# The Repeal of Obamacare/ACA: Step-bystep, Inch-by-inch

**URL:** <https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146>\
**Category:** The BBQ Pit\
**Created:** [January 2, 2017, 5:06pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146 "2017-01-02T17:06:13Z")\
**Posts on this page:** 20\
**Page:** 74

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**Author:** ![koeeoaddi](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/koeeoaddi/32/408_2.png) [@koeeoaddi](https://boards.straightdope.com/u/koeeoaddi)\
**Post date:** [September 29, 2017, 10:51pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1461 "2017-09-29T22:51:03Z")

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> [@jsgoddess](#):
>
> There are three men in the health care debate I truly despise: Bill Cassidy, Tom Price, and Avik Roy. I keep hoping Avik Roy’s comments on GC will hurt the bill, and today he did a little op-ed about how the bill as it stands would help blue states set up single payer.
> 
> Please, Baby Jesus, let Avik Roy hurt Bill Cassidy’s delusions of grandeur.
> 
> I haven’t figure out how he can take down Price yet, but I think undercutting Cassidy would be so very very sweet.

On hearing that Price resigned my first thought was, oh I’m so happy for **jsgoddess!** 😃

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**Author:** ![wonky](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/wonky/32/393_2.png) [@wonky](https://boards.straightdope.com/u/wonky)\
**Post date:** [September 30, 2017, 12:04am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1462 "2017-09-30T00:04:10Z")

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> [@koeeoaddi](#):
>
> On hearing that Price resigned my first thought was, oh I’m so happy for **jsgoddess!** 😃

😃

This was a good outcome after a very stressful week for me. Yes, he might be replaced by someone worse, but there is a chance he won’t be. The Senate is going to be feeling really stupid right now, after changing the rules to get him through once they were warned of his personal corruption. We’ll see.

What matters is that his weirdly shiny face won’t be on my screen as much. I need that.

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**Author:** ![wolfman](https://avatars.discourse-cdn.com/v4/letter/w/a8b319/32.png) [@wolfman](https://boards.straightdope.com/u/wolfman)\
**Post date:** [October 1, 2017, 3:42am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1463 "2017-10-01T03:42:19Z")

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Okay, with 19 minutes left, I finally feel like I can relax. That there isn’t some triple-secret-11th-hour-under-the-wire-before-the-reconciliation-deadline bullshit gonna happen.

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**Author:** ![Aspenglow](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/aspenglow/32/76_2.png) [@Aspenglow](https://boards.straightdope.com/u/Aspenglow)\
**Post date:** [October 1, 2017, 3:55am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1464 "2017-10-01T03:55:03Z")

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> [@jsgoddess](#):
>
> 😃
> 
> This was a good outcome after a very stressful week for me. Yes, he might be replaced by someone worse, but there is a chance he won’t be. The Senate is going to be feeling really stupid right now, after changing the rules to get him through once they were warned of his personal corruption. We’ll see.
> 
> What matters is that his weirdly shiny face won’t be on my screen as much. I need that.

After you mentioned it, I couldn’t stop noticing his weirdly shiny face, either. Eeeuuuggghhh.

And I’m glad he was made to resign in disgrace. He deserved it for lots and lots of reasons.

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**Author:** ![wolfman](https://avatars.discourse-cdn.com/v4/letter/w/a8b319/32.png) [@wolfman](https://boards.straightdope.com/u/wolfman)\
**Post date:** [October 1, 2017, 4:00am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1465 "2017-10-01T04:00:06Z")

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I just clicked by on fox news. They are flying the kite to see if they can blame the failure to repeal and replace on Price. You know cause it was a done deal and all, until he got on a plane and killed it. :smack:

> **[Tom Price's ouster complicates Republicans' latest health care push](https://www.foxnews.com/politics/tom-prices-ouster-complicates-republicans-latest-health-care-push)**
>
> The exit of Tom Price as the U.S. health secretary has many wondering if Republicans will be able to deliver on their promise to repeal and replace ObamaCare.

