If you have health insurance or if you want to have health insurance at some point, what happens in Obamacare will affect you.
The fact is that exactly nine years after it was passed, the Affordable Care Act, sometimes referred to as "Obamacare," redid the American health insurance system.
No sign of a White House plan
Despite Trump's tweet on Tuesday, the GOP will become "the party of health!" and its commitment to caring for people with pre-existing illnesses, it is becoming more and more obvious that the White House has no plan for what will follow if the courts end up agreeing that the Affordable Care Act is now unconstitutional.
"The Department of Justice is part of the executive, and the president believes his justice department must do the right thing," senior advisor Kellyanne Conway told reporters on Tuesday. "And we're looking at litigation, we do not anticipate the outcome of litigation like this, we'll see what happens."
It's a law that affects all Americans and covers millions of people – and we'll see what happens?
There is a good chance that the Supreme Court will intervene, a process that could take years. But the harsher new stance of the Trump Justice Department has given the case a renewed and immediate interest.
"All of these things can be repaired, but it's not necessary to extract the coverage of 20 million people," he said. "It's ridiculous."
How to cancel something that is part of society
The main thrusts of the law are the massive expansion of Medicaid and the full reconstitution of the individual insurance market, but it has imposed new protections on the group insurance market, forcing insurers to cover Americans with pre-existing conditions and allowing policyholders to protect themselves. continue to cover their adult children until the age of 26.
He has also rewritten the rules for Medicare, hospitals and prescription drug coverage.
Although the administration now supports the invalidation of all of the law in court, the way in which the Affordable Care Act would be rescinded is prompting experts to scratch their heads.
"The Affordable Care Act is so integrated into the rest of the health care system that trying to eliminate it could upset things that did not even have a connection," said Julie Rovner of Kaiser Health News to CNN.
States have spent years modifying their Medicaid programs around the Affordable Care Act, for example. This process continues as states that have not accepted Obamacare funding to expand Medicaid with federal funding are slowly moving in this direction now that the government allows them to waive certain requirements or impose new rules that people Apply before qualifying to receive Medicaid.
"You think about the length of the bill and the number of regulations put in place over that nine-year period, and it has affected all sources of health care," said Sara Collins, Vice-President of the Commonwealth. Fund, which studies health problems and advocates for improvements in the health system. "
"I can not exaggerate how disruptive it is," she said.
Trump's quest to end the Affordable Care Act
Trump's efforts with Republicans on Capitol Hill to repeal the law failed in 2017, but his administration's attempts to wipe it out continued, especially when they used a new tax law to reduce the law. 39, tax at $ 0.
It's the lowering of the sentence that has kicked off this last drama. The Texas judge agreed with a group of attorneys general of the Republican states that a tax of $ 0 was not a tax. The tortured decision of Chief Justice John Roberts confirming the Affordable Care Act was therefore jeopardized. It's a turn of events worthy of a detective story. What will happen to Obamacare next !?
Opponents of the law have said that the possibility of canceling it should be a warning for Congress to fix the problem.
US voters respond to health care
The Democrats paid the political price for passing the Affordable Care Act, losing control of the House of Representatives following a wave of anger and conservative anger.
The Republicans then paid the political price for being on the verge of repealing it, losing control of the House last fall, and 41 percent of voters said in polls at the exit of polling stations that the most important problem facing the country was health care. Democrats have bombed alternative districts with advertisements on health care and warnings about the threat of losing the insurance market protections, such as the ban on insurance companies' policies. Exclude people with pre-existing diseases.
At the same time, 69% of voters in 2016 said the health system needed major changes. These sentiments gave the presidential election candidates a new energy to push the health system further, with new proposals for a public health insurance option or even a socialized health system in which the Government takes control of the insurance market. This debate was temporarily ruled out Tuesday as Democrats rallied to protect the Affordable Care Act.
Red states heading towards Medicaid
Efforts to cancel the law in court are continuing even as more and more red states find ways to expand Medicaid. Kasich was one of the first Republican governors to join the Medicaid expansion, funded almost entirely by the federal government, and he has since defended that decision.
However, even the most conservative governors are following suit, especially now that the federal government is accepting special exemptions from the rules of accepting money, such as the obligation for the insured to work. .
Fourteen states have rejected the Medicaid expansion envisioned by the Affordable Care Act. They are mainly in the south, although Wisconsin is also represented. All supported Trump in 2016. But 16 states that supported it expanded Medicaid.
Even if the Red States seize Medicaid funds, it does not mean that the Republicans who run them will support the law anytime soon, but it could make it even harder for many more people if the courts take it suddenly. . a way.