Trump committed to providing health care to all: health secy

History of off-target government estimates on healthcare should give pause

The American Health Care Act is being pushed by President Donald Trump's administration and House Speaker Paul Ryan as the Republicans' long-promised replacement to the Affordable Care Act, which is commonly known as Obamacare.

They want individuals and small businesses to be able to join together in larger groups or insurance pools to pay lower premiums. He also says some changes have been made to the bill. He described the Medicaid changes as "historic reforms to make Medicaid more efficient and effective".

The overhaul would also cap federal support given to states for Medicaid recipients instead of matching whatever states decide to spend. Second, Medicaid funds would be parsed out to states on a per-capita basis. That's why I'm grateful Kentucky continues to support Medicaid expansion. My concern is that the proposed tax credits are based on age, not income as the subsidies were, and are so low ($2,000-$4,000) that it will leave most individuals with higher premium costs than before.

Sen. Susan Collins, R-Maine, said she would not vote for the measure without additional changes to provide more aid to older Americans. I guess in the aggregate I had about 3,000 people at my town hall meetings and a lot of them had stories. But moderate Republicans are balking over the CBO's findings that millions more people would lack coverage even while premiums in many cases could rise. With appropriate coverage, we as physicians, can see these patients, do the appropriate workup, prescribe affordable medications, and access specialty referrals, when indicated. As is the case with almost all legislation (assuming Trumpcare is unaltered from its current form), there are winners as well as losers.

And now President Trump is going to repeal and replace it.

Wittenstein said these moves are important because they allow Denver Health to treat patients more proactively, rather than just through costly emergency visits.

When put in perspective, Trumpcare could cost young adults less out of pocket.

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Roberta Rakove, a spokeswoman for the Chicago-based Sinai Health System, told lawmakers that Medicaid expansion made it easier for Sinai's network of charitable facilities to care for patients regardless of insurance status. But it's important to remember every one of these numbers is more than a balance-sheet tally, they are people's lives.

Cassidy said the capped payment for Medicaid makes the state do "a better job of watching the pennies" and helps "protect the federal taxpayer". The poor would get tax credits to help them purchase policies, should they choose to.

Nebraskans would be among the hardest hit by the bill. "You're paying for groceries and medication".

For instance, the AARP notes that the average 55-year-old earning around $25,000 a year can - under the Obamacare plan - choose a silver plan costing them roughly $1700 on average. Nor did they have a clue that when they said repeal and replace that they were actually talking about their own health care.

Under the AHCA, $880 billion would be cut from Medicaid, while at the same time a $600 billion tax cut would go to Americans with the highest incomes.

Additionally, the legislation would allow insurance companies to overcharge older Americans while giving $200 billion in tax breaks to big drug and insurance companies. Those in the top 1 percent (making more than $772,000 in 2022) would reap 40 percent of the benefits, according to the Tax Policy Center. "You've had a few, like Justin Amash [a Republican congressman representing part of Michigan], come out and say, 'I'm not voting for it, '" he said. Those were rejected a year ago when Andrew Slavitt, the acting administrator for the Centers for Medicare and Medicaid Services said such limits would "undermine access to care and do not support the objectives of the program".

And then there is Trump's "budget" - in quotes, because it is a particularly bare-bones document that does not include his proposal for a massive tax cut.

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