Paul Ryan: Obamacare repeal is first priority under Trump

Haha, you really can't talk Healthcare without deflecting onto Obamacare, can you?

Obamacare didn't need a planning document, because its implementation was simultaneous to "repeal", for lack of a better word , of the system its replaced. It left no questions about what was going to be law when the old system went out the door.

The GOP have tried and made the claim that they will repeal Obamacare immediately. This begs the question, what are they replacing it with. Your wishlist is not a plan, it is wishlist. How are you not grasping this?

 

I edited my post above to help you better understand.

 

Sure, here you go:

https://www.healthcare.gov/where-can-i-read-the-affordable-care-act/

Here is document that was available prior to them repealing the legacy healthcare system.

 

You are struggling, it was modeled after Chapter 58 of the 2006 Massachusetts healthcare law, which can be found here:

https://malegislature.gov/Laws/SessionLaws/Acts/2006/Chapter58

Let me know what plan the GOP one is going to be modeled after, so I can read up.

 

you write the bill.

 

I would also point out that the Heritage Foundation wrote a paper outlining the fundamentals of the plan in 1989, and that it was also memorialized into a Senate bill in 1993. The ACA looks different in detail from those two, but the basic elements were there so we had a good basic idea of how it'd work. And, more generally, the plan sounded like an actual plan with some rationale for why the actions we'd take would result in the benefits we sought. The mandate, for example, would result in near-universal coverage to eliminate the problem of the uninsured and would spread the risks across the greatest possible pool. The execution wasn't all there, but the plan was logical. Ryan's plan by contrast employs a lot of magical thinking: remove barriers to the free market (regulations, mandates, subsidies, etc) and the invisible hand will create savings, even though it couldn't do that before the ACA.

 

They haven't decided? This has been an issue for nearly a decade and they have yet to propose anything of substance.

 

on 9 Dec 2016

on 4 Jan 2017, VP-elect Mike Pence echoed the message, but still no specific details on the replacement plan, other than that these 2 components of the ACA will be in it:

• those w pre-existing conditions will not be denied insurance coverage
• young adults, 25 and under, can stay w their parents' insurance plan

​

in response, lawmaker Chuck Shumer responded “Now, we understand that President-elect Trump is in a difficult spot, that Republicans are in a difficult spot,” . “They want to repeal the ACA, and they have no idea how to replace it.”

the Twitter-happy Trump responded

The Democrats, lead by head clown Chuck Schumer, know how bad ObamaCare is and what a mess they are in. Instead of working to fix it, they.do the typical political thing and BLAME. The fact is ObamaCare was a lie from the beginning..​

to which Chuck Schumer said. “So I’d say to the president-elect and the Republicans that this is not a time for calling names. It’s time for them to step up if they want to repeal, and show us what they replace it with.”


thinking aloud;

if the replacement is so good, why no details?
if ObamaCare is such a failure, why keep any of its components?​

 

If you can't deny people with pre exiting conditions how is the insurance going to work without the individual mandate? Basically forcing insurance companies to take sick people without giving them healthy people will cause insurance to collapse.

I wish they would just go to universal healthcare because all the other systems will fail.

 

Just wait and see what he GOP will do, they can either repeal and do nothing or come up with a replacement after repeal. If they repeal and do nothing, that would be great for the Democrats, if not the people who would lose coverage. If they come up with a plan, let's see what kind of plan they come up first.

 

Depends on how serious they are about pre-existing conditions. We won't know until we have some details.

You can claim coverage for pre-existing conditions by going back to state's run risk pools. We know how well that worked.

 

The Republicans are dicking around. They had 8 years to come up with a solution and still do not have one. They are further subscribing to the insanity by calling for a "repeal and delay", which is more absurd than any idea out there.

-Tort reform is needed, but is not a solution.
-Opening up state lines is needed, but is not a solution. I cringe when I hear this proposed as a solution.
-Staying on mommy and daddy's plan until 25 is another red herring. This has little effect on insurance costs. If anything, this generates more revenue for insurance companies since they now can ensure they will generate this revenue when otherwise a young person may just go w/out coverage.

Universal Healthcare is the only viable solution. The only way we will get to Universal Healthcare is is to wean people off of the private insurance model. We can start this by removing the individual mandate, allowing private insurance to offer any plan they want, and to open up medicare for anyone to buy into.

Allowing private insurance to dictate the primary market will fail. Everytime. Let private insurance provide supplemental insurance.

 

A republican plan to replace ACA (and its protection of those with pre-existing conditions) with medicare? lets take a look:

http://talkingpointsmemo.com/edblog/ryan-plans-to-phase-out-medicare-in-2017

 

Yes, unfortunately the insurance industry needs to go. They can't accept pre-existing conditions and make a profit without the mandate, and it's difficult even still as is. People have grown wise to the idea of excluding sick people with pre-existing conditions from health care.

Meanwhile hospitals and doctors have no problem excessively billing insurance companies for procedures because it's a faceless thing. It isn't a person out of which they are squeezing money, it's a big business. So that drives up health costs.

If insurance companies are gone, unnecessary procedures won't be billed as often provided the government can safely monitor that without cutting out legitimate services, and that will lower the overall cost of healthcare and everyone will be covered. But the problem is that the insurance industry as we know it will fold, and that's a lot of people out of work.

It's not an easy call.

 

They won't be able to repeal it. Impossible. They will attempt to improve it, which was Obama's plan all along. Brilliant!

 

I'm guessing that the name "Obamacare" really sticks in their throat. Even if they just attempt to improve it, they'll make a big deal out of pretend-repealing it and renaming it "Repub-O-Care" or something so they can take credit. They will never be willing to have it presented as an improvement and amendment of some Democrat's signature legislation.