devastating indictment.

The new report shows that millions of Americans would lose health insurance and the quality of insurance for millions more would deteriorate. The savings from that carnage — to borrow a favorite word of President Trump’s — would pay for tax cuts for the wealthy.

And yet the immediate reaction to the C.B.O. report also shows why you should be worried that the Senate will nonetheless decide to pass a version of the House bill.

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Distraction is a tactic of the politicians who are trying to take away health insurance from people. These politicians can’t sell their proposals on the merits. That’s why both the House and, thus far, the Senate have refused to hold any hearings. They know that virtually every expert across the ideological spectrum — including groups representing doctors, nurses, hospitals, patients and senior citizens — opposes the bill.

Unable to win a debate on its merits, Republican leaders need to change the subject. They can’t let their proposals be judged on whether they improve the American health care system, because they don’t. They need to create a lower standard by which the plan will be judged.

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CBO Report on Zombie ‘Trumpcare’ bill: increase of 23 million uninsured and premiums out of reach for those with pre-exisitng conditions

The Zombie Trumpcare bill, the American Health Care Act (AHCA) which narrowly passed the House this month, would increase the projected number of people without health insurance by 14 million next year, would reach 19 million by 2020,  and 23 million in 2026, according to a new Congressional Budget Office (CBO) report (.pdf) released on Wednesday.

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The CBO issued two reports on earlier versions of the House bill in March. Both said that the legislation would increase the number of uninsured by 14 million next year and by 24 million within a decade, compared with the current law.

The New York Times reports, G.O.P. Health Bill Would Leave 23 Million More Uninsured in a Decade, C.B.O. Says:

The AHCA would reduce the federal deficit by $119 billion over a decade, less than the $150 billion in savings projected in late March for an earlier version of the bill [Trumpcare 2.0]. And in states that seek waivers from rules mandating essential health coverage, the new law could make insurance economically out of reach for some sick consumers.

CBO projects premiums would increase by an average of about 20 percent in 2018 and 5 percent in 2019. “Starting in 2020, however, average premiums would depend in part on any waivers granted to states and on how those waivers were implemented and in part on what share of the funding available from the Patient and Stte Stability Fund was applied to premium rediction.”

“People living in states modifying the essential health benefits (EHBs) who used services or benefits no longer included in the EHBs woud experience substantial increases in out-of-pocket spending on health care or would choose to forgo the services.”

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Source: The three numbers you need to understand the CBO report on Republicans’ health-care bill.

Premiums would vary significantly according to health status and the types of benefits provided, and less healthy people would face extremely high premiums,” the budget office concluded.

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Questions for Martha McSally re: health care

Below is some recent reporting on health care to help you formulate your questions for Rep. Martha McSally for her “chicken bunker” tele-town hall tonight.

The largest health insurance companies in the United States reaped historically large profits in the first quarter of this year, despite all the noise you hear surrounding the Affordable Care Act’s individual marketplaces. Profits are booming at health insurance companies:

Aetna, Anthem, Cigna, Humana and UnitedHealth Group — the big five for-profit insurers — cumulatively collected $4.5 billion in net earnings in the first three months of 2017. That was by far the biggest first-quarter haul for the group since the ACA exchanges went live in 2014. Other major insurers, such as the Blue Cross and Blue Shield company Health Care Service Corp., also are improving their ACA operations.

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Aetna lost money only because it had to pay Humana a $1 billion break-up fee after their merger failed; otherwise it would have been in the black. Some other things to keep in mind:

  • The ACA exchanges represent a small amount of the insurance market, and most of the for-profit carriers have bailed on those plans.
  • Employer-based coverage is a profit center, but insurers continue to invest more in Medicare Advantage and Medicaid.
  • Congress suspended the ACA’s health insurance industry fee for 2017, which is creating a temporary windfall.
  • The first quarter of the year is usually good for health insurers. Deductibles are reset, leaving people on the hook for a lot of their out-of-pocket medical expenses. The fourth quarter usually is the worst, since people often reach their deductibles by the end of the year.

Uncertainty over the future of health care for millions of Americans grew deeper Monday after the administration and House Republicans asked an appeals court for a 90-day extension in a case that involves federal payments to reduce deductibles and copayments for people with modest incomes who buy their own policies. Insurers seek stability as Trump delays health care decision:

The fate of $7 billion in “cost-sharing subsidies” remains under a cloud as insurers finalize their premium requests for next year.

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GOP sabotage of ‘Obamacare’: delay for 90 days during the plan filing period

I previously gave you a backgrounder on the House GOP lawsuit House v. Price (née House v. Burwell) for which the next status report to the Court is due today.

Politico reports that instead of filing the status report, the White House seeks 90-day delay in Obamacare subsidy suit:

The Trump administration and House of Representatives Monday asked a federal court for another 90-day delay in a lawsuit over Obamacare insurance subsidies, undermining the future of the health care marketplaces as insurers look for certainty from the government before committing to offer coverage next year.

“The parties continue to discuss measures that would obviate the need for judicial determination of this appeal, including potential legislative action,” the House and White House wrote to the court.

If the request is approved, the parties would have to file another update in 90 days.

“We continue to work with the Trump administration on a solution,” said AshLee Strong, spokeswoman for Speaker Paul Ryan.

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Think the Senate will save us from the disastrous House AHCA bill? Think again

The conventional wisdom is that the U.S. Senate intends to rewrite its own health care bill from the wreckage of the disastrous American Health Care Act (AHCA) passed by the House last week. The implication is that the Senate bill will be much better than the House bill.

The problem with conventional wisdom is that it is frequently wrong. There are Tea-Publicans in the Senate who are just as reckless and irresponsible, if not more so, than their counterparts in the House. Putting your faith in these “12 angry (white) men” and the Septuagenarian Ninja Turtle Mitch McConnell on the Senate AHCA working group is a foolish and risky bet.

AHCA Working Group

The Washington Post reports, Senate hard-liners outline health-care demands with Medicaid in the crosshairs:

Senate conservatives, once seen as an impediment to the Obamacare repeal push, are instead lobbying for changes that would drop millions of adults from Medicaid, limit the value of tax credits over concerns about funding abortion and weaken or cancel consumer protections.

Senators like Mike Lee (R-Utah) believe these changes will help reduce health-care spending, prevent tax-credit dollars from paying for abortions and expand access to health insurance by lowering premiums — all arguments supported by conservative advocacy groups.

And such changes are also looked on favorably by some House Republicans who don’t expect their version of the American Health Care Act to survive the Senate.

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