GOP Mulls Next Steps for Repeal and Replace

Violet Powell
March 15, 2017

"It is about giving people more choices and better access to a plan they want and can afford". ACA was more of a framework for making changes across the spectrum of health-care delivery and financing.

Health insurance premiums would leap substantially for many Californians, especially lower-income people living in high-cost cities, under the House Republican plan to replace Obamacare, according to an analysis released Tuesday.

A report from the Kaiser Family Foundation found that Americans at retirement age living on $15,000 annual incomes could lose almost $5,900 in tax credits per year tp help pay for coverage under the proposed health plan. All of these systems spend much less per person, get better results and have greater public satisfaction. Buyers in their 20's would get credits worth up to $2,000 while those in their 60s would get credits of up to $4,000.

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Under the Republican proposal, the credits would gradually phase out for individuals who make more than $75,000 a year and for joint filers earning above $150,000.

At first glance, that sounds pretty good.

While the zeal to replace Obamacare with a system that is more sustainable and doesn't penalize working Americans has been in place since the legislation became law several years ago, the effort should not be hasty. That's because, while both the ACA and the AHCA limit the amount insurers can charge older Americans as compared to younger ones, the AHCA's limits are much less strict. Under the AHCA, they'll no longer face those fines, essentially letting companies off the hook. The report estimated that while premiums on the individual exchanges will increase over the next two years, they will subsequently decrease since the burden of increased costs will fall on older Americans, adjusting the risk pool to be cheaper for insurers. How will this make health care more affordable? Wealthy Americans also would benefit as the plan repeals taxes they paid to help insure low- and middle-income Americans. Trumpcare would compound these cuts by allowing insurance companies to further increase premiums for seniors. Some have a high insurance subsidy (14,932) or Medicaid expansion (76,939) for a total of 91,872, or 12.5 percent, of residents in the district who will probably lose coverage.

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