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We have a plan replacement!!!

Jimmy Higgins

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It only took 8 years but the Republicans have finally come up with a plan to replace the ACA.

The benefits are clear. People will be finally able to buy health care insurance coverage that doesn't cover much health care options, including high deductible plans which only ensure potential avoidance of bankruptcy.

Insurers can't deny you coverage for preexisting conditions and children up to the age of 26 can still be covered.

The mandate is gone, erased, removed, no longer around.

Well, not quite. The tax penalty is gone, however, insurance companies can penalize non-continuous coverage. So umm... the penalty and mandate actually still exists, up to 30% more on premiums (so that $700 a month premium could become $910 a month). That could probably become a firewall preventing future insurance coverage.

Speaking of "a month"... the tax credit... $2000 to $4000 a year (which roughly averages out to no where fucking close to help).

Oh, and Medicaid is getting fucked too.

So the question becomes, what in the hell is the point of this bill?!

The number insured will drop by the millions. The number of poor insured will drop substantially. Access to health care will retract. But the bill will still cost a good deal of money. Why even bother?!
 
"Why bother?" Ask who will profit from this and you will find you answer.

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This harms many besides the people uninsured.

Hospitals in the US do not throw people who are seriously ill out if they have no insurance.

More uninsured means more work done by hospitals that is not getting paid for.

This costs everybody with insurance more.

And it means things like less nurses for everybody.
 
But, on the bright side, I'm not a poor American so this doesn't affect me.
 
Roughly 10% of the bill abstract concerns the healthcare of lottery winners. As if lottery winners were the problem with American health care.

What a farce.
 
Tom, we really need to get to work on that border wall too keep the Americans from sneaking across our border and stealing our health care.
 
Tom, we really need to get to work on that border wall too keep the Americans from sneaking across our border and stealing our health care.

I agree, because they're clearly not sending their best people up here. They're rapists and murderers and while I assume some are good people, it would be in the country's best interest to limit or ban Americans from travelling here until after the government is able to determine exactly what's going on down there.

Also, it seems to be the Christians who are the main problem, but we really don't want to run into any Charter violations by including a religious test in the not-a-ban, so how about if we just put a temporary (by that I mean permanent) freeze on entry for people living in places like Kentucky and Alabama?
 
Tom, we really need to get to work on that border wall too keep the Americans from sneaking across our border and stealing our health care.

I agree, because they're clearly not sending their best people up here. They're rapists and murderers and while I assume some are good people, it would be in the country's best interest to limit or ban Americans from travelling here until after the government is able to determine exactly what's going on down there.

Also, it seems to be the Christians who are the main problem, but we really don't want to run into any Charter violations by including a religious test in the not-a-ban, so how about if we just put a temporary (by that I mean permanent) freeze on entry for people living in places like Kentucky and Alabama?

You need a county-level ban. My state is solidly democratic; my county would probably vote in favor of the Inquisition. A few words from one of our commissioners:

"I explained to a constituent, "Unfortunately, it has become increasingly difficult to determine where education ends and politics begins."

I continued, "I'll give you some examples, and you tell me if the activity is 'education' or 'politics.'"

Example 1: When schools assume alleged manmade catastrophic climate change, would you call that education or politics?

Constituent response: liberal politics.

Example 2: When schools teach American history, and students are inculcated with the false perception that our constitution and founding fathers were racist, is that education or politics?

Constituent response: politics.

Example 3: When teachers claim America was founded based on "diversity," but fail to show children the 15 proclamations of our Continental Congress that clearly, and undeniably establish as fact that America was founded on the principles of non-denominational Christianity, is that education or politics?

Constituent response: liberal politics.

Example 4: When schools engage in exercises such as the discredited "privilege walk" that villainized Caucasian children under the auspices of "multicultural education," is that education or politics?

Constituent response: politics.

Example 5: When schools teach homogenized excerpts of religion in sixth and seventh grades, that clearly omit salient components of various ideologies that would cast them in a particularly positive or negative light, is that education or politics?

Constituent response: politics."



On the bright side, they did come up with a slogan to make our county seem more welcoming. Yes, a slogan. Nothing else. Just a slogan, which basically said, "We don't want to change; if you want to change us, go away".
 
At least around here the tax credit will pay the majority of the premium of a bronze-level plan--and if you run the numbers the only reason to have higher than a bronze plan is subsidies that are now apparently gone.
 
Also, what does a "gap in coverage" mean? If you miss a payment or get fired and then sign up for a personal plan a week later, does that mean they get to jack up your premiums 30%?
 
At least around here the tax credit will pay the majority of the premium of a bronze-level plan--and if you run the numbers the only reason to have higher than a bronze plan is subsidies that are now apparently gone.
Aren't bronze plans just high deductible, you have to pay for almost all your health care out of pocket plans?

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Also, what does a "gap in coverage" mean? If you miss a payment or get fired and then sign up for a personal plan a week later, does that mean they get to jack up your premiums 30%?
Presumably the "gap in coverage" is defined.
 
Presumably, the plan spends so much time talking about lottery winners is because they're the only ones who will be able to afford insurance.
 
Roughly 10% of the bill abstract concerns the healthcare of lottery winners. As if lottery winners were the problem with American health care.
well, yeah. The bill is designed to make the rich richer and the poor poorer. What do you do with poor people who are suddenly among the rich? That's a big problem.
 
Aren't bronze plans just high deductible, you have to pay for almost all your health care out of pocket plans?

Yup--but when you look at the total out of pocket for various levels of medical spending you usually find the bronze plan has the lowest out of pocket. It definitely has the lowest out of pocket for very low spending or very high spending and when I've run the numbers even for in-between spending.
 
Aren't bronze plans just high deductible, you have to pay for almost all your health care out of pocket plans?

Yup--but when you look at the total out of pocket for various levels of medical spending you usually find the bronze plan has the lowest out of pocket. It definitely has the lowest out of pocket for very low spending or very high spending and when I've run the numbers even for in-between spending.
Does it really? Please, show the numbers.
 
It won't take long for the Trump administration to leave millions without health insurance.

Makin Merica grate agin!
 
Aren't bronze plans just high deductible, you have to pay for almost all your health care out of pocket plans?

Yup--but when you look at the total out of pocket for various levels of medical spending you usually find the bronze plan has the lowest out of pocket. It definitely has the lowest out of pocket for very low spending or very high spending and when I've run the numbers even for in-between spending.
I thought the maximum out of pocket was the same for all level plans.
 
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