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Cruz, Johnson, Lee, Paul 'not ready' to support GOP healthcare plan


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1 minute ago, Anonymous Aristotle said:

Deflection. 

No, you're wrong. Lockstep is a Nazi reference. The Hitler youth brigades were made to march in lockstep.Auburn Prison camp in a photo from 1910 shows this. 

You have Nazi photos from 1910?   that is simply amazing since it didnt exist in 1910.

Quote

You've asked if these four men maybe had a good reason for opposing the new health care bill. 

No, I asked if you had ever even considered the possibility that maybe they have a good reason for opposing the new healthcare bill. 

Quote

However, I have read the bill

So, then you can point out the places that these 4 men have it wrong?  Since you have read it.  

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12 hours ago, The_Patriot2017 said:

They're not getting rid of it though...they're basically keeping obamacare with some "modifications" that if anything, will make it worse. 

How so? Please be specific. 

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Just now, Running Gator said:

You have Nazi photos from 1910?   that is simply amazing since it didnt exist in 1910.

No, I asked if you had ever even considered the possibility that maybe they have a good reason for opposing the new healthcare bill. 

So, then you can point out the places that these 4 men have it wrong?  Since you have read it.  

:th_praying: :wub:

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https://www.documentcloud.org/documents/3872487-SenateHCBill.html

Here is the text of the bill, I have copied and posted below all the sections that will decrease the cost of healthcare.

Provisions that will lower healthcare cost...

 

 

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Copied and pasted here invoking "Fair Use" . For information purposes to expand on this discussion and repeal the identity of personal attacks and deflection from said facts.

L.A TIMES A side-by-side comparison of Obamacare and the GOP’s replacement plans

By NOAM N. LEVEY AND KYLE KIM

MARCH 8, 2017

Updated JUNE 22, 2017

 

Medicaid

Cuts to Medicaid spending in the House version totaled $834 billion; the Senate version would likely cut the funding more dramatically, which will affect low- and moderate-income Americans. Expanded Medicaid coverage would cease and the funding structure would change.

 

Under the Affordable Care Act

  • The federal government and states share the cost of insuring the poor. The amount of money that Washington gives each state varies depending on how much medical care that state's Medicaid patients receive
  • The federal government is picking up almost the entire cost of expanding Medicaid coverage to low-income adults without children in the 30 states (and the District of Columbia) that have chosen to expand their programs

Under the GOP proposal

Senate version
  • Will replace current Medicaid with a fixed per capita cap or a block grant. Each state would have a fixed amount of money every year. That amount would increase annually by a percentage linked to the inflation rate, though the rate would be lower than in the House bill, meaning deeper cuts.
  • The expansion of Medicaid benefits currently offered under Obamacare would be phased out beginning in 2020 and shut down completely by 2024
House version
  • A fixed per capita cap or a block grant would replace the decades-old current system. Each state would have a fixed amount of money every year. That amount would increase annually by a percentage linked to the inflation rate
  • The additional federal funding that covered expanding Medicaid would be eliminated by 2020
 
States that adopted Medicaid expansion  (SEE LINK FOR MAPS) 

Changes in insurance costs

Average premiums under the House version for health plans will be cheaper after 2020 than under Obamacare, but on average, those plans will cover less and have higher out-of-pocket expenses, the budget office projected. The Senate measure would likely also result in less comprehensive plans.

According to a Kaiser Family Foundation study, an American who is older, has lower income and lives in an area with higher premiums like Alaska or Arizona will lose out if the Affordable Care Act is replaced. An American who is younger, has higher income and lives in an area with lower premiums like Massachusetts or Washington may receive additional assistance under the replacement plan. Detailed analysis for the Senate version has not been made.

Change in assistance between Obamacare and the House Republican plan*

27Age$20,000$30,000-$3,000+$3,000-$2,000+$2,000-$1,000+$1,000No change$40,000$50,000$75,000$100,000Annual income4060
*Older consumers who would pay more under the revised GOP plan may get additional assistance, though how much is unclear.

Under the Affordable Care Act

  • People using healthcare marketplaces and making less than $48,000 a year receive subsidies to help them buy insurance
  • The amount of the subsidy is tied to a person's income and to the cost of insurance in the person's area
  • The subsidies are automatically applied to the consumers’ monthly insurance bills rather than having to wait for a rebate

Under the GOP proposal

Senate version
  • Would still link aid to consumers’ income, though it would stop at 350% of poverty level, compared with 400% under the current law
  • A new formula for setting the amount of subsidies would tie them to the cost of less comprehensive health plans. That means many consumers would get substantially less assistance than under Obamacare
House version
Tax credit proposal
AgeCredit0500100015002000250030003500400060+50-5940-4930-3920-29$2,000$2,500$3,000$3,500$4,000
  • People would still receive subsidies, which would phase out at incomes of $75,000 per year
  • The amount would be tied to a person's age, not income, so younger low-income people would get less help.
  • The subsidies would not vary with the cost of insurance, so people in high-cost areas would also not get as much help, proportionally

 

 

Insurance mandate

Obamacare, for the first time, required Americans to have health insurance. That would no longer be the case.

