#how could republicans want to get rid of the affordable care act
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God the more I think about this
#the more scared i get#i barely have 200 dollars left after paying rent sometimes#im so scared#how could republicans want to get rid of the affordable care act#i am so scared#i am hopeless#i cant even move out of country if i wanted to#like how ???#with my 200 dollars?#i can move somewhere else find a new job and get a new apartment and learn a new language with my 200 dollars???#god i am panicking#i can barely afford my medical as it is#at the end of this year im pretty sure i have to pay a thousand already for how i went over on my healthcare...#like#i just dont know what to do#i am falling into a really big depression lmao#i just dont understand how people can vote for him knowing what he actually wants to do???#do you guys not have healthcare? are you not struggling?? im so scared#mine
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Senate Republicans voted Thursday to block a bill put forward by Democrats that would guarantee access to in vitro fertilization nationwide.
The legislation failed to advance in a procedural vote by a tally of 48-47. It needed 60 votes to advance. Republicans criticized the Democrat-led legislation as unnecessary overreach and a political show vote.
“Why should we vote for a bill that fixes a non-existent problem? There’s not a problem. There’s no restrictions on IVF, nor should there be,” Republican Sen. John Cornyn of Texas, told reporters.
The vote is part of a broader push by Senate Democrats to draw a contrast with Republicans over reproductive health care in the run up to the November elections. Democrats are highlighting the issue this month, which marks the two-year anniversary of the Supreme Court’s decision to overturn Roe v. Wade.
Senate Majority Leader Chuck Schumer slammed Republicans who voted against the bill, saying that they are being “pushed by the MAGA hard right.”
“These are the very same people who pushed to get rid of Roe in the Dobbs decision,” Schumer told CNN’s Erin Burnett on “OutFront” Thursday evening, referring to the blockbuster 2022 Supreme Court decision that overturned a constitutional right to abortion. “We know what they’re up to. They want to get rid of IVF, they’re afraid to say it.”
Biden attacked Senate Republicans after the vote.
“Once again, Senate Republicans refused to protect access to fertility treatments for women who are desperately trying to get pregnant,” Biden said in a written statement. “And just last week, Senate Republicans blocked nationwide protections for birth control. The disregard for a woman’s right to make these decisions for herself and her family is outrageous and unacceptable.”
Republicans have criticized the Democrat-led legislation as unnecessary overreach and a political show vote.
The legislation the Senate will take up – the Right to IVF Act – would enshrine into federal law a right for individuals to receive IVF treatment as well as for doctors to provide treatment, which would override any attempt at the state level to restrict access.
The bill seeks to make IVF treatment more affordable by mandating coverage for fertility treatments under employer-sponsored insurance and certain public insurance plans. It would also expand coverage of fertility treatments, including IVF, under US military service members and veterans’ health care.
The IVF legislative package was introduced by Democratic Sens. Patty Murray of Washington state, Tammy Duckworth of Illinois and Cory Booker of New Jersey.
The vote comes after Alabama’s Supreme Court said, in a first-of-its-kind ruling earlier this year, that frozen embryos are children and those who destroy them can be held liable for wrongful death – a decision that reproductive rights advocates warned could have a chilling effect on infertility treatments.
While the state’s legislature took action aimed at protecting IVF in the wake of the ruling, Democrats argue that this is only one example of how access to reproductive health care is under threat across the nation.
Southern Baptist delegates, for instance, expressed alarm Wednesday over the way in vitro fertilization is routinely being practiced, approving a resolution lamenting that the creation of surplus frozen embryos often results in “destruction of embryonic human life.”
The IVF vote is the latest move by Democrats to bring up a bill expected to be blocked by Republicans. Last week, Senate Republicans voted to block a Democrat-led bill that would guarantee access to contraception.
Most Republicans dismissed the effort as a political messaging vote that was unnecessary and overly broad, though GOP Sens. Lisa Murkowski of Alaska and Susan Collins of Maine crossed over to vote with Democrats in favor of advancing the bill.
Republicans have introduced their own bills on IVF and contraception. GOP Sens. Katie Britt of Alabama and Ted Cruz of Texas have introduced a bill called the IVF Protection Act and Republican Sen. Joni Ernst of Iowa has put forward a separate bill to promote access to contraception.
Cruz and Britt attempted to pass their IVF legislation on the Senate floor Wednesday through a unanimous consent request, but Democrats blocked the effort.
Murray, who objected to the request, criticized the GOP bill, arguing that states could “enact burdensome and unnecessary requirements and create the kind of legal uncertainty and risk that would force clinics to once again close their doors.”
Under the IVF bill from Britt and Cruz, states would not be eligible for Medicaid funding if they prohibit access to IVF, but the legislation “permits states to implement health and safety standards regarding the practice of IVF,” according to a press release.
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Do you really hate this county? Or were you just ranting?
Sigh. I debated whether or not to answer this, since I usually keep the real-life/politics/depressing current events to a relative minimum on this blog, except when I really can't avoid ranting about it. But I have some things to get off my chest, it seems, and you did ask. So.
The thing is, any American with a single modicum of genuine historical consciousness knows that despite all the triumphalist mythology about Pulling Up By Our Bootstraps and the American Dream and etc, this country was founded and built on the massive and systematic exploitation and extermination of Black and Indigenous people. And now, when we are barely (400 years later!!!) getting to a point of acknowledging that in a widespread way, oh my god the screaming. I'm so sick of the American right wing I could spit for so many reasons, not least of which is the increasingly reductive and reactive attempts to put the genie back in the bottle and set up hysterical boogeymen about how Teaching Your Children Critical Race Theory is the end of all things. They have forfeited all pretense of being a real governing party; remember how their only platform at the 2020 RNC was "support whatever Trump says?" They have devolved to the point where the cruelty IS the point, to everyone who doesn't fit the nakedly white supremacist mold. They don't have anything to do aside from attempt to usher in actual, literal, dictionary-definition-of-fascism and sponsor armed revolts against the peaceful transfer of power.
That is fucking exhausting to be aware of all the time, especially with the knowledge that if we miss a single election cycle -- which is exceptionally easy to do with the way the Democratic electorate needs to be wooed and courted and herded like cats every single time, rather than just getting their asses to the polls and voting to keep Nazis out of office -- they will be right back in power again. If Manchin and Sinema don't get over their poseur pearl-clutching and either nuke the filibuster or carve out an exception for voting rights, the John Lewis Voting Rights Act is never going to get passed, no matter how many boilerplate appeals the Democratic leadership makes on Twitter. In which case, the 2022 midterms are going to give us Kevin McCarthy, Speaker of the House (I threw up in my mouth a little typing that) and right back to the Mitch McConnell Obstruction Power Hour in the Senate. The Online Left (TM) will then blame the Democrats for not doing more to stop them. These are, of course, the same people who refused to vote for Hillary Clinton out of precious moral purity reasons in 2016, handed the election to Trump, and now like to complain when the Trump-stacked Supreme Court reliably churns out terrible decisions. Gee, it's almost like elections have consequences!!
Aside from my exasperation with the death-cult right-wing fascists and the Online Left (TM), I am sick and tired of how forty years of "trickle-down" Reaganomics has created a world where billionaires can just fly to space for the fun of it, while the rest of America (and the world) is even more sick, poor, overheated, economically deprived, and unable to survive the biggest public health crisis in a century, even if half the elected leadership wasn't actively trying to sabotage it. Did you know that half of American workers can't even afford a one-bedroom apartment? Plus the obvious scandal that is race relations, health care, paid leave, the education system (or lack thereof), etc etc. I'm so tired of this America Is The Greatest Country in the World mindless jingoistic catchphrasing. We are an empire in the late stages of collapse and it's not going to be pretty for anyone. We have been poisoned on sociopathic-libertarian-selfishness-disguised-as-Freedom ideology for so long that that's all there is left. We have become a country of idiots who believe everything their idiot friends post on social media, but in a very real sense, it's not directly those individuals' fault. How could they, when they have been very deliberately cultivated into that mindset and stripped of critical thinking skills, to serve a noxious combination of money, power, and ideology?
I am tired of the fact that I have become so drained of empathy that when I see news about more people who refused to get the vaccine predictably dying of COVID, my reaction is "eh, whatever, they kind of deserved it." I KNOW that is not a good mindset to have, and I am doing my best to maintain my personal attempts to be kind to those I meet and to do my small part to make the world better. I know these are human beings who believed what they were told by people that they (for whatever reason) thought knew better than them, and that they are part of someone's family, they had loved ones, etc. But I just can't summon up the will to give a single damn about them (I'm keeping a bingo card of right-wing anti-vax radio hosts who die of COVID and every time it's like, "Alexa, play Another One Bites The Dust.") The course that the pandemic took in 21st-century America was not preordained or inevitable. It was (and continues to be) drastically mismanaged for cynical political reasons, and the legacy of the Former Guy continues to poison any attempts to bring it under control or convince people to get a goddamn vaccine. We now have over 100,000 patients hospitalized with COVID across the country -- more than last summer, when the vaccines weren't available.
I have been open about my fury about the devaluation of the humanities and other critical thinking skills, about the fact that as an academic in this field, my chances of getting a full-time job for which I have trained extensively and acquired a specialist PhD are... very low. I am tired of the fact that Americans have been encouraged to believe whatever bullshit they fucking please, regardless of whether it is remotely true, and told that any attempt to correct them is "anti-freedom." I am tired of how little the education system functions in a useful way at all -- not necessarily due to the fault of teachers, who have to work with what they're given, and who are basically heroes struggling stubbornly along in a profession that actively hates them, but because of relentless under-funding, political interference, and furious attempts, as discussed above, to keep white America safely in the dark about its actual history. I am tired of the fact that grade school education basically relies on passing the right standardized tests, the end. I am tired of the implication that the truth is too scary or "un-American" to handle. I am tired. Tired.
I know as well that "America" is not synonymous in all cases with "capitalist imperialist white-supremacist corporate death cult." This is still the most diverse country in the world. "America" is not just rich white middle-aged Republicans. "America" involves a ton of people of color, women, LGBTQ people, Muslims, Jews, Christians of good will (I have a whole other rant on how American Christianity as a whole has yielded all pretense of being any sort of a principled moral opposition), white allies, etc etc. all trying to make a better world. The blue, highly vaccinated, Biden-winning states and counties are leading the economic recovery and enacting all kinds of progressive-wishlist dream policies. We DID get rid of the Orange One via the electoral process and avert fascism at the ballot box, which is almost unheard-of, historically speaking. But because, as also discussed above, certain elements of the Democratic electorate need to fall in love with a candidate every single time or threaten to withhold their vote to punish the rest of the country for not being Progressive Enough, these gains are constantly fragile and at risk of being undone in the next electoral cycle. Yes, the existing system is a crock of shit. But it's what we've got right now, and the other alternative is open fascism, which we all got a terrifying taste of over the last four years. I don't know about you, but I really don't want to go back.
So... I don't know. I don't know if that stacks up to hate. I do hate almost everything about what this country currently is, structurally speaking, but I recognize that is not identical with the many people who still live here and are trying to do their best, including my friends, family, and myself. I am exhausted by the fact that as an older millennial, I am expected to survive multiple cataclysmic economic crashes, a planet that is literally boiling alive, a barely functional political system run on black cash, lies, and xenophobia, a total lack of critical thinking skills, renewed assaults on women/queer people/POC/etc, and somehow feel like I'm confident or prepared for the future. Not all these problems are only America's fault alone. The West as a whole bears huge responsibility for the current clusterfuck that the world is in, for many reasons, and so do some non-Western countries. But there is no denying that many of these problems have ultimate American roots. See how the ongoing fad for right-wing authoritarian strongmen around the world has them modeling themselves openly on Trump (like Brazil's lunatic president, Jair Bolsonaro, who talks all the time about how Trump is his political role model). See what's going on in Afghanistan right now. Etc. etc.
Anyway. I am very, very tired. There you have it.
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How would we even pay for a UBI (Universal Basic Income)?
Okay, see, that’s not a bad question, and stick with me: We increase tax of businesses, lower minimum wage, regulate the shit out of renting and lending, and institute Universal Healthcare.
How does that pay for UBI?
So UBI would be expensive. We’re talking $1500-2500 per adult per month. So where does that come from? Let’s work backwards: We nationalize most health care. We regulate the medical industry to fuck, as well. The cost of a sensible medical system is a fraction of the profit gorging monster that we have now which makes hundreds of dollars per dollar spent on some medications.
The amount of people who end up on permanent disability drops, and we can get rid of disability entirely since you have healthcare and an income, guaranteed already. A disability additional stipend is a Very Good Idea, though. Further, a lot of conditions that are easily treatable early and preventative medicine is less stigmatized and the total expenditure on healthcare drops. I personally have treated/transported far too many people who lost limbs due to a lack of insulin and that is just shameful.
Businesses pay MUCH higher taxes, but they also pay out less as a minimum wage. After all, if you’re working age, you’re getting a UBI. Pay stops being something people need, and it becomes something people want. Hey, free market people: If all needs are met, then labor will be paid at the value of the work. You want someone to do dirty work, you gotta pay to get it done, you now have to entice people who are able to survive without you. But you can afford to since you don’t need to offer as much! Sure, I could *get by* on my UBI, but If I want that new Console or rims or a nicer wardrobe or a better graphics card, I’mma need some extra scratch, and I’m gonna shop the free ass market for what will pay the best for the time and effort I want to put in. But since I got my UBI, it doesn’t need to be as much, does it?
And as a company, sure the extra tax sucks, but the lower pay means I can hire enough people to make sure I got that coverage and a call out, which people can afford to do, won’t affect me. My workers will be more relaxed and happy, and if they sass you you can fire them because you’ve got a sizable list of hires since paying them is easier.
With renting and lending regulated, people can afford to work more places, and your workers will probably have to commute less, giving you MORE RELIABLE WORKER PRESENCE. And the market will be less prone to sudden boom and bust cycles.
But isn’t that socialism?
I mean, one: Define that word before you use it but two: Kinda? It’s definitely a social policy that ensures general economic stability to all people and reduces the very expensive issue of houseless people by ensuring everyone can afford a home and has access to their medical and mental health needs and support networks. So... yes? But it’s not like your “variety” in consumer goods is going anywhere, why would it? Hell, if you’re worried about nationalization of business, break up the big companies. Regulate their size and enforce anti-trust regs with an iron fist. The government can’t usefully nationalize twenty million different companies, but a government in charge of Amazon? I think that is something both Leftists and Right Wingers can see as being a Bad Time.
So sure, it’s a little bit of Socialism, but so are fire departments. And I don’t think you’ll say firefighters aren’t heroes, the lot, serving their communities.
And hell, you already fund a massive amount of taxes into the biggest social service in the country: the defense budget. And most of that just acts as a funnel to the military industrial complex which more and more pumps money overseas instead of into American homes and businesses.
So what I’m saying is that a UBI is American as fuck and supports the working class of citizens, and the Republicans are framing it as a scary foreign ideal to scare you away.
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My thoughts of the 2020 Election
I want to put this out there before we get the results. I know how divisive this election with be. I know how important this is and that I need to vote for my life (which I did). I have been looking at the polls for the General Election, Senate races, and House. While there was an upset in 2016, I am confident that there will be a blue trifecta or a “liberal” backlash. Of course, I am aware how there are some Republicans trying to get rid of mail-in ballots. And YES, I know that Allan Lichtman predicted Biden to win.
What I am mostly worried about is the potential immediate aftermath.
Trump had said that he won’t accept the results if he loses. He’ll claim that the election (which is safe and secure) is rigged against him and there was mass voter fraud (despite there is ZERO evidence and impossible to do). The thing is that he has hardcore supporters that are willing to DIE for him! I am not kidding about this.
While I shouldn’t be too considered about it, I am starting to take notice of how irrational they are. They tried to run a Biden-Harris bus off the road. They blocked traffic to show their support (If they were BLM protestors, they would have gotten arrested), and how they treated people who don’t support Trump with guns. It’s like they have drank the Kool-Aid and stop thinking that if what they are doing is dangerous, illegal, and make them look like psychopaths.
I also saw the constant denial of COVID-19. They repeat what Trump said and went further of how it’s a hoax. I don’t think the families of the 231,000+ deceased victims believe it’s a hoax. They want Fauci to get fired, believe masks is against their constitutional rights, and ignore social distancing. This leads to very serious consciences. Increasing COVID-19 cases had been linked to the rallies. Wearing a mask somehow become a political issue. Some would say that a small percentage of case leads to death but they failed to see the potential long-term effects people could suffer. Keep in mind that America has FOR-PROFIT healthcare system. This could bankrupt people. The contempt for the “Blue States” is dumb as shit. It doesn't matter whether a governor is Democrat or Republican. The ENTIRE country is dealing with this! Look at Taiwan, South Korea, and New Zealand. They managed to deal with COVID-19 as soon they have heard of it. Taiwan hadn’t have a case for over 200 days. The leaders don’t care about politics. They want their people to be safe. Not to mention that the Trump Admin got rid of the Pandemic Plan that Bush and Obama set up.
There is also the attempt to repeal the Affordable Care Act without a replacement. I rely on the ACA for medication and if I lose it, I will be in constant pain from migraines. I know how screwed they are since they had a completely Republican congress and yet they can’t repeal it. Though I am pro-life, I don’t see how getting rid of Roe v. Wade would stop abortions. It would just force women to get unsafe abortions where they can die. Women has rights over their own bodies and people like Ted Cruz and Tim Cotton should NEVER get in the way.
To have a leader that does everything to divide the nation should never be a leader at all. The lack of empathy from the White House is disgusting. Because of this division, there WILL be unrest. It doesn’t matter who wins. It will be chaos.
I have casted my vote for Biden because we need common sense, empathy, and unity.
And please, just because someone disagreed with you, it doesn’t mean that they should die. Just let it go and move on. Their political opinion is not worth fighting for.
