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Morning Briefing

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Wednesday, Dec 7 2016

Full Issue

Viewpoints: Is The GOP Plan To 'Repeal And Dawdle'?; Democrats' Health Care Dare

A selection of opinions on health care from around the country.

The GOP House leadership鈥檚 plan to repeal Obamacare and then find a replacement three years from now has generated broad consensus: It鈥檚 a terrible idea. The Freedom Caucus鈥檚 incoming ringleader,聽Rep. Mark Meadows (R-N.C.), says his group will put up major resistance. He thinks Obamacare should be repealed and replaced 鈥 just like Republicans promised 鈥 all within the 115th Congress. (Jennifer Rubin, 12/6)

In the six years since enactment of the Affordable Care Act, Republicans have sworn that, given the chance, they would 鈥渞epeal and replace鈥 it. Now they need to deliver. Repeal should be relatively simple. Enacting a replacement and implementing it won鈥檛 be. And repeal without having an agreed-on plan for replacement in place is a recipe for calamity, as a new Urban Institute study shows. ... Ending those parts of the ACA that can be repealed without the threat of a Senate filibuster and delaying implementation for two years would leave more people without insurance than would have been the case if the law had never been passed, the study finds. Those actions would increase the number of people without health insurance by nearly 30 million in 2019. (Henry J. Aaron and Robert D. Reischauer, 12/7)

After campaigning for years on a plan of 鈥渞epeal and replace Obamacare,鈥 Republicans finally have the means within their grasp to make much of that possible. They control the presidency, the House, and the Senate. The filibuster still poses some potential threats to their plans, but it鈥檚 also within their means to abolish its widespread use in such a way that they could both repeal the Affordable Care Act and replace it with something of their own design. What would that be? In contrast to what many say, there are Republican plans out there to consider. (Aaron Carroll, 12/6)

Senate Republicans on Tuesday announced they plan to act quickly to strip away Obamacare鈥檚 funding while leaving elements of the program in place for two or three years. The move would put them in lockstep with House Republicans, and would enable President-elect Donald Trump to sign a bill effectively repealing the program on his first day in office. Democrats promptly warned that the move would destabilize insurance markets in the short term and deprive millions of people of coverage in the long term, causing a 鈥渉uge calamity鈥 for America as well as for the Republican Party. (Jonathan Cohn and Michael McAuliff, 12/6)

Donald Trump's pick for health and human services secretary has hawked a detailed plan for years on how to replace the Affordable Care Act. While others in his party must answer the question, 鈥淩eplace with what?鈥 the question for Price is, 鈥淲ould your replacement work?鈥澛營n case you haven鈥檛 guessed, it wouldn't. (Rich Barlow, 12/7)

Almost from the moment of its inauguration in 2009, the Obama administration has struggled, often against adamant resistance, to enact and implement the Affordable Care Act (ACA). The 2016 election has brought to power opponents of the ACA who will control the presidency, both houses of Congress, and many state houses and governorships. ACA repeal, or 鈥渞epeal and replace,鈥 seems to be a very real, indeed likely, possibility. It is important, therefore, to take a sober look at what the ACA has achieved in its nearly six years of existence, and what repeal, or repeal and replacement, might look like. (Timothy Jost, 12/6)

During his presidential campaign, Donald Trump sent mixed messages about his position on reproductive rights. Whatever his personal opinion may be, his appointees and their actions could put reproductive health care out of reach for millions of women, especially those living in poverty. Mr. Trump has promised to appoint a Supreme Court justice who opposes Roe v. Wade, but overturning that decision would be a long process, probably requiring two new justices. Even without that change, there are many potent ways to restrict reproductive rights 鈥 including not defending them against legal attack. (12/7)

Carson鈥檚 nomination as secretary of the Department of Housing and Urban Development raised some eyebrows, and not just because Carson had recently said he wasn鈥檛 interested in running a federal agency. The responsibilities of the job 鈥 running a federal agency whose budget in 2016 neared $50 billion and that is responsible for helping local housing authorities manage over a million households 鈥 struck some as an odd fit for his training as a neurosurgeon. ... But public health professionals are hoping that he鈥檒l bring his medical lens to the job 鈥 pushing for quality housing for low-income people and improving people鈥檚 health conditions within public housing. (Ike Swetlitz, 12/6)

Americans who buy health insurance through a job may take for granted the protections of employer-based plans. All eligible workers, whether triathletes or cancer survivors, are offered coverage. A coworker is not denied benefits because he鈥檚 had four heart attacks. In group policies, insurers do not single out people with health problems. Everyone is pooled together and everyone shares the cost. The employer usually kicks in a good chunk of money, too. (12/6)

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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