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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All you guys saying tax cuts on the wealthy is wrong, then think again. Let's substitute the word wealthy for hard workers and these hard workers didn't win the lottery or get handouts, but they took risks and kept on fighting. Now the people who aren't making as much money or aren't working as hard are requesting free things from the government, no the government that hard workers pay for. Now people don't want to take risks and work because they can get free money from the hard workers that pay for the government. The government doesn't care because it's not their money they worked for. Lowering taxes keeps the hardworkers working, the unemployed working because they need to contribute to society. Nothing is free because it all came from somewhere or especially someone
Andy M
Just One Opinion: This Government Healthcare is a TAX!!! Nothing provided by GOVERNMENT is less expensive, nothing!! The Insurance Industry simply just absorbs the taxes as profits and has NO incentive to reduce costs as a competitive entity.
James Shields
It doesn't have the Obama name on it, that's fine for a lot of republicans
Nate Who
my big thing is I would like Insurance when I have been fined I'm paying something so if they're going to fine me why can't they give me basic insurance
k odu
Americans foolishly think that Trump is a genius.
offer tax cut for healthy ppl , slash gym fee's, pay to be healthy?
Cute animation of Obama forcing healthy peeps to sign up for healthcare. 😩
Keeping It Real
I feel like it would have been successful if they actually spent more time and effort into it where it actually were to get improved.
El Guacamole
The tax breaks where essentially added to try and win over republicans who would rather the whole of Obamacare be repealed now and throw everyone off there healthcare plans

I wouldn't celebrate he may just opt to do what the republicans do want and just completely throw Obamacare recipients off the list.

Politically speaking I would just repeal. Because the average American leftwing or rightwing is a polarized idiot who votes on what they want to hear not what they will get and Obamacare recipients are mostly anti Trumpers who would never vote for Trump anyway so who cares?

Either way Obamacare will eventually collapse I didn't have faith in Trumpet or you left wing retards lmao I'll be right either way.
Priya K
Wow, so many likes. Are people, especially Trump voters finally coming to their senses?
It is hard to understand why americans don't like healtcare. It works if everyone pays a little and everyone is covered. There are always more healthy people than sick, so it works fine in europe why not in america? But as i watch this discussion i understand that americans love choices. Not when it comes to women and if they want to give birth to a baby, but when it comes to the important issue MONEY. But still i dont get why is it better to have the choice now and have no choice in the future. Cause when you are old you most likely will need healtcare and if the young and healthy people dont pay in, the old have no choice cause they cant affort healthcare. I understand why rich people dont like this and call it "socialism" cause they want make use of there money so they get better helthcare then ordenary people. A rich guy dont want to have the same coverage, he wants the best, so he wants choice. But why dont like Trump people healthcare?
mike mcewen
Why is the govt in health care ? Because they own the ins companies, thats all you need to know, Why did they bail out AIG for billions / thats your answer, the govt is corrupt and all you can babel on about is some dumb ass health care bill that the govt' shouldnt even be involved in, Wake up.
Your Boi Skinny Penis
It really sucks trump doesn't believe in global warning, doesn't pay taxes, and wants to make major tax cuts for Rich people
Dancing Deaddog
Regulation of health care and pharmaceutical costs needs to be priority one! It doesn't matter what happens with insurance plans if healthcare and medication prices continue to skyrocket out of control! Healthcare will never be affordable if it continues as is.The repeal of Obama care so far is nothing more than a name change. We should all be writing our representatives, congressmen, and senators demanding the focus be set towards healthcare and pharmaceutical regulation!
Louie Lowe
The fact is that as long as we have to pay For Profit insurance companies to cover our healthcare we will never have affordable healthcare for most people. When we see these insurance company’s CEO's making 30, 40 million dollars a year, where do you think that money comes from? From our premiums that we pay. Money that should be going to our healthcare but instead is going into the pockets of the CEO's, those under him and the stock holders. Medicare on the other hand is handled by the government and has no CEO's, other mangers under them our stock holders to pay money out too. Out premium for Medicare is only $108.00 a month. Can you imagine a 65 or 70-year-old person with a number of problems trying to buy health insurance from a For Profit insurance company? Premiums would be $2,000.00, $3000.00 dollars a month if not more. This is why we need a single payer program. Medicare for all. Get the For Profit companies out of the picture and let everyone have good healthcare at a good price. Remember, For Profit health insurance companies are not in business to give you good healthcare. They are in business to make as big as profit as they can for their shareholders and they do this by giving you as little coverage as they can.
Ryan H
They need to introduce a stronger cap on deductibles and premium cost. Regulate the insurance companies, they are not being fair.
Linda Hendon
The ONLY thing that is going to work is "medicare for all", single-payer. They may as well accept that fact.
luke kuehn
He is implying that the way to fix Obamacare is to take it further, that is, increase the individual mandate enough such that healthy people are actually compelled, or essentially forced by the government, to participate thus bringing mean morbidity of Obamacare participants down and thus overall cost per patient down. Sounds good in theory, but the problem is this WHOLLY undermines the concepts of capitalism and individual liberty which are pillars of American society. Remember the Supreme Court actually ruled that the government forcing the "purchase" of Obamacare was unconstitutional but for some reason allowed the same ends to be reached by allowing it to be renamed a "tax". There is no easy fix and I'm not sure what an effective fix would be, but what he seems to imply is shameful in my opinion.
Vogel Njreri
Why didn't they make a mixed up version of the cost-calculation? When you divide into income-classes you then could do extra-calculations based on the age.. So the poor young People don't have to pay the same as the rich young or old people.

