The Republican health care bill makes no sense

vox.comvoxexplainObamacareAmerican Health Care ActTrumpcaretrump careamerican healthcare acttrump healthcaretrump health carerepublican healthcarerepublican health carehealth insurancehealth insurance marketplacemedicaidobamacare explaineddonald trumphealthcare billhealthcare reformgoptrumpbarack obamapaul ryanMitch McConnellhealthACAwhat is ACAwhat is AHCAAHCAaca 2016replace obamacarerepeal and replacehealthcare

The bill doesn’t know what problem it’s trying to solve.

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Republicans in the House have finally released a bill to repeal and replace Obamacare: the American Health Care Act. The GOP healthcare bill keeps some of the most popular parts of Obamacare, like letting young adults stay on their parents' health insurance until age 26 and requiring insurance companies to cover people with pre-existing conditions. 

But the Republican bill gets rid of the key element that made Obamacare work: the individual mandate. Now that people aren't required to have insurance, healthy people could leave insurance pools en masse, leaving sick people who are more expensive to cover.

Hypocrisy is a minor sin in politics, but still, it is remarkable how much of it there is to be found in this legislation. A core Republican complaint when Obamacare was passed was that the law delayed many of its provisions in order to reduce public outcry and manipulate the CBO’s score. The GOP bill is similarly aggressive with such tricks, delaying changes to the Medicaid expansion until 2020 and pushing Obamacare’s tax on expensive insurance plans out until 2025.

Because Republicans aren’t even trying to win Democratic votes, they’re stuck designing a bill that can wiggle through the budget reconciliation process (another thing they complained about Democrats doing). That means they can’t make major changes to insurance markets like repealing Obamacare’s essential benefit standards or allowing insurance to be sold across state lines. That last part is particularly striking, given that it was one of President Trump’s five demands in his speech last week. I’ve always been skeptical about the savings Republicans could wrest by changing those regulations, but now they can’t get those savings at all — which means sacrificing a key part of their theory of cost control.

This bill has a lot of problems, and more will come clear as experts study its language, the Congressional Budget Office release its estimates, and industry players make themselves heard. But the biggest problem this bill has is that it’s not clear why it exists. What does it make better? What is it even trying to achieve? Democrats wanted to cover more people and reduce long-term costs, and they had an argument for how their bill did both. As far as I can tell, Republicans have neither. At best, you can say this bill makes every obvious health care metric a bit worse, but at least it cuts taxes on rich people? Is that really a winning argument in American politics?

In reality, what I think we’re seeing here is Republicans trying desperately to come up with something that would allow them to repeal and replace Obamacare. This is a compromise of a compromise of a compromise aimed at fulfilling that promise. But “repeal and replace” is a political slogan, not a policy goal. This is a lot of political pain to endure for a bill that won’t improve many peoples’ lives, but will badly hurt millions. is a news website that helps you cut through the noise and understand what's really driving the events in the headlines. Check out to get up to speed on everything from Kurdistan to the Kim Kardashian app. 

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Alex Skott
people don't like being told to buy health insurance ,but we are forced to buy other, car,house,fire,flood and even insurance on mailed packages, what's so different just paying another policy.
Alex Skott
Ezra, looking good as usual!
robert percival
So you guys want to blow up our national parks.
I don't appreciate terrorist that push stories.
Or encourage terrorism. You are Fake news.
Alex Z
You can't force people to do things. You can't force the health insurance system to work by clenching down on government laws. As much as you might like to think it would work great.
BBSouthern Boy Hometeading
obamacare's downfall was it being insurance, insurance is bad, horrid thing in healthcare
I'm attracted.
I mean everyone knows Obamacare is flawed. It's like the first time a bill of its kind was passed into law. But if truly want to better the country, you have to be willing to work with the opposition for the better of the people. Republicans just want to repeal without considering anything or be willing to improve Obamacare. Just because a democrat came up with the idea they have the need to replace it. Well look what they came up with, an even worse plan than Obamacare.
What else is new? Ignorant people do not understand.
It's so we have to pay a lot for medical bills after 70% of the world gets leukemia from the nuclear war that's about to break out
M Dee
I live in a state with expanded medicaid which covers those who fall in the income gap under the ACA, including myself and 700,000 people.

