American Health Care Act would shrink government role in healthcare and could leave more people without insurance despite Trump administration promises.
Called the American Health Care Act, the bill would eliminate the individual mandate, which required Americans to have health insurance or pay a fine; cut the number of people insured under Medicaid; and allow insurance companies to charge the elderly up to five times more than the young.
The bill would require insurers to cover so-called pre-existing conditions, but would allow them to add a 30% surcharge to premiums if people go without insurance for too long.
“The American Health Care Act is a plan to drive down costs, encourage competition, and give every American access to quality, affordable health insurance,” said House speaker Paul Ryan. “It protects young adults, patients with pre-existing conditions, and provides a stable transition so that no one has the rug pulled out from under them.
“Working together, this unified Republican government will deliver relief and peace of mind to the millions of Americans suffering under Obamacare. This will proceed through a transparent process of regular order in full view of the public.”
But several Republican senators remained skeptical. Republicans have a 52-48 majority in the Senate. Assuming all Democrats hold firm in opposition to the Republican bill, three defections would be enough to deny Obamacare repeal a majority.
The legislation has not been fully scored by the congressional budget office and debate in the House will proceed without members having a clear accounting of the mechanics of implementing it. Senator Bill Cassidy of Louisiana, who has proposed his own Obamacare alternative, expressed skepticism about the lack of this information.
“What I would say is I would want to know the score, what is the coverage, what is the cost absolutely,” said the Louisiana Republican. He added that proceeding without this policy detail “seems problematic”. Cassidy added: “I am trying to be diplomatic.”
Other issues in the Senate for the House bill include the proposal to roll back the expansion of Medicaid under the Affordable Care Act. Four Republicans senators, Rob Portman of Ohio, Cory Gardner of Colorado, Shelley Moore Capito of West Virginia and Lisa Murkowski of Alaska wrote publicly that they could not support the draft bill’s current provisions to eliminate the expansion of a program that provides healthcare to the working poor.
Read the complete article on The Guardian web site.