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**Author:** ![Tee](https://avatars.discourse-cdn.com/v4/letter/t/73ab20/32.png) [@Tee](https://boards.straightdope.com/u/Tee)\
**Post date:** [October 1, 2017, 4:37am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1466 "2017-10-01T04:37:42Z")

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Hmm, it seems to be October now and THAT’S ANOTHER FAIL. Hah.

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**Author:** ![Northern\_Piper](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/northern_piper/32/5304_2.png) [@Northern\_Piper](https://boards.straightdope.com/u/Northern_Piper)\
**Post date:** [October 1, 2017, 8:05am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1467 "2017-10-01T08:05:23Z")

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So in retrospect, do you think that when the Republicans passed the budget resolution to set up health care for reconciliation, that they thought ACA would be still in force at this date?

I’m just thinking of Boehner’s comment that the Republicans never could agree on what to do with health care. Was there ever any glimmer amongst the Republicans that this might be tricky?

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**Author:** ![asahi](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/asahi/32/8693_2.png) [@asahi](https://boards.straightdope.com/u/asahi)\
**Post date:** [October 1, 2017, 2:14pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1468 "2017-10-01T14:14:13Z")

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They can always try to nuke the filibuster, but I doubt they get around to that until next year.

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**Author:** ![ThelmaLou](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/thelmalou/32/390_2.png) [@ThelmaLou](https://boards.straightdope.com/u/ThelmaLou)\
**Post date:** [October 13, 2017, 2:03am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1469 "2017-10-13T02:03:51Z")

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Trump throws a rhetorical bone to his supporters. I can hear him now, “Congress couldn’t get the job done, so I had to do it myself!” Emphasis added.

> [@](#):
>
> With Republican efforts to repeal Obamacare stalled, President Donald Trump issued a new executive order on Thursday that could undermine the law without Congress.
> 
> “Seven years ago, congressional Democrats broke the American healthcare system by forcing the Obamacare nightmare onto the American people. And it has been a nightmare,” Trump said at the White House, adding that the order represented the first step “to providing millions of Americans with Obamacare relief.”
> 
> Experts say it has the potential to upend the current health care system for small business and individuals by opening up cheaper options for some customers, while spiking costs for others and encouraging more insurers to flee Obamacare’s exchanges.
> 
> “Healthier consumers will likely be able to enroll in plans with lower insurance rates, while more medically complex consumers may be subject to significant rate increases,” Dave Dillon, a fellow at the Society of Actuaries, said in a statement.
> 
> \*\*Trump’s order, however, lacks details and does not take effect anytime soon. \*\*Instead, it directs federal agencies to look at broad goals set out by the White House and decide over time whether new regulations might be possible. That makes judging the order’s impact difficult…
> 
> [Cite](https://a.msn.com/r/2/AAtmb5G?m=en-us)

:rolleyes:

BTW, Executive Orders were bad when Obama did them, right? Oh, I forgot: it’s okay when Republicans do it.

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**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [October 13, 2017, 2:22am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1470 "2017-10-13T02:22:46Z")

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> [@ThelmaLou](#):
>
> Trump throws a rhetorical bone to his supporters. I can hear him now, “Congress couldn’t get the job done, so I had to do it myself!” Emphasis added.  
> :rolleyes:
> 
> BTW, Executive Orders were bad when Obama did them, right? Oh, I forgot: it’s okay when Republicans do it.

Vacationing and playing golf was bad, too.

Obama spent 97 million in 8 years on his vacation travels.

Trump is already [over 73 million.](http://trumpgolfcount.com/)

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**Author:** ![Lobohan](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/lobohan/32/79_2.png) [@Lobohan](https://boards.straightdope.com/u/Lobohan)\
**Post date:** [October 13, 2017, 2:36am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1471 "2017-10-13T02:36:29Z")

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> [@running\_coach](#):
>
> Vacationing and playing golf was bad, too.
> 
> Obama spent 97 million in 8 years on his vacation travels.
> 
> Trump is already [over 73 million.](http://trumpgolfcount.com/)

Yeah, but you’re not factoring in that GOP voters are generally human garbage.