When I tried to explain this to someone who supports the Republican bill and who's main complaint is high premiums for low income, they replied it doesn't matter what state you live in, called me a moron, and said only libertards would believe the left-wing propaganda.

I'm not aligned with either party, but this level of labeling and name calling by fellow citizens on important issues is the most disturbing thing to me. Trump didn't elect himself, MILLIONS of people with this level of emotional intelligence are what got us where we are today. I'm just glad I live in a state where they care enough for their citizens to have expanded medicaid.
michael de santa
Kill all the Republibcans can make a wonderful world.
Olga Rodriguez
LORD REVEAL your SAINTS Trump is the Christian deceived 666 precursor. Wake up those who are on your list. One of the confirmations was that he would begin firing everybody to place fear. The other one that he would accuse others in staff of what he was doing, like blocking communication, disenfranchising the constitution. And much more
Olga Rodriguez
AMERICA is Under Gods judgement. SAINTS get ready for sheer disaster of this world and persecution of the true BORN AGAIN JESUS ERS.
Olga Rodriguez
AMERICA UNSEE Gods judgement ... last days/years. Ppl get ready get right w God before Trump the Christian deceiver persecuted True Chrustiabs
Olga Rodriguez
STOP RUINING POLITICAL CAREERS AND LIVES. MAKE TRUMP STOP. But unfortunately another 3 years for Trump 666 predecessor to continue w last days of this country
Olga Rodriguez
TRUMP 666 THE CHRISTIAN DECEIVEDR IS refusing to budget for and pay providers for healthcare, that is why care for taxpayers paying for trump administration and family are being reejected and insurers scrambling . Get it right ppl. He is returning life saving care to high risk. Ppl will start dying again for lack of care. The beginning of our suffering.
Gene In TN
YOU make no sense to me....MORON
Gregory Mendoza
The point is, Trump and his buddy has to paid insurance for sick people that aren't related to them. And they hate it, because is just free money they have to give away, that is all about. Those Republican that trying to repeal instead to fix or find better to make more affordable, are getting bribe for biggest sharks.
Ian Ritchie Stewart
If you don't mind, may we "THE PEOPLE" be treated by the same medical service provided to Congressman Steve Scalise and Senator John McCain? I mean, our Federal Taxes paid for their insurance and they "DO" basically work for us! WHY NOT?????????
Patton44 (Glo)
Here's the problem with the individual mandate: the insurance is so shitty MOST people are paying the fine. That's why you can take that piece of paper in your hand and shove it up your ass.
What they are trying to do is isolate the healthy and sick pools so the sick won't have effective coverage.
Yaphette Costello
Ive had ins since was 25 and a job...
Yaphette Costello
We will see whos right no point intended

What incentive is there for healthy people to be insured as things stand now? It's a lot cheaper to have a small fine for not having insurance than actually having insurance. Get sick? No problem! Just get health insurance.

With this evil Republican plan, there actually is incentive to have insurance. Don't have insurance and get sick? Pay an extra 30%. That isn't "weaker."

Should people be able to get car insurance after a crash and then get a new car and their medical bills taken care of? Or should someone be able to get home insurance after their home burns down and get paid for rebuilding their burned down home? It's the same thing with health insurance.
Aran Sharma
gd serves all the stupid americans right
So the only answer to FIX this problem is SOCIALIZED HEALTHCARE then the GOVERNMENT can reduce cost by not providing MEDICAL CARE because its FREE!
Lauren Sun
Canada guys. Canada.
Do you have a copy you can email me or can you please point me in the direction to obtain one?
Everyone approaches the healthcare issue wrong.

Obamacare is what essentially amounts to a fourth party insurance broker (by it's own admission).

Trump seems to be trying create the same system with some refinements. A change just to say he change something.

Either way, it does not work and will not work.

The three most important ingredients needed to reduce the over all cost of health care insurance are missing from the current plan and seemingly ignored in all the proposals to replace it.

1. Remove regional limitations, that prohibit selected health insurance corporations from reaching a nation wide market.
These restrictions exist to secure health care monopolies by simply not allowing competition.

