Trumpcare Is Not Yet A Law
And in fact, it may never be at least in its current form. After narrowly advancing through the House of Representatives in 2017, Trumpcare went on to die on the Senate floor.
Trump hinted at plans to introduce a new plan in early 2019, but Senate Majority Leader Mitch McConnell reportedly warned Trump that the Senate would not revisit major health care legislation again until after the 2020 presidential election.1
That means Trump will have to win a second term to try and make good on his campaign promise to repeal and replace Obamacare.
What Would Trumpcare Look Like Follow Gop’s ‘choice And Competition’ Clues
Eliminating the penalty also caused insurance premiums to rise, says Sabrina Corlette, director of the Center on Health Insurance Reforms at Georgetown University. “Insurance companies were getting very strong signals from the Trump administration that even if the ACA wasn’t repealed, the Trump administration probably was not going to enforce the individual mandate,” she says. Insurance companies figured that without a financial penalty, healthy people would opt not to buy insurance, and the pool of those that remained would be smaller and sicker.
So, even though the $0 penalty didn’t actually go into effect until 2019, Corlette says, “insurance companies in anticipation of the individual mandate going away and in anticipation that consumers would believe that the individual mandate was no longer going to be enforced priced for that for 2018.” According to the Kaiser Family Foundation, premiums went up about 32%, on average, for ACA “silver plans” that went into effect in early 2018, although most people received subsidies to offset those premium hikes.
The Effects Of Trumpcare As It Stands Now
The grand result is that the plan is that it reduces costs for the wealthy, healthy, and young, but substantially raises costs for many in other demographics.
The middle class is helped a little .
However, the same middle class would suffer went without coverage , and they might also have problems with costs if they lost their jobs or got sick.
Meanwhile, our poorest people, women, seniors, and low-wage workers would all see some new hurdles.
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What Would A New Trump Health Care Plan Look Like
President Trump is promising again to release a comprehensive health care plan to replace the Affordable Care Act. If he actually keeps that promise, what would it be likely to provide?
At this point, most of the details of the presidents plan are not public. Nevertheless, there are three things that we already know for sure. First, a Trump health plan would promise to protect people who have pre-existing medical conditions, but it would not really achieve that. Second, it would sacrifice the quality of benefits and level of coverage in most health insurance policies, as ways to lower insurance premiums. Third, it would make existing health disparities in the U.S. even worse.
The president has recognized the political necessity of protecting people who have pre-existing conditions, and he has repeatedly promised to do so. He recently indicated that he might issue an executive order on pre-existing conditions as a signal to people. The reality, though, is starkly different.
What if the presidents plan includes an explicit statement in a proposed federal law that would require all insurance companies to sell policies to everyone, regardless of any pre-existing condition? And what if the proposed law would also require insurance companies to treat everyone equally, and prohibit discrimination on the basis of medical condition in the extent of coverage or amount of premiums?
Us Faces ‘a Child Care Emergency’ Biden Says In Unveiling $775 Billion Plan
On abortion access, Biden is in favor of restoring funding for Planned Parenthood. He does not support the so-called gag rule or the Hyde Amendment, which bans most federal funding for abortions. Biden backed the Hyde Amendment for a significant portion of his career and only came out against the legislation in July 2019, saying he could “no longer support an amendment that makes that right dependent on someone’s ZIP code.”
Biden also wants to allocate $775 billion toward a plan for child and elder care. A lot of the funding would go toward cutting Medicaid waitlists for people needing home and community care, and to provide tax breaks to people who care for older family members.
Biden also pledges to invest in further health care employment, training 35,000 workers on how to aid Americans suffering from opioid addictions and adding “tens of thousands” of new jobs caring for veterans.
Biden also calls for the creation of a public health jobs corps, which would employ more than 100,000 Americans as health care workers in medically underserved communities to work in disease prevention.
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The Effects Of Trumpcare
Its hard to say exactly what the new version of the bill may look like, but here are some things we know about the version of the bill that passed through the House of Representatives and was proposed to the Senate:
- The Obamacare “individual mandate” that requires everyone to have health insurance would be repealed. Some experts contend it could be one factor that contributes to 24 million more uninsured Americans.
