Repeal and replace round two

[Fanatical Meat]

There isn't much info posted about it but on the surface it sounds like a failure. I'll wait to judge it until more info is available. I'm predicting this will be better than the first attempt and how many lose coverage but the costs will line up pretty similar to ACA/Obamacare.

http://www.msn.com/en-us/money/heal...lan-to-repeal-obamacare/ar-BBA56Md?li=BBnbfcN

The MacArthur Amendment would reinstate essential health benefits as the federal standard and maintain the following provisions of the AHCA:

o Prohibition on denying coverage due to preexisting medical conditions
o Prohibition on discrimination based on gender
o Guaranteed issue of coverage to all applicants
o Guaranteed renewability of coverage
o Coverage of dependents on parents' plan up to age 26
o Community Rating Rules, except for limited waivers

I'm not understanding the benefit(s) of the limited waiver option. Can someone help me out with what they are going for.

*I'm still waiting for what was promised:
Lower monthly costs
Lower deductibles
Lower prescription costs
Healthcare for everyone
Lower year over year cost increases
And a wonderful, great system

 

[MomentsofSanity]

The waiver option is pretty stupid. It basically lets the states opt out of the existing essential benefits if they can show the reason is to reduce cost or increase coverage. So why bother having the option in the first place? Just take out the key provisions.

This is just a bone to throw to people so they can shift the blame if people start losing coverage. Blame the state legislatures, governors etc... if they don't opt out. Congress will sit back and try to say "not our fault the new plan hurt people".

 

[brycejones]

I have sneaking suspicion that "limited waivers" is a hole big enough to drive a supertanker through.

 

[[DHT]Osiris]

I have sneaking suspicion that "limited waivers" is a hole big enough to drive a supertanker through.

If the terms of the waivers are not clearly defined, yes, you might as well not have the provisions at all.

 

[fskimospy]

There isn't much info posted about it but on the surface it sounds like a failure. I'll wait to judge it until more info is available. I'm predicting this will be better than the first attempt and how many lose coverage but the costs will line up pretty similar to ACA/Obamacare.

http://www.msn.com/en-us/money/heal...lan-to-repeal-obamacare/ar-BBA56Md?li=BBnbfcN



I'm not understanding the benefit(s) of the limited waiver option. Can someone help me out with what they are going for.

*I'm still waiting for what was promised:
Lower monthly costs
Lower deductibles
Lower prescription costs
Healthcare for everyone
Lower year over year cost increases
And a wonderful, great system

This will probably end up being even worse than their first attempt. They are keeping essential benefits (sort of) but removing community rating, meaning anyone with a pre-existing condition is fucked. They will be able to buy insurance, it will just cost them $10,000 a month or whatever.

This could easily end up with far worse coverage numbers than their previous attempt. It's a disaster.

 

[brycejones]

If the terms of the waivers are not clearly defined, yes, you might as well not have the provisions at all.

I would expect the rules for determining what waivers to accept will be left to the Secretary of HHS. Hence the hole big enough to drive a supertanker through.

 

[vi edit]

The teabag party has their heals dug in hard on the salt the earth fuck everyone side of the plan. The only way this goes through is if it's even more prohibitive than the last one to get their support.

 

[brycejones]

What I find really depressing about all this is the constant harping on "premium costs" from the GOP. Without really addressing total health care costs. Its a shell game that does nothing to actually help consumers in their "patient oriented system" which is the most Orwellian term they could get through the focus groups I guess.

 

[dank69]

The teabag party has their heals dug in hard on the salt the earth fuck everyone side of the plan. The only way this goes through is if it's even more prohibitive than the last one to get their support.

And the moderates were already abandoning the first one because it was getting too "fuck everyone" to be able to sell it to their voters. I'm guessing the only chance the GOP will pass anything is if they actually come up with a better plan and thus get support from the Dems or, much less likely but completely plausible because the GOP certainly is the party of "fuck everyone," the moderates decide to roll the dice and capitulate to the Freedom Caucus. It's actually not a bad gamble either because we know GOP voters care more about defeating liberals than stopping policy that buttfucks them, and we know that no matter how badly the GOP acts and how much the Democrats fight to stop harmful policy, "independents" still think both sides the same.

 

[vi edit]

What I find really depressing about all this is the constant harping on "premium costs" from the GOP. Without really addressing total health care costs. Its a shell game that does nothing to actually help consumers in their "patient oriented system" which is the most Orwellian term they could get through the focus groups I guess.

That's where things like Meaningful Use and Accountable Care Organizations come into play. Very data driven methodologies that were implemented by the government to try and convert healthcare from a pay for service to a pay for results model. So much news cycle is spent on things like ObamaCare/TrumpCare/Medicare/ect and that is just one half of puzzle. They really need to rebrand that legislature as health coverage reform and keep the "care" out the discussion. These programs are doing very little for the actual care part of it.

 

[woolfe9998]

The ideological divide between the most and least conservative members of the House GOP is too wide for any one bill to gain sufficient support. These renewed attempts are just them flailing around. There is only one approach which could work: fixing the ACA with a combination of dems and moderate reps. But this would send the GOP base into a tizzy. So essentially they have no options.

 

[Pens1566]

This will fail harder than the first attempt.

