Health Care

It Couldn't Be Fixed: Policy and Politics in the Republican Health Care Bill

Posted in:

Now that the Senate Republican effort to repeal and replace the Affordable Care Act has failed, let’s take a step back and understand why no bill based on the Republican approach to health care could have been fixed enough to reduce the pain to levels acceptable to a majority of Republicans in Congress, let alone to the American people. 

The basic design of the bill was deeply flawed from the perspective of anyone who thinks that America has a responsibility to guarantee quality, affordable health care to all. The design only made sense if one, instead, seeks a politically palatable way to reject that responsibility and reduce federal health care spending in order to cut taxes on large corporations and the rich.

What started as a bill to repeal the Affordable Care Act (ACA) became a bill to partly repeal the health insurance regulations and subsidies for insurance purchased in the individual marketplaces, fully repeal the Medicaid Expansion, and radically restructure – and drastically reduce – funding for traditional Medicaid.

PA House GOP Stealth Attack on Medicaid

**UPDATE 7/11/17 - 4:45 PM** The House passed the bill through to the Senate 102-91. The Senate must again vote on the bill as amended

PA House Republican leaders are trying to force Pennsylvania to seek federal waivers for our Medicaid program that would establish requirements that Medicaid recipients either be working or searching for a job and that that ask them to pay premiums or higher co-pays for their insurance. 

These ideas were part of Governor Corbett’s plan to expand Medicaid, which Governor Wolf rightly rejected.

New Estimates of the Loss of Federal Funding to Pennsylvania from the Senate Health Care Bill

Posted in:

The Manatt Health Group and the Robert Wood Johnson Foundation have released a new study of the impact of the Senate health care bill, the Better Care Reconciliation Act of 2017, on the states. Their estimates of the impact of the bill confirms our recent study showing that Pennsylvania will suffer devastating reductions in federal funding for Medicaid.

The new study provides two sets of estimates of how much federal funding each state loses – one if the state keeps the Medicaid Expansion and a second if it does not. According to the study, if Pennsylvania eliminates the Medicaid Expansion in 2021, the state stands to lose $30.1 billion in federal funding between 2020 and 2026 – $25 billion as a result of the elimination of federal funding for the Medicaid Expansion, and $5.1 billion as a result of the impact of per capita caps on traditional Medicaid.

Senate Bill Raises Marketplace and Employer-based Premiums for Most Pennsylvanians

Posted in:

We have been focused recently on the impact of the Senate health care bill on Medicaid, mainly because the dangers of both the House and Senate bills to Medicaid have not been well known, and because the Senate bill is far worse than the House bill. 

So, in this and next post I want to remind you that if you purchase health insurance on the exchanges / marketplaces or receive it from your employer, the Senate bill is bad for you as well.

How Dumb Does Senator Toomey Think We Are?

Posted in:

I’m not just a practitioner of political rhetoric, but also a connoisseur of it. I can appreciate a good argument and a well-turned phrase put forward by our ideological opponents. And, rather than get disturbed by what the other side says, I take their best work as a challenge. But what truly does get me angry is when our opponents not only lie, but do so with arguments that are insulting to the intelligence of the people we are trying to influence – the citizens of Pennsylvania and America.

State As Well As Federal Republicans Go After Medicaid

Posted in:

At both the state and federal level, Republican Party leaders seem to be on the warpath against Medicaid. Thankfully, rank and file Republicans in both legislatures and the public seem to be pushing back against them, as long, bi-partisan support for Medicaid continues.

MEMO: Effects of U.S. Senate Health Care Bill on Pennsylvania

Posted in:

MEMO

To: Interested Parties

From: Marc Stier, Director, Pennsylvania Budget and Policy Center

Date: June 28, 2017

Re: Effects of U.S. Senate Health Care Bill on Pennsylvania


The Pennsylvania Budget and Policy Center will be releasing a number of briefs on the effects of the U.S. Senate health care bill in the next few days. You can see our initial statement in response to the CBO scoring of the bill here. Below is our first brief on the effects of the bill on Pennsylvania.

STATEMENT: PBPC On the CBO Report for the Senate Health Care Bill

Posted in:

Marc Stier, Director of the PA Budget and Policy Center, made the following statement following today's release of the Congressional Budget Office (CBO) report on the U.S. Senate GOP Health Care Bill (Better Care Reconciliation Act of 2017)

It’s official — the Senate health care bill is not an improvement but actually worse for Americans than the House bill. The CBO analysis released today holds that 22 million fewer Americans will be insured in 2026 as a result of the Better Care Reconciliation Act. That is slightly better than the House bill.

Which Direction for America? What's at Stake in the Health Care Debate?

Posted in:

One of the fascinating / distressing things about the health care debate on Facebook is that it's bringing the truth out in a way that the debate in the Senate is not.

If you have any doubt that this is a inflection point in our history, in which the forces of tolerance, compassion and justice are arrayed against the forces of bigotry, greed, and injustice, look at what the opponents of the ACA are saying.

Guest Blog Post from Kristen Dama: Why We Can't Go Back to Life Before the ACA

Posted in:

Kristen Dama is an attorney at Community Legal Services in Philadelphia. She works on human service issues. This moving story of what life was like before the ACA tells us why it is so important to save it. If you want to really help, contact Robin Stelly at [email protected] and tell her you want to join a phone bank to help contact Senators who may be convinced to vote against the legislation that repeals the ACA and devastates Medicaid.

Syndicate content