- Subsidies granted to lower-income Americans for the purchase of health insurance would be replaced by tax credits.
- States could obtain a right to waive currently federally-mandated essential health benefits.
- States could obtain a right to charge more for preexisting conditions, but some of those costs can be offset by subsidies offered to people with such conditions.
- Medicaid expansions introduced during the Obama administration would be phased out.
Its important to keep in mind that if Trumpcare does goes into law, it may look quite different than the version outlined above.
An Introduction To The Many Healthcare Bills Regulations And Ideas We Call Trumpcare
Below we explain different aspects of TrumpCare.
When people say TrumpCare they are essentially referring to healthcare changes made, attempted to be made, and/or pushed for under President Trump . This is sort of like how when people say ObamaCare they are referring to changes to the healthcare system under Obama, but especially the Affordable Care Act.
Changes and policy ideas under Trump that may be considered TrumpCare have included:
- PROPOSED: Trump has said he will pass executive orders to protect pre-existing conditions which would be repealed by the lawsuit backed by his administration along with the rest of the ACA. The specifics of these orders are not known yet.
- PROPOSED: The 2021 budget which includes almost $1 trillion in cuts to Medicaid and the ACA and $600 billion savings from Medicare.
- LIST OF GOALS: Tom Prices plans as shown on HHS,
- LIST OF GOALS: The TrumpCare as presented on DonaldJTrump.com , and
- LIST OF GOALS: Past promises Trump has made .
In other words, TrumpCare is a term that describes the ongoing health care reform effort under Donald Trump .
This is somewhat complicated by the fact that a repeal and replace plan did not pass Congress, and instead the Trump administration has been gradually reshaping the healthcare system using executive orders, legislative action, action in congress, and changes done via federal agencies like HHS.
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Trump Rule Says Health Plans Must Disclose Costs Up Front
WASHINGTON Trying to pull back the veil on health care costs to encourage competition, the Trump administration on Thursday finalized a requirement for insurers to tell consumers up front the actual prices for common tests and procedures.
A major health insurance industry group said the regulation would have the opposite effect, raising premiums.
The late-innings policy play ahead of Election Day comes as President Donald Trump has been hammered on health care by Democratic challenger Joe Biden for the administrations handling of the coronavirus pandemic and its unrelenting efforts to overturn Obamacare, the 2010 law providing coverage to more than 20 million people.
A related Trump administration price disclosure requirement applying to hospitals is facing a federal lawsuit from the industry, alleging coercion and interference with business practices.
The idea behind the new regulations on insurers is to empower patients to become better consumers of health care, thereby helping to drive down costs.
But the requirements would take effect gradually over a four-year period, and patients face a considerable learning curve to make cost-versus-quality decisions about procedures like knee replacements or hernia repairs. Add to that political uncertainty about the policys survival if Trump doesnt get reelected, and the whole effort is running into skepticism.
A Look Back At Trump’s 2016 Rnc Nomination Speech
WASHINGTON President Trump is set to accept the Republican Party presidential nomination Thursday night with a speech at the White House. In his first acceptance speech in 2016, then-candidate Trump laid out a litany of complaints about President Barack Obama’s administration and set some benchmarks for his own plans. Heres the state of play on just some of those campaign promises:
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A Summary Of Trumps Order And Hhs Regulations
The Trump Executive Order does little more than instructing the IRS not to enforce the mandates as harshly. The results are complex. See Trump Executive Order on the ObamaCare Mandates !
Unlike the Order, the Trump Administration HHS regulations change a lot.
In summary, the regulations:
- Make open enrollment shorter.
On the plus side, the deregulation will likely lower costs a bit for those full-time employees with higher incomes and health coverage who will remain at their job .
The Difference Between Obamacare The Senates Trumpcare The Houses Trumpcare Explained
The following table shows the main difference between ObamaCare, the Senates Better Care Reconciliation Act of 2017, and the Houses American HealthCare Act :
TIP: Note, not all the recent changes are reflected in the chart below.
UPDATE: Sine both the BCRA and the AHCA didnt pass, this has historical value, but doesnt reflect what actually happened. That said, youll notice some of these items were passed through other means.