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Why Do Republicans Really Want To Repeal Obamacare
New Post has been published on https://www.patriotsnet.com/why-do-republicans-really-want-to-repeal-obamacare/
Why Do Republicans Really Want To Repeal Obamacare
Passage Of House Bill Revives Effort To Supplant Obamacare
Why Don’t Republicans Want to Repeal Obamacare Anymore?! | Rand Paul
Just six weeks after House Republicans pulled a bill to substantially overhaul the the nation’s health care system, they successfully — if narrowly — passed a revised version of the measure.
On May 4, 2017, the House passed a the bill by a 217-213 margin.
Republican leaders adjusted the bill following negotiations with both the conservative and moderate wings of the party.
The revised bill would do several things.
It would end subsidies provided to people who buy health insurance on the Affordable Care Act’s online marketplaces, replacing them instead with tax credits. It would repeal several taxes imposed under the ACA that primarily hit high-income taxpayers. It would allow states to obtain waivers to some requirements of the Affordable Care Act, including the “essential health benefits” provision that requires maternity care or mental health services. And it would curb further expansion of Medicaid that had been allowed under the Affordable Care Act, as well as eventually capping Medicaid expenditures in ways that would effectively end its status as an entitlement.
According to the Congressional Budget Office, the original version of the bill would have increased the number of uninsured people by 24 million by 2026. The changes made before passage might change that number, but the specific impact awaits a new score by CBO, which is expected in the coming days.
Why Is The Affordable Care Act So Despised By So Many Conservatives
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IT HAS been called the most dangerous piece of legislation ever passed, as destructive to personal and individual liberties as the Fugitive Slave Act and a killer of women, children and old people. According to Republican lawmakers, the sources of each of these quotes, the Affordable Care Act , or Obamacare, is a terrible thing. Since it was passed by a Democratic Congress in 2009, it has been the bête noire of the Republicans. The party has pushed more than 60 unsuccessful Congressional votes to defeat it, while the Supreme Court has been forced to debate it four times in the acts short history. Obamacare was also at the heart of the two-week government shutdown in 2013. Why does the ACA attract such opprobrium from the right?
Why Do Conservatives Oppose The Law
Republicans say it imposes too many costs and regulations on business, with many describing it as a “job killer”. However, since the implementation of Obamacare jobs in the healthcare sector, at least, rose by 9% and a found that around 2.6 million jobs could be lost by 2019 if it is repealed.
Conservatives have also baulked at Obamacare’s rule requiring most companies to cover birth control for free.
The Trump administration tried to put in place new guidelines for organisations to opt out on moral grounds last year, but two federal judges blocked the move.
During the Obama presidency, the Republican-controlled House of Representatives took dozens of symbolic votes to repeal the law and provoked a partial government shutdown over the issue.
After repeated legal challenges, in 2012 the US Supreme Court declared Obamacare constitutional.
Despite having a majority on Capitol Hill under President Trump, a Republican repeal bid failed in dramatic fashion in 2018.
Democratic leaders have acknowledged Obamacare is not perfect, and have challenged Republicans to work with them to fix its flaws.
Trumps Executive Action Could Erode Marketplace Built Under Obamacare
Attempts to repeal portions of the Affordable Care Act have failed in the past several months, leading President Donald Trump to issue an executive order expanding access to cheaper, less comprehensive health care plans.
The order, signed on Oct. 12, instructs federal agencies to remove certain limitations on “association health plans” and expand the availability of short-term health plans, both of which can skirt certain minimum coverage requirements included in the Affordable Care Act and state laws.
These changes will not immediately take effect; federal agencies will have to figure out how to act on Trump’s directions.
The executive action orders agencies to explore ways in which the government can expand access to short-term health plans, which are available to individuals on a three-month basis and meant for people who are in-between health care coverage plans. Under the instructions, association health plans would be allowed to sell plans across state lines; those plans allow small businesses to band together to create cheaper health care plans that offer fewer benefits.
The order was intended to create more options for individuals seeking health insurance and help stimulate competition among insurers. Some health policy advocates worry that it could disrupt the insurance marketplace in a way that would drive up health care costs for elderly individuals and people with medical conditions.
It will be months before changes are seen in the marketplace.
This Is Why Republicans Couldnt Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways, disappointing. Unsubsidized premiums are higher than people would like. Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that the American Health Care Act actually fixes. While Republicans have made several changes to the AHCA to cobble together a majority of House votes, the core of the bill remains the same: it offers stingier insurance to a narrower group of people.
This is because the AHCA does what Republicans want: it rolls back the ACA taxes. But under those circumstances, its simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
The bill the House is voting on Thursday doesnt get rid of the ACAs tax credits to make it easier to buy health coverage, but it bases them on age, with younger people getting bigger credits, rather than income which means poorer Americans. especially elderly ones, will have a bigger tax burden and more difficulty affording the insurance they need.
Do Republicans Really Want To Repeal Obamacare Maybe Not
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WASHINGTON, DC – JANUARY 07: Speaker of the House Paul Ryan shares a laugh with… Republican members of Congress after signing legislation to repeal the Affordable Care Act, also known as Obamacare, and to cut off federal funding of Planned Parenthood during an enrollment ceremony in the Rayburn Room at the U.S. Capitol January 7, 2016 in Washington, DC. President Barack Obama has promised to veto the bill.
Here is something that may surprise you. Did you know that in the 6 ½ years since the passage of Obamacare, Republicans have not held a single hearing on the problems the law has created for ordinary people? No hearing in the House of Representatives. None in the Senate. None anywhere else. Zip. Zero. Nada.
There certainly has been no shortage of problems. It seems like every other week the New York Times brings us a new investigative report complete with gory details and eyewitness reports of victim after victim of President Obamas signature legislative accomplishment. But if you look over the subject matter for the committee hearings in Congress for the past several years, you would never know an Obamacare problem even exists.
Why is that? There have been no shortage of votes to repeal Obamacare. At last count the House has voted to repeal some or all of the hated legislation 60 times!
So lets return to the titular question.
Would House Republicans really vote to take health insurance away from 20 million people?
Eliminating Health Care Penalties
The Affordable care Act, required most Americans to be enrolled in Health Insurance since it was made affordable, otherwise a penalty would be induced. Effective 2017, congress attempted to eliminate financial penalties that were related to complying with the mandated law that every individual needs to be enrolled in Health insurance, this law however did not become effective until 2019. This policy is still valid, the penalty for having no health insurance was reduced to 0$. Individual mandates effects the decisions made by individuals regarding healthcare in that some people will not enroll since health insurance plans are no longer mandatory.
On March of 2020, the nation has undergone a global pandemic, however, several Republican-led states and the Justice Department are making the case for invalidating the ACA. This will cause at least 60 million people to not be able to afford being hospitalized, or treated which increased the number of COVID-19 cases nationwide.
This Is Why Republicans Cant Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways,disappointing. Unsubsidized premiums are higher than people would like.Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that any of the GOP replacement plans fix. Instead, while Republican alternatives vary in many important ways, they all fundamentally offer stingier insurance to a narrower group of people.
This is because the Republican plans all envision rolling back these ACA taxes. But under those circumstances, it’s simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
Phil Klein, a top conservative health policy journalist, has urged Republicans to solve their overpromising problem by “stating a simple truth, which goes something like this: ‘We don’t believe that it is the job of the federal government to guarantee that everybody has health insurance.'”
Gop Wants To Repeal Obamacare Without A Backup Plan But Some Republicans Say That’s A Bad Idea
The Real Reason Republicans Want to Pull the Plug on Obamacare | Robert Reich
U.S.CoronavirusHealth CareObamacareCongress
A Republican-led lawsuit is leaving the fate of the Affordable Care Act hanging in the balance of the courts amid a pandemic that’s ravaged the globe and exacerbated the need for health care.
Yet GOP lawmakers on Capitol Hill concede they do not have safety net legislation ready to catch the millions of Americans who would find themselves suddenly without health insurance during a potential second coronavirus wave.
Some Republicans, however, believe that needs to change.
“We need to have a plan in place to make sure that people don’t lose coverage,” said Senator Mitt Romney .
Pre-existing conditions are the “most important thing” to cover, said Senator Martha McSally. But, the Arizona Republican added, “there are many other contingencies that we need to be looking into,” referring to a wide array of issues that could arise without the law.
Republicans have tried unsuccessfully over the years to repeal and replace Obamacare with health provisions of their own. But more than three years into President Donald Trump’s first term, they acknowledge there is neither a discussion nor a plan available to simply replace the expansive health care law that is Obamacare, should it be struck down.
Senator Rick Scott , a former hospital CEO, said he’s “come up with lots of proposals. But there’s no proposal here,” he added.
Does President Trump Really Want To Repeal The Aca
Feb 25, 2020
When he introduced the 2020federal budget President Trump re-emphasized his intention to repeal theAffordable Care Act, known more popularly to most of us as Obamacare.
Perhaps that is the issue! Trumpand Obamacare!
The Affordable Care Act is irrevocably associated with the Democratic Party and ex-President Obama in particular. Most citizens benefit from it one way or another.
Since the swing to theDemocratic Party at the Mid-Term elections in 2018 President Trump has beenremarkably quiet on his plans for replacing Obamacare if he is granted a secondterm by the American public. Indeed, hehas made it clear that there will be no new legislation until at least 2021.
In the meantime, he will bewatching the polls and judging the voters intentions as the Democratcandidates put their healthcare policies on display.
Nobody claims the AffordableCare Act is perfect. All agree it can beimproved. At the 2018 mid-term electionsmore than half the voters claimed that healthcare was the major factor in theirvoting decision. That is why it stays atthe top of the political agenda. After all, our spending on healthcare accountsfor nearly 20% of the way in which we spend the countrys income .
This may be true but there arelimits to savings from increased efficiency and inflation is inevitable. The outcome is, necessarily, reduction inbenefits or in enrollment.
There are signs that Trump mightbe prepared to keep the subsidies and allow income-related tax relief.
Gridlock In House Stalls Trump’s Pledge To Repeal Obamacare
As a candidate for president, Donald Trump said that “real change begins with immediately repealing and replacing the disaster known as Obamacare.”
On March 24, the nation learned that it’s not happening immediately. And the road forward isn’t clear either.
Capping a frenzied week of negotiations between three House Republican factions — the party leadership, the hardline conservative House Freedom Caucus, and members of the more moderate, pragmatic wing of the party — House Speaker Paul Ryan, R-Wis., announced that he would not bring the American Health Care Act to the floor for a vote, as he had planned.
That March 24 announcement came one day after the floor vote had been pushed back to allow for last-minute changes and arm-twisting, and half a day after Trump had issued an ultimatum to House Republicans — pass the bill or he’ll move on.
In the run-up to Ryan’s announcement, vote counting by media outlets had concluded that the House GOP would lose too many votes to pass the bill if it tried.
“We came really close today, but we came up short,” Ryan said at a press conference. “I will not sugarcoat this. This was a disappointing day for us.”
For members on the party’s right flank, the American Health Care Act left in place too much of the infrastructure of the Affordable Care Act, President Barack Obama’s signature health care law and the target of intense Republican opposition for seven years.
The Real Reason Republicans Couldnt Kill Obamacare
Democrats did the work, Republicans didntand that says a lot about the two parties.
Adapted from The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage, St. Martins Press 2021.
The Affordable Care Act, the health-care law also known as Obamacare, turns 11 years old this week. Somehow, the program has not merely survived the GOPs decade-long assault. Its actually getting stronger, thanks to some major upgrades tucked in the COVID-19 relief package that President Joe Biden signed into law earlier this month.
The new provisions should enable millions of Americans to get insurance or save money on coverage they already purchase, bolstering the health-care law in precisely the way its architects had always hoped to do. And although the measures are temporary, Biden and his Democratic Party allies have pledged to pass more legislation making the changes permanent.
The expansion measures are a remarkable achievement, all the more so because Obamacares very survival seemed so improbable just a few years ago, when Donald Trump won the presidency. Wiping the law off the books had become the Republicans defining cause, and Trump had pledged to make repeal his first priority. As the reality of his victory set in, almost everybody outside the Obama White House thought the effort would succeed, and almost everybody inside did too.
That was no small thing, as Republicans were about to discover.
Baby Boomers And The Aging Population
Robert Reich failed to mention the aging population. 76M boomers were born after WW-II, between 1946 and 1964, and America wasnt prepared for that growth. Neither were other nations. There werent enough hospitals, pediatricians, schoolteachers, textbooks, playgrounds, or even bedrooms in our homes. Now, as 11,000 more baby boomers turn age 65 every day, retire, and go on Social Security and Medicare, the ability to pay for public assistance becomes more difficult. By 2029, more than 20% of the US population will be over 65 . That 1-in-5 number is up from 1-in-7 today; and by 2035, 1-in-3 US households will be headed by someone 65 or over.
Thats because people are living longer . But were also less active and have higher rates of chronic disease and disability. Almost 39% of boomers are obese, compared to about 29% in the previous generation, and 40% of them are low-income , meaning theyll need more public assistance.
The age 85+ population needing the most medical care will grow the fastest over the next few decades, equaling 4% of population by 2050, or 10 times its 1950 share 1.9M Americans are already 90+, an in 2010, people 90+ had a median income of just $14,760, about half of it from Social Security. This is a worldwide phenomenon thanks largely to longer average longevity. The United Nations says that by 2050, the older generation will be larger than the under-15 population.
Why Republicans Wouldn’t Actually Repeal Obamacare
It would be a political disaster, but it hasn’t yet stopped them from trying.
Last week, in a bold example of their governing prowess, congressional Republicans took their 62nd vote to repeal the Affordable Care Act, and this time they actually passed it through both houses and sent it to President Obama to be vetoed. Naturally, they were exultant at their triumph. Speaker Paul Ryan admitted that there is as yet no replacement for the ACA, but they’ll be getting around to putting one together before you know it. The fact that they’ve been promising that replacement for more than five years now might make you a bit skeptical.
What we know for sure is this: If a Republican wins the White House this November, he’ll make repeal of the ACA one of his first priorities, whether there’s a replacement ready or not. To listen to them talk, the only division between the candidates is whether they’ll do it on their first day in the Oval Office, in their first hour, or in the limo on the way back from the inauguration.
But I’ve got news for you: They aren’t going to do it, at least not in the way they’re promising. Because it would be an absolute catastrophe.
Now imagine that ten million people, the number signed up for private coverage through the exchanges, all had their coverage simultaneously thrown into doubt. Think that might cause some bad press for the party and the president who did it?
Everything You Need To Know About Why Conservatives Want To Repeal The Presidents Health Care Law
Photo by Larry Downing/Reuters
Though the Affordable Care Act passed into law in 2010, conservatives continue to fight it at every opportunity: in the courts, in state legislatures, and in Congress. Its a safe bet that as the race for the 2016 GOP presidential nomination kicks off, a cavalcade of Republican hopefuls will torment innocent Iowans with tales of how theyve fought Obamacare in the past and why theyre the ones who can finally drive a stake through its heart. But if you dont read the conservative press, you might have no idea why those of us on the right side of the political spectrum are so worked up about Obamacare. To promote cross-ideological understanding, Ive prepared this little FAQ.
Why do conservatives oppose Obamacare?Not all conservatives are alike, and there are at least some, like Avik Roy of the Manhattan Institute, who believe Obamacare should be reformed and not repealed. But as a general rule, conservatives oppose the law and would like to see it repealed for several reasons.
First, some conservatives oppose it for the same reason that liberals favor it: Through the Medicaid expansion and the exchanges, it subsidizes insurance coverage for people of modest means by raising taxes on people of less-modest means and by curbing the growth in Medicare spending. Conservatives tend not to be enthusiastic about redistribution, and theyre particularly skeptical about redistribution that isnt transparent.
Why Republicans Cant And Wont Repeal Obamacare
Editor’s Note:
This article was originally posted on Real Clear Health on January 16, 2017.
Now that the Republicans control both the presidency and both houses of Congress, they must put up or shut up on their promise to repeal and replace Obamacare. Here is a flat-footed prediction: the effort will fail for three reasons. First, the Affordable Care Act has largely succeeded not failed, as president-elect Trump and other Republicans falsely allege. Second, it is impossible for the stated goals of repeal to be achieved. Finally, the political fallout from the consequences of partial or total repeal would be devastating. When it comes to casting votes, enough Republicans will conclude that repeal is a bad idea and will join Democrats to sustain the basic structure of the health reform law.
Second, the stated objectives of repealing Obamacare are mutually inconsistent. Three provisions comprise the core of Obamacare. First, rules barring insurance companies from refusing to sell insurance to people because of preexisting conditions or varying premiums based on those conditions. Second, a requirement that everyone carry health insurance who can afford it. And third, subsidies for those with moderate incomes to help make such insurance affordable. The law contains many other provisions as well, but these three are core.
Trump Administration Asks Supreme Court To Strike Down Affordable Care Act
The REAL Reason Republicans Can’t Stop Trying to Repeal Obamacare
If successful, the move would permanently end the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
WASHINGTON The Trump administration asked the Supreme Court late Thursday to overturn the Affordable Care Act a move that, if successful, would bring a permanent end to the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
In an 82-page brief submitted an hour before a midnight deadline, the administration joined Republican officials in Texas and 17 other states in arguing that in 2017, Congress, then controlled by Republicans, had rendered the law unconstitutional when it zeroed out the tax penalty for not buying insurance the so-called individual mandate.
The administrations argument, coming in the thick of an election season as well as a pandemic that has devastated the economy and left millions of unemployed Americans without health coverage is sure to reignite Washingtons bitter political debate over health care.
In his brief, Solicitor General Noel J. Francisco argued that the health laws two remaining central provisions are now invalid because Congress intended that all three work together.
The court has not said when it will hear oral arguments, but they are most likely to take place in the fall, just as Americans are preparing to go to the polls in November.
Is The Supreme Court Likely To Save Obamacare
The Supreme Court is likely to leave in place the bulk of Obamacare, including key protections for pre-existing health conditions.
Conservative justices John Roberts and Justice Brett Kavanaugh appeared in two hours of arguments to be unwilling to strike down the entire law a long-held Republican goal.
