30 May 2017

Trumpcare doesn't

Slate has an article by Ben Mathis-Lilley about the replacement (such as it is) for Obamacare:

One of the ways that the Trump administration and House Republican leaders won key conservative members' votes for the American Health Care Act was by adding a provision that would allow states to waive Obamacare regulations limiting how much insurers can charge individuals with pre-existing conditions. Republicans insisted that a different provision in the bill— funding for "high-risk pools"— would ensure that no one with such a condition would lose coverage under their plan. The nonpartisan Congressional Budget Office review of the bill released Wednesday afternoon says otherwise. Here's the money quote regarding what's projected to happen in states that waive the Obamacare rules:
... as a consequence, the waivers in those states would have another effect: community-rated premiums would rise over time, and people who are less healthy (including those with preexisting or newly acquired medical conditions) would ultimately be unable to purchase comprehensive non-group health insurance at premiums comparable to those under current law, if they could purchase it at all, despite the additional funding that would be available under H.R. 1628 to help reduce premiums. As a result, the non-group markets in those states would become unstable for people with higher-than-average expected health care costs. That instability would cause some people who would have been insured in the non-group market under current law to be uninsured.
The Congressional Budget Office projects that one-sixth of the US population lives in states where the situation described above would play out.
Rico says he has a pre-existing condition, and Trump won't make it any easier... (But, then, his healthcare is paid for by all of us...)

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