President Trump vows insurance for all and reduced drug prices.....big thumbs up

http://www.msn.com/en-us/news/politics/trump-vows-%e2%80%98insurance-for-everybody%e2%80%99-in-obamacare-replacement-plan/ar-AAlTSAO?li=BBnb7Kz

Free ain't cheap. He's just another progressive if he uses the govt to mandate his subjective policies.

When he stood alone in the Republican debates saying folks needed insurance, I was encouraged. He makes it so difficult to have hope that people will work for a better health care system, but I believe he does not want people to suffer with no insurance.

You're really turning yourself around on Trump, Oatie? Do you really believe Trump has a viable plan for healthcare? If he did he would have said it during his campaign. Reduced drug prices? LOL! This is republicans we're talking about.

[b]You're really turning yourself around on Trump, Oatie?[b]

Not at all. I extend the respect to the process and the office of President. I have tired of personal attacks against our Presidents since Gerald Ford. However, I will call balls and strikes. If he is verbalizing a desire to make sure every American has insurance, who am I to doubt that is his goal. There is no way congressional Republicans will let him reaffirm the ACA, but the Saturday night live skit is becoming reality........I will repeal Obamacare but have found the perfect plan......it is called the ACA.

Imagine the savings if the govt cut out the insurance corps... and really took fascist control of pharma?

Eh comrade?

PkrBum wrote:Imagine the savings if the govt cut out the insurance corps... and really took fascist control of pharma?

Eh comrade?

Fascism would INCLUDE the pharmaceutical companies. You can't be that dumb...oh, wait...

PkrBum wrote:Free ain't cheap. He's just another progressive if he uses the govt to mandate his subjective policies.

Not to worry! Mexico is going to pay for it.

It's still "President-elect" Trump. I still don't believe him on the new health care plan, because Congressional GOPers are working on a different plan...because the GOP tried to repeal the PPACA 60 times...because most GOP governors refused to sign on...because there were attempts to overturn it in the courts. Now we're headed in a new direction? OK...sure...whatever.

And the tax cuts...15-20% for corporations...and somewhat less for the general public...welcome to the new, improved Reaganomics. A tax penalty for US businesses that move operations overseas? Ask yourself if a man who has extensive overseas operations himself, including manufacture of his clothing brands, will penalize others for doing the same.

For those who don't remember:

https://thinkprogress.org/blow-by-blow-a-comprehensive-timeline-of-the-gops-4-year-battle-to-kill-obamacare-5dd069a5518a#.figpmayul

Blow By Blow: A Comprehensive Timeline Of The GOP’s 4-Year Battle To Kill Obamacare

March 23, 2014

Floridatexan wrote:

PkrBum wrote:Imagine the savings if the govt cut out the insurance corps... and really took fascist control of pharma?

Eh comrade?

Fascism would INCLUDE the pharmaceutical companies.  You can't be that dumb...oh, wait...  

The fascist economic model is near complete control. What to make... how much to make... price control... etc.

Floridatexan wrote:
For those who don't remember:

https://thinkprogress.org/blow-by-blow-a-comprehensive-timeline-of-the-gops-4-year-battle-to-kill-obamacare-5dd069a5518a#.figpmayul

Blow By Blow: A Comprehensive Timeline Of The GOP’s 4-Year Battle To Kill Obamacare

March 23, 2014

Thanks for the reminder FT.

http://www.benefitspro.com/2017/01/10/10-potential-changes-to-health-care-come-january-2?kw=10+potential+changes+to+health+care+come+January+20th&et=editorial&bu=BenefitsPRO&cn=20170110&src=EMC-Email_editorial&pt=News+Alert&page_all=1

The new administration has already begun the process of repealing the Affordable Care Act, as Congress works to dismantle the various pieces.

Related: What comes after the ACA?


But there’s no consensus on how it’s to be done, or which parts of the law might be kept or how to pay for any provisions that remain until Republicans present a new health care plan.

There are several proposals making the rounds for the repeal/overhaul/dismantling of the law.

And, as might be expected, while there are variations among the proposals made to tackle that repeal, there are some aspects that are pretty much standard targets of successor legislation.

Some would preserve certain provisions of the ACA, add other strictures affecting payment or eligibility or do nothing less than completely repeal the law and start over.

The Transamerica Center for Health Studies has compiled four of the most prominent proposed reforms or statements from the president-elect and lawmakers and highlighted individual provisions in each.

Here are 10 of the changes these four proposals offer.

10. Repeal of the individual mandate
This change is common to the president-elect’s statement, as well as to proposals from Representative Tom Price, R-Georgia; House Speaker Paul Ryan, R-Wisconsin; and Senator Bill Cassidy, R-Louisiana.

The individual mandate was one of the biggest objections to the law by both Republicans and Democrats, as well as by groups on both sides of the political spectrum. And once enacted, it hasn’t been popular with the general public, either.

However, insurers said that without it, they would end up covering only the very ill, with the greatest dependence on medical care, without the addition of younger, healthier purchasers to offset their needs. If coverage under the ACA was to be guaranteed issue, the individual mandate was essential — and younger, healthier people would avoid purchasing coverage unless they were penalized for doing so.

But just the repeal of the individual mandate and accompanying tax penalties, according to the Committee for a Responsible Federal Budget, would add $250 billion dollars to the federal deficit over the next 10 years.

Related: ACA enrollees sicker, more expensive

9. Change state requirements
Cassidy’s plan would require states to provide default high-deductible health insurance through a health plan with prescription drug coverage, an adequate provider network, HSA eligibility and childhood immunizations without co-pays. In addition, it would allow states to keep their current Exchange or replace it with a state plan.