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**Author:** ![Happy\_Lendervedder](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/happy_lendervedder/32/8488_2.png) [@Happy\_Lendervedder](https://boards.straightdope.com/u/Happy_Lendervedder)\
**Post date:** [October 13, 2017, 3:53am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1472 "2017-10-13T03:53:30Z")

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[And now he’s also stopping the subsidy payments that millions of working poor, self-employed and middle class families rely on to be able to actually afford coverage.](http://www.politico.com/story/2017/10/12/trump-obamacare-subsidy-243736)

Fucking-a, I think I can’t loathe this man any more and he goes and does something like this. Can’t wait to see what my premium will be next month.

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**Author:** ![kaylasdad99](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/kaylasdad99/32/3398_2.png) [@kaylasdad99](https://boards.straightdope.com/u/kaylasdad99)\
**Post date:** [October 13, 2017, 7:21am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1473 "2017-10-13T07:21:57Z")

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> [@running\_coach](#):
>
> Vacationing and playing golf was bad, too.
> 
> Obama spent 97 million in 8 years on his vacation travels.
> 
> Trump is already [over 73 million.](http://trumpgolfcount.com/)

$97 million seems a tad high. To be honest, so does 73 million, even for the America-hating fuckstick. Do you have access to a breakdown those amounts, and a source?

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**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [October 13, 2017, 12:06pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1474 "2017-10-13T12:06:58Z")

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> [@kaylasdad99](#):
>
> $97 million seems a tad high. To be honest, so does 73 million, even for the America-hating fuckstick. Do you have access to a breakdown those amounts, and a source?

[Judicial Watch](https://www.judicialwatch.org/press-room/press-releases/judicial-watch-obama-travel-cost-now-105662975-27/) has a real hard-on for Obama’s travel expenses.  
While they claim to have obtained travel records, there’s no records displayed on the site.  
Every possible Obama expense is detailed while [Trump’s expenses](https://www.judicialwatch.org/press-room/press-releases/judicial-watch-trump-administration-air-travel-costs-3-58-million/) are the cost of AF1 only.

Judicial Watch also uses the 3.6 average to come up with their estimates.

[http://trumpgolfcount.com/](http://trumpgolfcount.com/) uses the [publicized 3.6 million average](http://www.chicagotribune.com/news/nationworld/politics/factcheck/ct-trump-mar-a-lago-cost-20170412-story.html)

> [@](#):
>
> With President Donald Trump making his seventh presidential trip this weekend to his Mar-a-Lago resort in Florida, government watchdogs and Democrats are once again seeing dollar signs: namely, $3 million.
> 
> That’s a widely used estimate of what each journey costs taxpayers. The figure comes from a government report on a trip President Barack Obama made to Palm Beach, Florida, but the report’s author tells The Associated Press that it’s a mistake to apply those findings to Trump’s travel.
> 
> A conservative group that closely monitors presidential expenses puts the tab for each Mar-a-Lago visit closer to $1 million.

So how does a trip to Palm Beach cost 3 million under Obama and only 1 million under Trump when the same personnel and vehicles travel with either President?

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**Author:** ![RTFirefly](https://avatars.discourse-cdn.com/v4/letter/r/c77e96/32.png) [@RTFirefly](https://boards.straightdope.com/u/RTFirefly)\
**Post date:** [October 13, 2017, 12:47pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1475 "2017-10-13T12:47:23Z")

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> [@Happy\_Lendervedder](#):
>
> [And now he’s also stopping the subsidy payments that millions of working poor, self-employed and middle class families rely on to be able to actually afford coverage.](http://www.politico.com/story/2017/10/12/trump-obamacare-subsidy-243736)
> 
> Fucking-a, I think I can’t loathe this man any more and he goes and does something like this. Can’t wait to see what my premium will be next month.

If you’re in the individual market but have too much income to be eligible for subsidies, [you’re gonna get hit hard](https://www.nytimes.com/2017/10/13/opinion/trump-obamacare-executive-order-health-insurance.html?_r=0), it looks like.

If you’re insured through your job, or if you’re on Medicare or Medicaid, same as it ever was.

