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re: American Health Care Act (Obamacare Replacement) introduced

Posted on 3/6/17 at 9:14 pm to
Posted by WeeWee
Member since Aug 2012
45535 posts
Posted on 3/6/17 at 9:14 pm to
quote:

Can you explain this to me?
Louisiana is the poorest state,has a deficit problem and needs federal money to survive.
Medicaid expansion gives Louisiana more money making our deficit problem not as bad.





You do realize that any savings from the medicaid expansion were going to eaten up with by the state having to fork over would have been gone by 2021 even if the medicaid expansion would have stayed and KFF's #s were 100% right. KFF's numbers were off by atleast 100K ppl so the savings would have been eaten up by 2019 or 2020. The La dems love to blame Jindal for using one time money, but the medicaid expansion at best was 1 time money that we got for 2 or 3 years followed by a major arse raping for decades.

quote:

300000 people are covered under the medicaid expansion. Thats 1/15 of the state


It's over 400,000 now which means starting next year La will be getting a big bill regardless of what happens at the national level.

quote:

1/4 of the state is covered in total by medicaid



Which is f**king stupid when you have the charity system. What is the point of having a safety net hospital system when you have a safety net insurance program? Pick one or the other.
Posted by DisplacedBuckeye
Member since Dec 2013
76732 posts
Posted on 3/6/17 at 9:14 pm to
Getting closer to complete repeal.
Posted by member12
Bob's Country Bunker
Member since May 2008
33142 posts
Posted on 3/6/17 at 9:14 pm to
quote:

So it's basically what Rand Paul was fearing? Watered down Obamacare.



So an improvement....but not the solution I wanted to see.
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5539 posts
Posted on 3/6/17 at 9:14 pm to
quote:

So how long will this take to go through?



I believe this is the process:


The bill in the House has to go through a process called 'mark-up'.

Then the bill has to get through 2 or 3 committees in the House.

Then it goes to the Senate in a conference or two.

The House and Senate committees must agree on a final bill, then bring it up for a vote.

Most likely there will be a filibuster by the dems.

The GOP most likely will have to pass it through budget 'reconciliation'.

Then if passed, it goes to the President.

Best thing to do is just repeal obama-scam out right.
Get this POS out of the way, it is flawed, intentionally flawed.

Then start working on real reforms.

obama-scam was intentionally designed to fail to drive the US populace to clamor for 'single-payer'
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/6/17 at 9:14 pm to
quote:

So how long will this take to go through?



I have real doubts it does- Dems wont vote for it and the House Freedom Caucus has already staked out a position opposing this sort of bill.

It's going to come down to Paul Ryan cracking the whip and bringing roughly 50% of the HFC to heel.
Posted by member12
Bob's Country Bunker
Member since May 2008
33142 posts
Posted on 3/6/17 at 9:15 pm to
quote:

Furthermore, when a state is as poor as LA, you don't create an even bigger welfare trap.



Louisiana can't afford another dime in medicaid payments.
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:16 pm to
quote:

Getting closer to complete repeal.



Won't happen. Those 4 Republican Senators already said they won't vote for anything that doesn't preserve the Medicaid expansion in some facet.

(Gardner, Murkowski, Portman, Moore Capito btw)
Colorado, Alaska, Ohio, WV - 4 states that expanded Medicaid and would get crushed if it were ripped away
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:17 pm to
quote:

intentionally designed to fail to drive the US populace to clamor for 'single-payer'


Weird that it's working better than predicted in terms of cost and coverage, isn't it?
Posted by AlbertMeansWell
Member since Sep 2013
5565 posts
Posted on 3/6/17 at 9:20 pm to
If Trump fricks this up, he has ZERO chance at re-election.
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/6/17 at 9:21 pm to
Kind of surprised Tom Cotton isn't signing on with them, Arkansas would get fricked if the expansion goes away.
This post was edited on 3/6/17 at 9:31 pm
Posted by member12
Bob's Country Bunker
Member since May 2008
33142 posts
Posted on 3/6/17 at 9:21 pm to
quote:

The two measures dismantle the core aspects of ­ObamaCare, including its subsidies to help people buy coverage, expansion of Medicaid, taxes and mandates for people to have insurance. The bills also dramatically restructure the Medicaid program overall by capping federal payments.


