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For starters, it takes 218 votes to reach a majority in the House. (See text below) The fact that they can't even count that high should give us pause. A lot of it.
Republican congressional leaders are skeptical the vote can happen so quickly. “The question is whether it can get 216 votes in the House and the answer isn't clear at this time,” said a senior GOP aide. “There is no legislative text and therefore no agreement to do a whip count on."
Administration officials are feeling inordinate pressure to pass the legislation because of Trump's impatience and fears that his failure to repeal the health care law will dominate coverage of the administration's first 100 days, which end next week, officials say.
The White House believes it is "close" to having the 216 votes needed to get a bill out of the House, one senior official said, but "people don't want to commit without seeing the text."
Then we have the two major new changes (call those 'health care access cuts'). The first is that Republicans want to give states control over which of the 10 basic coverages listed in ACA they want to keep.
The second is to create "community rating". Watch out for that seemingly innocuous term. It's the gateway to what they call 'separate insurance pools' for those with pre-existing conditions.
That means premiums and deductibles will be too expensive for those with pre-existing conditions to afford while giving the Republican Party political cover when it claims it "reduced" premiums for "Americans". The translation is: healthy Americans won't pay what they were, but those bad people with pre-existing conditions will have to pay for their mistakes".
Because Republicans can't get elected without creating some bad guy to point at.
According to a draft of the tentative deal obtained by POLITICO, the latest proposal would allow states to apply for "limited waivers" that would undermine Obamacare's protections for pre-existing conditions. Under these waivers, states could opt out of Obamacare standards setting minimum benefits that health plans must offer and a requirement — called community rating — forbidding insurers from charging different prices to people based on health status. Both are provisions that the GOP’s ultraconservatives have pushed to eliminate as part of the repeal effort, contending that these coverage mandates drive up the cost of insurance.
States opting out of the community rating rules would be forced to set up separate insurance pools, known as high-risk pools, where people priced out of the private market could purchase coverage.
What this will boil down to is giving insurance companies the ability to price out coverage of those with pre-existing conditions and the elderly. Remember, the first bill includes the provision to charge people in their 60s and older FIVE TIMES the premium charged to 20-somethings.
It is a bill for insurance companies, not the American People.
It's a bill designed by Republicans to get their voters to re-elect them.
However, since it's been widely reported that older, white Americans seem to be the major voting cohort for Republicans, if they pass this monstrosity, they might just get their heads handed to them on a paper plate.
What we need to do right now is to contact all our legislators - Representatives and Senators - and let them know what we think about these changes.
These changes do not provide coverage, much less affordable coverage, for all Americans. If they want to fix ACA, THAT is where they need to start, not finding ways to reword the basic goal of excluding Americans from health care and turning it back into a status symbol.
Trump threatened to stop the supplemental payments to lower income Exchange participants that pick up some of the extra costs and part of the (high) deductibles.
It has been widely reported that if he holds those funds, ACA crashes. Insurance companies will have to either raise premiums by exponential amounts, or drop out of Exchanges entirely.
It's a common tactic, with wealthy people, especially dealing with their children, to use money as the tool to get people (children) to do what the wealthy want them to.
He's applying this gross tactic to the NATION'S HEALTH CARE.
So we need to step up, stop him, and let our legislators know they won't be going back to Washington if they vote for this Republican nightmare of a "health (don't) care" bill.
The next time you run into a Republican who worships Trump and Ayn Rand, who complains bitterly about the "deficit", who denigrates anyone in America who has had to use some safety net program, who uses the roads, sidewalks, libraries, post offices, fire and police departments, or who actually sends their kids to public schools, and who demands that "Obamacare" be eliminated, show them this: