Single-payer health care is best plan

Posted March 20, 2017

Active in the College Republicans club at UNC-Chapel Hill, he said he favored repeal, but said Republicans needed to focus on lowering the cost of health care itself.

Estimates from the nonpartisan Congressional Budget Office say the American Health Care Act would increase costs for many while causing 24 million Americans to lose their health insurance.

The hardest hit would be those who are older and with the lowest incomes, a considerable demographic in Florida, said David Bruns, an AARP spokesman.

As part of the Republican plan, the previous cost-sharing by the federal government to lower out-of-pocket expenses will be eliminated.

Additionally, the legislation would allow insurance companies to overcharge older Americans while giving $200 billion in tax breaks to big drug and insurance companies. It also lets those up to 26 years old stay on their parent's plans.

"The affordability for people who are older will not be the same as under the Affordable Care Act, so older people will be dropping coverage", said Jeananne Sciabarra, the executive director for Consumer Health First, a Maryland-based advocacy group for health care reform.

A children's advocacy organization contends the American Health Care Act - the proposed replacement for Obamacare - would be devastating for youngsters in NY who are covered through Medicaid and the state's Children's Health Insurance Program.

Under the plan revisions to subsidies and coverage rules would largely benefit younger people with a healthy income. In its place there are tax credits based upon age for those making up to $75,000 a year.

Under the new plan, people will get tax credits of $2,000 to $4,000 to buy insurance. "But from 2020, the proposed law, if enacted, would be increasingly credit negative because healthcare coverage would become less affordable for more people - particularly older Americans - resulting in a larger uninsured population and a greater reduction in demand". The CBO projected that premiums would be 20% to 25% higher for a 64-year-old in 2026 than they would be under Obamacare.

Driven by the ways in which the bill would seriously harm Americans 50 and older, AARP has chose to make the decision on final passage in the House "an accountability vote". Today consumers in one-third of all USA counties have a choice of only one Obamacare insurer, and if they want to use their tax credits, they must buy from the sole insurer. That means some aspects of the ACA the Republicans want to get rid of or change will have to be accomplished with subsequent legislation. Johnson predicts cuts to Medicaid are more likely. But the CBO analysis refutes the claim that there would be more competition.

"We're going to have to figure it out", said Lynne, who was an executive at health giant Kaiser Permanente before entering state government. Even though I do believe that government makes you buy vehicle insurance, making it profitable for insurance companies. The Republicans' complaint about the individual mandate ignores the fact that most states require drivers to carry auto liability insurance and many banks require homebuyers to carry mortgage insurance.

As our president says, it's complicated.

Once this bill is put to rest, Republicans and Democrats should set aside partisan fighting to save the ACA without destroying it.