The courts three liberal justices are almost certain to vote to uphold the law in its entirety and presumably would form a majority by joining a decision that cut away only the mandate, which now has no financial penalty attached to it.
Leading a group of Democratic-controlled states, California and the Democratic-controlled House of Representatives are urging the court to leave the law in place.
A decision is expected by late spring.
Repealing Obamacare Is A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-’10 debate about the law, but the Affordable Care Act’s financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPC’s Howard Gleckman, are “a 0.9 percent payroll surtax on earnings and a 3.8 percent taxon net investment income for individuals with incomes exceeding $200,000.” That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
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Why Do Republicans Really Want To Repeal Obamacare
Passage Of House Bill Revives Effort To Supplant Obamacare
Why Don’t Republicans Want to Repeal Obamacare Anymore?! | Rand Paul
Just six weeks after House Republicans pulled a bill to substantially overhaul the the nation’s health care system, they successfully — if narrowly — passed a revised version of the measure.
On May 4, 2017, the House passed a the bill by a 217-213 margin.
Republican leaders adjusted the bill following negotiations with both the conservative and moderate wings of the party.
The revised bill would do several things.
It would end subsidies provided to people who buy health insurance on the Affordable Care Act’s online marketplaces, replacing them instead with tax credits. It would repeal several taxes imposed under the ACA that primarily hit high-income taxpayers. It would allow states to obtain waivers to some requirements of the Affordable Care Act, including the “essential health benefits” provision that requires maternity care or mental health services. And it would curb further expansion of Medicaid that had been allowed under the Affordable Care Act, as well as eventually capping Medicaid expenditures in ways that would effectively end its status as an entitlement.
According to the Congressional Budget Office, the original version of the bill would have increased the number of uninsured people by 24 million by 2026. The changes made before passage might change that number, but the specific impact awaits a new score by CBO, which is expected in the coming days.
Why Is The Affordable Care Act So Despised By So Many Conservatives
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IT HAS been called the most dangerous piece of legislation ever passed, as destructive to personal and individual liberties as the Fugitive Slave Act and a killer of women, children and old people. According to Republican lawmakers, the sources of each of these quotes, the Affordable Care Act , or Obamacare, is a terrible thing. Since it was passed by a Democratic Congress in 2009, it has been the bête noire of the Republicans. The party has pushed more than 60 unsuccessful Congressional votes to defeat it, while the Supreme Court has been forced to debate it four times in the acts short history. Obamacare was also at the heart of the two-week government shutdown in 2013. Why does the ACA attract such opprobrium from the right?
Why Do Conservatives Oppose The Law
Republicans say it imposes too many costs and regulations on business, with many describing it as a “job killer”. However, since the implementation of Obamacare jobs in the healthcare sector, at least, rose by 9% and a found that around 2.6 million jobs could be lost by 2019 if it is repealed.
Conservatives have also baulked at Obamacare’s rule requiring most companies to cover birth control for free.
The Trump administration tried to put in place new guidelines for organisations to opt out on moral grounds last year, but two federal judges blocked the move.
During the Obama presidency, the Republican-controlled House of Representatives took dozens of symbolic votes to repeal the law and provoked a partial government shutdown over the issue.
After repeated legal challenges, in 2012 the US Supreme Court declared Obamacare constitutional.
Despite having a majority on Capitol Hill under President Trump, a Republican repeal bid failed in dramatic fashion in 2018.
Democratic leaders have acknowledged Obamacare is not perfect, and have challenged Republicans to work with them to fix its flaws.
Trumps Executive Action Could Erode Marketplace Built Under Obamacare
Attempts to repeal portions of the Affordable Care Act have failed in the past several months, leading President Donald Trump to issue an executive order expanding access to cheaper, less comprehensive health care plans.
The order, signed on Oct. 12, instructs federal agencies to remove certain limitations on “association health plans” and expand the availability of short-term health plans, both of which can skirt certain minimum coverage requirements included in the Affordable Care Act and state laws.
These changes will not immediately take effect; federal agencies will have to figure out how to act on Trump’s directions.
The executive action orders agencies to explore ways in which the government can expand access to short-term health plans, which are available to individuals on a three-month basis and meant for people who are in-between health care coverage plans. Under the instructions, association health plans would be allowed to sell plans across state lines; those plans allow small businesses to band together to create cheaper health care plans that offer fewer benefits.
The order was intended to create more options for individuals seeking health insurance and help stimulate competition among insurers. Some health policy advocates worry that it could disrupt the insurance marketplace in a way that would drive up health care costs for elderly individuals and people with medical conditions.
It will be months before changes are seen in the marketplace.
This Is Why Republicans Couldnt Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways, disappointing. Unsubsidized premiums are higher than people would like. Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that the American Health Care Act actually fixes. While Republicans have made several changes to the AHCA to cobble together a majority of House votes, the core of the bill remains the same: it offers stingier insurance to a narrower group of people.
This is because the AHCA does what Republicans want: it rolls back the ACA taxes. But under those circumstances, its simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
The bill the House is voting on Thursday doesnt get rid of the ACAs tax credits to make it easier to buy health coverage, but it bases them on age, with younger people getting bigger credits, rather than income which means poorer Americans. especially elderly ones, will have a bigger tax burden and more difficulty affording the insurance they need.
Do Republicans Really Want To Repeal Obamacare Maybe Not
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WASHINGTON, DC – JANUARY 07: Speaker of the House Paul Ryan shares a laugh with… Republican members of Congress after signing legislation to repeal the Affordable Care Act, also known as Obamacare, and to cut off federal funding of Planned Parenthood during an enrollment ceremony in the Rayburn Room at the U.S. Capitol January 7, 2016 in Washington, DC. President Barack Obama has promised to veto the bill.
Here is something that may surprise you. Did you know that in the 6 ½ years since the passage of Obamacare, Republicans have not held a single hearing on the problems the law has created for ordinary people? No hearing in the House of Representatives. None in the Senate. None anywhere else. Zip. Zero. Nada.
There certainly has been no shortage of problems. It seems like every other week the New York Times brings us a new investigative report complete with gory details and eyewitness reports of victim after victim of President Obamas signature legislative accomplishment. But if you look over the subject matter for the committee hearings in Congress for the past several years, you would never know an Obamacare problem even exists.
Why is that? There have been no shortage of votes to repeal Obamacare. At last count the House has voted to repeal some or all of the hated legislation 60 times!
So lets return to the titular question.
Would House Republicans really vote to take health insurance away from 20 million people?
Eliminating Health Care Penalties
The Affordable care Act, required most Americans to be enrolled in Health Insurance since it was made affordable, otherwise a penalty would be induced. Effective 2017, congress attempted to eliminate financial penalties that were related to complying with the mandated law that every individual needs to be enrolled in Health insurance, this law however did not become effective until 2019. This policy is still valid, the penalty for having no health insurance was reduced to 0$. Individual mandates effects the decisions made by individuals regarding healthcare in that some people will not enroll since health insurance plans are no longer mandatory.
On March of 2020, the nation has undergone a global pandemic, however, several Republican-led states and the Justice Department are making the case for invalidating the ACA. This will cause at least 60 million people to not be able to afford being hospitalized, or treated which increased the number of COVID-19 cases nationwide.
This Is Why Republicans Cant Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways,disappointing. Unsubsidized premiums are higher than people would like.Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that any of the GOP replacement plans fix. Instead, while Republican alternatives vary in many important ways, they all fundamentally offer stingier insurance to a narrower group of people.
This is because the Republican plans all envision rolling back these ACA taxes. But under those circumstances, it’s simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
Phil Klein, a top conservative health policy journalist, has urged Republicans to solve their overpromising problem by “stating a simple truth, which goes something like this: ‘We don’t believe that it is the job of the federal government to guarantee that everybody has health insurance.'”
Gop Wants To Repeal Obamacare Without A Backup Plan But Some Republicans Say That’s A Bad Idea
The Real Reason Republicans Want to Pull the Plug on Obamacare | Robert Reich
U.S.CoronavirusHealth CareObamacareCongress
A Republican-led lawsuit is leaving the fate of the Affordable Care Act hanging in the balance of the courts amid a pandemic that’s ravaged the globe and exacerbated the need for health care.
Yet GOP lawmakers on Capitol Hill concede they do not have safety net legislation ready to catch the millions of Americans who would find themselves suddenly without health insurance during a potential second coronavirus wave.
Some Republicans, however, believe that needs to change.
“We need to have a plan in place to make sure that people don’t lose coverage,” said Senator Mitt Romney .
Pre-existing conditions are the “most important thing” to cover, said Senator Martha McSally. But, the Arizona Republican added, “there are many other contingencies that we need to be looking into,” referring to a wide array of issues that could arise without the law.
Republicans have tried unsuccessfully over the years to repeal and replace Obamacare with health provisions of their own. But more than three years into President Donald Trump’s first term, they acknowledge there is neither a discussion nor a plan available to simply replace the expansive health care law that is Obamacare, should it be struck down.
Senator Rick Scott , a former hospital CEO, said he’s “come up with lots of proposals. But there’s no proposal here,” he added.
Does President Trump Really Want To Repeal The Aca
Feb 25, 2020
When he introduced the 2020federal budget President Trump re-emphasized his intention to repeal theAffordable Care Act, known more popularly to most of us as Obamacare.
Perhaps that is the issue! Trumpand Obamacare!
The Affordable Care Act is irrevocably associated with the Democratic Party and ex-President Obama in particular. Most citizens benefit from it one way or another.
Since the swing to theDemocratic Party at the Mid-Term elections in 2018 President Trump has beenremarkably quiet on his plans for replacing Obamacare if he is granted a secondterm by the American public. Indeed, hehas made it clear that there will be no new legislation until at least 2021.
In the meantime, he will bewatching the polls and judging the voters intentions as the Democratcandidates put their healthcare policies on display.
Nobody claims the AffordableCare Act is perfect. All agree it can beimproved. At the 2018 mid-term electionsmore than half the voters claimed that healthcare was the major factor in theirvoting decision. That is why it stays atthe top of the political agenda. After all, our spending on healthcare accountsfor nearly 20% of the way in which we spend the countrys income .
This may be true but there arelimits to savings from increased efficiency and inflation is inevitable. The outcome is, necessarily, reduction inbenefits or in enrollment.
There are signs that Trump mightbe prepared to keep the subsidies and allow income-related tax relief.
Gridlock In House Stalls Trump’s Pledge To Repeal Obamacare
As a candidate for president, Donald Trump said that “real change begins with immediately repealing and replacing the disaster known as Obamacare.”
On March 24, the nation learned that it’s not happening immediately. And the road forward isn’t clear either.
Capping a frenzied week of negotiations between three House Republican factions — the party leadership, the hardline conservative House Freedom Caucus, and members of the more moderate, pragmatic wing of the party — House Speaker Paul Ryan, R-Wis., announced that he would not bring the American Health Care Act to the floor for a vote, as he had planned.
That March 24 announcement came one day after the floor vote had been pushed back to allow for last-minute changes and arm-twisting, and half a day after Trump had issued an ultimatum to House Republicans — pass the bill or he’ll move on.
In the run-up to Ryan’s announcement, vote counting by media outlets had concluded that the House GOP would lose too many votes to pass the bill if it tried.
“We came really close today, but we came up short,” Ryan said at a press conference. “I will not sugarcoat this. This was a disappointing day for us.”
For members on the party’s right flank, the American Health Care Act left in place too much of the infrastructure of the Affordable Care Act, President Barack Obama’s signature health care law and the target of intense Republican opposition for seven years.
The Real Reason Republicans Couldnt Kill Obamacare
Democrats did the work, Republicans didntand that says a lot about the two parties.
Adapted from The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage, St. Martins Press 2021.
The Affordable Care Act, the health-care law also known as Obamacare, turns 11 years old this week. Somehow, the program has not merely survived the GOPs decade-long assault. Its actually getting stronger, thanks to some major upgrades tucked in the COVID-19 relief package that President Joe Biden signed into law earlier this month.
The new provisions should enable millions of Americans to get insurance or save money on coverage they already purchase, bolstering the health-care law in precisely the way its architects had always hoped to do. And although the measures are temporary, Biden and his Democratic Party allies have pledged to pass more legislation making the changes permanent.
The expansion measures are a remarkable achievement, all the more so because Obamacares very survival seemed so improbable just a few years ago, when Donald Trump won the presidency. Wiping the law off the books had become the Republicans defining cause, and Trump had pledged to make repeal his first priority. As the reality of his victory set in, almost everybody outside the Obama White House thought the effort would succeed, and almost everybody inside did too.
That was no small thing, as Republicans were about to discover.
Baby Boomers And The Aging Population
Robert Reich failed to mention the aging population. 76M boomers were born after WW-II, between 1946 and 1964, and America wasnt prepared for that growth. Neither were other nations. There werent enough hospitals, pediatricians, schoolteachers, textbooks, playgrounds, or even bedrooms in our homes. Now, as 11,000 more baby boomers turn age 65 every day, retire, and go on Social Security and Medicare, the ability to pay for public assistance becomes more difficult. By 2029, more than 20% of the US population will be over 65 . That 1-in-5 number is up from 1-in-7 today; and by 2035, 1-in-3 US households will be headed by someone 65 or over.
Thats because people are living longer . But were also less active and have higher rates of chronic disease and disability. Almost 39% of boomers are obese, compared to about 29% in the previous generation, and 40% of them are low-income , meaning theyll need more public assistance.
The age 85+ population needing the most medical care will grow the fastest over the next few decades, equaling 4% of population by 2050, or 10 times its 1950 share 1.9M Americans are already 90+, an in 2010, people 90+ had a median income of just $14,760, about half of it from Social Security. This is a worldwide phenomenon thanks largely to longer average longevity. The United Nations says that by 2050, the older generation will be larger than the under-15 population.
Why Republicans Wouldn’t Actually Repeal Obamacare
It would be a political disaster, but it hasn’t yet stopped them from trying.
Last week, in a bold example of their governing prowess, congressional Republicans took their 62nd vote to repeal the Affordable Care Act, and this time they actually passed it through both houses and sent it to President Obama to be vetoed. Naturally, they were exultant at their triumph. Speaker Paul Ryan admitted that there is as yet no replacement for the ACA, but they’ll be getting around to putting one together before you know it. The fact that they’ve been promising that replacement for more than five years now might make you a bit skeptical.
What we know for sure is this: If a Republican wins the White House this November, he’ll make repeal of the ACA one of his first priorities, whether there’s a replacement ready or not. To listen to them talk, the only division between the candidates is whether they’ll do it on their first day in the Oval Office, in their first hour, or in the limo on the way back from the inauguration.
But I’ve got news for you: They aren’t going to do it, at least not in the way they’re promising. Because it would be an absolute catastrophe.
Now imagine that ten million people, the number signed up for private coverage through the exchanges, all had their coverage simultaneously thrown into doubt. Think that might cause some bad press for the party and the president who did it?
Everything You Need To Know About Why Conservatives Want To Repeal The Presidents Health Care Law
Photo by Larry Downing/Reuters
Though the Affordable Care Act passed into law in 2010, conservatives continue to fight it at every opportunity: in the courts, in state legislatures, and in Congress. Its a safe bet that as the race for the 2016 GOP presidential nomination kicks off, a cavalcade of Republican hopefuls will torment innocent Iowans with tales of how theyve fought Obamacare in the past and why theyre the ones who can finally drive a stake through its heart. But if you dont read the conservative press, you might have no idea why those of us on the right side of the political spectrum are so worked up about Obamacare. To promote cross-ideological understanding, Ive prepared this little FAQ.
Why do conservatives oppose Obamacare?Not all conservatives are alike, and there are at least some, like Avik Roy of the Manhattan Institute, who believe Obamacare should be reformed and not repealed. But as a general rule, conservatives oppose the law and would like to see it repealed for several reasons.
First, some conservatives oppose it for the same reason that liberals favor it: Through the Medicaid expansion and the exchanges, it subsidizes insurance coverage for people of modest means by raising taxes on people of less-modest means and by curbing the growth in Medicare spending. Conservatives tend not to be enthusiastic about redistribution, and theyre particularly skeptical about redistribution that isnt transparent.
Why Republicans Cant And Wont Repeal Obamacare
Editor’s Note:
This article was originally posted on Real Clear Health on January 16, 2017.
Now that the Republicans control both the presidency and both houses of Congress, they must put up or shut up on their promise to repeal and replace Obamacare. Here is a flat-footed prediction: the effort will fail for three reasons. First, the Affordable Care Act has largely succeeded not failed, as president-elect Trump and other Republicans falsely allege. Second, it is impossible for the stated goals of repeal to be achieved. Finally, the political fallout from the consequences of partial or total repeal would be devastating. When it comes to casting votes, enough Republicans will conclude that repeal is a bad idea and will join Democrats to sustain the basic structure of the health reform law.
Second, the stated objectives of repealing Obamacare are mutually inconsistent. Three provisions comprise the core of Obamacare. First, rules barring insurance companies from refusing to sell insurance to people because of preexisting conditions or varying premiums based on those conditions. Second, a requirement that everyone carry health insurance who can afford it. And third, subsidies for those with moderate incomes to help make such insurance affordable. The law contains many other provisions as well, but these three are core.
Trump Administration Asks Supreme Court To Strike Down Affordable Care Act
The REAL Reason Republicans Can’t Stop Trying to Repeal Obamacare
If successful, the move would permanently end the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
WASHINGTON The Trump administration asked the Supreme Court late Thursday to overturn the Affordable Care Act a move that, if successful, would bring a permanent end to the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
In an 82-page brief submitted an hour before a midnight deadline, the administration joined Republican officials in Texas and 17 other states in arguing that in 2017, Congress, then controlled by Republicans, had rendered the law unconstitutional when it zeroed out the tax penalty for not buying insurance the so-called individual mandate.
The administrations argument, coming in the thick of an election season as well as a pandemic that has devastated the economy and left millions of unemployed Americans without health coverage is sure to reignite Washingtons bitter political debate over health care.
