Trumpcare in One Place
2 min readApr 28, 2017
As reported by @ASlavitt on Twitter.
- Takes away access to care for 24 million people. At last count. One million more people lose coverage than if ACA was repealed and had no replacement.
- 7 million employed Americans, 1.2 million Vets included in those who would lose coverage. Many employerswill be able to avoid providing lifetime cap protection.
- Premiums jump 15–20%, $2400 average. Up to $13,000 increase if older than 50, and up to $10,000 more if rural.
- Deductibles would rise by 60%.
- Medicaid cut by 25%, then capped. Seniors, babies, children, low-income, people with disabilities, addiction treatment hurt. 3.6 mm kids lose coverage.
- Medicare Trust Fund loses 4 years, put into crisis.
- Insurance companies permitted to underwrite and charge sick people more if state requests- like $5000 more for autism, $17,000 for pregnancy, $140,000 to get late stage cancer treatment. Sick people who can afford this may be placed into high risk pools.
- Projected premiums in high risk pool? Only $25,700.
- This eliminates pre-existing condition protections which could impact 100 million+.
- Government wouldn’t be able to require essential benefits to be covered. Need to read fine print again.
- Lifetime caps & limits would be allowed if state requests.
- Because they intend to allow selling across state lines, all these waived rules would apply anywhere.
- Creates a major tax cut for wealthy and certain industries. $1.2 trillion pulled from health care to pay for massive tax cuts for pharma cos, insurers, insurer CEOs, tanning salons & medical device cos. And a $55,000 gift per millionaire.
- On the other hand, Americans don’t agree. Only 17% supported the version before underwriting, benefit hollowing, and protections were removed.
- Doctors, nurses, hospitals, seniors, patient groups- not one of them agrees.
- In the average Congressional district, 55k would lose coverage & 30ok could lose pre-ex protections.
- The strategy to pass this is to rush. There have been no public hearings, no updated CBO score, suspension of rules, no debate, secret drafting, all closed door sessions. For a bill that would have generational impact.
- If you want to be exempted from Trumpcare, best bet is to run for Congress. They’ve exempted themselves.