Trumpcare

 

If it was any other politician, I'd call this a strategic bluff to try and get the bill to pass:

UPDATE: 7:42 p.m.: President Donald Trump is demanding a vote Friday in the House on the Republican plan to repeal and replace Obamacare, White House Budget Director Mick Mulvaney said. If the bill fails, Trump is prepared to move on and leave Obamacare in place, Mulvaney said.

In the case of Donald Trump, however, he could mean it. He doesn't actually give a rat's ass about healthcare or helping people anyway; the only reason he wants to repeal the ACA is because a) it'd let him stick it to Barack Obama; b) it'd give him another tax cut and c) he'd get to brag about "winning" by finally slaying the mighty Obamacare Beast, etc.

A couple of weeks ago, the Congressional Budget Office projected that Trumpcare 1.0, aka the "American Health Care Act" or AHCA would kick 14 million people off their healthcare coverage next year alone, followed by an additional 10 million getting the boot by 2026. It would, however, save the federal government around $336 billion over that time period, which was pretty much the only positive part of their analysis.

Unfortunately, it also meant that a 64-year old earning $26,500 per year would end up having to spend about 60% of their entire gross income in order to pay for health insurance even after their tax credits.

This didn't go over too well with the "moderate" wing of the House GOP, as the AARP crowd wouldn't stop screaming at them during town halls nationwide. Meanwhile, the "Freedom Caucus" (basically, the ultra-batcrap insane wing as opposed to the only-kinda-insane members) was angry because the Trumpcare bill didn't hurt enough people quickly enough.

 

House leaders postpone vote on their health-care plan

House leaders postponed a vote Thursday on their plan to overhaul the nation’s health care system, as they struggled to meet demands of conservative lawmakers who said they could not support the bill.

Earlier Thursday, conservative House Republicans had rebuffed an offer by President Trump on Thursday to strip a key set of mandates from the nation’s current health-care law, raising doubts about whether House Speaker Paul D. Ryan (R-Wis.) had the votes.

Trump met at the White House with the most conservative House Republicans, hoping to close a deal that would help ensure passage of the party’s health-care plan by shifting it even further to the right. But the session ended with no clear resolution, and some lawmakers said they needed more concessions before they would back the bill.

Via Quinnipiac a few hours ago:

March 23, 2017 - U.S. Voters Oppose GOP Health Plan 3-1, Quinnipiac University National Poll Finds; Big Opposition To Cuts To Medicaid, Planned Parenthood

American voters disapprove 56 - 17 percent, with 26 percent undecided, of the Republican health care plan to replace Obamacare, the Affordable Care Act, according to a Quinnipiac University national poll released today. Support among Republicans is a lackluster 41 - 24 percent. 

If their U.S. Senator or member of Congress votes to replace Obamacare with the Republican health care plan, 46 percent of voters say they will be less likely to vote for that person, while 19 percent say they will be more likely and 29 percent say this vote won't matter, the independent Quinnipiac (KWIN-uh-pe-ack) University Poll finds. 

(Granted, most of the 46% who say they're less likely to vote for them are most likely Democrats anyway, but still).

 

Republican Pete Sessions just literally said "Nobody is going to lose their coverage, you'll be able to keep your same doctor," "same plan." pic.twitter.com/nn0f4dFloc

— Tommy Christopher (@tommyxtopher) March 22, 2017

(sigh)

Seven years ago, President Obama repeatedly made an infamous promise: That under the Affordable Care Act, "If You Like Your Plan, You Can Keep It...If You Like Your Doctor, You Can Keep Them."

As a big fan of Obama and a supporter of the ACA, this statement has been making me, and any intellectually honest Democrat, wince ever since.

As I've stated many, many, many times over the years:

UPDATE: After thinking about it all day, I've decided to remove the "scrotum" nickname from the headline. I reserve the right to keep it in the body of this and future posts, however.

After being lambasted by pundits, reporters and politicians across the political spectrum for pushing an ACA replacement bill which would effectively raise insurance premiums on older enrollees up to eight times higher than they would be otherwise (eating up over 50% of their annual income in some cases)...

...it looks like Paul "Scrotum" Ryan has decided to resolve this issue by...beefing up the tax credits for the higher age bracket:

House Speaker Paul Ryan said Sunday he's seeking changes to the Republican health care bill to provide more assistance to 50-and-60-year-olds.

I've spent the past two months painstakingly crunching the numbers in an attempt to project just how many people would likely lose their healthcare coverage if the ACA were to be: a) fully repealed; b) with immediate effect; and c) without any substantive replacement policy put into its place.

My conclusion, after much analysis, double-checking and updating, is that the grand total would be roughly 24 million people: Around 8.2 million current exchange enrollees, nearly 15 million via Medicaid (expansion or otherwise), and the 750,000+ people enrolled in BHP programs in Minnesota and New York.

 

I told the following story about two years ago. It bears repeating for a different reason:

When I was 18 years old, my father died of a brain tumor. 

A few weeks after the funeral, I left for college at Michigan State University. Freshmen were required to room blind, so I had no idea who my roommate would be. When I met him, a tall blonde guy named Brian, I was still wearing the Kriah ribbon--a small torn piece of black cloth.

We shook hands, introduced ourselves, and then Brian asked me what the torn ribbon was for. I explained that my father had recently passed away, and that Jewish custom was for mourners to wear torn black cloth as part of the mourning process.

His response?

"Oh, I'm sorry to hear that he's burning in hell right now."

I should note that this was less than 5 minutes after we had met. I was assigned to live in the same room as this guy for the next 9 months.

You may have noticed that I haven't been posting as many blog entries the past week or two. This has been partly due to our 5-day power outage, of course, as well as various other personal odds & ends. The main reason, however, is that I've been driving around the metro Detroit area giving a PowerPoint presentation about the ACA and Trumpcare to various groups. Last night was my 4th or 5th presentation, and while it was kind of sloppy and scattershot the first few times, I'm streamlining and modifying for each new event.

Even so, I'm cramming a lot of information into an hour or so, and several people at each event have asked if I could upload the slideshow to the website for easy download.

Therefore, I present: The Affordable Care Act and Repeal/Replace: Where Things Stand (pdf).

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