In his brief, Solicitor General Noel J. Francisco argued that the health laws two remaining central provisions are now invalid because Congress intended that all three work together.
The court has not said when it will hear oral arguments, but they are most likely to take place in the fall, just as Americans are preparing to go to the polls in November.
Is The Supreme Court Likely To Save Obamacare
The Supreme Court is likely to leave in place the bulk of Obamacare, including key protections for pre-existing health conditions.
Conservative justices John Roberts and Justice Brett Kavanaugh appeared in two hours of arguments to be unwilling to strike down the entire law a long-held Republican goal.
The courts three liberal justices are almost certain to vote to uphold the law in its entirety and presumably would form a majority by joining a decision that cut away only the mandate, which now has no financial penalty attached to it.
Leading a group of Democratic-controlled states, California and the Democratic-controlled House of Representatives are urging the court to leave the law in place.
A decision is expected by late spring.
Repealing Obamacare Is A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-’10 debate about the law, but the Affordable Care Act’s financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPC’s Howard Gleckman, are “a 0.9 percent payroll surtax on earnings and a 3.8 percent taxon net investment income for individuals with incomes exceeding $200,000.” That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
source https://www.patriotsnet.com/why-do-republicans-really-want-to-repeal-obamacare/
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via Politics – FiveThirtyEight
Even though most of the candidates have committed to some form of universal health care, the Democratic primary is turning into a debate about the future of the country’s health care system. Presidential hopefuls have proposed policies ranging from an ambitious four-year plan to transform Medicare into a universal single-payer system, in which the government pays for everyone’s health care and private insurance plans are effectively eliminated, to a more modest scheme that would leave the existing health care system intact but create a government-administered public insurance plan people could choose to purchase. But some of the candidates have been light on policy specifics, so it’s likely that health care will be a big topic at the debates and beyond.
In the abstract, focusing on health care makes a lot of political sense for Democrats. It was a top issue among Democratic voters in the 2018 midterms, and the Trump administration recently renewed its efforts to strike down the Affordable Care Act in the courts, which means the law could be hanging in the balance throughout the primaries and into the general election. A recent ABC News/Washington Post poll also found that Americans, by a 17-point margin, say that President Trump’s handling of health care makes them more likely to oppose him than to support him in 2020. By a similar margin, an Associated Press/NORC poll found that Americans trust Democrats more than Republicans on health care.
All of this means that Democrats are heading into the 2020 election cycle with a serious edge on an issue that has the potential to mobilize their base. But if the candidates pitch big, sweeping changes to the health care system without addressing voters’ concerns about cost and access, that advantage won’t necessarily hold up. And trying to sell Americans on a completely new system carries risks, even in the primaries.
Why do people care about health care so much?
First, it’s important to understand how health care has morphed over the past decade from just another issue to one of the issues voters care most about. In the 2018 exit polls, 41 percent of voters said health care was the most important issue facing the country, up from 25 percent in 2014 and 18 percent in 2012. (It wasn’t asked about in 2016.) And although Democrats are more likely to prioritize health care than Republicans, a Pew Research Center poll from January found that a majority of Republicans say health care costs should be a top priority for Congress and the president.
The reason? Health care is becoming more of a financial burden, according to Mollyann Brodie, executive director for public opinion and survey research at the Kaiser Family Foundation. Specifically, Americans’ out-of-pocket health care costs have risen significantly over the past decade, even for workers who get insurance through their jobs. In an economy that by many measures is doing well, health care — rather than something like taxes — is becoming one of voters’ most important pocketbook issues, she said. “If you’re worried about whether you or your loved ones can afford your next health care bill, that’s really a matter of life or death, so you can understand why this issue is moving to center stage politically.”
And Americans are increasingly likely to say that the government has an important role to play in ensuring access to health care. In November, Gallup found that 57 percent of Americans said they think it’s the federal government’s responsibility to ensure that everyone has health care coverage, up from a low of 42 percent in 2013. Support for the Affordable Care Act rose over the same period, too. But, notably, support for government intervention in the health care system was even higher before President Obama was elected and the ACA passed — in 2006, 69 percent of Americans thought the government should guarantee health care coverage.
While support for government involvement in health care is rebounding, it’s not clear how much change voters are really asking for. “The average American is first and foremost concerned about the financial problems facing their family,” said Robert Blendon, a professor of health policy and political analysis at Harvard. “They’re less worried about system-level concerns like health care spending and inequality. They want their existing coverage to be better and more affordable.”
What do voters want politicians to do?
Americans aren’t opposed to the idea of government-run health care, but there’s not a lot of consensus on what that would mean. For example, a recent Kaiser Family Foundation poll found that a majority (56 percent) of Americans favor a national “Medicare for All” plan. But according to a March Morning Consult poll, Americans are more likely to favor a plan that offers some kind of public option — a government-sponsored health insurance plan available in addition to existing private plans — over a system where everyone is enrolled in the same plan.
But this apparent contradiction makes sense, according to Brodie, because Americans are risk-averse when it comes to health care, and the switch to single-payer would affect far more people than the ACA did. Tens of millions of previously uninsured people received coverage under the ACA, but that number would be dwarfed by the 156 million people who get their insurance through their employers and could see their coverage change if the country switched to a single-payer plan. “Even if the current system isn’t working, transitions are scary,” Brodie said. “And people aren’t necessarily aware of what a national plan really means. When you start telling people that there might not be any more private insurance companies, that’s actually not a popular position.” For example, a January Kaiser Family Foundation poll found that support for a national Medicare for All plan dropped significantly when respondents were told it would mean eliminating private insurance companies.
And when asked what health care policies they want Congress to prioritize, Americans don’t list Medicare for All first. Instead, according to a recent Kaiser Family Foundation poll, they want Congress to pass targeted measures that would lower prescription drug costs, continue the ACA’s protections for preexisting conditions and protect people from surprise medical bills. Only 31 percent of Americans say that implementing Medicare for All should be a top priority for Congress, compared to 68 percent who want lowering drug prices to be a top priority. Moreover, prioritizing Medicare for All is politically polarizing: Only 14 percent of Republicans support putting that kind of plan at the top of the to-do list, compared to 47 percent of Democrats.
Some health care issues get only one-sided support
Share of Republicans and Democrats who say each issue should be a top priority for Congress, and the difference between the parties
Dem. Rep. Diff. Making sure the ACA’s preexisting condition protections continue 82% 47% D+35 Implementing a national Medicare for All plan 47 14 D+33 Expanding government financial help for those who buy their own insurance coverage on the ACA marketplace to include more people 36 18 D+18 Lowering prescription drug costs for as many Americans as possible 77 66 D+11 Protecting people from surprise high out-of-network medical bills 55 45 D+10 Repealing and replacing the ACA 16 52 R+36
Source: Kaiser Family Foundation
However, smaller policy steps like lowering prescription drug costs and protecting people from surprise medical bills get more bipartisan support. Overall, Americans seem to be more concerned with fixing the current health care system than creating a sweeping new replacement — even if that replacement could address the issues they most want fixed in the current system.
What does this mean for the Democrats?
The complexity of Americans’ views on health care doesn’t change the fact that Democrats have a big advantage over Republicans on this issue, but it does mean that the individual candidates are in a tough spot because there’s no obvious unifying message they can adopt for the primary. And embracing a single-payer plan now could hand the GOP a weapon for the general election, allowing Republicans to frame the health care discussion around the Democrats’ controversial plan while glossing over Trump’s efforts to dismantle the ACA.
“The safest bet for a Democrat in the general election is to emphasize Trump’s track record on health care and say you’re going to make the ACA work,” Blendon said. The problem is that while that kind of argument might appeal to moderates, it’s likely to fall flat among a significant sector of the Democratic base that supports prioritizing a national Medicare for All plan over improving and protecting the ACA.
Democrats arguably still have an opening to make a case for a more ambitious health care overhaul, since voters still have relatively little information about what something like Medicare for All means. “It’s fine to support single-payer if you think that’s where the country needs to go, but you can’t just lean on principles like fairness or equality when you’re selling it,” said David Cutler, an economist at Harvard who advised Obama’s campaign on health care strategy. “You also have to tell voters, very specifically, what you are going to do to lower their costs and improve their coverage next year — not in 10 years.”
Even though Americans mostly prefer Democrats’ health care positions to the GOP’s, Democrats still risk alienating voters if they emphasize bumper-sticker slogans over concrete strategies for reducing the financial burden of health care. This is particularly important because their base of support for a single-payer system may be shallower than it appears, even within the party — especially when it comes to getting rid of private insurance. Big changes to the status quo are always politically challenging, but they may be especially risky when many Americans are concerned about losing the protections they already have.
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President-Elect Joe Biden Says ‘Nothing's Going To Stop’ The Transfer Of Power + Biden-Harris Reacts To Affordable Care Act Drama, Builds COVID-19 Task Force
President-elect Joe Biden said the transfer of power will happen…with or without Trump. Get those deets, plus what Biden said about the Trump administration trying to take out the Affordable Care Act, his new COVID-19 task force and more inside…
President-elect Joe Biden isn’t waiting for Trump to concede. He’s going to take over as our 46th president of the United States with or without him, and whoever is mad will just have to deal. He's already in full swing with taskforce building, veting for cabinet appiintments and more - and it's only day 2 of being President & VP Elect. Gotta love it.
During a press conference in Wilmington, Delaware today, Biden was asked about Secretary of State Mike Pompeo’s remarks that there would be a smooth transition to a “second Trump administration” and the Trump administration’s refusal to concede the election. He chuckled.
Check it:
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46 isn’t fazed one bit. He’s taking over as the commander-in-chief and "nothing's going to stop" that. Period.
“I’m confident that the fact that they’re not willing to acknowledge we won at this point is not of much consequence in our planning and what we’re able to do between now and January 20,” he said. As for McConnell’s allegiance to Trump? “I think that the whole Republican Party has been put in a position, with a few notable exceptions, of being mildly intimidated by the sitting president.”
President-elect Biden said Trump’s failure to concede is an “embarrassment,” but he isn’t going to let that stop him from taking steps toward leading the country.
“I just think it’s an embarrassment,” he said of Trump’s refusal to concede. “I know from my discussions with foreign leaders thus far that they are hopeful that the United States’ democratic institutions are viewed once again as strong and enduring, but I think at the end of the day, it’s all going to come to fruition on January 20.”
Over the weekend, it was announced Joe Biden and Kamala Harris won the 2020 election and would become the president and vice president in January. Since then, Trump has been spewing lies about voter fraud, demanding states STOP counting ballots and hurling lawsuits at states.
Today, President-elect Joe Biden took part in separate congratulatory calls with the leaders of France, Germany, Ireland, and the United Kingdom. pic.twitter.com/vCyAVVF3qw
— Biden-Harris Presidential Transition (@Transition46) November 10, 2020
Biden has spoken to leaders in France, Germany, Ireland and Great Britain, but Trump still hasn’t spoke to Biden. Neither have any Republican Congressmen, with the exception of 2-3.
Beginning on January 20th, Vice President-elect Harris and I are going to do everything in our power to ease the burden of health care on you and your families.
— Joe Biden (@JoeBiden) November 10, 2020
The Supreme Court heard a challenge to the Affordable Care Act. They want to strike the act down. Biden slammed the Trump administration for being "simply cruel and needlessly divisive.” Biden if they get rid of the Affordable Care Act, 20 million Americans' health coverage will be "ripped away in the middle of the nation's worst pandemic in a century."
"Let's be absolutely clear about what's at stake: The consequences of the Trump administration's argument are not academic or an abstraction. For many Americans, they are a matter of life and death, in a literal sense," Biden said in a speech in Wilmington, Delaware. "This isn't hyperbole. It's real -- as real as it gets," he said.
Peep his speech below:
Biden has a COVID-19 plan and a new diversified task force to help him implement it.
Yesterday, @JoeBiden and I met with our COVID-19 Transition Advisory Board, comprised of distinguished public health experts. This team will help translate the Biden-Harris COVID-19 plan into an action blueprint that we can put into place as soon as we are sworn in on January 20. pic.twitter.com/2ZSIu0nmHx
— Kamala Harris (@KamalaHarris) November 10, 2020
Fortune reports:
President-elect Joe Biden on Monday named 13 doctors and health experts to his transition’s COVID-19 advisory board. Five of those 13 task force members, or 38%, are female. Nine members, or 69%, are Black, Latinx, Asian, or other underrepresented minorities.
The task force will be cochaired by David Kessler, a former head of the U.S. Food and Drug Administration under Presidents George H.W. Bush and Bill Clinton; Vivek H. Murthy, a former Surgeon General under President Barack Obama; and Marcella Nunez-Smith, the associate dean for health equity research at the Yale School of Medicine and a doctor who has spent her career addressing structural inequities in health and health care.
You can read the Biden-Harris COVID-19 Plan here.
On Twitter…
VP-elect Kamala Harris gave black women a shoutout for holding it down at the polls:
I want to speak directly to the Black women in our country. Thank you. You are too often overlooked, and yet are asked time and again to step up and be the backbone of our democracy. We could not have done this without you.
— Kamala Harris (@KamalaHarris) November 9, 2020
Also, a Twitter account for Biden’s dog Champ and his rescue dog Major (both German Shepherds) was created, but it was taken down due to “violating Twitter’s terms.”
Former Vice President Joe Biden went to a church service and visited his son Beau Biden's grave Tuesday morning in Greenville, Delaware. Biden will travel to Pennsylvania before returning to Delaware to watch election results https://t.co/BFuhLbrFNI pic.twitter.com/UQrCWhbLGn
— CBS News (@CBSNews) November 3, 2020
On Sunday, Biden paid a visit to the cemetery where several family members, including his late son Beau, are buried at the Catholic church near his home in Delaware.
Photo: Stratos Brilakis/Shutterstock.com
[Read More ...] source http://theybf.com/2020/11/10/here%E2%80%99s-how-biden-harris%E2%80%99-first-days-as-president-vp-elect-are-going-down-%E2%80%93-covid-19-task-
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LETTERS FROM AN AMERICAN
September 25, 2020
Heather Cox Richardson
Trump’s refusal Wednesday to commit to accepting a loss in the November election with a peaceful transfer of power continues to make waves. Today the New York Times reported that military officers are worried that Trump will try to drag them into a contested election. But while people are rightly frightened about Trump’s increasing authoritarianism, it’s important to understand that he is deploying these particular threats about the election to create an impression that he has the option to control the outcome in November. He does not have that option.
Trump and his cronies are trying to create their own reality. They are trying to make people believe that the coronavirus is not real, that it has not killed more than 200,000 of our neighbors, that the economy is fine, that our cities are in flames, that Black Lives Matter protesters are anarchists, and that putting Democrats in office will usher in radical socialism. None of these things is true. Similarly, Trump is trying to convince people that he can deploy the power of the government to remain in power even if we want him to leave, creating uncertainly and fear. By talking about it, he is willing that situation into existence. It is a lie, and we do not have to accept it.
For his part, Democratic presidential nominee Joe Biden recognizes that Trump’s repeated threats not to leave office are both letting him convince us that leaving is his choice, rather than ours, and keeping the media focused on him when we should, in fact, be talking about real issues. Biden is refusing to give the idea oxygen, reminding reporters that it is a “typical Trump distraction.” “I just think the people in the country are going to be heard on November 3,” he told them. “Every vote in this country is going to be heard and they will not be stopped. I'm confident that all of the irresponsible, outrageous attacks on voting, we’ll have an election in this country as we always have had, and he'll leave.” He said: “I don’t think he’s going to get the FBI to follow him or get anybody else to enforce something that’s not real.”
While the Senate voted unanimously yesterday to commit to the peaceful transfer of power in January, it was actually Massachusetts Governor Charlie Baker, a Republican, who gave Trump’s refusal to commit to a peaceful transfer of power the dripping disdain it deserved. Speaking to reporters, Baker defended the mail-in ballots that Trump is saying will invalidate the election, and called Trump’s suggestion that he wouldn’t leave office peacefully “appalling and outrageous.” Baker said he would to do everything in his power to defend the results of the election.
“A huge part of this nation’s glory, to the extent it exists as a beacon to others, is the peaceful transfer of power based on the vote of the people of this country,” he said.
Trump responded with an insulting tweet, but one that suggested he was deliberately stoking the story to try to get free media coverage.
This makes sense, because there are signs that Trump and the Republicans have a real money problem. We know that the Trump campaign has run through close to a billion dollars, leaving him and other Republican candidates short of cash for the last weeks of the campaign. At the same time, Democratic fundraising in the wake of Justice Ruth Bader Ginsburg’s death has been unprecedented. The squeeze showed clearly in three highly unusual appearances by Senator Lindsey Graham (R-SC) on the Fox News Channel begging for donations.
Two new ploys to advance Trump’s reelection, one claiming to address healthcare concerns and one claiming to address coronavirus concerns, reveal both the campaign’s attempts to construct their own reality and to do it on someone else’s dime.
The president has repeatedly promised his own healthcare bill to replace the Affordable Care Act that his administration is currently trying to kill. Under criticism for trying to end the law that protects people with preexisting health conditions from discrimination in buying insurance—the ACA will come before the Supreme Court a week after the November 3 election-- Trump on Thursday abruptly signed an Executive Order affirming that “it is the official policy of the United States government to protect patients with preexisting conditions.” The Executive Order is toothless; if the Supreme Court overturns the ACA, the Executive Order will mean nothing.
But Trump also suggested that he might be willing simply to keep the law and call it his own. “Obamacare is no longer Obamacare, as we worked on it and managed it very well,” Trump said of the law that continues to provide coverage for more than 20 million Americans. “What we have now is a much better plan. It is no longer Obamacare because we got rid of the worse part of it — the individual mandate.” “We’ve really become the health-care party — the Republican Party,” he said.