Under the Affordable Care Act

  • A person is required to purchase health insurance or pay a tax penalty

Under the GOP proposal

Senate version
  • The Senate bill would eliminate the mandate
  • Unlike the House bill, the Senate version does not include any penalties for people who do not mantain coverage
House version
  • The tax penalty for not having health insurance would be dropped. But consumers would face a different sort of penalty: Anyone who goes without insurance for more than two months would face a 30% premium surcharge when they try to buy a new plan
 

Guaranteed coverage

People with preexisting conditions could see substantial changes in what kind of coverage they could receive.

Under the Affordable Care Act

  • Americans are able to get health insurance even if they’re sick. This put an end to insurers denying coverage to people who have preexisting medical conditions
  • Insurers are barred from charging sick consumers more for coverage
  • Insurers cannot impose annual or lifetime limits on coverage
  • Insurers must offer a basic set of benefits, including mental health, prescription drugs and maternity care
  • Insurers cannot charge older consumers more than three times more than younger consumers

Under the GOP proposal

Senate version
  • Would not explicitly eliminate guaranteed coverage, but would allow states to seek waivers from several consumer protections
  • States would be allowed to scale back conditions that they require insurers to cover. Because of the way the law is structured, that could allow insurers to reimpose annual and lifetime limits on some coverage
  • Unlike the House bill, the Senate bill would not allow insurers to charge sick people more
  • Insurers would be able to charge older consumers five times more than younger consumers
House version
  • Would not explicitly eliminate guaranteed coverage, but would allow states to seek waivers from several consumer protections
  • States would be allowed to scale back conditions that insurers must cover. Because of the way the law is structured, that could allow insurers to reimpose annual and lifetime limits on some coverage.
  • States would also be able to allow insurers to charge sick people more, potentially making coverage unaffordable for some
  • Insurers would be able to charge older consumers five times more than younger consumers
 

Insurance marketplaces

The insurance marketplace would be intact, but would change dramatically.

Under the Affordable Care Act

  • The Obamacare marketplaces, such as HealthCare.gov, enable people who don't get health benefits at work to compare plans, just as they might compare hotel rooms or airline tickets online
  • All plans on the marketplaces must offer a basic set of benefits, such as hospital care, mental health services and prescription drugs

Under the GOP proposal

  • Under both the House and Senate bills, it is unclear how the marketplaces would work because insurers might potentially offer health plans that do not offer the same set of benefits
 

Women's health

Both House and Senate Republican plans would impose new restrictions on health plans with abortion coverage, and would defund Planned Parenthood. Low-income women would be among the most seriously affected.

Under the Affordable Care Act

  • Insurance companies cannot charge women more than men for the same health plan
  • Insurers are required to provide a basic set of benefits including maternity care, pediatric care and contraception
  • Planned Parenthood receives federal funding for family planning and other medical services used by Medicaid recipients. Abortion cannot be funded with federal dollars

Under the GOP proposal

  • Insurance companies would still be banned from charging women more
  • States could seek waivers to allow insurers to drop some basic benefits, such as maternity care and contraceptives
  • Medicaid would no longer have to offer these benefits, which would more deeply affect low-income women. Nearly 80% of Planned Parenthood patients have incomes at or below 150% of the federal poverty level
  • Medicaid would be barred from providing funding for any health clinics that provide abortion services, including Planned Parenthood
 
Abortion services make up a small share of Planned Parenthood's overall health services, according to its most recent annual report
13%Pregnancy/prenatal45%STD testing/treatment1%Other7%Cancerscreening/prevention31%Contraception3%Abortionprocedures
Federal subsidies make up the majority of Planned Parenthood's revenue
43%27%Privatecontributions6%OtherGovernment grants/reimbursements24%Non-government
 

Impact on deficit

The House version of the bill is estimated to cut the federal deficit by a total of $118.7 billion by 2026, largely by cutting Medicaid and reducing subsidies that help people pay for health insurance, the CBO found. The reduction in the deficit is considerably less than the $337 billion assessment for the earlier version of the bill.

 

Taxes

Most of the taxes set up under Obamacare to pay for subsidizing insurance would be scrapped. The House and Senate GOP proposals do not include any new tax to offset the loss of revenue.

Under the Affordable Care Act

  • Insurance companies and medical device makers, which benefit from new customers under the law, pay more taxes
  • Taxpayers with incomes over $250,000 are also taxed more

Under the GOP proposal

  • Medical device makers, insurance companies and wealthy Americans would all receive a big tax cut as these taxes are eliminated
  • The tax cuts total about $663 billion over the next decade.
 

Sources: Census, Medicaid.gov, Kaiser Family Foundation, Congressional Budget Office, Planned Parenthood, Times reporting

Credits: Additional reporting and production contributions by Joe Fox

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10 hours ago, Butero said:

But is it a step in the right direction?  I want something done.  Obamacare with it's mandate has to go, and I expect action from my GOP representatives.  Work with those who don't like it, but get rid of that mandate. 

 No, I don't think it is a step in the right direction. 

If this thing doesn't get untangled now, my guess is that we're all headed straight towards single payor.

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38 minutes ago, Justice_League said:

. . . we're all headed straight towards single payor.

That's the goal, it's just being done in stages.  Obama told us that all the way back in 2007.

Blessings,

-Ed

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