Lobbying by hospitals, doctors, slows GOP health care drive

04 May, 2017, 00:24 | Author: Joy Garcia
  • Donald Trump

But one critical component of Maine's invisible high-risk pool, says Steve Butterfield of the Maine-based advocacy group Consumers for Affordable Health Care, is that it was well-funded. Richard Gaudreau, a consumer bankruptcy lawyer in New Hampshire, says he sees far fewer clients who don't have health insurance now.

ALISON KODJAK, BYLINE: Good to see you, too, Robert.

Ryan in late March canceled the House vote over the GOP's first effort under President Donald Trump to repeal and replace the ACA after it became clear the effort would not pass.

KODJAK: Well, probably not with this bill as it stands now.

Senate Majority Leader Mitch McConnell said House Republicans were working to secure enough votes on the bill and he expected a "real big challenge" in the Senate. With CBO projecting that the American Health Care Act would cost 24 million Americans their health care coverage, Republicans must determine how they intend to entice the participation of carriers while expanding coverage as broadly as possible. It now looks like the bill won't reach the level of support it needs to pass, but you might want to call your state's Representatives if you don't think sick people deserve to be punished for being sick. Remind us what's in it. "You know, they've done the things to keep their bodies healthy, and right now those are the people who've done things the right way, that are seeing their costs skyrocketing." Wow. It is essentially Obamacare with some permissive aspects-the totality of Obamacare minus most of its taxes, minus the individual and employer mandates, plus some potential freedom for states, but with it, mandates, penalties and billions of dollars of subsidies, without any guarantee of lower costs, greater choices or broader networks.

KODJAK: Very similar, yes.

Earlier this year, congressional Republicans abandoned their plan to repeal the Affordable Care Act in the face of the overwhelming opposition from their constituents. And so what it ended up doing was sort of splitting the baby. They contend letting insurers offer plans with fewer benefits would allow people to buy cheaper insurance if they don't want to be covered for services like maternity care.

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Under the amendment, states could obtain a waiver from a part of the Affordable Care Act that prohibits insurers from charging higher rates to people with pre-existing conditions.

SIEGEL:.To pick up where the insurance company can no longer pay. Most individuals are required by law to have health insurance coverage.

As for the specifics of the current bill before the U.S. House of Representatives, it doesn't allow for those with preexisting conditions to be outright refused coverage, but it would allow insurers, on a state-by-state basis, to drastically change the cost and quality of that coverage.

"Most of the people who have C-sections identify as women, so that's a shorthand for a gender discriminatory policy", Physicians for Reproductive Health advocacy fellow Dr. Diane Horvath-Cosper told Elle. And that they can also get rid of what's called community rating, which means they can charge people more based on their health status rather than just charge them based on where they live and their age.

A policy change by the Trump administration will effectively subsidize Florida's decision not to expand Medicaid coverage under the Affordable Care Act, in a deal that could set a national precedent.

"If I decide to vote for (the new bill) - depending on what the last language is - because this is such an iterative process, my anticipation is that certain changes are going to be made if it goes to the Senate and then comes back to us", Faso said.

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