If you’re in the individual market but your income’s low enough that you qualify for subsidies, your bill won’t go up much if at all, but the government’s bill will go up considerably. (It actually costs the government more to end CSR subsidies than to keep them, from everything I’ve heard from wonks elsewhere.)

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**Author:** ![Happy\_Lendervedder](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/happy_lendervedder/32/8488_2.png) [@Happy\_Lendervedder](https://boards.straightdope.com/u/Happy_Lendervedder)\
**Post date:** [October 13, 2017, 1:25pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1476 "2017-10-13T13:25:06Z")

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> [@RTFirefly](#):
>
> If you’re in the individual market but have too much income to be eligible for subsidies, [you’re gonna get hit hard](https://www.nytimes.com/2017/10/13/opinion/trump-obamacare-executive-order-health-insurance.html?_r=0), it looks like.
> 
> If you’re insured through your job, or if you’re on Medicare or Medicaid, same as it ever was.
> 
> If you’re in the individual market but your income’s low enough that you qualify for subsidies, your bill won’t go up much if at all, but the government’s bill will go up considerably. (It actually costs the government more to end CSR subsidies than to keep them, from everything I’ve heard from wonks elsewhere.)

Yeah, after I read he was ending subsidies, I scrambled and researched what that actually meant for us. Considering I made the leap and went full-time self-employed last year, our income is low enough to qualify for subsidies, so…fingers crossed that this whole thing doesn’t just blow up.

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**Author:** ![wguy123](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/wguy123/32/3161_2.png) [@wguy123](https://boards.straightdope.com/u/wguy123)\
**Post date:** [October 13, 2017, 2:03pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1477 "2017-10-13T14:03:03Z")

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Can we change the thread title? He has done everything he can to sabotage the ACA so it’s his now. What we now have is TrumpDon’tCare. He owns it.

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**Author:** ![Clothahump](https://avatars.discourse-cdn.com/v4/letter/c/51bf81/32.png) [@Clothahump](https://boards.straightdope.com/u/Clothahump)\
**Post date:** [October 13, 2017, 2:28pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1478 "2017-10-13T14:28:28Z")

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> [@](#):
>
> President Trump on Thursday took executive action on health care, calling for a plan that could let employers band together and offer coverage across state lines as Congress stalls on efforts to overhaul ObamaCare.
> 
> “So this is promoting health care, choice and competition all across the United States,” Trump said as he signed the order in the Roosevelt Room of the White House. “This is going to be something that millions and millions of people will be signing up for and they’re going to be very happy. This will be great health care.”
> 
> The president described the executive order as “the first steps to providing millions of Americans with ObamaCare relief.” He said he isn’t giving up on getting lawmakers to repeal the law.

A big step in the right direction.

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<div class="post-metadata">

**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [October 13, 2017, 2:33pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1479 "2017-10-13T14:33:44Z")

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> [@Clothahump](#):
>
> A big step in the right direction.

Killing off the poor?

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<div class="post-metadata">

**Author:** ![asahi](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/asahi/32/8693_2.png) [@asahi](https://boards.straightdope.com/u/asahi)\
**Post date:** [October 13, 2017, 2:36pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/1480 "2017-10-13T14:36:35Z")

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As much as I hate to say it, Trump’s play could actually turn out to be brilliant politics, and I’m now beginning to wonder if Mitch McConnell and the Republicans knew this all along. One of the big hurdles of ACA repeal was the subsidies, which a lot of the Republicans liked (though they’ll never admit it). Maybe it’s possible they keep the healthcare subsidies for to expand Medicaid while repealing the other ACA mandates and requirements. I admit that I don’t know enough about the consequences of all these changes, but it seems at the moment that the poor will still get more coverage with the subsidies (until tax reform comes around). The biggest losers in the next 12-24 months would be working class people who need individual policies. They’re going to get priced out of the market.

It’s a strategy that comes with risks for sure. If the insurers just start pulling out the marketplaces then that’s bad press. But it may not backfire. It might be that there are some winners and some losers, which is true with ACA.

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