Magnus
Diamond Member
- Jun 22, 2020
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Donald Trump infamously said at the presidential debate he had the “concept of a plan” to replace Obamacare. As is often the case when Trump commits verbal self-harm, it fell to J.D. Vance to turn his car wreck of a statement into an intelligible position.
What Vance came up with is not only surprising but, if understood properly, far more damaging than Trump’s original statement. The Trump plan, according to Vance, is to permit insurance companies to discriminate against people with preexisting conditions.
Vance explained the Trump plan during an interview with NBC’s Kristen Welker: “He, of course, does have a plan for how to fix American health care, but a lot of it goes down, Kristen, to deregulating insurance markets, so that people can actually choose a plan that makes sense for them.”
Vance is advocating a partial or complete return to the system that existed before Obamacare. In that world, prior to 2014, it was very difficult to find affordable coverage unless you were on Medicare, Medicaid, or got insurance through your employer. There was a market for individual insurance, and it was possible to buy plans if you didn’t get coverage through a government plan or through work. But that market was dominated by “adverse selection” — the only way insurers could make money was to weed out any customers likely to need medical care.
Obamacare turned that dysfunctional individual market into a market that offered affordable plans even for people who aren’t young and healthy. It did this by restricting the degree to which insurers can charge higher rates based on age (they can only make older customers pay a maximum of three times the rate they charge young customers). More importantly, it prevented insurers from screening out customers with a preexisting condition or denying coverage for necessary procedures.
Do we really want to return to the old conditions where you could be turned away from getting covered if you had pre-existing conditions? You risk being turned down for health coverage every time you change jobs. Is this what we want? Hell no.
All Together Now - We Are Not Going Back!!!
What Vance came up with is not only surprising but, if understood properly, far more damaging than Trump’s original statement. The Trump plan, according to Vance, is to permit insurance companies to discriminate against people with preexisting conditions.
Vance explained the Trump plan during an interview with NBC’s Kristen Welker: “He, of course, does have a plan for how to fix American health care, but a lot of it goes down, Kristen, to deregulating insurance markets, so that people can actually choose a plan that makes sense for them.”
Vance is advocating a partial or complete return to the system that existed before Obamacare. In that world, prior to 2014, it was very difficult to find affordable coverage unless you were on Medicare, Medicaid, or got insurance through your employer. There was a market for individual insurance, and it was possible to buy plans if you didn’t get coverage through a government plan or through work. But that market was dominated by “adverse selection” — the only way insurers could make money was to weed out any customers likely to need medical care.
Obamacare turned that dysfunctional individual market into a market that offered affordable plans even for people who aren’t young and healthy. It did this by restricting the degree to which insurers can charge higher rates based on age (they can only make older customers pay a maximum of three times the rate they charge young customers). More importantly, it prevented insurers from screening out customers with a preexisting condition or denying coverage for necessary procedures.
Trump’s Health-Care Plan Lets Insurers Charge More for Preexisting Conditions
The concept of a plan, according to J.D. Vance, is pretty horrifying.
nymag.com
Do we really want to return to the old conditions where you could be turned away from getting covered if you had pre-existing conditions? You risk being turned down for health coverage every time you change jobs. Is this what we want? Hell no.
All Together Now - We Are Not Going Back!!!
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