Trump also announced he would give $200 toward the cost of their medicines to 33 million older Americans. That’s $6.6 billion dollars that he will be putting in the pockets of key voters just before the election. Apparently, his plan is to take money from Medicare under a rule that allows the Medicare to test out new programs. Authorization for such a shift in funding usually requires a lengthy approval process, and the new program needs to be cost neutral. Ameet Sarpatwari, assistant director of Harvard Medical School's Program on Regulation, Therapeutics and Law told NPR’s Sydney Lupkin: I think the administration is pushing the envelope in terms of classifying this as a demonstration."
The Trump campaign is also planning a taxpayer-funded advertising blitz, costing at least $300 million, to “defeat despair and inspire hope” about the coronavirus pandemic. According to Politico’s Dan Diamond, the ads will feature interviews between administration officials and celebrities. The ad campaign was conceived and begun by Michael Caputo, the top spokesperson for the Department of Health and Human Services before he stepped down last week for medical leave after an infamous Facebook rant.
Caputo claimed in his video that Trump has personally demanded the advertising campaign. "The Democrats — and, by the way, their conjugal media and the leftist scientists that are working for the government — are dead set against it," Caputo said. "They cannot afford for us to have any good news before November because they're already losing. … They're going to come after me because I'm going to be putting $250 million worth of ads on the air." The White House says it is not accurate that Trump “demanded” the campaign.
To pay for the ads, Caputo requisitioned $300 million from the Centers for Disease Control and Prevention (CDC) and $15 million from the Food and Drug Administration (FDA). But he sidelined the Ad Council, which is a nonprofit consortium of advertising companies that since World War Two has worked on a nonpartisan basis with the government on public health or social issue campaigns. Instead, Caputo hired his own business partner to make the videos.
Josh Peck, the former HHS official who oversaw the Obama administration’s advertising campaign for HealthCare.gov, told Diamond that officials in the Obama administration were never featured in videos, and that the Trump administrations Covid videos sound like they are about more than Americans’ health. He said: "CDC hasn’t yet done an awareness campaign about Covid guidelines — but they are going to pay for a campaign about how to get rid of our despair? Run by political appointees in the press shop? Right before an election? It’s like every red flag I could dream of.”
Trump’s challenge to the outcome of the election is a sign of his desperation, but it is no less dangerous for all that: as they say, a cornered rat will bite the cat. While Democrats and a remarkable number of Republicans are speaking out against Trump, and while teams of lawyers are fighting his lawyers in court, ordinary Americans also have a crucial role to play in this moment. It is up to us to reject Trump's fictions and reclaim the national conversation from the anger and hatred and fear Trump is stoking.
It is time to reassert our core American values so they dominate the public realm, demanding of our representatives a free and fair vote for everyone, a free and fair vote count, and a government of our own choosing.
—-
LETTERS FROM AN AMERICAN
Heather Cox Richardson
#political#election 2020#Heather Cox Richardson#Letters From An American#CDC#political campaign#corrupt GOP#criminal Republicans#taxpayer money
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Why Do Republicans Want To Repeal The Affordable Care Act
New Post has been published on https://www.patriotsnet.com/why-do-republicans-want-to-repeal-the-affordable-care-act/
Why Do Republicans Want To Repeal The Affordable Care Act
Why Republicans Cant And Wont Repeal Obamacare
Editor’s Note:
This article was originally posted on Real Clear Health on January 16, 2017.
Now that the Republicans control both the presidency and both houses of Congress, they must put up or shut up on their promise to repeal and replace Obamacare. Here is a flat-footed prediction: the effort will fail for three reasons. First, the Affordable Care Act has largely succeeded not failed, as president-elect Trump and other Republicans falsely allege. Second, it is impossible for the stated goals of repeal to be achieved. Finally, the political fallout from the consequences of partial or total repeal would be devastating. When it comes to casting votes, enough Republicans will conclude that repeal is a bad idea and will join Democrats to sustain the basic structure of the health reform law.
Second, the stated objectives of repealing Obamacare are mutually inconsistent. Three provisions comprise the core of Obamacare. First, rules barring insurance companies from refusing to sell insurance to people because of preexisting conditions or varying premiums based on those conditions. Second, a requirement that everyone carry health insurance who can afford it. And third, subsidies for those with moderate incomes to help make such insurance affordable. The law contains many other provisions as well, but these three are core.
Slashing Ads And Budgets
Funding for the “navigator” programme, under which trained individuals or organisations help people sign up for insurance through Obamacare, has dropped from $62.5m to $10m under President Trump.
His administration has also cut Obamacare advertising spending to $10m – a 90% reduction.
According to a November 2018 Kaiser Health poll, 61% of Americans aged 18 to 64 said they did not know about any enrolment deadlines.
Republicans Want To Get Rid Of Obamacare But Then What
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President Trump has vowed to repeal the Affordable Care Act, but Sarah Kliff of Vox.com says it’s “an overreach” to say that Republicans have a plan for what comes next.
DAVE DAVIES, HOST:
This is FRESH AIR. I’m Dave Davies, in for Terry Gross. While President Trump clashed with some Republicans over a variety of issues in last year’s campaign, one thing they all seemed to agree on was the need to repeal the Affordable Care Act, known as Obamacare. Now that congressional Republicans have a willing president and the votes to scrap the health care law, they’re finding the task a little more complicated than it seemed. Republican lawmakers have a wide range of ideas about what they might replace Obamacare with. But a secret recording of a Republican policy meeting in Philadelphia revealed many are worried about the political cost of removing coverage from those who’ve come to count on it.
For some perspective on what’s happening in Washington and how it might affect our health care, we turn to Sarah Kliff, a senior policy correspondent at vox.com. Before joining Vox, Kliff covered health policy for The Washington Post and for POLITICO and Newsweek. She co-hosts a policy-oriented podcast for Vox called “The Weeds.” Kliff and co-host Ezra Klein recently interviewed President Obama about the debate over health care and the possible repeal of the Affordable Care Act. I spoke with Sarah Kliff Tuesday.
DAVIES: And where have we seen those pools before?
Board Of Governors Professor School Of Public Affairs & Administration
The Trump administrations efforts to sabotage the ACA and their consequences receive detailed attention in a recently released Brookings book, Trump, the Administrative Presidency, and Federalism. For present purposes, I highlight six major sabotage initiatives which emerged in the wake of congressional failure to repeal and replace the ACA.
1. Reduce outreach and opportunities for enrollment in the ACAs insurance exchanges. Established to offer health insurance to individuals and small business, the exchanges have provided coverage to some 10 million people annually. The Obama administration had vigorously promoted the ACA in part to attract healthy, younger people to the exchanges to help keep premiums down. The Trump administration sharply reduced support for advertising and exchange navigators while reducing the annual enrollment period to about half the number of days.
2. Cut ACA subsidies to insurance companies offering coverage on the exchanges. ACA proponents saw insurance company participation on the exchanges as central to fostering enrollee choice and to fueling competition that would lower premiums. The law therefore provided various subsidies to insurance companies to reduce their risks of losing money if they participated on the exchanges. The Trump administration joined congressional Republicans in reneging on these financial commitments.
Repealing Obamacare Is A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-’10 debate about the law, but the Affordable Care Act’s financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPC’s Howard Gleckman, are “a 0.9 percent payroll surtax on earnings and a 3.8 percent taxon net investment income for individuals with incomes exceeding $200,000.” That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
The Acas Protections Changed Public Opinion In Its Favor Republicans Are Keeping Up
For more than a decade, the Affordable Care Act has been the Republican Partys nemesis. As it was first debated in Congress in 2009, when it was enacted in 2010 and through the next six years of implementation, Republican leaders rallied supporters by vociferously opposing it and calling for repeal. The Trump administration and states controlled by Republicans remain hostile to the ACA.
But the coronavirus pandemics fast-moving destruction has pushed Republicans to rely on Barack Obamas signature law to respond to the crisis, even taking action to strengthen it. The law, as written, requires that Americans who have recently lost jobs and insurance coverage to be permitted to enroll in its insurance marketplace, and they are doing so in swelling numbers. Meanwhile, Republicans recently backed that increased federal funding for a critical part of the ACA: Medicaid for lower-income people. And Trump administration regulators have used their authority to insist that insurance plans pay for coronavirus tests as an essential health benefit under the ACA a Republican target in the past.
Our research shows that this about-face cannot be explained by the pandemic alone. The partys rank-and-file and many other Americans have shifted to supporting the ACA and expanded government payments for health care. The pandemic is giving Republicans cover to follow changing public opinion.
Republicans have spent 10 years trying to kill the Affordable Care Act
Younger Americans Could Get Cheaper Plans
Obamacare was designed so that younger policyholders would help subsidize older ones. That would change under the Republican bill because it would allow insurers to charge older folks more.
This means that younger Americans would likely see their annual premiums go down. Enrollees ages 20 to 29 would save about $700 to $4,000 a year, on average,according to a study by the Milliman actuarial firm on behalf of the AARP Public Policy Institute.
Those under age 30 would also get a refundable tax credit of up to $2,000 to offset the cost of their premiums, as long as their income doesn’t exceed $215,000 for an individual.
Related: What’s inside the Republican health care bill?
The GOP tax credits would also likely be more generous than Obamacare’s subsidies for these folks. For example, a 27-year-old making $40,000 a year would receive $2,000 under the GOP plan, but only gets a $103 subsidy from Obamacare, on average, a Kaiser analysis found.
Also, the bill keeps the Obamacare provision that lets young adults up to age 26 stay on their parents’ insurance plan.
This Is Why Republicans Couldnt Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways, disappointing. Unsubsidized premiums are higher than people would like. Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that the American Health Care Act actually fixes. While Republicans have made several changes to the AHCA to cobble together a majority of House votes, the core of the bill remains the same: it offers stingier insurance to a narrower group of people.
This is because the AHCA does what Republicans want: it rolls back the ACA taxes. But under those circumstances, its simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
The bill the House is voting on Thursday doesnt get rid of the ACAs tax credits to make it easier to buy health coverage, but it bases them on age, with younger people getting bigger credits, rather than income which means poorer Americans. especially elderly ones, will have a bigger tax burden and more difficulty affording the insurance they need.
Dont Like Obamacare It Was The Republicans Idea Says Liberal Democrat
Susan Jones
Robert Reich served as Labor Secretary for President Bill Clinton.
While Republicans plot new ways to sabotage the Affordable Care Act, its easy to forget that for years theyve been arguing that any comprehensive health insurance system be designed exactly like the one that officially began October 1st, glitches and all, said Robert Reich, who served as President Bill Clintons Labor Secretary.
Reich says Democrats should have insisted on a single-payer system because it would have been cheaper, simpler, and more popular.
In a blog at The Huffington Post website, Reich that Republicans have long argued for a health care system based on private insurance and paid for with subsidies and a requirement that the young and healthy people sign up. Democrats, he says, wanted to model health care reform on Social Security and Medicare, and fund it through the payroll tax.
Reich says President Richard Nixon in 1974, proposed, in essence, todays Affordable Care Act. Thirty years later, then-Massachusetts Gov. Mitt Romney, another Republican, made Nixons plan the law in Massachusetts.
Reich adds: When todays Republicans rage against the individual mandate in the Affordable Care Act, its useful to recall this was their idea as well, as proposed in 1989 by Stuart M. Butler of the Heritage Foundation.
Reichs blog is entitled, The Democrats Version of Health Insurance Would Have Been Cheaper, Simpler, and More Popular
Background On The Health Care Repeal Lawsuit
From the beginning, the Trump administration and allied leaders in Congress and state governments have been committed to dismantling the ACA and the consumer protections it confers by any means possible. The Trump administration has repeatedly key provisions of the landmark law by executive actions and other more covert tactics, including removing essential consumer information from federal websites and defunding outreach and enrollment programs intended to expand coverage. After several failed attempts by President Donald Trumps legislative allies to repeal and replace the ACA, Congress passed a tax bill in late 2017 that zeroed out the individual mandate penalty.
After the tax bill became law, Texas and other states filed a federal lawsuit, claiming that because the mandate had no financial penalty, it made the rest of the law unconstitutional. U.S. District Court Judge Reed OConnor accepted this reasoning and held that the entire law must be struck down in what one legal expert called a partisan, activist ruling. On appeal, a 5th U.S. Circuit Court of Appeals panel also in December that, following the tax bills change to the law, the individual mandate is unconstitutional. The panel then remanded the case back to Judge OConnor to determine which parts of the ACA, if any, can remain given their decision. Since that ruling, the Supreme Court has to hear the case during its upcoming term, and, for now, the ACA remains the law of the land.
Obamacare: Has Trump Managed To Kill Off Affordable Care Act
The Trump administration has ramped up its attack on the Affordable Care Act by backing a federal judge’s decision to declare the entire law unconstitutional.
For now, Obamacare is still standing. Around 4.1 million Americans have signed up for new plans so far this year, according to government reports, down 12% from last year.
At a rally this week, Mr Trump again promised his supporters: “We are going to get rid of Obamacare.” But how much has he delivered on that pledge so far?
Efforts To Repeal The Affordable Care Act
This article needs to be . The reason given is: Missing the May 2018 efforts. Please help update this article to reflect recent events or newly available information.
The following is a list of efforts to repeal the Affordable Care Act , which had been enactedby the 111th United States Congress on March 23, 2010.
This Is Also Why Republicans Might Drop Repeal
While mania for tax cuts is an important driver of the GOP push to repeal the Affordable Care Act, it might also ultimately be what leads them to abandon it. The healthcare debate has already taken more time than either Congress or the White House wanted and the bill hasnt even gotten to the Senate yet.
Meanwhile, many Republicans are itching to move on to their next priority: tax reform.
Republicans have a bunch of different tax plans floating around, but they all feature enormous tax cuts for wealthy households. Democrats will object, but they wont be able to stop the GOP from enacting a big tax cut. The only issue will be how large of an increase in the budget deficit do Republicans consider economically viable. Once thats decided, however, the tight linkage between the ACA and tax policy will be broken, since the entire rate structure will have already been rewritten in a way that makes the ACAs specific financing mechanism irrelevant.
No matter how the budget crunch gets resolved,however, the tax issue is the $500 billion elephant in the room. Its a key reason GOP leaders want repeal, a key reason theyve had trouble coming up with a popular replacement, and potentially a key reason theyll ultimately decide to move on to other matters. Talking about health care politics without talking about the revenue side misses an enormous part of the story.
Republican Views On Obamacare
The Republican Partys view on the Patient Protection and Affordable Care Actcommonly known as Obamacareis that its implementation was less about providing healthcare to millions, and more a result of power as the government sought to expand its reach over one sixth of the economy. The party claims that Obamacare has resulted in an attack on the Constitution of the United States because it requires U.S. citizens to purchase health insurance, and its impact on the health of the nation overall has been detrimental. The party is in agreement with the four Supreme Court justices who dissented in the ACA ruling. The justices stated, In our view, the entire Act before us is invalid in its entirety. As of 2012, the partys stance was that Obamacare was the result of outdated liberalism, and the latest in a series of attempts to impose upon the people of America a euro-style bureaucracy to micromanage all aspects of their lives. One of the partys biggest issues with Obamacare is its unpopularity among the peoplewhen polled on the subject, pluralities and even majorities often state they do not like the law.
Older Americans Could Have To Pay More
Enrollees in their 50s and early 60s benefited from Obamacare because insurers could only charge them three times more than younger policyholders. The bill would widen that band to five-to-one.
That would mean that adults ages 60 to 64 would see their annual premiums soar 22% to nearly $18,000, according to the Milliman study for the AARP. Those in their 50s would be hit with a 13% increase and pay an annual premium of $12,800.
Also, the GOP bill doesn’t provide them with as generous tax credits as Obamacare. A 60-year-old making $40,000 would get only $4,000 from the Republican plan, instead of an average subsidy of $6,750 from the Affordable Care Act, according the Kaiser study.
States could also receive waivers to allow insurers to charge older Americans even more than five times the premiums of the young.
Whats Dividing Republicans And Democrats On Healthcare Reform
Since the Affordable Care Act became law in 2010, Republicans have been determined to destroy it while Democrats insist its the countrys best chance at reforming healthcare to make it affordable and accessible. Both parties want reform, but the approach has been fundamentally different and for good reason. There are basic, core reasons why conservatives and liberals cant get on the same page when it comes to healthcare reform. Lets take a moment to dig into the details and figure out what is exactly keeping Republicans and Democrats from being able to find a middle ground on healthcare reform, so far.
Democrats want the federal government to legislate and administer healthcare while Republicans want private industry to helm the healthcare system with as minimal input from the federal government as possible.
Of course, there are always exceptions within each party because people arent one-dimensional. Moderates on both sides, for instance, would seek compromise wherever possible. But in general, these core ideological differences make healthcare reform particularly challenging, especially when one party holds more power. In 2010, Democrats passed the ACA without a single rightwing vote.
Repeal Of Obamacares Taxes Would Be A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-10 debate about the law, but the Affordable Care Acts financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPCs Howard Gleckman, are a 0.9 percent payroll surtax on earnings and a 3.8 percent tax on net investment income for individuals with incomes exceeding $200,000 . That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
Tax Policy Center
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year full repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
Under the actual AHCA, Jared Kushner would actually pay even less in taxes. As a young person, Kushner would get a larger tax to buy insurance under the AHCA than he does now.
New Threats & Potential Affordable Care Act Changes For 2019
To date, the ACA has been challenged in front of the Supreme Court twice. Judges upheld the constitutionality of the ACA both times. But now, a new effort to strike down the act is making its way through our legal system. Two Republican Governors and 18 Republican state attorneys general, led by Texas, initiated the lawsuit.
The lawsuit, Texas v. Azar, alleges the individual mandate of the Affordable Care Act is unconstitutional now that TCJA set the penalty tax to $0. In December 2018, a Texas district court judge agreed with the plaintiffs. The judge also concluded that the intent of lawmakers was that the individual mandate was essential to the ACA, and as such couldnt be severed from the larger text. Therefore, the entire ACA was unconstitutional and repealing it was appropriate.
