Giovedi, 23 Novembre, 2017

Trump signals willing to work with Republicans on healthcare bill

Medicaid Changes a Flashpoint in Sen. Pat Toomey's Home State of Pennsylvania Johnson: Senate bill doesn't address health care costs
Parmenio Sano | 26 Giugno, 2017, 02:20

None of the Senate's 48 Democrats are expected to support the package, meaning the legislation survives only if no more than two Republicans vote no. But it would still force those states to figure out what to do about the millions of lower-income Americans who used it to gain health coverage.

But at least one Republican governor of an expansion state signaled that he felt the bill was a step in the right direction.

The bill's rolling back of Medicaid expansion was key point of contention for Heller and Nevada Gov. Brian Sandoval.

The problem our country has is how to help people who are in the lowest economic straits, who have the most health challenges, get access to affordable coverage and, indeed, get well.

"We're anxious about the burden it creates for the states", Kristine Grow, spokeswoman at America's Health Insurance Plans (AHIP), said on Friday.


The Senate plan, like the bill passed earlier this year by the U.S. House, would roll back the expansion of Medicaid, the federal-state health insurance program for poor and disabled people, while cutting taxes for the wealthy. The House calls for doing it by 2020. "Also, the American Health Care Act, the bill that he's put forward that they celebrated in the Rose Garden with, shows that he doesn't care".

"This bill, negotiated by thirteen men behind closed doors, represents more of the same from Republicans in Congress. Senate Republicans are willing to deny healthcare to millions of Americans, targeting children and the elderly with nearly surgical precision, simply to give the top 1% a generous tax cut". Many Miami Valley lawmakers and health advocates have expressed concern over the proposal's potential impact on addiction, mental health and disability services. President Donald Trump is waiting, eager to deliver on a campaign promise to repeal the law. States would be able to seek waivers from federal insurance requirements. Medicaid provides health care not just for the indigent and disabled but also for the working poor - low-wage employees who can not afford health insurance, even the plans offered through their jobs. It now covers about 70 million people, including children and able-bodied adults mostly served by private managed care plans.

Heller said he can't support a bill "that takes insurance away from tens of millions of Americans and hundreds of thousands of Nevadans". In other words, death by billions of cuts.

In Montana, 20 percent of residents didn't have medical insurance in 2013. Some things, like coverage for pre-existing conditions, remain protected, but the former presidential advisers spoke out against provisions in the Senate bill that would be devastating for Americans' health coverage. In addition, the proposed changes to Medicaid financing for people who were newly covered under Obamacare and those in the standard Medicaid program are dramatic.

Among these are deep cuts in Medicaid spending and an end to Medicaid expansion. "Every other Republican is going to cut, and even if they wouldn't, they don't know what to do because they don't know where the money is". The Senate bill would modify those government price controls somewhat, allowing insurers to charge 64-year-olds five times what they charge 18-year-olds (as opposed to three times, under current law).

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