Trump's 'victory' on health care. Look who's cheering. | Arkansas Blog

Friday, May 5, 2017

Trump's 'victory' on health care. Look who's cheering.

Posted By on Fri, May 5, 2017 at 7:43 AM

click to enlarge DAILY NEWS
  • Daily News
The reviews are brutal on the health coverage bill passed by the Republican House yesterday.

Here's a New York Times summary of winners and losers. In short, the rich and healthy win. The old, poor and sick lose. U.S. Rep. French Hill of Little Rock is among the House Republicans crowing about how this is an improvement on Obamacare. (Even Rep. Bruce Westerman isn't ready to say THIS bill is going to become law.)

The bill (which won't pass the Senate in this form) utterly wrecks the Obamacare Medicaid expansion/Private Option/Arkansas Works program that has brought so much money, so many jobs and so much health care to more than 300,000 Arkansans.

David Ramsey, who's been covering health issues for us extensively, says that Arkansas Works would be dead, because the House bill ends the Medicaid expansion. At best, it would be a phase-out. At worst, cold turkey. He writes:

Also, as a separate matter, it would issue a huge funding cut to the rest of Medicaid (elderly in nursing homes, blind, disabled, kids, poor parents, etc.) via a per-capita version of block grants, putting pressure on state budget and forcing cuts even beyond eliminating the Medicaid expansion.

Finally, on the exchange, starting in 2020, it would change the subsidies and regulations to give dramatically less help to lower-income people and older people (and people in areas with high premiums). People in the 100-138 group that Hutchinson wants to move to the exchange would have to pay massively more in premiums than they do under the ACA and many would simply not be able to afford it. The AHCA also completely eliminates the ACA's cost-sharing reductions so even if low-income people scraped together the money to pay higher premiums, they would be hit with much higher deductibles and co-pays than people in this income group could realistically afford.

But the AHCA eliminates Medicaid expansion anyways, so in the long run Hutchinson's tinkering would be moot. People 0-100 FPL would be in the same boat, with tax credits insufficient for the cost of insurance given their income and no help with cost-sharing.
Gov. Asa Hutchinson's promise that the 60,000 he's kicking off Medicaid coverage could seamlessly transition to the same coverage at the same cost on the federal marketplace was already dubious. Under the House bill, there will be no marketplace subsidies to speak of any longer. Not to mention higher rates and far worse coverage in the private insurance market in which poor people are supposedly going to be able to afford insurance thanks to tax credits. (Insurance with crummy coverage, huge deductibles and more co-pays.) Thanks, French.

Tags: , , , , , , , ,

From the ArkTimes store

Favorite

Comments (11)

Showing 1-11 of 11

Add a comment

 
Subscribe to this thread:
Showing 1-11 of 11

Add a comment

More by Max Brantley

  • Anybody around?

    The Thanksgiving open line.
    • Nov 23, 2017
  • Turkeys rescued in Yellville enjoy their Thanksgiving

    Farm Sanctuary, an animal protection organization, sends word that four turkeys rescued from the Yellville Turkey Trot after the annual drops from buildings and an airplane will enjoy Thanksgiving in friendlier places
    • Nov 23, 2017
  • The New Orleans charter school 'miracle'? It's a ruse

    The New Orleans Tribune has a devastating piece of editorial commentary, based on local reporting and test scores, that lays bare the depiction of the charterization of New Orleans public schools 12 years ago as a miracle of the "reform" movement.
    • Nov 23, 2017
  • More »

Readers also liked…

  • The long and winding road: No exception yet for 30 Crossing

    The Arkansas highway department's representative on the Metroplan board of directors told the board today that the department is requesting an exception to the planning agency's cap on six lanes for its 30 Crossing project to widen Interstate 30 from six to 10 (and more) lanes.
    • Jun 29, 2016
  • Trump's strangulation of Obamacare

    If he can't kill it outright, Donald Trump will do all he can to cripple Obamacare. Vox has detailed reporting on deep cuts in federal spending that support nonprofit agencies that help people sign up for coverage under the Affordable Care Act.
    • Sep 18, 2017
  • Speaking of the Clinton Foundation: Returns in maize and beans

    A reporter for Politifact, the Pulitzer Prize-winning fact-checking organization, sent a reporter to Africa to see where money given to the Clinton Foundation has been put to work. He found tangible results.
    • Sep 6, 2016

Most Viewed

Most Recent Comments

Blogroll

 

© 2017 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation