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[RDreamer]

On the surface, the tax credits for the oldest Americans seem the most generous. People in their 60s, for example, get twice as much help as those in their 20s.

But under the Republican plan, insurers would be allowed to charge the oldest Americans five times as much as the youngest Americans. Their financial help would not scale nearly as much as their premiums would.

Shouldn't the AARP be angry about this?

you don't pay a 30% premium on employer based insurance.

That is only for the individual marketplace. If you don't get it through your employer, then yes you pay 30%.

If you get prostate cancer while on your insurance, they cover it. If not, then you could be put in a high risk pool. The state can use the money for something else besides a HRP.

premiums in a HRP are enormous. Premiums will go up for the entire individual marketplace under these rules, however.

In fact, insurance numbers might drop so significantly, there might not be any providers at all in the individual market where you live.

Thanks. This shit's so ridiculously confusing. I've never had insurance outside of an employer and thankfully haven't had anything go wrong like cancer so I'm just terribly unsure how some of this stuff works much less how it theoretically would work with a strange plan like this.

 

[Bishman]

This won't pass.

 

[wisdom0wl]

Pure evil. This is why people laugh at Libertarians.

but my free markets

 

[Nafai1123]

If Trump held to that promise I'd do a complete 180 on him and buy MAGA gear (he'd have to implement single-payer to do it). But lmao at that happening.

Trump DID promise that though, and his feet need to be held to the fire just like people held Obamas feet to the fire claiming you could keep your own Dr.

 

[GiantBombGamer]

I've got a meh federal government job with cheap but meh insurance...was looking to switch to a career actually in my field as this was a stop gap...now I'm contemplating just staying till this shit storm is sorted. I've got a big PI settlement coming anyhow, so I can take the meh pay in the meantime...plus 9 more years and my student loans are forgiven...hmm.

 

[thespot84]

The 30% surcharge makes absolutely no sense. There's no stick and no carrot pushing the young to buy health insurance, so insurers will choose to charge them even more and further reduce them number paying into the system?

Even if this passes you'll never see that surcharge in real life, it makes no sense from the insurers' point of view.

Edit: the block grand for medicaid is further hilarity, since it's the same $ for every state, yet red states use far more federal healthcare dollars than blue states. Carving the south out into a different country is more and more appealing every day with these clowns in power.

 

[Tranqueris]

Well.. You had a good run, people who are sick and or old in Kentucky and Arkansas.

 

[thepotatoman]

They can pass this through reconciliation with 50 votes.

They can't do a straight repeal that way, but they can amend the ACA so long as it can be shown over the next 10 years to not fuck with the deficit.



Yes. it will.

I think the limitation is just no increasing spending, not no increasing the deficate.

They already have a proof of concept of this on the one repeal bill that they sent to obama, which increased the deficit far more than this does.

 

[Aselith]

If Trump held to that promise I'd do a complete 180 on him and buy MAGA gear (he'd have to implement single-payer to do it). But lmao at that happening.

Obama said the same actually. He said he would support legislation that was better than what he put together.

 

[Swass]

Tax credits are usually garbage especially for low income.. Going by the way other tax credits work, basically if you get sick in January, you are out your funds the entire year until you file taxes.. and if you are already getting a good portion of your taxes back the credit will not be completely compensated to you.. or is it going to work differently here?

Also hoping people stay on to avoid a penalty is a joke.. young people would rather the funds because they think they are invincible and won't get sick.. no way the 30% penalty can sustain the funds provided by making insurance mandatory..

 

[antonz]

GOP projecting as usual. Their plan for Medicaid etc. is literally the rationing they screamed would supposedly happen with Obamacare

 

[iRAWRasaurus]

Well.. You had a good run, people who are sick and or old in Kentucky and Arkansas.

I am sure they will be happy. As long as it's made by an R and not that Muslim Obamacare that they have been dependent on.

 

[Roland_Gunner]

Dave Weigel‏Verified account
@daveweigel

Rep. Jim Jordan of Freedom Caucus trashes bill: "It's subsidies for unaffordable health care, subsidies for unaffordable premiums."

The chair of the Freedom Caucus, the most rightwing group of the GOP, is trashing the bill because its not cruel enough to the poor and needy.

 

[djplaeskool]

You know the answer to this.

Vox sums it up nicely

 

[greepoman]

Anyone look at how Fox news is covering this? I'm curious how they can possibly spin this. Glancing at their website they offer positive quotes, barely have any details then just has a link to "Read the text of the bill". How nice of them not to go into details so that their readers will read the whole thing...Right?

 

[Chumly]

If I'm rich and have employer insurance will my cost go down?

