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Started By
Message
Leaked GOP replacement plan for Obamacare shrinks subsidies, Medicaid expansion
Posted on 2/25/17 at 3:02 am
Posted on 2/25/17 at 3:02 am
quote:
A draft House Republican ObamaCare bill would dismantle the core aspects of the healthcare law and replace them with a system centered on a new tax credit.
The draft bill was provided to The Hill by a lobbying source and was first reported by Politico.
The measure is dated Feb. 10, so it is not the most recent version of Republicans’ plan. It is unclear how much has changed since then.
The bill would eliminate subsidies for people to obtain coverage, and federal funds for states to expand Medicaid would be phased out in 2020. The mandate for people to buy insurance would also be killed.
The plan calls for a tax credit, which would increase based on a person’s age, to help recipients afford insurance. The credit would be between $2,000 and $4,000.
In contrast to ObamaCare, the credits are not based on income, which Democrats argue means not enough help is given to low-income people to be able to afford coverage. Republicans say income-based credits discourage work.
The plan also includes $10 billion per year in “state innovation grants,” which are a version of high-risk pools but appear to allow for a broader array of uses for the money by states. The money could be used by states to help sick people get coverage and stabilize premiums.
As an alternative to ObamaCare’s individual mandate, the plan would allow insurers to charge people 30 percent more on their premiums if they had a gap in coverage and then signed up again.
The plan also includes a “per capita cap” for Medicaid, which imposes a per-person cap on federal spending on Medicaid. A lobbyist who reviewed the language said the Medicaid provisions were more generous than expected, based on the growth that is set out for the cap on federal payments.
What to do about the federal funds allowing states to expand Medicaid has been a huge point of division for Republicans.
States that expanded Medicaid, many of them run by GOP governors, do not want to see the federal funds killed off. Other Republicans say they should be phased out.
The GOP plan is paid for in part through a proposal to start taxing more generous employer-sponsored health insurance plans. The proposal would start taxing plans above the 90th percentile of premiums.
That idea is controversial among Republicans, with some warning the idea is imposing a new tax.
LINK
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Posted on 2/25/17 at 3:04 am to Bench McElroy
Kill it. Kill it all.
Posted on 2/25/17 at 3:08 am to Bench McElroy
quote:
Republicans say income-based credits discourage work.
So much concern over the very small percentage of people who try to cheat the system. Some people work there arse off and still make a low wage. Help these people. Don't leave them out to dry because you fear others are gonna turn down jobs to get tax credits. Trump knows all about tax credit loopholes, though.
Posted on 2/25/17 at 3:20 am to Bench McElroy
quote:
The GOP plan is paid for in part through a proposal to start taxing more generous employer-sponsored health insurance plans. The proposal would start taxing plans above the 90th percentile of premiums.
frick Trump and frick the GOP.
Posted on 2/25/17 at 4:08 am to Bench McElroy
I hate Obamacare as much as the next guy, but that sounds atrocious.
If this is legit, it basically says "Whoops, so sorry you were diagnosed with stage 3 cancer in January, but we've already spent X amount of dollars on you this year, so the rest is on you. I know you were poor before you got sick, and you definitely can't find a better job now, but there is nothing we can do. Good luck, if you live till next year we'll start helping you out again."
Also, does this
Mean they would tax health care companies for charging plans in the 90th percentile, or tax the 10% of employee sponsored plans carrying the lowest premiums?
quote:
The plan also includes a “per capita cap” for Medicaid, which imposes a per-person cap on federal spending on Medicaid. A lobbyist who reviewed the language said the Medicaid provisions were more generous than expected, based on the growth that is set out for the cap on federal payments.
If this is legit, it basically says "Whoops, so sorry you were diagnosed with stage 3 cancer in January, but we've already spent X amount of dollars on you this year, so the rest is on you. I know you were poor before you got sick, and you definitely can't find a better job now, but there is nothing we can do. Good luck, if you live till next year we'll start helping you out again."
Also, does this
quote:
The GOP plan is paid for in part through a proposal to start taxing more generous employer-sponsored health insurance plans. The proposal would start taxing plans above the 90th percentile of premiums.
Mean they would tax health care companies for charging plans in the 90th percentile, or tax the 10% of employee sponsored plans carrying the lowest premiums?
This post was edited on 2/25/17 at 4:15 am
Posted on 2/25/17 at 4:46 am to VaBamaMan
quote:
Mean they would tax health care companies for charging plans in the 90th percentile, or tax the 10% of employee sponsored plans carrying the lowest premiums?
I found this confusing as well
Posted on 2/25/17 at 6:44 am to Bench McElroy
There is nothing that can be come up with that is everybody is going to be happy with.
Posted on 2/25/17 at 7:04 am to Bench McElroy
Wont pass
What is the income credit for the poors.
This bill gives slack to golfers to buy the platinum package.
Lower class are not cared for.
Its a propaganda failure from the get go.
Ps. This idea is old. Dumb then. Dumb now.
What is the income credit for the poors.
This bill gives slack to golfers to buy the platinum package.
Lower class are not cared for.
Its a propaganda failure from the get go.
Ps. This idea is old. Dumb then. Dumb now.
Posted on 2/25/17 at 7:10 am to Bench McElroy
quote:
The plan calls for a tax credit, which would increase based on a person’s age, to help recipients afford insurance. The credit would be between $2,000 and $4,000
Cool. That'll get most people a month or two of health insurance.
Posted on 2/25/17 at 7:13 am to THRILLHO
quote:
the GOPe.
Posted on 2/25/17 at 7:19 am to VaBamaMan
I believe that Medicaid recipients with cancer diagnoses tend to receive Medicare coverage. I think there are some policies in place That allow for this to occur through the disability office.
Posted on 2/25/17 at 7:23 am to THRILLHO
I guess "making it terrific" is harder than he thought. 
What a shite show.
What a shite show.
Posted on 2/25/17 at 7:29 am to Bench McElroy
frickING SEND ONE OF THE REPEAL BILLS THAT WERE SENT TO OBAMA'S DESK ALREADY!! REPEAL THAT shite!
It is a law that fundamentally changes the relationship between the federal government and citizen. It must be thrown in the trash entirely. Leaving bits in place accepts the premise, and when progs get back in power they will "tweak" it back to how they want it. Just like all the rest of the bullshite federal programs that shouldn't exist. CUT THE HEAD OFF THE SNAKE BEFORE IT BECOMES A HYDRA.
It is a law that fundamentally changes the relationship between the federal government and citizen. It must be thrown in the trash entirely. Leaving bits in place accepts the premise, and when progs get back in power they will "tweak" it back to how they want it. Just like all the rest of the bullshite federal programs that shouldn't exist. CUT THE HEAD OFF THE SNAKE BEFORE IT BECOMES A HYDRA.
This post was edited on 2/25/17 at 7:33 am
Posted on 2/25/17 at 7:46 am to papasmurf1269
The plan must take into account our inter-relatedness.
25 million people on Medicaid will lose coverage with this foul ball.
25 million people on Medicaid will lose coverage with this foul ball.
Posted on 2/25/17 at 7:55 am to FanInLA
quote:
So much concern over the very small percentage of people who try to cheat the system.
Posted on 2/25/17 at 7:57 am to SoulGlo
quote:
frickING SEND ONE OF THE REPEAL BILLS THAT WERE SENT TO OBAMA'S DESK ALREADY!!REPEAL THAT shite!
It was easy to send a bill you knew would get vetoed. You got to look tough with no consequences. Now that it's real good luck taking health care away from people. I honestly can't see Obamacare going anywhere.
Posted on 2/25/17 at 8:00 am to Bench McElroy
Single payer plan, paid by taxes on the insured. A percentage rate that is static across all income rates. The rich cannot get a break on this and they cannot opt out to purchase their own private insurance. Negotiate drug prices with pharma and if pharma doesn't want to cooperate, they are out. Put a stop fo drug advertising in the media. If pharma didn't spend as much money as they do advertising, drugs wouldn't cost as much as they do. I'm sure there is a way to come up with a plan that allows people to afford coverage and not have ridiculous deductibles.
Medicare was once a single payer plan and it worked for millions. Why can't there be a plan with Medicare as a model? I don't think the insurance industry or providers would like that.
Medicare was once a single payer plan and it worked for millions. Why can't there be a plan with Medicare as a model? I don't think the insurance industry or providers would like that.
This post was edited on 2/25/17 at 8:03 am
Posted on 2/25/17 at 8:27 am to Isabelle81
quote:
Single payer plan, paid by taxes on the insured. A percentage rate that is static across all income rates. The rich cannot get a break on this and they cannot opt out to purchase their own private insurance. Negotiate drug prices with pharma and if pharma doesn't want to cooperate, they are out. Put a stop fo drug advertising in the media. If pharma didn't spend as much money as they do advertising, drugs wouldn't cost as much as they do. I'm sure there is a way to come up with a plan that allows people to afford coverage and not have ridiculous deductibles.
:notthisshitagain:
quote:
Medicare was once a single payer plan and it worked for millions. Why can't there be a plan with Medicare as a model? I don't think the insurance industry or providers would like that.
Medicare helped costs go up in the first place.
The cost relationship between doctor and patient must be restored. All these "plans" and "programs" drive costs higher with 3rd and 4th parties involved.
Posted on 2/25/17 at 8:29 am to Bench McElroy
The leaked plan
This is getting ridiculous
This is getting ridiculous
Posted on 2/25/17 at 8:31 am to Bench McElroy
quote:
The bill would eliminate subsidies for people to obtain coverage, and federal funds for states to expand Medicaid would be phased out in 2020.
States are free to continue the Medicaid expansion. What's stopping them?
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