Posted on 07/18/2017 1:18:48 PM PDT by Hadean
I would do several things:
a) Repeal OBAMACARE
b) Assure Medicare is solvent
c) Make sure only the indigent have access to medicaid
d) Allow people to buy across state lines
e) Allow people to form coops to buy medical insurance at lower rates through market competition.
I am not as smart as our president, but I don’t think this is a good idea.
The “replace” is the sticky, difficult part. Lots of people will be left without health insurance once it is repealed, as far as I understand it.
The only upside that I can see is that it will put pressure on Dems to support a replace. But all they have to do is blame the Reps, who have all three branches of government.
That is exactly how I see it. And I think many voters will feel the same.
Another major point - ALL exemptions were granted by the Obama administration, they can be removed by the Trump administration.
Next, if I am not mistaken, weren’t all of the major insurers granted exemptions (like congress) for their employees while their customers were forced to buy substandard expensive (highly profitable) policies by law?
I don't know about him, but I'd propose privatizing Medicaid, with mandated premiums based on means testing. Premium subsidy would range from 100 to 0%. Require copays of all recipients.
Allow healthy individual insurance premiums to be below that of unsubsidized Medicaid premium.
It has to be funded. No budget or continuing resolution will pass if funding isn’t in that legislation.
The CRs to date all funded it.
ObamaCare was never a fiscally feasible plan and the plan has been massively in the red since day one.
They blew through the “start up ‘ funding intended to disguise this fact far faster than expected and Obama has been illegally sealing money from US Governments GSE’s like Freddie Mac ‘s dividend payments to cover the shortfalls. even with massive support ObamaCare providers have been losing money and exiting the system. The moment Donald Trump stops paying the illegal diversions, ObamaCare collapses. If Trump tells the public he will not keep diverting funds to float ObamaCare, most insurers will jump ship to avoid going bankrupt.
Yes he wanted a plan that would cover everyone with better insurance with more choices and lower deductibles that would cost a fraction of what insurance costs now. Only problem is that he didn't tell Congress how to achieve this.
Trump said that he and the GOP won’t “own” it when it fails. Yes; they will. They’ve all promised to repeal - loudly and clearly. If it doesn’t get done and they have House, Senate, and White House, they will be blamed, and rightly so. There’s no excuse for this crap to be going on.
Repeal. No replace. Not the government’s job. These politicians are so in bed with the lobbyists.
Millions...and millions....and millions should be spent.And the campaign theme of their opponents should be "you voted for Trump but my opponent refuses to acknowledge that."
I could have done that with a ‘holier than thou’ boss who cherry picked what ‘workarounds’ were okay — only those that made the boss’s life beearable. I remained a ‘team player’ to the end and we all suffered for it.
The “only problem is” CONGRESS wanted to repeal Obamacare and was caterwauling about it for SIX FRIGGIN YEARS. In SIX YEARS they were unable to come up with a plan.
Trump is the President - the Chief Executive. He can give broad directives which he has done - but the nitty gritty of enacting legislation is the task of CONGRESS and their large staff of “experts”.
They have done little if anything.
The should REPEAL Obamacare, stabilize Medicare and Medicaid, make sure only those who are indigent get Medicaid, allow people to buy across state lines, allow people to form groups to bargain with insurance carriers, enact tort reform and let the free market do everything else. Do that and the system will take care of itself. Excessive government interference to restrict competition created this mess.
Ryan should consult the Dems, they come up with massive healthcare plans in a matter of months and then pass them immediately.
With all due respect, I really think repealing it without replacing it at the same time (or with some sort of grandfather clause in it), will be a disaster.
Every time someone can't get some life-saving surgery or procedure, it will be plastered all over USA Today and every other news outlet.
It will be just like the rash of stories on the plight of the homeless during the Reagan years.
Perhaps President Trump knows something I don't (which of course he does), but I am really not sure how Americans are going to take this. I think the Reps will pay for this during the next election.
But, as you hinted at, I don't know the rules of the game in D.C. *keeping fingers crossed*
I agree with this. I believe many European countries have a mix of public and private health care; it reduces the burden on the public system.
And even a small co-pay stops many people from going to the emergency room when they have a cold.
Trump has it in his power to reverse all the special exclusion that Zero set up. Can’t wait..............
The Government should NOT be involved with health plans except in a manner to make competition between companies more aggressive.
And the privatization of Medicaid (medical welfare) has some other hidden benefits:
First of all; Medicaid is often a deadbeat debtor. For decades, Maine owed the hospitals $400 million (until just recently under Governor LePage) and even that was an agreed upon/reduced settlement, as the result of a lawsuit. Medicaid generally pays providers at a rate of pennies on the dollar. The privatized version would pay commercial rates, alleviating much "cost shifting" for bad debt and charity care. (the eight dollar aspirin)
the burden on the public system.
The only remaining "burden" would be taxpayer dollars going towards the subsidized premiums of the truly needy, which is still cheaper than paying unregulated claims, as it is now.
One legislative "trick" would be to make the "full buy-in" (unsubsidized-premium) Medicaid benefits less generous than those available on the private market, and at a lower premium.
even a small co-pay stops many people from going to the emergency room when they have a cold.
Exactly, the clinical term being: "over-utilization".
How about the principles formed by his dealing with the RAT demolition of the health insurance of his thousands of employees?
I'm sure he understands the meaning of every nuanced word and punctuation mark on any contract or piece of legislation.
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