Employer insurance cost will go up. Indirectly..... hospitals and doctor will raise prices to compensate for unpaid medical care based off less people on insurance.

 

[Shake Appeal]

If you have a job, don't leave it.

This thing is hot garbage.

 

[capslock]

Obama should come out for it. That'll kill it among Republicans.

 

[Culex]

Health insurance needs to change in the US and fast. We need to go single-payer. It's a pipe dream, i know. At 34 years old, I doubt I'll live to see it happen in the US.

Insurance costs are just UNBELIEVABLY high. My employer insures roughly 3,000 employees, and at a massive discounted rate, still pays over 13k a year per employee. We paid over 26 million last year just on health insurance.

 

[teiresias]

The chair of the Freedom Caucus, the most rightwing group of the GOP, is trashing the bill because its not cruel enough to the poor and needy.

That's more than I expected from the caucus though since he's at least saying it in reference to the fact that premiums would be to high anyway. Ironically, seeing him wrap his complaints about the subsidies in the veil of them not covering the actual premiums is hilarious. They have no real alternative to single payer to suggest actually controlling those premium costs.

 

[neurosisxeno]

Ironically, seeing him wrap his complaints about the subsidies in the veil of them not contingency the actual premiums is hilarious. They have no real alternative to single payer to suggest actually controlling those premium costs.

Their alternative to Single Payer was the Affordable Care Act. But since a Black Democrat implemented it, it's literally the shittiest plan on Earth--despite Republicans trying (and succeeding in Mass) to pass it at the state level in a few places.

 

[turmoil]

One is almost inclined to think that universal health care would be simpler and cheaper than this clusterfuck.

 

[teiresias]

Their alternative to Single Payer was the Affordable Care Act. But since a Black Democrat implemented it, it's literally the shittiest plan on Earth--despite Republicans trying (and succeeding in Mass) to pass it at the state level in a few places.

Well yeah, I meant in comparison to current law.

 

[Shake Appeal]

Health insurance needs to change in the US and fast. We need to go single-payer. It's a pipe dream, i know. At 34 years old, I doubt I'll live to see it happen in the US.

Insurance costs are just UNBELIEVABLY high. My employer insures roughly 3,000 employees, and at a massive discounted rate, still pays over 13k a year per employee. We paid over 26 million last year just on health insurance.

 

[Concept17]

Cheetoh-care. In the end you just end up with a disaster on your hands.

 

[greepoman]

Any idea how many of these countries have universal healthcare? Is it everyone except the US?

 

[Fox Mulder]

if you're poor you better not get sick, and if you're sick you better not be poor

I have a gun if I get cancer or something.

 

[smokeandmirrors]

One is almost inclined to think that universal health care would be simpler and cheaper than this clusterfuck.

Probably. Just fucking expand Medicare to everyone.


Republicans are fucking poisonous and will be the death of this country and planet. Fuck every single republican piece o fucking shit. Every single one. You are awful fucking people who deserve nothing but to be thrown behind bars for destroying this country.

 

[Shake Appeal]

Any idea how many of these countries have universal healthcare? Is it everyone except the US?

More or less. The systems vary in their execution, obviously.

 

[LegendofJoe]

Obama said the same actually. He said he would support legislation that was better than what he put together.

That's because he's a good man, I can't say the same about Trump (although I'd love to be proven wrong).

 

[Trailblazer34]

Ain't nothing like a GOP health plan!

...

Fuck the GOP.

 

[sonicmj1]

Any plan that doesn't attack the costs of medical procedures directly won't do anything to bring down premiums.

This bill not only ignores the biggest driver of rising health care costs, but it harms overall coverage without creating any kind of savings. I can't imagine anyone who would be happy with this unless they're obsessive about the moral difference between a penalty applied when you don't have insurance and a penalty applied when you buy insurance after not having it.

 

[Plinko]

Any plan that doesn't attack the costs of medical procedures directly won't do anything to bring down premiums.

This bill not only ignores the biggest driver of rising health care costs, but it harms overall coverage without creating any kind of savings. I can't imagine anyone who would be happy with this unless they're obsessive about the moral difference between a penalty applied when you don't have insurance and a penalty applied when you buy insurance after not having it.

A bill like that will never happen, let alone be put forth by republicans. You are right, though--until they finally take on medical costs, nothing will change.

 

[Sciz]

Should've just kept pretending they couldn't find it.

 

[Sanojio]

Lol 10 dollar co pay to 6k deductible. Thanks Obama. What's wrong with these people?

 

[The Horror the horror]

Any plan that doesn't attack the costs of medical procedures directly won't do anything to bring down premiums.

