Mind and Destiny

“I make no pretension to patriotism. So long as my voice can be heard ... I will hold up America to the lightning scorn of moral indignation. In doing this, I shall feel myself discharging the duty of a true patriot; for he is a lover of his country who rebukes and does not excuse its sins. It is righteousness that exalteth a nation while sin is a reproach to any people.”- Frederick Douglass

Location: Delhi, N.Y., United States

The author and his webmaster, summer of 1965.

Tuesday, March 14, 2017

American Health Care Act

The non-partisan Congressional Budget Office estimates that twenty-four million more Americans would be uninsured by 2026 under the House Republican health care bill than under the Patient Protection and Affordable Heath Care Act, including 14 million by next year.

The CBO, along with the Joint Committee on Taxation have reported that 5 million fewer people would be covered under Medicaid by 2018, and 14 million fewer people would enroll in the program by 2026.  Furthermore, 6 million fewer Americans would be covered in the individual market by 2018, but by 2026, only 2 million fewer people are expected to be covered.  That's in part because fewer employers would offer insurance to their workers, driving more people to the individual market.  An estimated 52 million people would be uninsured by 2026 under the House Republican plan, compared to 28 million who would lack insurance under the current law. 

The Republican House bill proposes scrapping the enhanced federal funding for Medicaid expansion in 2020 and overhauls the entire program so that states receive a fixed amount of money per enrollee.

Premiums are expected to jump up to 20 percent in the individual market in 2018 and 2019, but after that, they would decrease.  The increase in premiums would be much steeper for some Americans in the individual market, particularly older people with lower incomes.  A 64-year-old making $26,500 would pay $1,700 for coverage in 2026 under Obamacare, thanks to its subsidies.  But under the House Republican plan, that person would get hit with a annual premium bill of $14,600.

Those who earn too much to receive Obamacare subsidies would be better off under the Republican plan no matter their age.  For 2017, the thresholds to qualify for subsidies include those individuals earning $47,500 and for families of four earning $97,200.

According to the CBO, the House Republican bill, that is officially named the American Health Care Act would reduce the federal deficit by $337 billion over 10 years.


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