OPINION ON UNIVERSAL HEALTHCARE: The biggest gripe people will have with TrumpCare is that it is not a universal healthcare system . Instead, TrumpCare results in more uninsured than we had before the Affordable Care Act. All TrumpCares good points aside, a plan that results in more uninsured and not less will be hard to spin. Trump recently said , Australias healthcare system is better than ours. To be clear, I think many would agree with that. Australia has universal healthcare, meaning it doesnt leave 15% of its citizens without coverage due to preexisting conditions and costs. Trump at one point promised health care for everybody. Here I must note that the Senate could essentially re-write the house bill to create a system like the Australian one . For more see: ObamaCare and Australias HealthCare Systems Compared.
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Biden Hosts Daca Recipients As He Drops Trump Health Care Rule For Immigrants
On Thursday, President Trump finalized his health-insurance price-transparency rule. Count on it to revolutionize American health care.
The order requires health insurers to publish their real prices and cost-sharing information in advance so health-care consumers can easily shop for the best quality care and coverage at the lowest possible price. From MRIs to colonoscopies to prescription drugs, Americans will now be in charge of their health decisions and savings.
Combined with his already finalized hospital price-transparency rule, this will unleash a competitive, functional marketplace based on free-market principles to drive down costs. The savings to individuals, families, and businesses through consumer empowerment will deliver a substantial economic stimulus now and for generations to come.
Democrats and the mainstream media claim Trump has no health-care plan. This perspective has always been more party-line rhetoric than reality. Trumps hospital price-transparency rule, which requires providers to post their discounted cash prices and secret negotiated rates, takes effect in the new year.
And last month, Trump issued a billing-transparency order, requiring hospitals to reveal their widespread unethical billing practices, including garnishing patient paychecks, placing liens on their homes and filing lawsuits against them.
Kudos to Health Secretary Alex Azar for his leadership in getting this rule over the finish line.
A Summary Of The Latest Version Of Trumpcare
Above we illustrated the absolute basics and showed how TrumpCare and ObamaCare were different. Below, well explain some more details about RyanCare/TrumpCare/McConnellCare , the reconciliation bill that didnt originally pass the House, but then passed after being Amended, and now has become the Senate bill.
Keeping in mind that the bill is still being debated and everything below is subject to change, the basics of what TrumpCare does can be summarized by saying TrumpCare :
NOTE: One thing to note early on here is that the plan originally cut small business tax credits and the plan currently cuts assistance for seniors who are not on Medicare . Neither of these is in-line with past rhetoric from Trump or the GOP.
Also worth noting here before moving on, is that both the House and Senate bill embrace waivers and the ability of insurers to sell junk plans .
This started with the MacArthur Amendment which allows states to undo key ObamaCare protections at a state level. Then this continued with the July 13th changes with a provision backed by Ted Cruz.
This will, in many cases, result in Republican-led states being able to charge the sick and elderly more while giving younger and healthier people a break, in the name of encouraging fair health insurance premiums.
The problem with that is that it could drive young and healthy people to low-cost plans, pushing premium costs up for those who choose more robust plans.
TIP: Changes made by the Senate bill are crossed out.
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Millions Of Americans Lost Coverage Before And During The Pandemic
Since President Trump took office, millions of Americans have lost health insurance coverage. The number of uninsured Americans rose by 2.3 million from 2016 to 2019, including 726,000 children, according to the U.S. Census Bureau. Among the 41 states with increases in their numbers of uninsured residents, the largest increases were in Texas and Florida . Many smaller states, such as Michigan and Wisconsin , saw increases in the tens of thousands. Just a handful of states experienced a net gain in coverage, including New York, where the number of uninsured people declined by 176,000.
The increase in the number of uninsured people over the past few years is the product of Trump administration policies aimed at attacking the ACA, including signing the repeal of the ACAs individual mandate penalty and making it more difficult for Americans to obtain comprehensive insurance coverage. According to the Congressional Budget Office, Increases in health insurance premiums and the elimination of the individual mandate penalty have contributed to the rise in the uninsurance rate.
During the pandemic, the consequences of ACA repeal will be even graver: More than 20 million people overall could now lose coverage, as people shift from employment-based plans to coverage options made possible by the ACA, such as expanded Medicaid and nongroup coverage, after being laid off by an employer or losing income this year.