We can start by cutting the price of medication or prioritizing the pursuit of cures over medicine.

 

[Syncytia]

Seems deliberately terrible enough to ensure no democrat would want to vote for it while getting all th conservative health care talking points in. People generally don't care enough about this stuff and just see the talking points so for the GOP base it's a good bill. They'll blame the democrats for "obstruction" all the way until 2018. It's essentially what they've done since 2010... "We're trying but the democrats just won't let us get anything done." It's been a winning strategy and I don't see why they would quit now.

 

[wumster3000]

This is a joke presidency. That shit will not get approved. No way in hell.

Don't buy the distractions either. Keep the heat on his administration's Russia ties.

 

[KHarvey16]

We can start by cutting the price of medication or prioritizing the pursuit of cures over medicine.

What disease do you think we aren't trying to cure?

 

[Zophar]

I would be absolutely shocked if this survived the Senate.

 

[AndyD]

Hmm, not sure if this means Medicaid enrollment will surge, to secure those guaranteed dollars, or plummet, in anticipation of block grants.

And not seeing much in the way of controlling costs, regulating pharmaceuticals and pricing and so forth.

 

[Skatterd]

A 30% surcharge
If people are convinced that's better than an individual mandate, then fuck me I don't know what to tell them.

 

[AndyD]

What disease do you think we aren't trying to cure?

The focus on profitable lifestyle drugs over development of antibiotics is usually a prime example. Patent shenanigans with injecting devices for otherwise basic drugs (inhalers, epi pens) is another.

 

[KHarvey16]

The focus on profitable lifestyle drugs over development of antibiotics is usually a prime example. Patent shenanigans with injecting devices for otherwise basic drugs (inhalers, epi pens) is another.

Those aren't cures though. And I don't think companies would reject a cure for something else to pursue one of them. If they want profit I couldn't think of anything in the world that would make them more money.

 

[Ogodei]

Health insurance needs to change in the US and fast. We need to go single-payer. It's a pipe dream, i know. At 34 years old, I doubt I'll live to see it happen in the US.

Insurance costs are just UNBELIEVABLY high. My employer insures roughly 3,000 employees, and at a massive discounted rate, still pays over 13k a year per employee. We paid over 26 million last year just on health insurance.

I think we'll see it happen as soon as the Democrats control Washington again. Even if Trump manages to fuck up the Supreme Court, a Democratic president and congress could pass something like Medicare for All.

The benefit of the Trump Administration is that we know the gloves are off now. There's no reason to not go for broke when you have control, and the blue dogs who made the ACA the mess that it is right now are mostly extinct at the federal level.

 

[AndyD]

Those aren't cures though. And I don't think companies would reject a cure for something else to pursue one of them. If they want profit I couldn't think of anything in the world that would make them more money.

Antibiotics are certainly cures. It does not need to be for a particular thing to be a cure.
And there are countless diseases in non industrialized countries which remain unsolved and get little to no attention.
The reality is that a lot is needed to do research, time and money, and investors are not patient or kind. So it's either governments, philanthropy or pretty much do nothing for these smaller poorer countries.

 

[Diablos]

Obamacare goes from like version 2.0 to an alpha build with this shit.

Age tax, poor tax... pretty sure this is DOA. AARP already beating the war drum.

and yeah Ryan sure did lawyer his way out of abandoning the mandate. He's just building it into the monthly cost if you don't have continuous coverage. It's actually worse because I am sure the hardship exemption is gone.

The GOP is such a farce of a party, just a corpse being fueled by hatred, fear, paranoia, xenophobia...

 

[Angelus Errare]

More or less. The systems vary in their execution, obviously.

But we have what they don't have....freedom and exceptinoalism! cryingEagle.gif

 

[Sean C]

A 30% surcharge
If people are convinced that's better than an individual mandate, then fuck me I don't know what to tell them.

The surcharge is particularly ridiculous because as a stick to prevent people from trying to game the system by only getting insurance when they're really sick, that's completely inadequate.

Basically, this is a healthcare reform plan that would blow the health insurance companies all to pieces if it actually passed.

I also have no idea why, in choosing to kick the possible fallout of the end of the Medicaid expansion down the road, they chose 2020 as the year where it ends. Either that means it ends in a presidential election year, pissing off everybody who just lost their insurance, or it ends the following year, which would allow the Democrats to run on saving the Medicaid expansion.

I would be absolutely shocked if this survived the Senate.

This won't even clear the House, going by statements by members of the Freedumb Caucus.

 

[hateradio]

When keeping it real, goes wrong.