Repeal and Replacement of the ACA (Obama Care) mean repeal of the FULL 974 pages of the ACA and its associated regulations and creation of a NEW nationwide INDIVIDUAL HEALTH INSURANCE MARKETPLACE.

It does not mean nibbling around the edges using budget reconciliation.   Republicans, you and your Think Tanks have had seven year to draft and agree upon  a bill to repeal the full Affordable Care Act and draft a bill creating  a replacement.  In that time you have produced zilch.

The American people want an nationwide individual health insurance marketplace that provide the same level of coverage, deductibles, copays and at cost similar to the Federal Employee Health Benefit program, which was your health insurance program at the time the ACA was enacted.

Let’s also take a look at the health care that you avail yourself to via The Office of Attending Physician, U.S. Congress.  All American’s would love to have access to an urgent care health facility for $611 per year premium, no deductible, no copay.

In addition to an Individual Health Insurance Marketplace, which cover pre-existing conditions, based on community rating vice medical underwriting, with no hidden subsidies to the insurers.  It appears that the majority of American’s want:

  1. Medicaid expansion – This should be a stand alone bill.  It should be FULLY paid for each year, it can not add to the deficit.  If you can not  find cuts to existing programs to fund Medicaid Expansion you MUST raise taxes to cover it.
  2. A new welfare program to subsidize individuals with income above the Medicaid threshold, via means testing, covering at the low end; premiums, copay and deductibles and from there via a sliding scale of support up to the income threshold.  As with Medicaid Expansion this should be a standalone bill and  MUST be FULLY funded each year out of revenues, not via borrowing.  The payments to insurers should be via vouchers or payment cards, ala SNAP, not the tax code.

It also appears that funding of opioid treatment, related law enforcement and regulations is a priority, for a portion of the population.  These should be three independent bills, again fully funded out of current revenue, even it that means increased taxes.  The American people are not children who must be shielded from the reality of the cost and impacts of government programs.


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