 

[K1052]

This seems to be pushed by the administration's desire to have something major to show for the first 100 days more than any big desire on the part of their caucus to go charge this hill again. At the same time Congress has to pass funding for the government next week too. I'm sure everything will go real smooth. Like a well oiled machine.

 

[MomentsofSanity]

This seems to be pushed by the administration's desire to have something major to show for the first 100 days more than any big desire on the part of their caucus to go charge this hill again. At the same time Congress has to pass funding for the government next week too. I'm sure everything will go real smooth. Like a well oiled machine.

Shouldn't be necessary. Trump has already proclaimed that his administration has accomplished more than any other administration in history in his first 90 days. Last 10 should be a cakewalk.

 

[K1052]

Shouldn't be necessary. Trump has already proclaimed that his administration has accomplished more than any other administration in history in his first 90 days. Last 10 should be a cakewalk.

They are bigly accomplishments. More than any other president. All the problems are fixed.

 

[Caesar]

Shouldn't be necessary. Trump has already proclaimed that his administration has accomplished more than any other administration in history in his first 90 days. Last 10 should be a cakewalk.

Yep - this administration has accomplished more failure in first 50 days that any other administration in 100 days. So much winning!

 

[vi edit]

This seems to be pushed by the administration's desire to have something major to show for the first 100 days more than any big desire on the part of their caucus to go charge this hill again. At the same time Congress has to pass funding for the government next week too. I'm sure everything will go real smooth. Like a well oiled machine.

Most executive orders signed and executive orders blocked in 100 days. Oh and most open staff positions in first 100 days. Have that going for them. Which is nice.

 

[dank69]

Most executive orders signed and executive orders blocked in 100 days. Oh and most open staff positions in first 100 days. Have that going for them. Which is nice.

Don't forget "most money transferred from the Treasury directly into his bank account."

 

[manly]

The teabag party has their heals dug in hard on the salt the earth fuck everyone side of the plan. The only way this goes through is if it's even more prohibitive than the last one to get their support.

Ignoring what Trump promised on the campaign trail (doesn't matter, his thoughts are total fantasy ramblings or voter manipulation) and what is good public policy, it shouldn't be that hard for the GOP to pass repeal & replace. A bill would need to be slightly more moderate than the original RyanCare bill of last month to pass through the Senate. I know politically that wouldn't fly but basically the GOP would need to stop catering to the Tea Bag party (yes, these guys are essentially a splinter group). I realize the ultimatum didn't work last time, but it's basically take the deal, or go home unhappy. Last time Trump tried to sell out 80% of his party's congress to get the most extreme 10% to come along.

I realize they'd still have to use the budget reconciliation hack and there was some healthy debate whether or not certain provisions were outside the bounds of reconciliation.

Hopefully they fail just as hard as last time because the GOP can't get along with the Tea Party. Shit, who can besides alt-right loons?

 

[First]

Lol, I love when these Freedom Caucus nutters pretend they can build bridges and coalitions to get laws passed, it's almost as if they believe their ideas have merit.

 

[K1052]

Most executive orders signed and executive orders blocked in 100 days. Oh and most open staff positions in first 100 days. Have that going for them. Which is nice.

Based on the reporting I've seen the house GOP don't see as chance in hell of this passing and are rankled that the WH is trying to dictate schedules to congress.

So bets on if Trump tries to use a government shutdown as leverage in an attempt to force his own party into this?

 

[alien42]

at this point the Republicans can't repeal the ACA because Americans overwhelmingly support it and there is also zero chance of them agreeing on a replacement. they don't want the federal government to get involved in healthcare to begin with and they have no interest in improving the ACA.

i think they should do what they always promised, repeal the ACA and face the consequences in the mid-term elections.

 

[First]

RealClearPolitics aggregate ACA approval is 48-43.

Clearly the "unpopular" talking point is on its way to being dead.

 

[manly]

at this point the Republicans can't repeal the ACA because Americans overwhelmingly support it and there is also zero chance of them agreeing on a replacement. they don't want the federal government to get involved in healthcare to begin with and they have no interest in improving the ACA.

i think they should do what they always promised, repeal the ACA and face the consequences in the mid-term elections.

besides what happens on election night, since when do Republicans care what Americans broadly want?

Although to a limited extent, they DO understand some provisions of the ACA are already deeply embedded into society. So repeal without replace isn't something they want to consider. If push came to shove, I doubt a repeal only vote would get past the Senate.

 

[First]

Haha, oh boy.

White House plans Obamacare showdown next week
The text of a new bill is likely to circulate Friday or by the weekend.

By ADAM CANCRYN and JOSH DAWSEY

04/20/17 09:40 AM EDT

Updated 04/20/17 10:26 AM EDT

The White House is pushing for another showdown vote on repealing Obamacare next week, to coincide with President Donald Trump hitting his 100-day milestone in office.

Legislative text of a new deal that could revive the House Republican bid to repeal Obamacare is likely to be circulated Friday "or by the weekend," according to two senior White House officials, with an eye toward holding a House floor vote next Wednesday or Thursday.

Is Trump really gonna risk another public rebuttal? I think this dude seriously has no idea what most of the details of the ACA replacement actually state. I don't think he knows what's in the EHBs, for example, or how successful, say, a federal social insurance program can work.