It leaves us where we were. Millions without coverage using the ER for primary care or not seeking care until their condition is critical (both options costing WAY more than primary care)
The "death spiral" is actually less choice, not a dying system.They aren't taking into account the affects of the death spiral in the current system.
I would say it's not a "minor variation" when we are talking about millions of people losing health insurance. That said, yes, it's still an entitlement, it's just one that helps the rich a bit more and gives less to those making less.Regardless, this plan doesn't attack the main problems of the current system; so, like many heated debates in DC it is drama about minor variations.
'The trouble with our liberal friends is not that they're ignorant; it's just that they know so much that isn't so.' - Ronald Reagan
'You can't get rich in politics unless you're a crook.' - Harry S. Truman
The obsession with having a policy vs. who can actually access to the care they need is part of the problem as well.
The "death spiral" was a predicted outcome of Obamacare from day 1.
I think by gutting the parts of the program that pay for it, members of the GOP are trying to turn this into a death spiral. By choosing not to take the Medicaid expansion, certain states made it much harder for their residents. Those were GOP choices, though, not part of the ACA.
http://www.businessinsider.com/cbo-r...17-3?r=UK&IR=TIn their sales pitch for the American Health Care Act, House Speaker Paul Ryan and other Republicans have maintained that replacing the Affordable Care Act is necessary because the healthcare law, better known as Obamacare, is "collapsing."
The nonpartisan Congressional Budget Office, evidently, disagrees.
In the CBO's report predicting the effects of the AHCA, the nonpartisan budget office on Monday said the individual health-insurance marketplace under both the current system and the proposed system would be stable.
"In CBO and JCT's assessment, however, the non group market would probably be stable in most areas under either current law or the legislation," the report said.
The states that didn't expand Medicaid were led by Republican governors who wanted to help Obamacare fail, and were happy to deny constituents care to do so.
This also allows insurance companies to fine citizens for not having coverage - up to 30% of their premium costs if they let their insurance lapse.
This will more likely hurt those whose income changes, not allowing them to afford coverage for a period of time, and the young who feel they will never get sick.This also allows insurance companies to fine citizens for not having coverage - up to 30% of their premium costs if they let their insurance lapse.