9 March 2017 Trumpcare is a betrayal against the demographic that put him in office and the American People

Good morning family – only time for a quick post right now.  I am very disappointed and just hurt with what our government is currently trying to “push through” as a replacement for President Obama’s Affordable Care Act.  I have provided a couple things for you to read if you are interested and form your own opinion if you haven’t already.  To me, and this is just me, this plan is a recipe for disaster and is the leverage for the death panels that were feared prior to release of the President Obama’s plan.  It is blatantly obvious – even if the death’s are not directly intended, by proxy they will occur with this plan.  This plan shows me just one more reason why getting older in this country sucks.  My thanks to all those in the medical community and those with a shred of integrity left in Washington that are fighting for the American people and resisting the passage of this atrocity of legislation.

http://www.latimes.com/opinion/topoftheticket/la-na-tt-trumpcare-20170308-story.html

Source LA Times: 9 March 2017 Top of the Ticket Cartoon by David Horsey LA Times

http://kff.org/interactive/proposals-to-replace-the-affordable-care-act/ – PDF file available to read entire content of proposed healthcare plan under President Trump.

March 23, 2010 – Affordable Care Act

Require most U.S. citizens and legal residents to have health insurance.

Create state-based health insurance exchanges through which individuals and small businesses can compare plans, apply for financial assistance, purchase coverage.

Provide refundable premium tax credits, based on income and cost of coverage, for individuals/families with income between 100-400% of the federal poverty level.

Impose new insurance market regulations, including requiring guaranteed issue of all non-group health plans during annual open enrollment and special enrollment periods; limiting rating variation to 4 factors: age (3 to 1 ratio), geographic rating area, family composition, and tobacco use (1.5 to 1 ratio); prohibiting pre-existing condition exclusion periods; prohibiting lifetime and annual limits on coverage; and extending dependent coverage to age 26.

Require ten essential health benefits be covered by all individual and small group health insurance

Require plans to provide no-cost preventive benefits and limit annual cost-sharing.

Expand Medicaid to 138% of the federal poverty level at state option and require a single, streamlined application for tax credits, Medicaid, and CHIP.

Extend CHIP funding to 2015 and increase the match rate by 23 percentage points up to 100%.

Close the Medicare Part D doughnut hole and enhance coverage of preventive benefits in Medicare.

Reduce Medicare spending by reducing payments for Medicare Advantage plans, hospitals, and other providers.

Establish the Independent Payment Advisory Board and the Center for Medicare and Medicaid Innovation (CMMI).

 

March 6, 2017 – American Health Care Act (as proposed)

Repeal ACA mandates (2016), standards for health plan actuarial values (2020), and, premium and cost sharing subsidies (2020).

Modify ACA premium tax credits for 2018-2019 to increase amount for younger adults and reduce for older adults, also to apply to coverage sold outside of exchanges and to catastrophic policies. In 2020, replace ACA income-based tax credits with flat tax credits adjusted for age. Eligibility for new tax credits phases out at income levels between $75,000 and $115,000

Retain private market rules, including requirement to guarantee issue coverage, prohibition on discriminatory premiums and pre-existing condition exclusions, requirement to extend dependent coverage to age 26. Modify age rating limit to permit variation of 5:1, unless states adopt different ratios.

Retain health insurance marketplaces, annual Open Enrollment periods (OE), and special enrollment periods (SEPs).

Impose late enrollment penalty for people who don’t stay continuously covered.

Establish State Innovation Grants and Stability Program with federal funding of $100 billion over 9 years. States may use funds to provide financial help to high-risk individuals, promote access to preventive services, provide cost sharing subsidies, and for other purposes. In states that don’t successfully apply for grants, funds will be used for reinsurance program

Repeal funding for Prevention and Public Health Fund at the end of Fiscal Year 2018 and rescind any unobligated funds remaining at the end of FY2018. Provide supplemental funding for community health centers of $422 million for FY 2017

Encourage use of Health Savings Accounts by increasing annual tax free contribution limit and through other changes

Eliminate enhanced FMAP for Medicaid expansion as of January 1, 2020 except for those enrolled as of December 31, 2019 who do not have a break in eligibility of more than 1 month

Convert federal Medicaid funding to a per capita allotment and limit growth beginning in 2020 using 2016 as a base year

No change to Medicare benefit enhancements or provider/Medicare Advantage plan payment savings

Repeal Medicare HI tax increase and other ACA revenue provisions

Prohibit federal Medicaid funding for Planned Parenthood clinics

 

Quotes that resonated today:

8 March 2017 – my chalk drawing yesterday in thinking about the people of this country and the world. A lot of prayers needed!

To do two things at once is to do neither. Publilius Syrus

It isn’t what we don’t know that kills us, it’s everything we know that ain’t so. Mark Twain

The trouble with the rat race is that even if you win, you’re still a rat. Lily Tomlin

Don’t judge each day by the harvest you reap but by the seeds that you plant. Robert Louis Stevenson

To us, the ashes of our ancestors are sacred and their resting place is hallowed ground. Chief Seattle

Money often costs too much. Ralph Waldo Emerson

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5 comments on “9 March 2017 Trumpcare is a betrayal against the demographic that put him in office and the American People

  1. I hope so much that there is a way to take good care on the health front for all american people….
    btw: I just watch a documentary about tesla… it’s interesting and he deserved much more attention for all the things he invented…

    • Yes, me too my friend! They should just suck up their pride and fix what’s wrong with Obamacare, much of which they are responsible for existing, and call it a day. All this to undo a man’s legacy and it is certainly backfiring….karma can be cruel. Yes, Nikola is FINALLY getting the respect and attention he deserves and sadly like many who come into this world like him, he isn’t alive to enjoy it. Glad you took the time to see what he gave to us! Much love to you today.

    • YES! Margarita you are right but a great cartoon I think. I think it illustrates the ends and means of this vision of Ryan and the Trump Administration quite well. It’s sad too because many of these men, if they weren’t wealthy, would be in the same boat they are attempting to put people my parents age and older into. The Mediator between the head and the hands must be the heart and that is what is missing out of pretty much everything I’m seeing from these folks. Lack of empathy for people who aren’t them.

      • I agree, Jackie. There’s also a lack of understanding who they are serving. They’ve forgotten they’re elected by constituents to represent them. Once in office, they seem to become completely self-serving. 😉 xoM

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