Friday, May 5, 2017
"This should become the permanent stain on every member of the House who supported it." --John Nichols
This is what Trump, the most disliked president in modern American history, and his gang are celebrating:
Who benefits? Who doesn't? Older patients on the individual insurance market would see big spikes in their premiums, while lower-income families would face higher deductibles and out-of-pocket costs.
In a widely cited finding by the CBO, a 64-year old making $26,500 a year would have seen their annual premiums shoot up by $12,900 on average and received less comprehensive insurance under the March version of the bill.
It's not entirely clear how the newer bill would change that calculus, but there's not much to indicate the situation for lower-income families or older consumers would be significantly improved and they'd be more vulnerable than other groups to any changes to pre-existing condition protections.
Large numbers of Medicaid patients would lose their coverage:
14 million fewer people would be on the program after a decade, according to CBO. States may have to reduce Medicaid in response in response to cuts as well, which could disproportionately impact seniors and people with disabilities. On the other hand, younger and healthier patients with higher incomes who buy insurance on the individual market could see their premiums go down and possibly get some federal aid they would not have qualified for under Obamacare.
The tax credits top out at incomes of $75,000 for individuals versus about $47,000 for ACA subsidies. Wealthy earners would also get a tax cut. People who don't want insurance and thought the penalty was unfair would be free to go without coverage.