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2 Words That Spell Doom For The GOP's ObamaCare Replacement Plan
Investor's Business Daily ^ | 3/14/2017 | John Merline

Posted on 03/14/2017 3:35:01 AM PDT by IBD editorial writer

When selling the House Republican's health care bill, Speaker Paul Ryan says that ObamaCare is failing and must be replaced. He also promises that the GOP bill will "ensure vital protections for patients with pre-existing conditions."

There is just one problem with this formula. ObamaCare is failing precisely because of those very "vital protections" Ryan wants to preserve.

What Ryan is talking about goes by the technical name of "guaranteed issue." This law bans insurance companies on the individual market from denying coverage or charging people more because of their health status.

It's a reasonable goal, and one that health reformers have struggled to achieve for decades. And not surprisingly, "guaranteed issue" polls well with the public.

But "guaranteed issue" does not work.

(Excerpt) Read more at investors.com ...


TOPICS:
KEYWORDS: 115th; ahca; healthcare; obamacare; repealandreplace; ryan; trump
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1 posted on 03/14/2017 3:35:01 AM PDT by IBD editorial writer
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To: IBD editorial writer

“Guaranteed issue” is one of my main sticking points, too.

I say fully repeal Obamacare, put the proposed Ryancare budget into Medicare/Medicare to cover those without insurance, and the rest to the private market.

the law requires us to have auto insurance, true, but doesn’t mandate from where. It’s open to the market, and folks can always find auto insurance that’s affordable.

Make it multi-state access, pass tort reform, lower medical costs, and it might be more palatable on the open market.

I’ve always been able to provide health insurance to my family, at least until Obamacare was passed. Premiums for my wife, only, (I’m on Medicare advantage) went from $200 a month, and is now $800 a month, predicted to go to $1000 a month. That’s more than our mortgage...and we can’t afford it.


2 posted on 03/14/2017 3:50:03 AM PDT by FrankR (FULL REPEAL, OR NO DEAL)
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To: IBD editorial writer

Buying insurance is transferring risk. Insurance companies accept your risk in exchange for a payment based on their calculation of their exposure to that risk. Three things drive up the risk to the insurance companies, and send the premiums sky-high, and those are insuring pre-existing conditions, no cap on benefits paid, and a customer base made up primarily of people guaranteed to make multiple claims. The GOP plan does nothing - nothing at all - to address those problems. Their plan will not reduce insurance premiums, it will reduce people who can afford insurance, and it will cost almost as much as Obamacare since it offers credits to people who didn’t qualify for aid before. It is a train wreck of enormous proportions.


3 posted on 03/14/2017 3:54:47 AM PDT by DoodleDawg
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To: IBD editorial writer
This is a very good article. I would only suggest that there are THREE things that guarantee the failure of ObamaCare and Ryan's bill:

1. Guaranteed issue.

2. No lifetime coverage limits.

3. Community rating.

Either one of these would cripple an insurance pool. The combination of both of them is a disaster. The Federal government is telling insurers that they have to: (1) sell health coverage to everyone without regard to their health status, (2) there's no limit to the amount of money the insurer will have to pay out over the life of the coverage, and (3) they have to charge their highest-risk customers the same as those with minimal risks.

This isn't "insurance" by any stretch.

I was watching a Facebook feed of Trump's listening session yesterday. The comments were scrolling past very quickly, but one person posted a great comment in which he/she asked why insurers aren't even given the option of offering plans that include lifetime caps, exclusions for pre-existing conditions, etc. As this person said (I'm paraphrasing here): "Mr. Trump, if you were constructing a building you'd never use a concrete supplier who won't tell you how much his materials will cost until after he delivers the concrete to your site."

4 posted on 03/14/2017 3:57:32 AM PDT by Alberta's Child (President Donald J. Trump ... Making America Great Again, 140 Characters at a Time)
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To: FrankR
Imagine what your car insurance would be if anyone could just call any insurance company and sign up for full coverage after having an accident.

The concept is so stupid only governments could believe it.

5 posted on 03/14/2017 3:59:25 AM PDT by Aevery_Freeman (You can put Chimpanzees in Libraries but that don't make it a school.)
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To: IBD editorial writer

This isn’t insurance at all. It’s simply making everyone pay for everyone else’s medical bills. Try buying full coverage auto insurance after you’ve had an accident.


6 posted on 03/14/2017 4:00:01 AM PDT by Hugh the Scot ( Total War)
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To: IBD editorial writer

Once the government makes people reliant on them, a clean break would be a bad way to go - the system needs to have a weaning period with deliberate reductions over a period of time.


7 posted on 03/14/2017 4:01:21 AM PDT by trebb (Where in the the hell has my country gone?)
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To: Aevery_Freeman

You beat me by a minute.


8 posted on 03/14/2017 4:01:58 AM PDT by Hugh the Scot ( Total War)
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To: trebb

Can you name one entitlement program that has gone out of existence as a result of the parasites being weaned off of it?


9 posted on 03/14/2017 4:08:03 AM PDT by Sirius Lee (In God We Trust, In Trump We Fix America)
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To: IBD editorial writer
As I understand it, this bill will cordon off with expensive health issues / preexisting conditions and help fund their care, Ideal or Libertarian? No, humanitarian yes. I researched the focus on Credits vs Deductions. While small business can take their health care cost as a deduction, I am not sure it is parity and now an equal playing field of which we have been asking for for years, but closer. I will send out an email to my CPA gnome for further clarification.