But the ruling hasnt gone into effect yet. The judge is allowing the status quo to remain until all the appeals have been heard. In efforts to combat the ruling, and since the current administration is refusing to defend the law in court, 21 Democratic state attorneys general and the U.S. House of Representatives filed an appeal to challenge the ruling. In July, the Fifth Circuit Court of Appeals in New Orleans heard arguments in favor of overturning the original ruling. The court hasnt yet reached a decision, and most believe this lawsuit will eventually make its way to the Supreme Court.
Republicans Are Still Trying To Repeal Obamacare Heres Why They Are Not Likely To Succeed
Conservatives are still trying to repeal the Affordable Care Act even after the Republican-majority Congress failed to overturn the law in 2017. A coalition of conservative groups intends to release a new plan this summer. The groups will reportedly propose ending the laws expansion of Medicaid and convert Medicaid funding into block grants to the states. And just last week the Trump administrations Justice Department argued in a legal filing that key provisions of the law its protections for persons with preexisting conditions are .
Why are Republicans still trying to undo the ACA? We argue in a forthcoming that the laws political vulnerabilities and Republican electoral dynamics drive conservative efforts to uproot it.
In the past, conservatives have thrown in the towel
As politicians and political scientists both know, the can never be taken for granted. Even so, the duration and intensity of conservative resistance to the ACA is historically unusual. The ACA is a moderate law, modeled on that Republicans once supported, such as insurance purchasing pools. Whats more, many red states refuse to accept the ACAs funding to expand Medicaid to more of their citizens such as , which has a large number of uninsured residents even though you would think they would want those federal benefits.
So why is the ACA still politically vulnerable?
The answer lies partly in the way the program was designed.
Is repeal likely?
The Health Care Repeal Lawsuit Could Strip Coverage From 23 Million Americans
Nicole RapfogelEmily Gee
Tomorrow, the Trump administration and 18 Republican governors and attorneys general will file their opening briefs with the Supreme Court in California v. Texasthe health care repeal lawsuit. The lawsuit, criticized across the political spectrum as a badly flawed case, threatens to upend the Affordable Care Act and strip 23.3 million Americans of their health coverage, according to new CAP analysisabout 3 million more than was forecast before the coronavirus pandemic. The anti-ACA agitators who initiated the health care repeal lawsuit, backed by the Trump administration, continue their attempts to dismantle the ACA, including its coverage expansions and consumer protections, amid the pandemic, during which comprehensive health coverage has never been more important. Millions of Americans who have lost their jobs and job-based insurance due to the current economic crisis are relying on the insurance options made possible by the ACA to keep themselves and their families covered.
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Why Do Republicans Want To Repeal The Affordable Care Act
Why Republicans Cant And Wont Repeal Obamacare
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Editor’s Note:
This article was originally posted on Real Clear Health on January 16, 2017.
Now that the Republicans control both the presidency and both houses of Congress, they must put up or shut up on their promise to repeal and replace Obamacare. Here is a flat-footed prediction: the effort will fail for three reasons. First, the Affordable Care Act has largely succeeded not failed, as president-elect Trump and other Republicans falsely allege. Second, it is impossible for the stated goals of repeal to be achieved. Finally, the political fallout from the consequences of partial or total repeal would be devastating. When it comes to casting votes, enough Republicans will conclude that repeal is a bad idea and will join Democrats to sustain the basic structure of the health reform law.
Second, the stated objectives of repealing Obamacare are mutually inconsistent. Three provisions comprise the core of Obamacare. First, rules barring insurance companies from refusing to sell insurance to people because of preexisting conditions or varying premiums based on those conditions. Second, a requirement that everyone carry health insurance who can afford it. And third, subsidies for those with moderate incomes to help make such insurance affordable. The law contains many other provisions as well, but these three are core.
Slashing Ads And Budgets
Funding for the “navigator” programme, under which trained individuals or organisations help people sign up for insurance through Obamacare, has dropped from $62.5m to $10m under President Trump.
His administration has also cut Obamacare advertising spending to $10m – a 90% reduction.
According to a November 2018 Kaiser Health poll, 61% of Americans aged 18 to 64 said they did not know about any enrolment deadlines.
Republicans Want To Get Rid Of Obamacare But Then What
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President Trump has vowed to repeal the Affordable Care Act, but Sarah Kliff of Vox.com says it’s “an overreach” to say that Republicans have a plan for what comes next.
DAVE DAVIES, HOST:
This is FRESH AIR. I’m Dave Davies, in for Terry Gross. While President Trump clashed with some Republicans over a variety of issues in last year’s campaign, one thing they all seemed to agree on was the need to repeal the Affordable Care Act, known as Obamacare. Now that congressional Republicans have a willing president and the votes to scrap the health care law, they’re finding the task a little more complicated than it seemed. Republican lawmakers have a wide range of ideas about what they might replace Obamacare with. But a secret recording of a Republican policy meeting in Philadelphia revealed many are worried about the political cost of removing coverage from those who’ve come to count on it.
For some perspective on what’s happening in Washington and how it might affect our health care, we turn to Sarah Kliff, a senior policy correspondent at vox.com. Before joining Vox, Kliff covered health policy for The Washington Post and for POLITICO and Newsweek. She co-hosts a policy-oriented podcast for Vox called “The Weeds.” Kliff and co-host Ezra Klein recently interviewed President Obama about the debate over health care and the possible repeal of the Affordable Care Act. I spoke with Sarah Kliff Tuesday.
DAVIES: And where have we seen those pools before?
Board Of Governors Professor School Of Public Affairs & Administration
The Trump administrations efforts to sabotage the ACA and their consequences receive detailed attention in a recently released Brookings book, Trump, the Administrative Presidency, and Federalism. For present purposes, I highlight six major sabotage initiatives which emerged in the wake of congressional failure to repeal and replace the ACA.
1. Reduce outreach and opportunities for enrollment in the ACAs insurance exchanges. Established to offer health insurance to individuals and small business, the exchanges have provided coverage to some 10 million people annually. The Obama administration had vigorously promoted the ACA in part to attract healthy, younger people to the exchanges to help keep premiums down. The Trump administration sharply reduced support for advertising and exchange navigators while reducing the annual enrollment period to about half the number of days.
2. Cut ACA subsidies to insurance companies offering coverage on the exchanges. ACA proponents saw insurance company participation on the exchanges as central to fostering enrollee choice and to fueling competition that would lower premiums. The law therefore provided various subsidies to insurance companies to reduce their risks of losing money if they participated on the exchanges. The Trump administration joined congressional Republicans in reneging on these financial commitments.
Repealing Obamacare Is A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-’10 debate about the law, but the Affordable Care Act’s financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPC’s Howard Gleckman, are “a 0.9 percent payroll surtax on earnings and a 3.8 percent taxon net investment income for individuals with incomes exceeding $200,000.” That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
The Acas Protections Changed Public Opinion In Its Favor Republicans Are Keeping Up
For more than a decade, the Affordable Care Act has been the Republican Partys nemesis. As it was first debated in Congress in 2009, when it was enacted in 2010 and through the next six years of implementation, Republican leaders rallied supporters by vociferously opposing it and calling for repeal. The Trump administration and states controlled by Republicans remain hostile to the ACA.
But the coronavirus pandemics fast-moving destruction has pushed Republicans to rely on Barack Obamas signature law to respond to the crisis, even taking action to strengthen it. The law, as written, requires that Americans who have recently lost jobs and insurance coverage to be permitted to enroll in its insurance marketplace, and they are doing so in swelling numbers. Meanwhile, Republicans recently backed that increased federal funding for a critical part of the ACA: Medicaid for lower-income people. And Trump administration regulators have used their authority to insist that insurance plans pay for coronavirus tests as an essential health benefit under the ACA a Republican target in the past.
Our research shows that this about-face cannot be explained by the pandemic alone. The partys rank-and-file and many other Americans have shifted to supporting the ACA and expanded government payments for health care. The pandemic is giving Republicans cover to follow changing public opinion.
Republicans have spent 10 years trying to kill the Affordable Care Act
Younger Americans Could Get Cheaper Plans
Obamacare was designed so that younger policyholders would help subsidize older ones. That would change under the Republican bill because it would allow insurers to charge older folks more.
This means that younger Americans would likely see their annual premiums go down. Enrollees ages 20 to 29 would save about $700 to $4,000 a year, on average,according to a study by the Milliman actuarial firm on behalf of the AARP Public Policy Institute.
Those under age 30 would also get a refundable tax credit of up to $2,000 to offset the cost of their premiums, as long as their income doesn’t exceed $215,000 for an individual.
Related: What’s inside the Republican health care bill?
The GOP tax credits would also likely be more generous than Obamacare’s subsidies for these folks. For example, a 27-year-old making $40,000 a year would receive $2,000 under the GOP plan, but only gets a $103 subsidy from Obamacare, on average, a Kaiser analysis found.
Also, the bill keeps the Obamacare provision that lets young adults up to age 26 stay on their parents’ insurance plan.
This Is Why Republicans Couldnt Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways, disappointing. Unsubsidized premiums are higher than people would like. Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that the American Health Care Act actually fixes. While Republicans have made several changes to the AHCA to cobble together a majority of House votes, the core of the bill remains the same: it offers stingier insurance to a narrower group of people.
This is because the AHCA does what Republicans want: it rolls back the ACA taxes. But under those circumstances, its simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
The bill the House is voting on Thursday doesnt get rid of the ACAs tax credits to make it easier to buy health coverage, but it bases them on age, with younger people getting bigger credits, rather than income which means poorer Americans. especially elderly ones, will have a bigger tax burden and more difficulty affording the insurance they need.
Dont Like Obamacare It Was The Republicans Idea Says Liberal Democrat
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Susan Jones
Robert Reich served as Labor Secretary for President Bill Clinton.
While Republicans plot new ways to sabotage the Affordable Care Act, its easy to forget that for years theyve been arguing that any comprehensive health insurance system be designed exactly like the one that officially began October 1st, glitches and all, said Robert Reich, who served as President Bill Clintons Labor Secretary.
Reich says Democrats should have insisted on a single-payer system because it would have been cheaper, simpler, and more popular.
In a blog at The Huffington Post website, Reich that Republicans have long argued for a health care system based on private insurance and paid for with subsidies and a requirement that the young and healthy people sign up. Democrats, he says, wanted to model health care reform on Social Security and Medicare, and fund it through the payroll tax.
Reich says President Richard Nixon in 1974, proposed, in essence, todays Affordable Care Act. Thirty years later, then-Massachusetts Gov. Mitt Romney, another Republican, made Nixons plan the law in Massachusetts.
Reich adds: When todays Republicans rage against the individual mandate in the Affordable Care Act, its useful to recall this was their idea as well, as proposed in 1989 by Stuart M. Butler of the Heritage Foundation.
Reichs blog is entitled, The Democrats Version of Health Insurance Would Have Been Cheaper, Simpler, and More Popular
Background On The Health Care Repeal Lawsuit
From the beginning, the Trump administration and allied leaders in Congress and state governments have been committed to dismantling the ACA and the consumer protections it confers by any means possible. The Trump administration has repeatedly key provisions of the landmark law by executive actions and other more covert tactics, including removing essential consumer information from federal websites and defunding outreach and enrollment programs intended to expand coverage. After several failed attempts by President Donald Trumps legislative allies to repeal and replace the ACA, Congress passed a tax bill in late 2017 that zeroed out the individual mandate penalty.
After the tax bill became law, Texas and other states filed a federal lawsuit, claiming that because the mandate had no financial penalty, it made the rest of the law unconstitutional. U.S. District Court Judge Reed OConnor accepted this reasoning and held that the entire law must be struck down in what one legal expert called a partisan, activist ruling. On appeal, a 5th U.S. Circuit Court of Appeals panel also in December that, following the tax bills change to the law, the individual mandate is unconstitutional. The panel then remanded the case back to Judge OConnor to determine which parts of the ACA, if any, can remain given their decision. Since that ruling, the Supreme Court has to hear the case during its upcoming term, and, for now, the ACA remains the law of the land.
Obamacare: Has Trump Managed To Kill Off Affordable Care Act
The Trump administration has ramped up its attack on the Affordable Care Act by backing a federal judge’s decision to declare the entire law unconstitutional.
For now, Obamacare is still standing. Around 4.1 million Americans have signed up for new plans so far this year, according to government reports, down 12% from last year.
At a rally this week, Mr Trump again promised his supporters: “We are going to get rid of Obamacare.” But how much has he delivered on that pledge so far?
Efforts To Repeal The Affordable Care Act
This article needs to be . The reason given is: Missing the May 2018 efforts. Please help update this article to reflect recent events or newly available information.
The following is a list of efforts to repeal the Affordable Care Act , which had been enactedby the 111th United States Congress on March 23, 2010.
This Is Also Why Republicans Might Drop Repeal
While mania for tax cuts is an important driver of the GOP push to repeal the Affordable Care Act, it might also ultimately be what leads them to abandon it. The healthcare debate has already taken more time than either Congress or the White House wanted and the bill hasnt even gotten to the Senate yet.
Meanwhile, many Republicans are itching to move on to their next priority: tax reform.
Republicans have a bunch of different tax plans floating around, but they all feature enormous tax cuts for wealthy households. Democrats will object, but they wont be able to stop the GOP from enacting a big tax cut. The only issue will be how large of an increase in the budget deficit do Republicans consider economically viable. Once thats decided, however, the tight linkage between the ACA and tax policy will be broken, since the entire rate structure will have already been rewritten in a way that makes the ACAs specific financing mechanism irrelevant.
No matter how the budget crunch gets resolved,however, the tax issue is the $500 billion elephant in the room. Its a key reason GOP leaders want repeal, a key reason theyve had trouble coming up with a popular replacement, and potentially a key reason theyll ultimately decide to move on to other matters. Talking about health care politics without talking about the revenue side misses an enormous part of the story.
Republican Views On Obamacare
The Republican Partys view on the Patient Protection and Affordable Care Actcommonly known as Obamacareis that its implementation was less about providing healthcare to millions, and more a result of power as the government sought to expand its reach over one sixth of the economy. The party claims that Obamacare has resulted in an attack on the Constitution of the United States because it requires U.S. citizens to purchase health insurance, and its impact on the health of the nation overall has been detrimental. The party is in agreement with the four Supreme Court justices who dissented in the ACA ruling. The justices stated, In our view, the entire Act before us is invalid in its entirety. As of 2012, the partys stance was that Obamacare was the result of outdated liberalism, and the latest in a series of attempts to impose upon the people of America a euro-style bureaucracy to micromanage all aspects of their lives. One of the partys biggest issues with Obamacare is its unpopularity among the peoplewhen polled on the subject, pluralities and even majorities often state they do not like the law.
Older Americans Could Have To Pay More
Enrollees in their 50s and early 60s benefited from Obamacare because insurers could only charge them three times more than younger policyholders. The bill would widen that band to five-to-one.
That would mean that adults ages 60 to 64 would see their annual premiums soar 22% to nearly $18,000, according to the Milliman study for the AARP. Those in their 50s would be hit with a 13% increase and pay an annual premium of $12,800.
Also, the GOP bill doesn’t provide them with as generous tax credits as Obamacare. A 60-year-old making $40,000 would get only $4,000 from the Republican plan, instead of an average subsidy of $6,750 from the Affordable Care Act, according the Kaiser study.
States could also receive waivers to allow insurers to charge older Americans even more than five times the premiums of the young.
Whats Dividing Republicans And Democrats On Healthcare Reform
Since the Affordable Care Act became law in 2010, Republicans have been determined to destroy it while Democrats insist its the countrys best chance at reforming healthcare to make it affordable and accessible. Both parties want reform, but the approach has been fundamentally different and for good reason. There are basic, core reasons why conservatives and liberals cant get on the same page when it comes to healthcare reform. Lets take a moment to dig into the details and figure out what is exactly keeping Republicans and Democrats from being able to find a middle ground on healthcare reform, so far.
Democrats want the federal government to legislate and administer healthcare while Republicans want private industry to helm the healthcare system with as minimal input from the federal government as possible.
Of course, there are always exceptions within each party because people arent one-dimensional. Moderates on both sides, for instance, would seek compromise wherever possible. But in general, these core ideological differences make healthcare reform particularly challenging, especially when one party holds more power. In 2010, Democrats passed the ACA without a single rightwing vote.
Repeal Of Obamacares Taxes Would Be A Huge Tax Cut For The Rich
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This did not play a major overt public role in the 2009-10 debate about the law, but the Affordable Care Acts financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPCs Howard Gleckman, are a 0.9 percent payroll surtax on earnings and a 3.8 percent tax on net investment income for individuals with incomes exceeding $200,000 . That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
Tax Policy Center
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year full repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
Under the actual AHCA, Jared Kushner would actually pay even less in taxes. As a young person, Kushner would get a larger tax to buy insurance under the AHCA than he does now.
New Threats & Potential Affordable Care Act Changes For 2019
To date, the ACA has been challenged in front of the Supreme Court twice. Judges upheld the constitutionality of the ACA both times. But now, a new effort to strike down the act is making its way through our legal system. Two Republican Governors and 18 Republican state attorneys general, led by Texas, initiated the lawsuit.
The lawsuit, Texas v. Azar, alleges the individual mandate of the Affordable Care Act is unconstitutional now that TCJA set the penalty tax to $0. In December 2018, a Texas district court judge agreed with the plaintiffs. The judge also concluded that the intent of lawmakers was that the individual mandate was essential to the ACA, and as such couldnt be severed from the larger text. Therefore, the entire ACA was unconstitutional and repealing it was appropriate.
But the ruling hasnt gone into effect yet. The judge is allowing the status quo to remain until all the appeals have been heard. In efforts to combat the ruling, and since the current administration is refusing to defend the law in court, 21 Democratic state attorneys general and the U.S. House of Representatives filed an appeal to challenge the ruling. In July, the Fifth Circuit Court of Appeals in New Orleans heard arguments in favor of overturning the original ruling. The court hasnt yet reached a decision, and most believe this lawsuit will eventually make its way to the Supreme Court.
