Sunday, February 26, 2017

Repeal And Repulse

The House GOP plan to repeal Obamacare is starting to take shape, and surprise, there's no "replace".  It's a disaster that will leave tens of millions with no health insurance, and tens of millions more with more expensive plans that cover far less than under the ACA.

Republican replacement plans for Obamacare would lead to significant declines in the number of Americans with health insurance coverage, according to an analysis presented Saturday at the National Governors Association and obtained by Vox.

The analysis was conducted by the health research firm Avalere Health and the consulting firm McKinsey and Company.

The analysis includes graphs on what the Republican plan to overhaul Obamacare’s tax credits, generally making them less generous, would do. They are based on the recent 19-page proposal that Republican leadership released about their plan to repeal and replace Obamacare. In particular, they look at the effect of switching from income-based tax credits (which give poor people more help) to age-based tax credits, where everyone would get the same amount.

The report estimates what would happen in a hypothetical state with 300,000 people in the individual market that has also expanded Medicaid. In the individual market, enrollment would fall 30 percent and 90,000 people would become uninsured.

An additional 115,000 people in that hypothetical state may also lose coverage because they are enrolled in Medicaid and cannot find an affordable private plan.

The report estimates that coverage declines would be even higher in states that did not expand Medicaid — largely those run by Republican governors. There, the report presents an example of a state with 235,000 in the individual market. It estimates that coverage would decline by 120,000 people, about 50 percent.

Combined with Medicaid block grants, which would be billions in cuts to state Medicaid programs *on top of* eliminating funding for expanded Medicaid, you're getting the picture here: Republicans would not only take the state of insurance back to the Dubya era, it would be even worse because Medicaid would be gutted.

And this is why Republicans are terrified.  They know they're about to be burned at the stake for this.

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