Ryan: more help for older people needed in GOP health bill

Posted March 19, 2017

Requiring more enrollees to get jobs would make it harder for those who face hurdles to employment - such as transportation or child care costs - to get health care coverage.

"I'm so exhausted of the whole thing", she said.

Speaker Ryan and House Republicans want to repeal the Affordable Care Act, also known as Obamacare, and replace it with a bill that gives millions in tax breaks to the rich. Their plan would slash the ACA's Medicaid expansion and scrap the requirement that every American have insurance or pay a penalty, instead offering tax credits to encourage individuals to buy insurance on the open market.

"These changes definitely strengthen our numbers", said the House GOP's top vote counter, Rep. Steve Scalise of Louisiana. Nor did they have a clue that when they said repeal and replace that they were actually talking about their own health care.

The bottom line is the Republican three-phase plan, starting with the American Health Care Act, will increase access to quality, affordable care and allow for families to have more freedom and flexibility to get the health care coverage that is right for them.

Second, while Republicans hate Obamacare's individual mandate, forcing people to buy insurance isn't necessarily a bad or unprecedented thing. About 8,000 have marketplace plans.

The law has helped lower the uninsured rate in the county from 18 percent to 8 percent over the past four years, according to data kept by Enroll America.

"It provides nearly no new flexibility to the states, does not ensure the resources necessary to ensure no one is left out, and shifts significant costs to states", the governors wrote in a letter sent to Ryan and Senate Majority Leader Mitch McConnell, R-Ky.

The law isn't ideal, Baxter said. No one needs any aggravation when a loved one needs medical assistance so it goes without saying that having to wait for what could have been hours to see a doctor - because the emergency rooms were full of people seeking primary care because they had no insurance and no primary doctors - should not be an issue in a first world country. Just don't hurt the very people who need the help the most. "And my fear is that, a year from now, people are going to come back and we're going to have all the same arguments again that insurance premiums are still going through the roof and we still have a mess".

Providing health care to our citizens isn't a matter of choice, it is a duty, an obligation.

These administrative costs now account for one third of total health care expenditures in the USA without adding any tangible value to the services provided.

The Congressional Budget Office recently reviewed the American Health Care Act and its estimates showed that the bill would lower premiums by 10 percent, reduce the federal deficit by $337 billion and provide $883 billion in tax relief for hardworking American families and small businesses. Whether you're on private health insurance, Medicare, or Medicaid, this bill would have an impact.

Moderate Republicans have also expressed concerns about the bill, and their worries are often not the same as that of conservatives.

"A lot of folks have felt it's unduly burdensome", said Shellie Goetz, director of compliance in the corporate benefits practice at Gibson, a risk management company based in South Bend.

"There's no question about it", said White House Press Secretary Sean Spicer on Tuesday, "if one plan can sell that was in Maryland - into Virginia - where they could seek additional customers, that competition alone invariably brings down costs". "When you mandate what has to be insurance, it elevates the price", he said.

In Washington on Thursday, three Republican congressmen joined all 14 Democrats on the House Budget Committee to vote against the healthcare bill, signalling there may be as many as three dozen Republicans opposing it in the full House, which would be enough to defeat it.

"He's a business-minded president", Goetz said. Only one, Rep. Jim Jordan - a member of the House Freedom Caucus - remained opposed. But not likely. I am certain there were millions of American voters who believed candidate Trump when he said it would all happen just like that! Universal care decreases overall costs by allowing conditions to be caught earlier, when they cost less to treat.