2. All health care insurance providers must cover existing conditions. If that requires offering plans at an additional cost, that may be acceptable. However plans covering existing conditions should not be priced individually as per what the existing conditions may be treated.

3. Purchasers of health care insurance should not be limited to who they are purchasing insurance for.
If some one is willing to pay for a plan, they should be able to choose who that plan covers. Regardless of familial relation or age.

We don't need the government to provide our healthcare insurance. We never did.
If the nation was an open market, competition would bring down cost in just a few short years.
A few simple regulations could insure a less discriminatory market, which will additionally expand offerings. While the additional competition creates cause for insurance plans that more favorably structured.

Washington is afraid of losing money from lobbies. That is why there is a vested interest in securing regional healthcare monopolies.
Robby Reese #1
obamacare lite 😂😂😂
Dromedary Legendary
Mitch McConnell said exactly what he did worse.
I can't believe the Republicans went through so much trouble to make a carbon copy of ACA just because a black man made it
Surud Patel
Folks it is all in the Name given to Healthcare. Obamacare or Trumpcare or should it be Republicancare. Give me a break. How is it that A country such as America claims to be Exceptional / Extraordinaire in the world is lost in translation of the meaning of the word Healthcare
Logan Brogniez
Just nationalize Healthcare where government controls hospitals, pharmaceutical industry, doctors, and the instruments used on people like in china, cuba, russia, ect.
Vox I hate to disappoint you the United States government is not responsible for paying for your health care.
Shauna Alvarez
I have been paying for private insurance since 1980 & premiums have gone up every year and there was no obamacare. so why did the premiums go up? GREEDY CEO'S
dacrl lynk
good news, poor people often times can't even exempt themselves because their not qualified enough to do so causing derision so grab 'em and throw them out of creation - yea the cops will help and then ~ anyway's helpfull post thankks much!
dacrl lynk
how can you wage a war against the poor? i've just decided to call them super dip-shit's
Sam Spade
Seems simple... Everyone gets access to same insurance plans that senators and congressperson so have access too...
Dan Tyler
Republicans are RUINING themselves trying to kluge together any version of this.
They should step aside, move to something else, and let nationalistic healthcare die and burn.
A couple years from now (2017),
Republicans can sift through the ashes of oboymacare and, THEN, maybe, take the next step on govt medical care.
But, until then, let the garbage completely incinerate itself.
And stay, 100%, dumbocratic.
Dan Tyler
No nationalized healthcare can make sense.
Nationalized groceries?
Nope, competition sees to that.
Nationalized pet care?
Nope, again, conpetition.
Nationized autocare?
Precious little is nationalized.
American people VOTED for this. So they should have what they VOTED for. I cant understand it as spanish, but you should RESPECT what people VOTED for.
It's just Rep want the working man to get some at least little amount of healthcare which Obama Care Destroyed! Obama care the Dems wants the lesser none working people who are not eligible to pay they charge more for the working! It's a mess why is the Government even having health care? What happened to personal healthcare!? What about health care through work? Listen my father had Obama Care not only cost him a lot of money an arm and a leg but when he almost died and really needed health care they weren't there to help him. That's another reason why I hate Obama Care the Republican Bill is too change that based on what type of care they need by age! It keeps switching from Lower to Middle classes. It's a mess!
Elizabeth Patricia
I'm so thankful to be living in Australia, where healthcare is free, and medications are subsidized considerably.
John Townsend
The premise of the bill as repeated by McConnell is a lie. The ACA, "Obamacare" is not collapsing. It is not failing. Whatever difficulties the program is having is entirely due deliberate brazen GOP sabotage efforts- both by refusing the Medicare expansion, and by destabilizing the insurance markets through Trump's threats, and the AHCA legislation.
Viet. Com
Would universal healthcare be mo expensive or something?
Yes it does make sense, its a tax cut for the rich, not a healthcare bill.
Mike johnstone
The government cannot run a lemon aid stand but if we are required to have insurance itis the government that need to provide it. We must pay huge to these high profit companies? The rich need to pay also. They skip out on taxes, get bailouts and freebies. They pay low wages and get huge profits. the most common way to get rich is rob and steal and that is just a fact. Now we are forced to do business with them? It is not necessary nor is it fair.
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