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Monday, Mar 20 2017

Full Issue

Reviews Of The GOP Health Plan Are In -- And Mixed

Opinion and editorial writers offer their takes on the Republican's American Health Care Act.

Last week the nonpartisan Congressional Budget Office estimated that the new Republican health plan would increase the number of uninsured Americans by 24 million people within a decade, mostly because changes in regulations, subsidies and Medicaid coverage would make insurance too expensive for them. Republican leaders seem unfazed by this, perhaps because, in their minds, deciding not to have health care because it鈥檚 too expensive is an exercise of individual free will. (Anu Partanen, 3/18)

The Ryan plan is indeed deeply flawed 鈥 not because it obliterates Obamacare, but because it doesn鈥檛.Rather, it鈥檚 only the latest turn in a long saga of health care 鈥渞eforms鈥 that have constricted choice, disempowered consumers, banished price awareness, eliminated competition, and discouraged innovation. The results are all around us: skyrocketing medical costs, mounting economic pressures on employers, employees, doctors, and patients 鈥 and a political obsession with providing insurance, rather than with producing good health. (Jeff Jacoby, 3/19)

For more than seven years, Republicans obstructed and rallied their base with the idea that Obamacare was 鈥淎merica slouching toward socialism.鈥 What鈥檚 more, Republicans promised they would repeal and replace President Obama鈥檚 signature legislation with a better way. Repeal and replace was a great message, but GOP leadership failed to craft serious replacement legislation. And now we鈥檝e learned that their rallying cry was only that 鈥 a good campaign mantra. (Harold Ford Jr., 3/20)

It's time to start calling the American Health Care Act by its true name鈥攖he Force Older and Poorer Americans to Postpone Health Care Act. That is what the legislation promoted by President Donald Trump and House Speaker Paul Ryan would accomplish. And that, in turn, would wind up costing the federal government and the nation's employers a ton of money, none of which was included in the Congressional Budget Office's score of the bill. (Merrill Goozner, 3/18)

The key problem with the draft House health care bill is that it fails to correct the features of Obamacare that drove up health insurance costs. Instead, it mainly tweaks Obamacare鈥檚 financing and subsidy structure. Basically, the bill focuses on protecting those who gained subsidized coverage through the law鈥檚 exchange subsidies and Medicaid expansion, while failing to correct Obamacare鈥檚 misguided insurance regulations that drove up premiums for Americans buying coverage without government subsidies. (Edmund Haislmaier, 3/18)

The Republican Party is reaping the homogenized 鈥渞ewards鈥 of its recent push toward ideological purity. The tea party wave has led to a party of extremes and inexperience 鈥 it has driven out the nuanced thinkers, the people with institutional knowledge of how to run a government and the actual policy wonks. (Emily Mills, 3/18)

This preventive care, which is the cornerstone of family medicine, reduces long-term complications, such as heart attacks and stroke, which are far more difficult to treat and costly to the U.S. taxpayers.聽The potential short-term cost savings of repealing the Affordable Care Act will be significantly overturned by the costs of the uninsured receiving their care in ERs and prolonged hospitalizations. Kentucky and Ohio, in particular, need this accessible health care more than ever, as reflected by this region's epidemiology. (Samina Sohail, 3/17)

President Donald Trump is coming to Louisville Monday to tout a plan that doesn鈥檛 just roll back access to health care for all the people who gained it in recent years, including 500,000-plus Kentuckians. Trump also is defaulting on a commitment made a half-century ago to care for our most vulnerable: poor people who are elderly, disabled, pregnant or very young. This attack on traditional Medicaid goes far beyond Republican promises to repeal the Affordable Care Act; it is cruel and contrary to what candidate Trump promised when he tweeted 鈥渘o cuts to Social Security, Medicare & Medicaid.鈥 (3/17)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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