8. Replace the subsidies
This change is common to the president-elect’s statement, in that he supports a full repeal of the ACA, and to proposals from Representative Tom Price, R-Georgia; House Speaker Paul Ryan, R-Wisconsin; and Senator Bill Cassidy, R-Louisiana.

But how they would do it differs. No specifics are available on Trump’s plan. Price suggests replacing current subsidies to purchase a health plan through an exchange with tax credits of $1,200 for adults and $900 per child.

Ryan would replace current subsidies to purchase a health plan through an exchange with tax incentives of $2,900 per individual or $5,700 per family for those who remain insured from plan year to plan year. And Cassidy would replace current subsidies to purchase a health plan through an Exchange with tax credits of $2,500 for adults and $1,500 per child.

7. Replace guaranteed issue
Guaranteed issue has been a boon to the many who have preexisting conditions and were previously uninsurable, but it’s on the chopping block for all four options.

While Trump supports the creation of high-risk pools for those with preexisting medical conditions, Price and Ryan would replace it with a continuous coverage provision that would prohibit insurers from denying coverage to individuals with preexisting conditions, provided that the individual remained continuously insured for the previous 18 months.

That would leave people who have a gap in coverage — perhaps because of a job loss — with no way to get coverage, if they’re unfortunate enough to have a preexisting condition.

Cassidy’s option would replace it with a continuous coverage provision mandating that insurers cover individuals with preexisting conditions, provided that the individual remained continuously insured for the previous 18 months. But he goes a step further: if continuous coverage is stopped, the individual must pay a penalty for each month without coverage up to the date of renewed coverage.

Related: GOP wants Trump to trim ACA benefits

6. Allow health insurers to sell plans across state lines
Many experts have argued against this, saying that it will allow insurers to sell low-coverage policies in states where they were formerly required to provide a higher level of coverage. It is common to the Trump statement and the Price and Ryan plans.

However, Cassidy’s plan differs in that it would require no essential health benefits and would implement state-by-state minimum coverage standards.

Related: Selling insurance across state lines likely won't work

5. Eliminate coverage of those under 26 on parents’ policies
Neither the Trump statement nor the Price and Ryan plans mention this provision of the ACA, but the Cassidy plan would require coverage of dependents up to 26 years old.

4. Omission of Essential Health Benefits requirement
Neither the Trump statement nor the Price and Ryan plans mention this provision of the ACA. The Cassidy plan, as previously mentioned, requires no essential health benefits.

3. Change how health savings accounts (HSAs) are used
While the Trump statement doesn’t mention HSAs, the Price plan would create refundable tax credits for health insurance premiums and HSA contributions, while raising the annual HSA contribution limit and placing a limit on an employer’s contribution to health coverage that can be excluded from the employee’s taxable income. This will have limited, if any, benefit for employees who already have trouble finding the money to save in an HSA.

Ryan’s plan would create new State Health Insurance Exchanges and allow participants to pay premiums with HSA funds without a tax penalty — again, a provision that will have limited benefit for those whose HSA savings don’t stretch to cover both premiums and other medical expenses.

Cassidy’s plan would require states using HSA deposit systems to provide funds into individual HSAs for health-related costs, including premiums.

2. Create high-risk pools
The Trump statement, as mentioned above, and the Price, Ryan and Cassidy plans all address state-based high-risk pools, with some differences. Trump’s plan would create high-risk pools for those with preexisting conditions, while Ryan’s and Cassidy’s would create state-based high-risk pools for those with serious medical conditions.

Price’s would partially fund reinsurance for state high-risk pools for those with serious medical conditions.

Related: Paul Ryan's ACA replacement plan

1. Repeal Medicaid expansion
While the Trump statement does not mention Medicaid expansion, repeal of this provision of the ACA — unpopular with Republican governors — is a provision in the Price and Ryan plans as follows: repealed up to 138 percent of the federal poverty level, and returned to 100 percent of FPL; in addition, the Price and Ryan plans would change funding from adjusted amounts per recipient to block grants to states.

The Cassidy plan, on the other hand, would offer optional Medicaid expansion for states.

Related: Rural hospitals hurt by lack of Medicaid expansion, study says

http://www.benefitspro.com/2016/11/17/selling-insurance-across-state-lines-likely-wont-w?slreturn=1484590510

Selling insurance across state lines likely won't work
States with laws made to welcome out-of-state insurers have gotten no bites from the insurance industry

Very little that President-elect Donald Trump said during his 16-month campaign for president about health care was clear or consistent. But there was one vow he stuck by at all times: He would allow insurers to sell health plans across state lines.

“Modify existing law that inhibits the sale of health insurance across state lines,” states his website’s health care policy section. “As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.”

http://newsmanager.commpartners.com/nahuw/issues/2017-01-13/index.html

Donald just blew that boat right out of the water, but Reince Priebus insists Trump will keep all of his promises!

So far he's promised:

1. No pre-existing conditions
2. Keep under 26 on parent's policies
3, Repeal and replace the same day maybe the same hour
4. and EVERYBODY GETS INSURANCE.

Oh, and

5, "at a fraction of the cost."

Sounds like single payer to me! Hooray! Get the bill ready, Mister Speaker!

And he hasn't been inaugurated yet.

Yep, he has gone and done it now. A fight with the repubs right off the bat. They thought they'd draft legislation and he would sign it.