Apparently the Republicans have vowed to repeal the ACA, and to use reconciliation if necessary. But I don’t believe they can or will just repeal it outright and cause enormous turmoil in the healthcare market and hardship for many people. So I assume there will be something passed that will itself reform the prior market in some manner and that some elements of the ACA will remain.
I would think the excise tax on high cost plans is likely to go. Very unpopular with legislators on both sides of the aisle, and also with unions who tend to have high cost plans.
Also, the individual mandate is likely to go, you would think. OTOH, if that goes then that further weakens the exchanges.
Medicaid expansion is a big question mark. (This has been one of the biggest sources of the decrease in uninsured people.) I would not be surprised to see that cut back and the savings used to offset the loss of excise tax revenue.
The various other taxes, e.g. medical devices, would be more likely to stay, I would speculate, since they’re not as visible to the voters and the cost/benefit equation for repealing them may tilt the other direction.
ACA is dead; it’ll be repealed within six months of Trump taking office, adding on time if the Democrats filibuster it.
A lot of Trump’s promises are crazy or impossible, but not that one. It is something that is both Constitutional and politically possible. He has both a Senate and House that will probably put it in front of him as quickly as they can.
Of course they’re going to repeal ACA, and replace it with nothing. That’s been their platform for the last 6 years, so why wouldn’t they?
They haven’t exactly spent a lot of time in the last 6 years thinking of alternatives to Obamacare, just that it needs to be repealed. So a big repeal ceremony, a lot of high-fives, and no more action on health care for the next 4 years.
Dead by summer, probably effectively gutted by mid-spring. Absolutely no replacement that isn’t cosmetic and returns unlimited control to the insurers.
And those most immediately and significantly impacted will be large swathes of the working class white voters who put DT in office. Heh. Joke’s on them!
I think you are incorrect that it will be replaced.
It will be repealed.
There will be nothing to replace it.
Millions will lose health insurance. Thousands will die due to lack of preventable care. Hundreds of thousands or millions will go bankrupt because of medical bills.
This is what you voted for. Don’t try to act like you are surprised when the people that you voted for do exactly what they said that they would do if given power.
This is shocking to me because the ACA is the only reason my mother and wife have insurance. (Momma has congestive heart failure since 1997 and wife has extreme endometriosis.)
Yes. Pretty much guaranteed repeal and they’ll conveniently never get around to the “replace” part (or it’ll be something stupid like Trump’s health care savings accounts.)
New govt will be in place by late January. I give maybe mid February before ACA is removed. Any longer, and those who supported the conservative party will start howling.
You may be able to keep your plan till it renews next year, but don’t count on any subsidy.
You ask as if the Republicans give two shits about your mother or anyone else’s health.
ACA is dead, gone, buried. Thousands of hours and billions of taxpayer dollars wasted for nothing. Possibly followed by a new law or even a Constitutional Amendment banning any type of socialized medicine. So what if millions die needlessly and we fall even further behind civilized countries with real, sensible healthcare programs; the Republicans don’t care and you’re a fool if you think they ever will.
They’ve tried to straight up repeal it 6 times already. Why wouldn’t they just do it?
The Republican party is completely ok with people not having health insurance or health care. And they do not think it’s government’s job to pay for poor people to have health care. So why replace it?
It’s not unlikely that because health insurers will no longer have to cover pre-existing conditions (or treat women equally, or provide certain types of coverage) premiums for some people will go down for a few years. Which will look good and prove to their constituents (who don’t lose their coverage) that ACA was evil.
I’m also betting we’ll see them erase state boundaries for insurers - so there’ll be a fun race to the bottom for the state that has the most favorable insurance laws & the least regulations.
So what political consequences will follow if they do just toss people off insurance and let them sink or swim on their own? The general tenor of the comments so far seem to think there won’t be any significant ones, but I’m pretty skeptical on that regard when it involves, to quote someone above, “hundreds of millions.”
I hope your right. But that means that the republicans lied to their base when they promised to do exactly what it is that you claim would be shocking.
We aren’t covered under a subsidy. My wife and I make too little to not be in the federal extension of medicaid. I’m guessing that’s gone for us?
My mother has had CHF since 1997 and her insurance dropped her through my father’s employer. She got it back because of the ACA prevented pre existing conditions being an excuse not to cover. Their insurance and medical expenses right now ate a third of my father’s sizable income (90k) but without that, she would have died during her last heart attack.
This was the first time she voted Democrat since Carter. She called me crying this morning because she is afraid she won’t live as long as her dad (he made it to 62, she is 59).
My wife is another concern. We are a pro-choice family because in the event my wife actually gets pregnant, there is a 75% likelihood that it could be an entopic pregnancy and we would have to abort to save my wife’s life. Her doctor and her decided that one of her upcoming surgeries could be put off a little while but it looks as if we might lose coverage. These surgeries essentially remove precancerous tumors from her. They cost about twice our income each three years.
It’s sounding like we could have screwed the pooch on waiting on the surgery???