Here’s how Republican health care reform would affect young people

Although the so-called American Health Care Act, now in the process of working its way through the House of Representatives, would not eliminate Medicaid outright, the GOP’s healthcare plan would reduce the program to a sickly, inadequate shadow of its former self, one woefully unequipped to meet many of its most basic functions.

That uncompensated care was written off by hospitals or billed to the state. States would receive less money to cover children, the poor, the elderly, and the disabled, resulting in the rationing of health care.

The Congressional Budget Office estimates $880 million less in federal money would be spent on Medicaid over the next decade. It would actually leave our nation worse off than before the ACA was implemented. “There’s a better way to provide the care and services for Medicaid patients if we allow the states, not Washington D.C., to design a program that’s most effective”.

Roberta Rakove, a spokeswoman for the Chicago-based Sinai Health System, told lawmakers that Medicaid expansion made it easier for Sinai’s network of charitable facilities to care for patients regardless of insurance status.

Although some consider this report to be a knock against the GOP bill, many advocate for the bill’s intent to lower overall federal spending – a point the report affirms, citing a reduction of $337 billion in federal deficits from 2017-26.

By greatly reducing such subsidies and scaling back Medicaid, Trumpcare would thus allow the repeal of the surcharge that the ACA placed on people with high incomes to pay for expanded coverage under the ACA: a “0.9 percent payroll tax on earnings and a 3.8 percent tax on net investment income (NII) for individuals with incomes exceeding $200,000 and couples with incomes exceeding $250,000”. That included a number of Republican-led states, including IN under Vice President Mike Pence when he was governor there.

“I think the previous administration singled out health care executives”, Price said.

His coverage could be a casualty if the Medicaid cuts take effect and IN cannot find a way to pay for a larger share. Finally on February 28, Trump said, “Now, I have to tell you, it’s an unbelievably complex subject”, and added, “nobody knew health care could be so complicated”. “I’d rather take the time and get this right”.

Upending the traditional 90:10 federal and state cost-sharing agreement, a Medicaid block grant would save federal dollars but push the expenses over to the state and require the General Assembly to raise your state taxes as your federal taxes would likely remain the same.

As a candidate, President Trump had promised “no cuts” to Medicaid.

The replacement plan would also end the Obamacare requirement that addiction services and mental health treatment be covered under Medicaid in the states that expanded the program, instead leaving it to states to decide whether to provide that funding in their own budgets.

New Jersey state Sen. Well Trump didn’t know but every American and individual involved in working on and passing the Affordable Care Act, and even Republicans who couldn’t figure out a replacement for it in the past six years, knew.

“It’s not sustainable for New Jersey”, he said.

Several other Republican governors are calling on Congress to rethink the House approach. Kamala Harris said Tuesday.

It’s not surprising that long-term care costs can quickly drain family coffers, with the national median cost of a private nursing home room topping $92,000 per year and a round-the-clock home health aide costing as much as $480 per day, according to the Genworth 2016 Cost of Care Survey.