Our Health Policy Matters

There's a simple reason why (after more than a decade) Donald Trump and the Republicans have no plan to replace Obamacare. I'll explain in a few minutes. But first, some background. When the Affordable Care Act (or Obamacare) was passed in 2010, it was an effort to expand health care coverage to a lot of people who needed it, while controlling their costs. It had certain key provisions, not the least of which were that people couldn't be denied coverage for pre-existing conditions, that all chronic diseases needed to be covered fairly, and lifetime coverage caps had to be lifted. The problem was that if you left matters to insurers to set insurance premiums based on what this would cost, the price of insurance would rise dramatically. So the government took a look at three different programs and ultimately put them together into one system. For people whose income was so low that they couldn't afford any real cost-sharing, the government expanded Medicaid. For elders...

We hear so often that the Republicans have offered no alternatives to Obamacare that we think it must be true.  It isn’t.  They presented at least two alternatives to the Affordable Care Act in 2009.  And neither would be better than what we have today.  One would have had all the Obamacare implementation problems.  And the other would have insured no more than a thimbleful of people.  The first was called the Patients’ Choice Act, offered by Paul Ryan.  The other was called the Affordable Health Care Act for America, offered by John Boehner. Elements of the Ryan plan , which was introduced in the spring of 2009, will sound very familiar to you: “The federal government partners with states to create State Health Insurance Exchanges.” These exchanges became a core component of Obamacare, and would look exactly like the exchanges in place today. “The Exchange would require all participating insurers to offer coverage to any...

We hear so often that the Republicans have offered no alternatives to Obamacare that we think it must be true.  It isn’t.  They presented at least two alternatives to the Affordable Care Act in 2009.  And neither would be better than what we have today.  One would have had all the Obamacare implementation problems.  And the other would have insured no more than a thimbleful of people.  The first was called the Patients’ Choice Act, offered by Paul Ryan.  The other was called the Affordable Health Care Act for America, offered by John Boehner. Elements of the Ryan plan , which was introduced in the spring of 2009, will sound very familiar to you: “The federal government partners with states to create State Health Insurance Exchanges.” These exchanges became a core component of Obamacare, and would look exactly like the exchanges in place today. “The Exchange would require all participating insurers to offer coverage to any...