JimBowie1958
Old Fogey
- Sep 25, 2011
- 63,590
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I have read of a number of things people seem to think need keeping from the ACA and more that are needed to make the whole thing be a consumer centered system.
Trump has said he wants a number of features.
First he wants to keep from the ACA the pre-existing condition prohibition, and the 26 year old child ability to remain on his parents insurance.
He also wants to remove all state limits on insurance so that we have true national competition among medical insurance companies.
Now to pay for all that, we had/have the mandatory insurance 'tax' that requires everyone to get insurance and employers to offer insurance to full time employees. Otherwise we will be driving insurance companies out of business.
Perhaps the mandate should include catastrophic coverage policies to let people have a cheap alternative and insurance companies still get the customer base they need to stay in business?
The state insurance pools seemed to allow for the pooling of resources, and might have worked had more healthy people bought in. Should we keep such insurance pools?
Expanded health savings accounts could cover the deductibles, but this doesnt help people who dont have the funds to put money into such an account. What about them?
Decentralize control for Federal government back to states?
What else needs to be a part of the replacement for the ACA?
Medicare expansion? Do we tell people who have it is will no longer be available?
Federal grants of up to $3 billion to help the system get off the ground?
Should we include welfare assistance to those who cannot afford entry level costs? Combine that with a tax deduction for health insurance costs?
JAMA Forum: What Might an ACA Replacement Plan Look Like?
Compare Proposals to Replace The Affordable Care Act
The Project 2017: GOP ACA Replacement They Don't Want You To See
The GOP Obamacare 'Replacement' Has Arrived. Sort Of. | The Huffington Post
Trump has said he wants a number of features.
First he wants to keep from the ACA the pre-existing condition prohibition, and the 26 year old child ability to remain on his parents insurance.
He also wants to remove all state limits on insurance so that we have true national competition among medical insurance companies.
Now to pay for all that, we had/have the mandatory insurance 'tax' that requires everyone to get insurance and employers to offer insurance to full time employees. Otherwise we will be driving insurance companies out of business.
Perhaps the mandate should include catastrophic coverage policies to let people have a cheap alternative and insurance companies still get the customer base they need to stay in business?
The state insurance pools seemed to allow for the pooling of resources, and might have worked had more healthy people bought in. Should we keep such insurance pools?
Expanded health savings accounts could cover the deductibles, but this doesnt help people who dont have the funds to put money into such an account. What about them?
Decentralize control for Federal government back to states?
What else needs to be a part of the replacement for the ACA?
Medicare expansion? Do we tell people who have it is will no longer be available?
Federal grants of up to $3 billion to help the system get off the ground?
Should we include welfare assistance to those who cannot afford entry level costs? Combine that with a tax deduction for health insurance costs?
JAMA Forum: What Might an ACA Replacement Plan Look Like?
Compare Proposals to Replace The Affordable Care Act
The Project 2017: GOP ACA Replacement They Don't Want You To See
The GOP Obamacare 'Replacement' Has Arrived. Sort Of. | The Huffington Post