JimofPennsylvan
Platinum Member
- Jun 6, 2007
- 861
- 503
- 910
The Republican Health Care Bill is a bad bill and will be bad for America if enacted into law for it will make America's health care problem worse.Much has been publicly said about the bill's major fatal flaw which is that it doesn't link the federal subsidy to help Americans buy health insurance to individual Americans and their family's income and the cost of a decent health insurance plan which is job number one for federal health care law. Because in current times as opposed to past times in America, hospital stays surgeries, treatments and pharmaceuticals, etc. are so expensive that lower and middle income Americans cannot afford to buy the needed health insurance to cover such services without help the from an employer or the government!
This bill does a lot of other bad things. Sec. 112(c) of the Republican House bill removes the ACA's essential benefit requirements on State Medicaid plans requirements like hospitalization, laboratory, prescription drug and rehabilitative coverages and the Republicans are really slick on the issue the change doesn't go into effect until Jan. 1, 2020 so they will largely escape the political fallout of this for the 2018 election. It is definitely true that to bend the cost curve on health care in America which absolutely needs to be done there will have to be some curtailment of essential benefits as defined today but whatever the definition is in America it should apply equally to people on Medicaid as it does to people enrolled in the individual and group insurance markets in America to say otherwise would be to make Medicaid beneficiaries second class citizens and that is not right especially considering that many of these beneficiaries have physical and/or mental health problems such people should not have lesser rights than ordinary Americans.
This bill penalizes those people that got Medicaid through the ACA expanded Medicaid program which lifted the ceiling of eligibility to 133% of the poverty line. It penalizes them by creating the restriction beginning Jan 1 2020 that if they lose eligibility for a month they are permanently out of the expanded program this is bad because this deters these people from trying to get out of poverty trying to increase their income through work because if you fail you lose your health insurance safety net forever. In a different vein this bill will increase cost on states because the current law requires the Federal government, for states that expanded their Medicaid program as called for by the ACA, to cover the entire costs for SSI recipients such recipients are low-income Americans that are disabled and/or 65plus years of age this bill mandates the federal government will only pay eighty percent of these SSI recipients Medicaid costs leaving the States with an added expense that many will find very difficult to cover!
This bill requires states to check Medicaid recipients eligibility based on their income every six months. Anyone with competent knowledge on this topic knows this is going to result in a lot of Americans being deemed by the state as ineligible that in truth based on their actual income are eligible. This group of beneficiary for a variety of understandable reasons are not great in doing government filings; consider former PA Governor Tom Corbett's similar effort in this area which occurred sometime during the past eight years it resulted in tens of thousands of eligible Medicaid recipients being wrongfully thrown off the Medicaid rolls, really bad idea here Republicans!
One overall mistake the Republicans are making on their Healthcare effort here was sort of referenced by the brilliant journalist Peggy Noonan (don't take this description as an endorsement of her politics) who recently wrote the problem with the Republican effort here is it lacks the sense of crisis America is in for this issue. What the Republicans are doing here is taking care of their checklist on this overall issue. They got to get rid of the taxes, get rid of the government mandate requiring people to buy insurance get rid of a government entitlement program and all their libertarian to do list. The majority of the American people don't care about this Republican party checklist. We want lower health insurance premiums, lower deductibles and more insurance choice things like this. If the Republicans were doing what the majority of the American people wanted they would limit the focus of their bill to bending the cost curve for health care and health insurance in America and improve choice. The other major party in America, the Democrat Party, is waiting in the wings to do just this they have already publicly committed to working hard on a bill that improves the Affordable Care Act why don't Republicans do what their supposed to do and serve the majority of the American people which want you to limit the focus of your bill and try to work with the Democrats here everybody knows the status quo on America's healthcare law here is untenable this reality should create momentum to get something significantly good done here! The American people should be afraid that what the Republicans might do here is they come to the reality that they cannot pass their healthcare bill based on the contents of their bill so they take America's checkbook and buy the votes they need to pass it; they go to members of Congress who they need their vote and say does your district or state need a bridge, highway, economic development money, protection of a tax break in the upcoming tax overhaul "it's let's make a deal time" in Congress and we're paying big-time for your support on this bill so name your price? If the Republicans go corrupt like this be forewarned Republicans that many Americans will be mad as hell at them over this!
This bill does a lot of other bad things. Sec. 112(c) of the Republican House bill removes the ACA's essential benefit requirements on State Medicaid plans requirements like hospitalization, laboratory, prescription drug and rehabilitative coverages and the Republicans are really slick on the issue the change doesn't go into effect until Jan. 1, 2020 so they will largely escape the political fallout of this for the 2018 election. It is definitely true that to bend the cost curve on health care in America which absolutely needs to be done there will have to be some curtailment of essential benefits as defined today but whatever the definition is in America it should apply equally to people on Medicaid as it does to people enrolled in the individual and group insurance markets in America to say otherwise would be to make Medicaid beneficiaries second class citizens and that is not right especially considering that many of these beneficiaries have physical and/or mental health problems such people should not have lesser rights than ordinary Americans.
This bill penalizes those people that got Medicaid through the ACA expanded Medicaid program which lifted the ceiling of eligibility to 133% of the poverty line. It penalizes them by creating the restriction beginning Jan 1 2020 that if they lose eligibility for a month they are permanently out of the expanded program this is bad because this deters these people from trying to get out of poverty trying to increase their income through work because if you fail you lose your health insurance safety net forever. In a different vein this bill will increase cost on states because the current law requires the Federal government, for states that expanded their Medicaid program as called for by the ACA, to cover the entire costs for SSI recipients such recipients are low-income Americans that are disabled and/or 65plus years of age this bill mandates the federal government will only pay eighty percent of these SSI recipients Medicaid costs leaving the States with an added expense that many will find very difficult to cover!
This bill requires states to check Medicaid recipients eligibility based on their income every six months. Anyone with competent knowledge on this topic knows this is going to result in a lot of Americans being deemed by the state as ineligible that in truth based on their actual income are eligible. This group of beneficiary for a variety of understandable reasons are not great in doing government filings; consider former PA Governor Tom Corbett's similar effort in this area which occurred sometime during the past eight years it resulted in tens of thousands of eligible Medicaid recipients being wrongfully thrown off the Medicaid rolls, really bad idea here Republicans!
One overall mistake the Republicans are making on their Healthcare effort here was sort of referenced by the brilliant journalist Peggy Noonan (don't take this description as an endorsement of her politics) who recently wrote the problem with the Republican effort here is it lacks the sense of crisis America is in for this issue. What the Republicans are doing here is taking care of their checklist on this overall issue. They got to get rid of the taxes, get rid of the government mandate requiring people to buy insurance get rid of a government entitlement program and all their libertarian to do list. The majority of the American people don't care about this Republican party checklist. We want lower health insurance premiums, lower deductibles and more insurance choice things like this. If the Republicans were doing what the majority of the American people wanted they would limit the focus of their bill to bending the cost curve for health care and health insurance in America and improve choice. The other major party in America, the Democrat Party, is waiting in the wings to do just this they have already publicly committed to working hard on a bill that improves the Affordable Care Act why don't Republicans do what their supposed to do and serve the majority of the American people which want you to limit the focus of your bill and try to work with the Democrats here everybody knows the status quo on America's healthcare law here is untenable this reality should create momentum to get something significantly good done here! The American people should be afraid that what the Republicans might do here is they come to the reality that they cannot pass their healthcare bill based on the contents of their bill so they take America's checkbook and buy the votes they need to pass it; they go to members of Congress who they need their vote and say does your district or state need a bridge, highway, economic development money, protection of a tax break in the upcoming tax overhaul "it's let's make a deal time" in Congress and we're paying big-time for your support on this bill so name your price? If the Republicans go corrupt like this be forewarned Republicans that many Americans will be mad as hell at them over this!