This basically makes it "not Obamacare". Most Democrats will not support it. Most republicans support the above changes.


quote:

The legislation would maintain ­ObamaCare’s protections for people with pre-existing conditions, who could still not be denied coverage by insurers. Instead of ­ObamaCare’s mandate, the GOP plan would seek to encourage healthy people to sign up by allowing insurers to charge people 30 percent higher premiums if a new enrollee has had a gap in coverage.


Not much better than the mandate. This is the same problem that Obamacare could not solve without skyrocketing premiums. It doesn't really fix that.


quote:

The legislation also repeals nearly all of the taxes created by ­ObamaCare, including the medical device tax and health insurance tax, starting in 2018. The bills scrap a controversial Republican proposal in earlier drafts that would have started taxing some employer-sponsored health insurance.


I'm good with this.

quote:

The tax credit under the GOP plan ranges from $2,000 to $4,000 a year per individual, increasing with someone’s age. That system would provide less financial assistance for low-income and older people than ­ObamaCare, but could give more assistance to younger people and those with somewhat higher incomes.


Need to think about this a little more. First impression is that I don't necessarily have a problem with this. I'd rather the tax credit than people go uninsured.

I'm mostly seeing incremental improvements, which are not necessarily a bad thing.
This post was edited on 3/6/17 at 9:25 pm
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:22 pm to
quote:

Kind of surprised Tom Cotton is signing on with them, Arkansas would get fricked if the expansion goes away.


He might be waiting, or hoping for a Razoback Kickback in the new Trumpcare.

Honestly, guys, this AHCA has a bailout for health insurance CEOs. No way it passes, despite what your most desperate wishes may be.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
74143 posts
Posted on 3/6/17 at 9:23 pm to
I already gave my prediction, BamaAtl. Trump will swoop in and propose some sort of "alt-right" single payer where only citizens get the care.
Posted by WeeWee
Member since Aug 2012
45535 posts
Posted on 3/6/17 at 9:24 pm to
quote:

Trump doesn't have a plan, but this plan is dead in the water. 4 Republican Senators have already come out against it.




The house passes their version of the bill; the Senate then passes one of their versions and then they work out the differences in committee or the house votes on the Senate bill using reconciliation. That is a similar process to what the dems used 8yrs and what you were calling for last week.
Posted by Iosh
Bureau of Interstellar Immigration
Member since Dec 2012
18941 posts
Posted on 3/6/17 at 9:24 pm to
quote:

Kind of surprised Tom Cotton is signing on with them, Arkansas would get fricked if the expansion goes away.
Tom Cotton is ride or die for Trump. I think he's angling to be the next big law-and-order darling when Trump leaves, whether that's in one year or eight.
This post was edited on 3/6/17 at 9:25 pm
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:28 pm to
quote:

Trump will swoop in and propose some sort of "alt-right" single payer where only citizens get the care.


If you're serious, you've never worked in a hospital in your life. Not a lot of time to ask for papers during triage.
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:29 pm to
quote:

the Senate then passes one of their versions


The Senate won't pass a version that includes removing the Medicaid expansion.

You want to strip the taxes, but keep the things that cost money? Aren't you guys supposed to be concerned about the budget? Or are we back to the unfunded mandates of the GWB years already?
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
74143 posts
Posted on 3/6/17 at 9:30 pm to
quote:

If you're serious, you've never worked in a hospital in your life. Not a lot of time to ask for papers during triage.
I'm not saying I support it, I'm just telling you what trump might do.

Iosh has it right- trump is bascially a right wing european on fiscal issues. Supportive of big(ger) government but only for the citizens.
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/6/17 at 9:31 pm to
If Trump tries that, it'll fail worse than this bill. HIs best bet is to try and distract everyone long enough that reconciliation becomes impossible, then say he can't do it because of the filibuster.
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/6/17 at 9:31 pm to
quote:

The house passes their version of the bill; the Senate then passes one of their versions


The problem is that there isn't an existing bill that gets both the moderate Republicans and the HFC.

A split which mirrors Democratic problems during the passage of the ACA.
This post was edited on 3/6/17 at 9:34 pm
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