February 27, 2017 at 4:44 pm #27533LurkingGrendelParticipant
“Nobody knew that healthcare could be so complicated”
-Donald J Trump.
Of course, literally everyone who’s not a complete idiot, has known that for years:
How’s that “immediate” and “day one” repeal and replace plan coming along, GOP? LOL.
John Oliver has a very thorough breakdown on how and why the ACA actually does a lot of things extraordinarily well, (And a few things not that well; though that’s largely been exacerbated by willful Republican interference) and how the GOP in all actuality has no real plan to do any of things they’ve claimed.
That too is something literally everyone who’s not a complete idiot has known for years.
Tick-tock, motherfuckers. LOL.February 27, 2017 at 5:16 pm #27534skepticalParticipant
Obama, of course, is having the last laugh.February 27, 2017 at 5:31 pm #27535paulwalkerParticipant
Best case scenerio, and perhaps the most likely scenerio, is that both Republicans and Democrats will block any repeal without a replacement. As we slowly but surely get closer to the 2018 midterms, both parties will dig in to protect their asses, (uh, I mean seats). Each passing month takes us closer to this scenerio.February 27, 2017 at 8:09 pm #27537VitalogyParticipant
Regardless of what happens moving forward, people will lose their coverage and those losses will be on the shoulders of the GOP. Democrats provided coverage, Republicans will take it away.February 27, 2017 at 9:37 pm #27542AndrewParticipant
Republicans can kill Obamacare without passing any new laws. It is already dying a slow death in some states.
An important part of Obamacare was something called “risk corridors” – a way to backstop losses to insurance companies when more sick people (or fewer healthy people) than expected signed up for their plans in the exchanges. The way it was supposed to work was that some plans would be more profitable than expected and others would have more losses than expected. The more profitable plans would pay their excesses back to the government, and those payments would pay for the losses suffered by other plans.
But the losses have been a lot steeper than expected in the first few years, and there hasn’t been as much excess profit from the profitable plans to pay for the losses. It has not balanced out.
Insurance companies have been expecting these payments for their losses, but most of them have not been paid. That’s because Republicans (e.g. Marco Rubio) had added amendments to other laws forbidding the federal government from paying for the insurance plan losses using tax dollars. Only insurance profits from other plans can be used.
So, some companies have pulled out of the health care exchanges; some co-op plans have gone out of business. That means fewer companies participating, less competition, and higher premium prices. It’s much worse in some states than in others.
There have been other subtle attacks on the ACA. The IRS this year was supposed to start rejecting tax returns without health insurance information reported on the return – that is, to verify that taxpayers are buying insurance. The Mandate. But the IRS was instructed per executive order to back off of this provision, so they are not rejecting tax returns again this year if no insurance information is reported. That weakens the Mandate; it’s less likely people will be penalized for not having insurance, so there will be less incentive for healthy people to buy it, meaning there will be higher sick to healthy people ratios and higher premium costs.
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