Republicans Are Still Trying To Repeal Obamacare Heres Why They Are Not Likely To Succeed
Conservatives are still trying to repeal the Affordable Care Act even after the Republican-majority Congress failed to overturn the law in 2017. A coalition of conservative groups intends to release a new plan this summer. The groups will reportedly propose ending the laws expansion of Medicaid and convert Medicaid funding into block grants to the states. And just last week the Trump administrations Justice Department argued in a legal filing that key provisions of the law its protections for persons with preexisting conditions are .
Why are Republicans still trying to undo the ACA? We argue in a forthcoming that the laws political vulnerabilities and Republican electoral dynamics drive conservative efforts to uproot it.
In the past, conservatives have thrown in the towel
As politicians and political scientists both know, the can never be taken for granted. Even so, the duration and intensity of conservative resistance to the ACA is historically unusual. The ACA is a moderate law, modeled on that Republicans once supported, such as insurance purchasing pools. Whats more, many red states refuse to accept the ACAs funding to expand Medicaid to more of their citizens such as , which has a large number of uninsured residents even though you would think they would want those federal benefits.
So why is the ACA still politically vulnerable?
The answer lies partly in the way the program was designed.
Is repeal likely?
The Health Care Repeal Lawsuit Could Strip Coverage From 23 Million Americans
Nicole RapfogelEmily Gee
Tomorrow, the Trump administration and 18 Republican governors and attorneys general will file their opening briefs with the Supreme Court in California v. Texasthe health care repeal lawsuit. The lawsuit, criticized across the political spectrum as a badly flawed case, threatens to upend the Affordable Care Act and strip 23.3 million Americans of their health coverage, according to new CAP analysisabout 3 million more than was forecast before the coronavirus pandemic. The anti-ACA agitators who initiated the health care repeal lawsuit, backed by the Trump administration, continue their attempts to dismantle the ACA, including its coverage expansions and consumer protections, amid the pandemic, during which comprehensive health coverage has never been more important. Millions of Americans who have lost their jobs and job-based insurance due to the current economic crisis are relying on the insurance options made possible by the ACA to keep themselves and their families covered.
source https://www.patriotsnet.com/why-do-republicans-want-to-repeal-the-affordable-care-act/
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The six government reforms we need in 2021
New Post has been published on http://khalilhumam.com/the-six-government-reforms-we-need-in-2021/
The six government reforms we need in 2021
By Paul C. Light If Joe Biden is elected president and the federal government is to meet rising public concerns for faithful execution, he must make reform part of his agenda. It is one thing for him to promise a twenty-first-century government that is open and competent, as so many candidates have over the years. It is quite another to offer specifics on the size and cause of problems and provide a clear list of possible solutions that might help the government deliver on presidential promises. Consider five commitments toward that goal. And while these ideas are more likely to be implemented under a Biden administration—given President Trump’s disinterest in such approaches during his first four years—the same ideas would be useful if the president were reelected and opted to shift dramatically in his approach to a government reform agenda. 1. Expand the make-government-work-for-the-people plan to include government performance Biden’s campaign and lobbying reforms are unlikely to affect day-to-day government performance unless he commits to deep bureaucratic repairs. Americans agree that campaign spending is too high and special interests too strong, but the way to make government work for the people is to give it the resources and authority to do the job well. Biden should also promise to eliminate the backlog of high-risk problems that continue to undermine federal performance, while reinforcing and extending the Obama administration’s commitment to evidence-based policymaking. 2. Reinforce the ethics system to protect against deceit Dismantlers and rebuilders are more likely than other Americans to believe that special interests run the country, and they blame both parties for the horror stories about members of Congress and presidential aides who engage in misconduct. They know the legislative process is broken and want it fixed. Call it worse than it looks, worse than you think, or even the worst of the worst, the two groups want an end to insider dealing and the gridlock it produces. They also want effective federal oversight offices, starting with the Office of Government Ethics and Offices of Inspector General. 3. Reinvent government, again by streamlining the organization chart The Biden campaign can find a perfect outline of how to reinvent government again at the University of West Texas “cyber-cemetery.” That is where Gore’s reinventing government papers are archived. Although Gore’s reinventors made significant progress in their first few years, the campaign slowed down with Clinton’s fall from grace. Gore’s long-running reform campaign was widely caricatured at the time as a paradise for bureaucratic wonks and dreamers, but it generated an impressive list of impacts. “We cut government the right way by eliminating what wasn’t needed,” says Gore’s top reinventing aide, Elaine Kamarck, of the bloated hierarchies, duplication, obsolete field offices, needless regulations, and antiquated systems that grew the kudzu strangling federal innovation and productivity. Kamarck endorsed another round of reinventing early in Trump’s first term: “It is time to review the government again and ask the hard questions about what it’s doing and what it should be doing. And it is time to focus on obsolete functions and getting rid of them.” She is right. 4. Squash the Plum Book Most presidential appointees are fully committed to faithfully executing the laws, but their growing numbers create opportunities for misconduct and inefficiency. Biden would do well to swear off the traditional addiction to political plums by promising to eliminate half of the “at-will” positions currently listed in the leadership directories (commonly referred to as the Plum Book). Doing so would draw a sharp contrast with the Trump administration’s use of every available slot to enforce party discipline deep into the federal hierarchy. Along the way, Biden should demand a head-to-head inventory of the workforce—how else to manage it?[1] Congress and the president could call on the U.S. Office of Personnel Management for detailed information on every employee in the government, including hiring dates, promotions, job switches, and performance evaluation; however, that would only be part of the battle. They would still have no idea about the employees who show up to work under contracts and grants. 5. Rebuild the public service The past two years have been especially punishing for the federal public service, and not just because of the shutdown in the winter of 2018–19. As former Federal Reserve Board Chairman and founder of the Volcker Alliance, Paul A. Volcker and I argued soon after that shutdown ended, the federal workforce needs immediate action as its workforce ages and the competition for talent increases: Congress and the president must repair the federal government’s outdated personnel system. It has been forty years since Congress and President Carter inked the last major civil service reform, and the ossification is taking its toll on productivity and retention.
Congress and the president must reassure young Americans that the federal government is a good place to work. The millennials and Gen Zs are not saying “show me the money” but rather, “show me the impact.”
Democrats and Republicans must work to restore “regular order” in the federal budgeting process. There will always be an element of brinksmanship and uncertainty associated with the appropriations process, but the use of shutdown budgeting must end.
Biden must honor the federal government’s pledge to fund the Public Service Loan Forgiveness Program by addressing continued mismanagement at the Department of Education.
Congress and the president must make implementation a bigger issue in the policy process. As long as our leaders work to design and enact “high policy” such as the Affordable Care Act and immigration reform, they devote negligible attention to the nut and bolts of action.[2]
Volcker dedicated his life to calling the nation’s best and brightest to public service. It is the perfect time for Biden to start drafting a law built around Paul A. Volcker’s long commitment to public service reform. Naming a statute for the chairman of two historic national commissions on public service would not just honor promises to make government work for the people, it would encourage Americans to give the federal government the chance to regain their trust. 6. Try Common Sense If vision without execution is hallucination, as Mr. Volcker often said, execution without vision is bureaucratic sloth. As public administration scholar Philip K. Howard contends, effective government flourishes with policies based on the human capacity to make appropriate decisions for the public good. Instead of relying on “bureaucratic verbiage,” Howard urges the federal government to embrace a “new operating philosophy built on the bedrock of individual responsibility and accountability.”[3]
Acknowledgments: I am grateful to my research team and many colleagues for their help in collecting, analyzing, and interpreting the data presented in this report. Of special note are my colleagues at New York University, especially my lead research scientist in the effort, Jie Ding, the survey team at SSRS, Nick Taborek at Nation Analytics, John Hudak, Christine Stenglein and my many colleagues at the Brookings Institution Center for Effective Public Management, and the Volcker Alliance team that shepherded so much of my past work on the topics presented here. [1] The need for careful accounting was highlighted by then Rep. Chris Van Hollen (D-MD) in late 2014 in a tense House Budget Committee meeting as the committee began debating a cut in the number of federal employees. Pushed forward by the Association of Federal Government Employees (AFGE), Van Hollen asked the Congressional Budget Office enlighten the debate by providing a side-by-side analysis of budget savings from reductions in the number of federal and contractors: “I ask that when future reports include options to reduce the number of federal employees that they also consider options to achieve savings in the contracted workforce. This would allow Congress to consider tradeoffs between all aspects of government operations.” CBO refused the request, noting that it was unaware of any comprehensive database that contained the information, which was why Van Hollen asked the agency to build it. This exchange was summarized in an AFGE newsletter on December 11, 2014. It is useful to note that the methodologies used to generate estimates of contract and grant employment for this report had already been tested in a 2006 report from my Organizational Performance Initiative. See Paul C. Light, “The New True Size of Government,” The Organizational Performance Initiative, New York University, Robert F. Wagner School of Public Service, August 2006. [2] Americans showed strong support for the public service during the historical government shutdown in late 2018, but have long viewed government as a good place to work and often cited as positives the pay, job security, chance to make a difference, and helping people in need. Moreover, when asked whether they would like to see their child pursue a career in government, roughly half of Americans endorse the choice. Not surprisingly, dismantlers have been the most likely to answer “no” to that question over the years, while streamliners, rebuilders, and expanders have been more favorable. In 2016, for example, 66 percent of dismantlers said “no,” while 45 percent of streamliners, 52 percent of rebuilders, and 65 percent of expanders said “yes.” For the recent trend line on this question, see the Pew Research Center’s 2015 survey, Beyond Distrust, page 42. According to Pew, support for a career in government rose from 43 percent in 1997 to 56 percent in 2010 before dropping to 48 percent in 2015. My 2016 survey showed a further drop to 44 percent, a move that was likely a response to polarization surrounding the 2016 campaign. [3] Philip K. Howard, Try Common Sense: Replacing the Failed Ideologies of Right and Left, (New York: W.W. Norton, 2019), 161.
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Odds & Ends (in no particular order):
I happen to know there is nothing wrong with the ballots. Trump.
There is a better than even chance that Trump will declare the election results invalid, if he loses, and attempt to remain in power. His supporters will be chanting. ----------------
Yes...
it looks like Trump intends to stay no matter what. Republicans ought to have a problem with that.
It feels like this country is on the edge of something...not good. And I thought it was bad when the economy crashed in '08. If we could trade one for the other...
The problem has much to do with a president who, on the one hand, isn't remarkably competent or effective, but on the other hand has an unsavory view of America and his role in the country.
He isn't very effective, but he knows how to fix that. What bothers me more than Trump himself is the 35% of Americans who believe he is perfectly okay. And he believes himself to be perfectly okay. He's not okay. ---------------------
This is the worst episode in America I have seen in my lifetime. The turbulent 60s were nothing compared to the Trump disaster and all its associated symptoms.
Our democracy, and the American way of life, are threatened. It doesn't get any worse, really. I was born in 1959. --------------------
It is a peculiar thing: Trump is a pathological liar, but you can depend on the terrible, awful nightmarish threats he issues.
Declaring the ballots invalid amounts to an enormous falsehood, but I believe he would try it if he thought it would work. --------------------
In the mind of Trump, the word 'win' is quite a different thing than you might think. His mind does not operate normally.
He has narcissistic personality disorder, a clinical condition confirmed by his niece, who has a doctorate in clinical psychology. One aspect of the disorder is what you might call an absence of the concept of 'truth', or 'factual information'.
Information exists only in relation to what it might do for, or against, the narcissist. ---------------
The coronavirus has actually been politicised here in America. But a virus is not affected by politics. The virus does not care. --------------------
I've heard this thing about 'owning the libs', or 'earning liberal tears'. I'm more of a centrist than anything else, but I admit to having liberal tendencies.
But I bite back. A journalist covering politics has to be a mean bastard, otherwise you get no respect. Let's consider rapprochement.
But here's the odd thing: I have much more interest in various subjects other than politics. I just happened to get onboard early during the Trump disaster. -------------------------
If Trump refuses to leave a military escort is not out of the question. And there is nothing wrong with the ballots: You count them. That's it.
By global standards, American elections are a model of efficiency and propriety.
Let's not mess up our elections with nitpicking, pointless legal loopholes and regulations, and excessive, vacuous arguing.
A military escort, along with shackles and handcuffs for good measure. ---------------------
Elections in Russia are a joke. Putin won re-election by over 98%. Yeah right. And he has amended the Russian constitution, a quite elastic document, to make himself president for life. Poor Trump. He wants to be president for life. Phooey. ----------------------
But is he really gaslighting anyone? No one believes anything he says. He will lie and cheat in an attempt to remain in office--even if he loses. It's more like a brutal and brazen power grab.
--------------------
I view my own role as a journalist...
as something of an enforcer: Trump has to be called out when he gets out of line. I'm entirely independent and unregulated, a 'citizen volunteer' you might say. I don't have to fit into an organisation or hierarchy, or please an editor or producer.
I can state my case exactly as I see it, and be as harsh and critical as necessary. -----------------------
We must rebuild democracy in America. -----------------
I have to say I see an unusual voter turnout on the way: A great many of us Americans are furious and animated. And Trump supporters are feeling some discomfort. ----------------
Masha Gessen raised more than a few salient points. What sticks in my mind is resisting any acceptance of Trumpism as having become *normal*, that is to say, acceptable.
Trumpism is highly abnormal, authoritarian and un-American.
And 35-40% of Americans seem to believe Trumpism is perfectly alright! How did that get started? Where does it come from?
I suppose you have to say that authoritarianism is always closer than you might think.
'When fascism comes to America it will be wrapped in the flag and carrying a cross.' --Sinclair Lewis
The reference to religion will offend some people, but remember: We have a contingent of evangelicals who really are not about religious freedom. Their mission is to impose their beliefs on everyone. -----------------------
Handcuffs and shackles...
and a stiff dose of thorazine. You think I'm joking. I'm not. Trump simply can't be allowed to remain in office illegally.
If he must be physically removed, so be it.
His supporters will not believe the lies he puts across in his own defense; they will only participate in those lies. No one believes anything he says.
Trump has an extremely malignant and dysfunctional personality, and the problem must be approached in that way: If he refuses to physically vacate after losing the election it will be the behaviour of a literally sick man.
He will not be allowed to have a functional staff. All of his presidential functions will be cut off, and he will be isolated. Joe Biden will begin to carry out the functions of the president off-site, until Trump begins to face reality.
Or he might simply be physically removed. In any case, the idea that he will continue to function as president by personal defiance will not square with reality.
All of my writing goes to the White House: Read it. Trump. -------------------------
The margin of victory Joe Biden achieves absolutely does not matter. The larger the jollier, but a victory is a victory, and that's it: Reality doesn't seem to be very popular these days.
Everybody seems to have Trump derangement syndrome. And I thought mental illness isn't contagious.
Trump himself actually is seriously mentally ill. His mind is not right, and it never has been right. A man who believes he can just hang around and continue to function in the office of the presidency has some problems.
Wake up, Trump, or suffer tremendous humiliation. --------------------
Well, so far...
the Affordable Care Act has not been repealed, and there is no replacement on the way. Anyone who opposes affordable care must be wealthy. I expect the president, however, to be replaced. Joe Biden will be tasked with cleaning up the mess.
Lucky for all of us Americans, Trump's general ignorance renders him somewhat ineffective. He doesn't understand how government functions, and he has never before occupied an elected office of any kind.
Despite the lip service, I suspect a great many Trump supporters have buyer's remorse, which might be reflected at the polls. He hasn't acted on their concerns--he doesn't even have a clear idea what those concerns might be.
The one thing he has demonstrated is a harsh set of immigration policies. Some of those policies are illegal both under domestic and international law.
What a mess. What a totally messed up mess.
When we finally get rid of Trump, and that day will come, I'll be taking some much needed rest. And a change of vocation.
It is true that we must take his bent towards authoritarianism seriously, and it is being taken seriously. By me, at least.
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How Can I Stop My Cat Peeing In The House Fabulous Useful Tips
The cancers of the neck; the mixture into small balls.Once you take the place again and try to mount it.This compound doesn't work for you to pet the best.Do you have a place where you don't see any more moisture.
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Cat Keeps Peeing In Same Spot
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Cat Urine Problems
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Why Do Republicans Really Want To Repeal Obamacare
New Post has been published on https://www.patriotsnet.com/why-do-republicans-really-want-to-repeal-obamacare/
Why Do Republicans Really Want To Repeal Obamacare
Passage Of House Bill Revives Effort To Supplant Obamacare
Why Don’t Republicans Want to Repeal Obamacare Anymore?! | Rand Paul
Just six weeks after House Republicans pulled a bill to substantially overhaul the the nation’s health care system, they successfully — if narrowly — passed a revised version of the measure.
On May 4, 2017, the House passed a the bill by a 217-213 margin.
Republican leaders adjusted the bill following negotiations with both the conservative and moderate wings of the party.
The revised bill would do several things.
It would end subsidies provided to people who buy health insurance on the Affordable Care Act’s online marketplaces, replacing them instead with tax credits. It would repeal several taxes imposed under the ACA that primarily hit high-income taxpayers. It would allow states to obtain waivers to some requirements of the Affordable Care Act, including the “essential health benefits” provision that requires maternity care or mental health services. And it would curb further expansion of Medicaid that had been allowed under the Affordable Care Act, as well as eventually capping Medicaid expenditures in ways that would effectively end its status as an entitlement.
According to the Congressional Budget Office, the original version of the bill would have increased the number of uninsured people by 24 million by 2026. The changes made before passage might change that number, but the specific impact awaits a new score by CBO, which is expected in the coming days.
Why Is The Affordable Care Act So Despised By So Many Conservatives
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IT HAS been called the most dangerous piece of legislation ever passed, as destructive to personal and individual liberties as the Fugitive Slave Act and a killer of women, children and old people. According to Republican lawmakers, the sources of each of these quotes, the Affordable Care Act , or Obamacare, is a terrible thing. Since it was passed by a Democratic Congress in 2009, it has been the bête noire of the Republicans. The party has pushed more than 60 unsuccessful Congressional votes to defeat it, while the Supreme Court has been forced to debate it four times in the acts short history. Obamacare was also at the heart of the two-week government shutdown in 2013. Why does the ACA attract such opprobrium from the right?
