Affordable Care Act

Monday Numbers: The devastation of Trump's attack on ACA subsidies

No matter how you slice it, this is incredibly bad for most Americans:

25—percentage increase projected by the Congressional Budget Office in health premiums for medium-cost plans on the ACA health exchanges when cost-sharing subsidies under the heath care law are eliminated.

200 billion—amount in dollars of the increase in the federal budget deficit over the next 10 years the CBO projects when cost-sharing subsidies under the Affordable Care Act are ended.

1 million—number of Americans the CBO projects will lose coverage when cost-sharing subsidies under the Affordable Care Act end because of no insurance carriers in their markets.

For every action there's a reaction, and sometimes that reaction is much greater than the action, and not just "equal and opposite." The domino effect from pulling even one of the critical elements out of the ACA could be catastrophic, and you can look to NC's refusal to expand Medicaid as proof if you need it.

Mark Meadows: Making government less accountable

meadowsteaparty.jpg

If you don't like the data, get rid of the analysts:

On Monday—the same day the president attacked political rivals in a speech to Boy Scouts and the U.S. Senate prepared to vote on a health care bill that no one had actually seen—Mark Meadows, chairman of the Freedom Caucus and representative of North Carolina's Eleventh Congressional District, proposed his own means of undermining democratic norms.

His big idea: gut the Congressional Budget Office, the agency that has consistently projected that GOP efforts to repeal and replace Obamacare would leave more than twenty million Americans without coverage. In an amendment introduced Monday, Meadows proposed slashing eighty-nine positions from the agency's Budget Analysis Division, a $15 million cut that would effectively abolish the division.

While it may be doubtful this amendment will have any legs, his real motive for it may be even more ominous than the amendment itself: It sends a chilling message to those analysts that their future data and reports need to be more supportive of the majority's policies, or else. These bullying tactics are rooted in the Tea Party movement itself, which relies on fear of retribution to get its way, instead of scholarly debate, which it simply isn't qualified to engage in. And probably more than anyone else, Mark Meadows has capitalized on that formula, vaulting himself into a position of leadership of a caucus he created for that sole purpose. North Carolina in general, and the 11th District in particular, owes an apology to the rest of the nation for sending this petty tyrant to DC.

Trump Regret Syndrome: Wait, you were serious about repealing Obamacare?

Believing the lies, ignoring the truth:

Representative Richard Hudson of North Carolina said Friday there is "a lot of angst in our state" over an Obamacare repeal and that he participated in a telephone town-hall with 12,000 people a day earlier.

"My constituents are freaking out about commercials they are seeing on TV about how they are going to lose their health care," he said. Hudson said he tells constituents regarding Republican efforts to devise a replacement plan, "If Obamacare is working for you, we want to hear you say that, too."

And before you even ask, yes, this is a huge flip-flop from Richard Hudson. He's been an adamant opponent of the Affordable Care Act since he's been in the House, and has been wailing about government overreach and how the mandate has been choking businesses. But now that a repeal is a distinct possibility, he's trying to cover his ass with his base and act like an innocent bystander. But the Internet is not so easily fooled:

Affordable Care Act and Olmstead

Forgive me in advance if this is boring to many of you. But I have been working on it all day and I would like to get thoughts from the group.

Everyone is familiar with the employer shared responsibility (aka employer mandate) portion of the ACA. While I think the mandate could use some tweaks I am not opposed to it in general. However I think something that hits close to home for me has been overlooked.

Affordable Care Act: Myths, Facts, & Benefits

Myth: The Affordable Care Act (ACA) is socialistic.

Facts:

  • The only socialized medicine in the US is Veteran’s Health & the Indian Health Service.
  • The Affordable Care Act (“Obamacare”) is modeled after the successful Massachusetts’ Healthcare Plan (“Romneycare”), a Republican program, conceived by the conservative Heritage Foundation. Both Obamacare and Romneycare depend completely on private insurance providers and expand private health-insurance coverage to people who previously did not have it.
Subscribe to RSS - Affordable Care Act