Ok then. Let me rephrase it as a series of questions.
How did the ACA screw up....
• Guaranteed issue?
• Guaranteed coverage for preventative medicine and screenings?
• Medicare savings of hundreds of billions of dollars per year?
• Medicare incentives?
• Exchanges (note: after the initial problems, they work very well now)?
• Subsidized insurance for people who can't afford it?
• The Medicare expansion?
• The closure of the Medicare Part D "Donut Hole"?
• Allowing approval of generic biologics?
• The end of lifetime care limits?
• Ratepayer rebates when an insurer spends too much on administration?
• Rate review (insurers must notify groups if rates go up more than 10%)?
Those who can make you believe absurdities can make you commit atrocities.
Yada yada. They can still make costs prohibitive so its unaffordable. I have relatives that had pre existing conditions before. They still got covered.... at a price. that still occurs.Incorrect. ACA has guaranteed issue, so they can't refuse to cover people with pre-existing conditions, and can't refuse to cover something because they were pre-existing.
Yep... and in general did fine. Because the vast number aren't sick.yes, and that was not a good thing, because those people had no health insurance at all.
Exactly.20,000 per year.
no correct. Heck... the worse for preventative care is Medicaid.. a government program. If a person has back pain...and they get into physical therapy within 18 or so days of onset.. (and pain that doesn't go below the knee. and a couple of indicators). there is a 95% confidence level that their back pain won't become chronic.Incorrect. ACA explicitly requires insurers to cover preventive care, for adults and kids. E.g.
Medicaid in two of the states I do work in takes 30 days to authorize therapy.
just one of many examples of how they really don't cover preventative care or put roadblocks in front of it.
And that hasn't changed.So did I. It was an expensive PITA. I wound up with crappy coverage at a high cost, and my insurer repeatedly tried not to cover conditions. I'm one of the lucky ones, in that I was able to get it at all. As a freelancer, not getting coverage would have been a major issue.
First..20 million people is a drop in the bucket. Particularly since many of them don't use their healthcare insurance nor really need it at this time. People don't really care that Medicare's costs go up. Add it to the list of other costs that have gone up for the government.A straight-up repeal would kill coverage for over 20 million Americans. AFAIK 2.6 million people signed up after the election. Medicare's costs would jump by $800 billion. Guaranteed issue, gone. The industry would be in a furore, because they know that going back to pre-ACA would be a disaster. Ryan is already backing down from Repeal & Delay, and says the goal now is to do Repeal & Replace "concurrently."
Guaranteed issue doesn't matter that much to the vast majority of folks that have insurance through and employer or medicare. or Medicaid.
The aca tried to fix problems for basically a very small percentage of americans. In some cases it helped. It more cases it probably hurt.
Killing it will have little public fall out.
that's simply the facts.
"sure, Obamacare covers 20 million people, lowers the deficit and increases the quality of care but its bad because......