Getting rid of Obamacare would be a headache for Trump


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.

"I am stunned," Kasich said Tuesday after the trial. Former Republican governor of Ohio, Republican, he has become a frequent critic of Trump and now contributes to CNN. As governor, he took federal money for Ohio to extend Medicaid in accordance with the law, even though he has long stressed his problems. But Kasich said the country should tackle the problems, not eliminate the old law. He pushed an elaborate proposal with a group of bipartisan governors.

"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 !?

John Roberts, who – thanks to a new book by CNN's Joan Biskupic – we know, has been hesitant about how to deal with the law from the beginning, could now be invested in it.

Opponents of the law have said that the possibility of canceling it should be a warning for Congress to fix the problem.

"The announcement of the MJ is another data point that Congress needs to enact legislation that helps, not obscure, the ability of Americans to achieve their health care cost reduction goals, better choices and access to care when they are sick, "said Marie Fishpaw. Conservative Heritage Foundation, which approves a plan that would give states more power.

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.

More recently, 55% to 32% of US voters said they would rather improve the current health care system than replace it, according to a new Quinnipiac poll. The findings were published in the context of the debate pushed by the Democrats on the opportunity to move to a single payer health insurance system, but they are interesting with respect to the possibility that the "payday loans" will be the most expensive. Trump administration can go the other way and have all of the affordable. Care Act invalidated. According to the Kaiser Family Foundation, the number of Americans with a favorable opinion of the law itself has increased and has hovered around 50% in recent years, while the percentage of Americans with an adverse opinion is dropped below 40%.

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. .

The reserve indicates tiptoe towards the expansion of Medicaid under Obamacare
There have been developments in Georgia this week, for example, where the GOP-controlled legislature has given a new power to the Republican governor.

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.

In total, 4.9 million people who would otherwise qualify for Medicaid under the Affordable Care Act are not currently eligible. Some of them are entitled to help with private insurance, but more than 2.5 million are caught in the law: they earn too much to qualify for Medicaid but not enough to get medical insurance. help to buy private insurance. According to the Kaiser Family Foundation, almost half of the coverage gap is spread between Texas and Florida.

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.

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