The upending they see comes in the form of the American Health Care Act, legislation aimed at plowing Obamacare back into the earth and replanting the soil with an alternative.
Over the next 10 years, 24 million Americans would lose their health insurance under the House's plan, causing a massive spike in the USA uninsured rate, which now sits at an all-time low. Proposals still require insurers to cover people no matter how sick they are.
There are a number of reasons for the anticipated drop in coverage, Guss said.
In the individual health insurance market nationally, an average of one in three citizens was not covered for substance use services, and nearly one in five were not covered for mental health services. In its place there are tax credits based upon age for those making up to $75,000 a year. Buyers younger than 30 would get a $2,000 tax credit, with increases per decade of age. That's because the GOP tax credit isn't more generous for lower-income folks nor does it adjust for an enrollee's premium like the Obamacare subsidies. In some cases, charges would be as much as five times higher.
Republicans are pulling in different directions as they strive to get traction for a health care overhaul that's in danger of being dragged down by differences within their own party.
"It's going to be a huge rush - an inducement to drag in as many people as they can drag in, because the more they can drag in, the more federal dollars they can get", he says. "Older folks will stop getting coverage through this new mechanism and really, there wouldn't be anything else for them". While Medicare is the lifeline for our elderly's health care, Medicaid is the lifeline for our children. The CBO found that for a 64-year-old earning $26,500 a year, health care premiums would rise by nearly $13,000 a year. And the ACA's protections covered a wider array of important services and eliminated long-standing barriers to mental health care, preventive screenings, maternity care, and more.
Bottom line: When most people in MI and nationally say they want to "repeal and replace" the ACA, they do not necessarily want to lose coverage or return to the pre-ACA world. What's more, drug coverage for seniors and the disabled will be renegotiated. "It's a no-win situation for these older folks".
"It's fixable, but it's going to take a lot of work", the Arkansas Republican said.
Carol Terryberry similarly said the bill needs to undo more insurance regulations, explaining the ACA stifles consumer choice and competition with "one-size-fits-all" plans, adding, the ACA set higher minimum standards for insurance plans. One is ending the expansion of Medicaid by next year instead of 2020. According to the CBO report, funding would be reduced by $880 billion from 2017 to 2026.
The difference in the current plan and the proposed plan would be felt in counties throughout Iowa. And Texas has more uninsured residents than any other state. While Medicare does not pay for long-term stays in nursing home facilities, Medicaid does. They paid less than 10% of their income for insurance. And while per capita cap financing could come with increased flexibility for states in subsequent legislation, the associated federal funding reductions over time may lead states to consider cuts in Medicaid eligibility, benefits, and provider reimbursement.
By 2030, Montgomery said, the number of people 65 and older in the USA will double.