Why Do Conservatives Oppose The Law
Republicans say it imposes too many costs and regulations on business, with many describing it as a “job killer”. However, since the implementation of Obamacare jobs in the healthcare sector, at least, rose by 9% and a found that around 2.6 million jobs could be lost by 2019 if it is repealed.
Conservatives have also baulked at Obamacare’s rule requiring most companies to cover birth control for free.
The Trump administration tried to put in place new guidelines for organisations to opt out on moral grounds last year, but two federal judges blocked the move.
During the Obama presidency, the Republican-controlled House of Representatives took dozens of symbolic votes to repeal the law and provoked a partial government shutdown over the issue.
After repeated legal challenges, in 2012 the US Supreme Court declared Obamacare constitutional.
Despite having a majority on Capitol Hill under President Trump, a Republican repeal bid failed in dramatic fashion in 2018.
Democratic leaders have acknowledged Obamacare is not perfect, and have challenged Republicans to work with them to fix its flaws.
Trumps Executive Action Could Erode Marketplace Built Under Obamacare
Attempts to repeal portions of the Affordable Care Act have failed in the past several months, leading President Donald Trump to issue an executive order expanding access to cheaper, less comprehensive health care plans.
The order, signed on Oct. 12, instructs federal agencies to remove certain limitations on “association health plans” and expand the availability of short-term health plans, both of which can skirt certain minimum coverage requirements included in the Affordable Care Act and state laws.
These changes will not immediately take effect; federal agencies will have to figure out how to act on Trump’s directions.
The executive action orders agencies to explore ways in which the government can expand access to short-term health plans, which are available to individuals on a three-month basis and meant for people who are in-between health care coverage plans. Under the instructions, association health plans would be allowed to sell plans across state lines; those plans allow small businesses to band together to create cheaper health care plans that offer fewer benefits.
The order was intended to create more options for individuals seeking health insurance and help stimulate competition among insurers. Some health policy advocates worry that it could disrupt the insurance marketplace in a way that would drive up health care costs for elderly individuals and people with medical conditions.
It will be months before changes are seen in the marketplace.
This Is Why Republicans Couldnt Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways, disappointing. Unsubsidized premiums are higher than people would like. Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that the American Health Care Act actually fixes. While Republicans have made several changes to the AHCA to cobble together a majority of House votes, the core of the bill remains the same: it offers stingier insurance to a narrower group of people.
This is because the AHCA does what Republicans want: it rolls back the ACA taxes. But under those circumstances, its simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
The bill the House is voting on Thursday doesnt get rid of the ACAs tax credits to make it easier to buy health coverage, but it bases them on age, with younger people getting bigger credits, rather than income which means poorer Americans. especially elderly ones, will have a bigger tax burden and more difficulty affording the insurance they need.
Do Republicans Really Want To Repeal Obamacare Maybe Not
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WASHINGTON, DC – JANUARY 07: Speaker of the House Paul Ryan shares a laugh with… Republican members of Congress after signing legislation to repeal the Affordable Care Act, also known as Obamacare, and to cut off federal funding of Planned Parenthood during an enrollment ceremony in the Rayburn Room at the U.S. Capitol January 7, 2016 in Washington, DC. President Barack Obama has promised to veto the bill.
Here is something that may surprise you. Did you know that in the 6 ½ years since the passage of Obamacare, Republicans have not held a single hearing on the problems the law has created for ordinary people? No hearing in the House of Representatives. None in the Senate. None anywhere else. Zip. Zero. Nada.
There certainly has been no shortage of problems. It seems like every other week the New York Times brings us a new investigative report complete with gory details and eyewitness reports of victim after victim of President Obamas signature legislative accomplishment. But if you look over the subject matter for the committee hearings in Congress for the past several years, you would never know an Obamacare problem even exists.
Why is that? There have been no shortage of votes to repeal Obamacare. At last count the House has voted to repeal some or all of the hated legislation 60 times!
So lets return to the titular question.
Would House Republicans really vote to take health insurance away from 20 million people?
Eliminating Health Care Penalties
The Affordable care Act, required most Americans to be enrolled in Health Insurance since it was made affordable, otherwise a penalty would be induced. Effective 2017, congress attempted to eliminate financial penalties that were related to complying with the mandated law that every individual needs to be enrolled in Health insurance, this law however did not become effective until 2019. This policy is still valid, the penalty for having no health insurance was reduced to 0$. Individual mandates effects the decisions made by individuals regarding healthcare in that some people will not enroll since health insurance plans are no longer mandatory.
On March of 2020, the nation has undergone a global pandemic, however, several Republican-led states and the Justice Department are making the case for invalidating the ACA. This will cause at least 60 million people to not be able to afford being hospitalized, or treated which increased the number of COVID-19 cases nationwide.
This Is Why Republicans Cant Make A Better Replacement
Republicans have made a lot of political hay out of pointing out that the plans available under the Affordable Care Act are, in many ways,disappointing. Unsubsidized premiums are higher than people would like.Deductibles and copayments are higher than people would like. The networks of available doctors are narrower than people would like.
These problems are all very real, and they all could be fixed.
They are not, however, problems that any of the GOP replacement plans fix. Instead, while Republican alternatives vary in many important ways, they all fundamentally offer stingier insurance to a narrower group of people.
This is because the Republican plans all envision rolling back these ACA taxes. But under those circumstances, it’s simply not possible for the GOP to offer people the superior insurance coverage that it is promising.
Phil Klein, a top conservative health policy journalist, has urged Republicans to solve their overpromising problem by “stating a simple truth, which goes something like this: ‘We don’t believe that it is the job of the federal government to guarantee that everybody has health insurance.'”
Gop Wants To Repeal Obamacare Without A Backup Plan But Some Republicans Say That’s A Bad Idea
The Real Reason Republicans Want to Pull the Plug on Obamacare | Robert Reich
U.S.CoronavirusHealth CareObamacareCongress
A Republican-led lawsuit is leaving the fate of the Affordable Care Act hanging in the balance of the courts amid a pandemic that’s ravaged the globe and exacerbated the need for health care.
Yet GOP lawmakers on Capitol Hill concede they do not have safety net legislation ready to catch the millions of Americans who would find themselves suddenly without health insurance during a potential second coronavirus wave.
Some Republicans, however, believe that needs to change.
“We need to have a plan in place to make sure that people don’t lose coverage,” said Senator Mitt Romney .
Pre-existing conditions are the “most important thing” to cover, said Senator Martha McSally. But, the Arizona Republican added, “there are many other contingencies that we need to be looking into,” referring to a wide array of issues that could arise without the law.
Republicans have tried unsuccessfully over the years to repeal and replace Obamacare with health provisions of their own. But more than three years into President Donald Trump’s first term, they acknowledge there is neither a discussion nor a plan available to simply replace the expansive health care law that is Obamacare, should it be struck down.
Senator Rick Scott , a former hospital CEO, said he’s “come up with lots of proposals. But there’s no proposal here,” he added.
Does President Trump Really Want To Repeal The Aca
Feb 25, 2020
When he introduced the 2020federal budget President Trump re-emphasized his intention to repeal theAffordable Care Act, known more popularly to most of us as Obamacare.
Perhaps that is the issue! Trumpand Obamacare!
The Affordable Care Act is irrevocably associated with the Democratic Party and ex-President Obama in particular. Most citizens benefit from it one way or another.
Since the swing to theDemocratic Party at the Mid-Term elections in 2018 President Trump has beenremarkably quiet on his plans for replacing Obamacare if he is granted a secondterm by the American public. Indeed, hehas made it clear that there will be no new legislation until at least 2021.
In the meantime, he will bewatching the polls and judging the voters intentions as the Democratcandidates put their healthcare policies on display.
Nobody claims the AffordableCare Act is perfect. All agree it can beimproved. At the 2018 mid-term electionsmore than half the voters claimed that healthcare was the major factor in theirvoting decision. That is why it stays atthe top of the political agenda. After all, our spending on healthcare accountsfor nearly 20% of the way in which we spend the countrys income .
This may be true but there arelimits to savings from increased efficiency and inflation is inevitable. The outcome is, necessarily, reduction inbenefits or in enrollment.
There are signs that Trump mightbe prepared to keep the subsidies and allow income-related tax relief.
Gridlock In House Stalls Trump’s Pledge To Repeal Obamacare
As a candidate for president, Donald Trump said that “real change begins with immediately repealing and replacing the disaster known as Obamacare.”
On March 24, the nation learned that it’s not happening immediately. And the road forward isn’t clear either.
Capping a frenzied week of negotiations between three House Republican factions — the party leadership, the hardline conservative House Freedom Caucus, and members of the more moderate, pragmatic wing of the party — House Speaker Paul Ryan, R-Wis., announced that he would not bring the American Health Care Act to the floor for a vote, as he had planned.
That March 24 announcement came one day after the floor vote had been pushed back to allow for last-minute changes and arm-twisting, and half a day after Trump had issued an ultimatum to House Republicans — pass the bill or he’ll move on.
In the run-up to Ryan’s announcement, vote counting by media outlets had concluded that the House GOP would lose too many votes to pass the bill if it tried.
“We came really close today, but we came up short,” Ryan said at a press conference. “I will not sugarcoat this. This was a disappointing day for us.”
For members on the party’s right flank, the American Health Care Act left in place too much of the infrastructure of the Affordable Care Act, President Barack Obama’s signature health care law and the target of intense Republican opposition for seven years.
The Real Reason Republicans Couldnt Kill Obamacare
Democrats did the work, Republicans didntand that says a lot about the two parties.
Adapted from The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage, St. Martins Press 2021.
The Affordable Care Act, the health-care law also known as Obamacare, turns 11 years old this week. Somehow, the program has not merely survived the GOPs decade-long assault. Its actually getting stronger, thanks to some major upgrades tucked in the COVID-19 relief package that President Joe Biden signed into law earlier this month.
The new provisions should enable millions of Americans to get insurance or save money on coverage they already purchase, bolstering the health-care law in precisely the way its architects had always hoped to do. And although the measures are temporary, Biden and his Democratic Party allies have pledged to pass more legislation making the changes permanent.
The expansion measures are a remarkable achievement, all the more so because Obamacares very survival seemed so improbable just a few years ago, when Donald Trump won the presidency. Wiping the law off the books had become the Republicans defining cause, and Trump had pledged to make repeal his first priority. As the reality of his victory set in, almost everybody outside the Obama White House thought the effort would succeed, and almost everybody inside did too.
That was no small thing, as Republicans were about to discover.
Baby Boomers And The Aging Population
Robert Reich failed to mention the aging population. 76M boomers were born after WW-II, between 1946 and 1964, and America wasnt prepared for that growth. Neither were other nations. There werent enough hospitals, pediatricians, schoolteachers, textbooks, playgrounds, or even bedrooms in our homes. Now, as 11,000 more baby boomers turn age 65 every day, retire, and go on Social Security and Medicare, the ability to pay for public assistance becomes more difficult. By 2029, more than 20% of the US population will be over 65 . That 1-in-5 number is up from 1-in-7 today; and by 2035, 1-in-3 US households will be headed by someone 65 or over.
Thats because people are living longer . But were also less active and have higher rates of chronic disease and disability. Almost 39% of boomers are obese, compared to about 29% in the previous generation, and 40% of them are low-income , meaning theyll need more public assistance.
The age 85+ population needing the most medical care will grow the fastest over the next few decades, equaling 4% of population by 2050, or 10 times its 1950 share 1.9M Americans are already 90+, an in 2010, people 90+ had a median income of just $14,760, about half of it from Social Security. This is a worldwide phenomenon thanks largely to longer average longevity. The United Nations says that by 2050, the older generation will be larger than the under-15 population.
Why Republicans Wouldn’t Actually Repeal Obamacare
It would be a political disaster, but it hasn’t yet stopped them from trying.
Last week, in a bold example of their governing prowess, congressional Republicans took their 62nd vote to repeal the Affordable Care Act, and this time they actually passed it through both houses and sent it to President Obama to be vetoed. Naturally, they were exultant at their triumph. Speaker Paul Ryan admitted that there is as yet no replacement for the ACA, but they’ll be getting around to putting one together before you know it. The fact that they’ve been promising that replacement for more than five years now might make you a bit skeptical.
What we know for sure is this: If a Republican wins the White House this November, he’ll make repeal of the ACA one of his first priorities, whether there’s a replacement ready or not. To listen to them talk, the only division between the candidates is whether they’ll do it on their first day in the Oval Office, in their first hour, or in the limo on the way back from the inauguration.
But I’ve got news for you: They aren’t going to do it, at least not in the way they’re promising. Because it would be an absolute catastrophe.
Now imagine that ten million people, the number signed up for private coverage through the exchanges, all had their coverage simultaneously thrown into doubt. Think that might cause some bad press for the party and the president who did it?
Everything You Need To Know About Why Conservatives Want To Repeal The Presidents Health Care Law
Photo by Larry Downing/Reuters
Though the Affordable Care Act passed into law in 2010, conservatives continue to fight it at every opportunity: in the courts, in state legislatures, and in Congress. Its a safe bet that as the race for the 2016 GOP presidential nomination kicks off, a cavalcade of Republican hopefuls will torment innocent Iowans with tales of how theyve fought Obamacare in the past and why theyre the ones who can finally drive a stake through its heart. But if you dont read the conservative press, you might have no idea why those of us on the right side of the political spectrum are so worked up about Obamacare. To promote cross-ideological understanding, Ive prepared this little FAQ.
Why do conservatives oppose Obamacare?Not all conservatives are alike, and there are at least some, like Avik Roy of the Manhattan Institute, who believe Obamacare should be reformed and not repealed. But as a general rule, conservatives oppose the law and would like to see it repealed for several reasons.
First, some conservatives oppose it for the same reason that liberals favor it: Through the Medicaid expansion and the exchanges, it subsidizes insurance coverage for people of modest means by raising taxes on people of less-modest means and by curbing the growth in Medicare spending. Conservatives tend not to be enthusiastic about redistribution, and theyre particularly skeptical about redistribution that isnt transparent.
Why Republicans Cant And Wont Repeal Obamacare
Editor’s Note:
This article was originally posted on Real Clear Health on January 16, 2017.
Now that the Republicans control both the presidency and both houses of Congress, they must put up or shut up on their promise to repeal and replace Obamacare. Here is a flat-footed prediction: the effort will fail for three reasons. First, the Affordable Care Act has largely succeeded not failed, as president-elect Trump and other Republicans falsely allege. Second, it is impossible for the stated goals of repeal to be achieved. Finally, the political fallout from the consequences of partial or total repeal would be devastating. When it comes to casting votes, enough Republicans will conclude that repeal is a bad idea and will join Democrats to sustain the basic structure of the health reform law.
Second, the stated objectives of repealing Obamacare are mutually inconsistent. Three provisions comprise the core of Obamacare. First, rules barring insurance companies from refusing to sell insurance to people because of preexisting conditions or varying premiums based on those conditions. Second, a requirement that everyone carry health insurance who can afford it. And third, subsidies for those with moderate incomes to help make such insurance affordable. The law contains many other provisions as well, but these three are core.
Trump Administration Asks Supreme Court To Strike Down Affordable Care Act
The REAL Reason Republicans Can’t Stop Trying to Repeal Obamacare
If successful, the move would permanently end the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
WASHINGTON The Trump administration asked the Supreme Court late Thursday to overturn the Affordable Care Act a move that, if successful, would bring a permanent end to the health insurance program popularly known as Obamacare and wipe out coverage for as many as 23 million Americans.
In an 82-page brief submitted an hour before a midnight deadline, the administration joined Republican officials in Texas and 17 other states in arguing that in 2017, Congress, then controlled by Republicans, had rendered the law unconstitutional when it zeroed out the tax penalty for not buying insurance the so-called individual mandate.
The administrations argument, coming in the thick of an election season as well as a pandemic that has devastated the economy and left millions of unemployed Americans without health coverage is sure to reignite Washingtons bitter political debate over health care.
In his brief, Solicitor General Noel J. Francisco argued that the health laws two remaining central provisions are now invalid because Congress intended that all three work together.
The court has not said when it will hear oral arguments, but they are most likely to take place in the fall, just as Americans are preparing to go to the polls in November.
Is The Supreme Court Likely To Save Obamacare
The Supreme Court is likely to leave in place the bulk of Obamacare, including key protections for pre-existing health conditions.
Conservative justices John Roberts and Justice Brett Kavanaugh appeared in two hours of arguments to be unwilling to strike down the entire law a long-held Republican goal.
The courts three liberal justices are almost certain to vote to uphold the law in its entirety and presumably would form a majority by joining a decision that cut away only the mandate, which now has no financial penalty attached to it.
Leading a group of Democratic-controlled states, California and the Democratic-controlled House of Representatives are urging the court to leave the law in place.
A decision is expected by late spring.
Repealing Obamacare Is A Huge Tax Cut For The Rich
This did not play a major overt public role in the 2009-’10 debate about the law, but the Affordable Care Act’s financing rests on a remarkably progressive base. That means that, as the Tax Policy Center has shown, repealing it would shower moneyon a remarkably small number of remarkably wealthy Americans.
The two big relevant taxes, according to the TPC’s Howard Gleckman, are “a 0.9 percent payroll surtax on earnings and a 3.8 percent taxon net investment income for individuals with incomes exceeding $200,000.” That payroll tax hike hits a reasonably broad swath of affluent individuals, but in a relatively minor way. The 3.8 percent tax on net investment income , by contrast, is a pretty hefty tax, but one that falls overwhelmingly on the small number of people who have hundreds of thousands of dollars a year in investment income.
For the bottom 60 percent of the population that is, households earning less than about $67,000 a year repeal of the ACA would end up meaning an increase in taxes due to the loss of ACA tax credits.
But people in the top 1 percent of the income distribution those with incomes of over about $430,000 would see their taxes fall by an average of $25,000 a year.
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