Fixing Obamacare is easy. Reinstate the coverage mandates and expand Medicaid.
Neither of these are politically possible, so the exchanges will probably start collapsing sometime in 2018.
Just in time for midterms.
Actually, they had since the election. Trump made it clear he expected a plan on his desk on his first day in office.
I think during those eight years they never expected to do more than fail to repeal so they had no reason to have anything ready.
When you’re posturing, you don’t expect to have to do anything.
No, he didn’t. He implied that he already had a plan that would be ‘great,’ that would be cheaper and cover more people and basically be the best thing since sliced bread. In other words, just another promise-the-moon line of bullshit.
nitpick. He said it would cover everyone. And of course, he acted like he already had a plan. What an ass. Sad!
That was his plan to defeat ISIS.
From here.
At the risk of defending that useless orange jackass, to “ask on day one” is not the same as to “receive on day one”.
“immediately send me a bill” means “I want it now”.
Regardless of what he meant, the fact is that the GOP did have 7 years to craft something… and failed Trump immensely in their duty.
I think they failed the American people. They never thought they would control everything so they thought they could run against Obamacare in perpetuity. One would think that after the election they might think about what they want to propose but one would be wrong.
Well, that brings up an interesting counter-factual: If the nominee/winner would have been a more traditional Repub (say that JEB! won)… would this bill be as half-assed as it was?
I agree. I’ve communicated to my reps in Massachusetts (who don’t take any convincing, hello RomneyCare) and my reps in Florida (who are dumb as a sack of hair and may be robots) that Trumpcare is not an option, that the ACA needs to be improved, and suggestions to improve it.
I’ve also told the Florida Republicans that they need to put aside party protocol and think of the huge number of uninsured and underinsured in Florida. These uninsured and people who can’t afford insurance is down to Gov. Scott refusing the Medicaid expansion (FREE MONEY) out of sheer political spite. Apparently he only likes federal healthcare dollars when he’s bilking the system for it through HCA hospital claims.
I also said that a bipartisan committee is needed to get this done, and it the decisions must be based on verifiable DATA and FACTS, not party politics and not sound bytes about Gramma facing a death panel. Bring in healthcare analysts not tied to insurance interests to run the data. Most of the ones I know have too much respect for data to try to make it say something it doesn’t. The committee can review all kinds of CMS data and market data to figure out what does and doesn’t work. They can demonstrate to other politicians and the American people how not accessing care because of cost is not a savings; it is just kicking the costs down the road and making them larger. Fucking hell, I can do that part. I already have a powerpoint presentation on the subject.
tl;dr — I’ve been a boring wonk contacting lots and lots of elected people. I’ve offered my services to Bernie and Liz Warren.
I think so. The problem isn’t really Trump, it’s that the American populace and the Republican party are not viewing healthcare the same way. That means that moderate or at least less ideological GOPers bail out when they get pushback.
So, what can you do if you’re the Republican party and you want to repeal the ACA? You can fiddle a bit at the edges, but if you tinker too much, the CBO lays the hammer down and the moderates get pushback and you panic. If you don’t do enough, the Freedom Caucus guys torch it.
Last rumor I heard was nearly 100 Republicans would have voted no. This is a rumor, so it’s obviously untested and unproven, but for it even to be sounding plausible is a bad sign.
Not only half-assed but low energy as well.
“President Bush, if your new healthcare system could only cover one STD, which one would it be?”
“Please clap.”
Hence, I think, the sudden calls from a number of Republicans that a bipartisan effort is needed. Moderate Republicans and Democrats working together can pass a bill over the Freedom Caucus that would improve the ACA, after, as GrumpyBunny points out, actual review and consideration of what might work best.
But the universe is six thousand years old (give or take thirteen billion years). Looking at that kind of a timeframe, anything within about twenty years is KINDA immediate…
The biggest problem with health care is the cost of insurance.
Its too high. There’s too much suing going on, and some doctors are going out of business thanks to the cost of insurance.
Perhaps one solution to lower costs would be for patients to agree for caps on ligation, in exchange for say a lower premium.
Trump care is best described to me as the famous chinese restaurant ‘Yan Yone’ which sounds a hell of like ‘you are on your own’.
Is that 100 figure from just the house? That would be startling.
My understanding was that even before the CBO score every GOP senator was praying for the bill to be euthanized via house committee. Once the 24 million figure came out they all ran for cover.
Ryan really shit the bed with this bill. ACA repeal and replace was supposed to be a slam dunk compared to tax reform. One wonders the many ways the GOP will step on their own dick when it comes time to explain how border tax adjustments won’t spark a trade war or cause an immediate 20% rise in prices.
Why would anyone agree to let bleeding go untreated?