The first objective look at the Republicans' Obamacare replacement proposal finds that it would increase the number of Americans without health insurance by 14 million in 2018 and by as much as 24 million in 2026, according to a report Monday by the nonpartisan Congressional Budget Office.
A large number of uninsured would also result from the plan's reduced funding of Medicaid, which was expanded under the ACA.
It was a bold admission from Trump, who repeatedly promised during the 2016 Election that he would simultaneously repeal and replace Obamacare, while ensuring coverage for every American that would be better and more affordable. The report predicted premiums would decrease over the long-term, however.
Obamacare enabled about 20 million previously uninsured Americans to obtain medical insurance. Anyone who loses coverage starting in 2020 couldn't re-enroll. Criticism has come from Democrats, Republicans from states that benefit from Obama's law, and many corners of the health-care industry.
He says that states like OH with high opioid mortality rates will be the hardest hit by the phase out of Medicaid expansion under the Republican plan.
The highly anticipated report concluded that the GOP's plan to phase out the Affordable Care Act's expansion of Medicaid would create $337 billion in federal budget savings over the next decade, but at the (projected) cost of almost doubling the number of people without health insurance.
The GOP plan also accomplishes a massive redistribution of wealth, in the form of a tax cut for the rich. A separate analysis performed by the consultants Oliver Wyman found that individual costs will increase significantly, especially for elderly people and rural residents. Obamacare limited insurers to charging older people three times more.
See the CBO's full report on the plan below. In the House, Republicans can not have more than 21 members vote against it for it to pass, according to the report. Those same Republican senators who are saying that the current bill can't get through their chamber because it's too harsh.
The demographic that will be hit hardest by this new plan, Oberlander said, are low-income people between ages 55 and 64 who live in rural areas.
Republicans supporting the bill seemed prepared for the CBO's report to be negative.
- It would reduce budget deficits by $337 billion over a decade.
Defunding Planned Parenthood for a year would save about $157 million in 2017.
The congressional experts said the market for individual policies "would probably be stable in most areas under either current law or the (Republican) legislation". Ninety percent of exchange enrollees receive subsidies to help them cover the costs of their premiums.