But Lou Dobbs last night was key to getting me in the camp for being for this bill for now.

As Lou noted, this is a Jobs Bill In the multi-dimensional insanity that is all things Obamacare, I actually let that concept slip into the back folders in my brains file cabinet. But it is very important, and frankly, a brilliant strategy for President Trump to put it first as he is all about jobs and Obamacare and things like greater than 50 equals mandatory coverage are a job killer and he wants to kick in the supercharger and nitrous oxide on creating jobs, getting this going via this imperfect bill is a must.

Besty McCaughley was on his show and noted: "“The seeds of success are in this bill in the section of this bill that pays directly for the cost of the sickest, allowing premiums to come down for the healthy, He can offer conservatives a beefed up stabilization fund and no subsidies and they will sign on and ram this thing thru”

Frankly I like Lou, but he was a bit of a bloviator last night as he really needed to let Betsy talk, not hear himself speak, but it is worth a watch, go to the link below:

https://www.youtube.com/watch?v=EjZp6kZFtWM

Finally... The article over on the American Thinker about how the Adminstrator "Shall" ( Now Tom Price vs Sebillius ) in changing the administrative landscape and possibly getting rid of "the qualified plan" one size fits all policies ( it came from "her" if my memory is correct ) is extremely powerful. Obama, Ezekel Emauel, Johathan Gruber and all the miscreants that stuck us with this beast, will be hoisted by their own petard, as we use the framework of Obamacare to make it a free-market winner instead of a road to Single Payer.

And when Dr Price rewrites these 100+ pieces, it will be a series Schadenfreude-al moments that will be so deliciously sweet, as he exercises these "shall" and "mays", I may have to go on a diet.

http://www.americanthinker.com/articles/2017/03/how_trump_can_gut_obamacare_without_congress.html

10 posted on 03/14/2017 4:32:07 AM PDT by taildragger (Do you hear the people singing? The Song of Angry Men!....)
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To: taildragger

Yes.....

I’ll accept the wisdom of the President and my congressman Dr Phil Roe.

I’ll not join the nitpickers


11 posted on 03/14/2017 4:35:14 AM PDT by bert (K.E.; N.P.; GOPc;WASP .... Hillary is Ameritrash, pass it on)
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To: Alberta's Child

“THREE things that guarantee ...

I would add one more: expensive new drugs and treatments that will sustain sick people for years. We’ll keep you going but it’ll cost your fellow citizens, say, 100 thousand per year.


12 posted on 03/14/2017 4:36:04 AM PDT by cymbeline
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To: FrankR

That’s a gift from Donald J. Trump. He made that a stipulation, that pre-existing conditions must be covered.


13 posted on 03/14/2017 4:41:44 AM PDT by babble-on
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To: taildragger

I forgot what an ardent socialist Lou Dobbs is.


14 posted on 03/14/2017 5:01:31 AM PDT by babble-on
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To: IBD editorial writer
Some people don't take care of themselves. Many health conditions are self-inflicted. Many are not of course, but the way government operates now is that the innocent are punished along with the guilty.



The Federal and state governments want to allow folks like this to buy into health insurance, subsidized by the responsible, after they encounter health problems.

It is akin to purchasing fire insurance after you home burns down.


15 posted on 03/14/2017 5:08:13 AM PDT by SkyPilot ("I am the way and the truth and the life. No one comes to the Father except through me." John 14:6)
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To: FrankR
from $200 a month, and is now $800 a month, predicted to go to $1000 a month. That’s more than our mortgage...and we can’t afford it.

And then there's the $6,000.00 deductible so you're cash-strapped by the premium and end up unable to use the "insurance" without going broke.

16 posted on 03/14/2017 5:11:21 AM PDT by RegulatorCountry
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To: FrankR

The auto insurance MANDATE DOUBLES the price needlessly.

MANDATORY Auto is a disaster.

Just because you spout ignorance of history, it still remains a disaster.


17 posted on 03/14/2017 5:18:29 AM PDT by TheNext (RyanCare is FAKE Healthcare! VETO VETO VETO)
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To: IBD editorial writer

2 Words That Spell Doom For The GOP’s ObamaCare Replacement Plan
Paul Ryan


18 posted on 03/14/2017 5:22:23 AM PDT by minnesota_bound
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To: IBD editorial writer
But "guaranteed issue" does not work

Two issues that the people have given their hearts to are guaranteed issue and emergency care without ability to pay.

No matter how much you twist and turn, no matter how many Rube Goldberg contraptions you put in place, no matter how much money you give to insurance companies - these two issues will destroy any true free market solution, leaving only two options: Crony capitalism for insurance companies, or nationalization.

If Congress cannot repeal EMTALA and forbid guaranteed issue, then they might as well go ahead to single payer, because that's where they will wind up.

The people will not tolerate Goldman Sachs and Bank of America owning all the hospitals and medical practices in America.

19 posted on 03/14/2017 5:29:46 AM PDT by Jim Noble (Die Gedanken sind Frei)
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To: Hugh the Scot
This isn’t insurance at all. It’s simply making everyone pay for everyone else’s medical bills

Correct, which will bring to the fore the question: Why are we paying the insurance companies so much money? What is their function in full socialism?

20 posted on 03/14/2017 5:31:18 AM PDT by Jim Noble (Die Gedanken sind Frei)
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