But what am I even talking about..the new healthcare-bill was set up to comfort the rich class, such as Trump himself..

Greetings from Germany! :)
David Parent
Canada and most other Western Democracies have single payer universal system of healthcare paid thru our taxes. We have had this system in Canada since the 1960's and have never needed to change it. We Canadians must recognized just how super free and civilized our country is compared to our nieghbour to the south, United States. I believe any country that allows is sick and most vulnerable citizen lose healthcare coverage thru legislation is basically creating a situation of turning there whole country of the United States into a giant 'concentration camp' that is deliberately planning the mass murder of these sick and most vulnerable American citizens! I believe if this new Republican Healthcare legislation enacted to replace Obamacare throws off 24 million people from Healthcare coverage that they be charged under the International Court in the Hague with War Crimes and Crimes against Humanity for creating a system of mass murder of over 24 million citizens! And after being found guilty of Genocide at the International Court in Hague they're sentenced to death by Firing Squad. The perfect ending for a most evil Naziesque House leader Paul Ryan!!!
You make no sense
Samuel Freakin' Adams
"How do you get more healthy people and less sick people??"

Its interesting to see how you criticise all republican solutions and never criticise yourselves... From my "observer" point of view (european) it gives a pretty ego image of you (i assume you have democratic opinions)

Dont understand me wrong, i like your channel and Ive been subscrbed now for a while but I think about this every time you try to laugh at your "new leaders" party. Just accept it how it is, as the republicans accepted it the last two elections. Be fair

PS: sorry for my bad english
Firstname Lastname
They should either just simply repeal obamacare or not spend 2 weeks making a shitty, rushed bill and spend time on it. Treating heathcare like a commodity is another reasonable option. But this? And Obamacare? Both not good
barb lee
If you have so much to say why don't you rewrite it, everybody thinks they are so smart and know what should be done, well why don't you step right up and do it
Nice video! Powerful stuff
Mr. Kindness
very good presentstion
Henry Kwant
Assassinate cucklord trump
This video demonstrates a lack of knowledge in how the economy works. All of the questions posed were answered. I am not saying this bill is perfect by any means, but it is a step in the right direction.
Sothyvirerk Sin
I like his shirt
West Coast
Whooo!!!! Trump! Trump! Trump! Thanks obama for starting us down this ugly road
Hoshi Inoue
A lot of complaining about something that hasn't even been decided yet.
Obamacare Lite©
Stffgy Xyrcgy
I like trump but wtf is he doing
Paris Laughlin
taxes would be about 50% under government full market monopoly take over of health insurance. there would be many more millionaire government employees. I know how you feel.
John Conner
Folks, It's all about MONEY!
Zachs Mind
What is the point of all this? What are the republicans trying to achieve? I thought that was clear. They don't want history to say one smart hard working black man was better than an entire room of old rich white men combined. The conservative republican party lives in what many have referred to as a bubble, and that bubble burst a long time ago but they're still clinging to bits and pieces of that balloon pretending that it never broke.

"right to life" is really a denial of the rights of living women and an effort to use unborn babies as a way to increase their voice. They want to double their voting power in abortion and other issues in the future, by claiming to speak on behalf of those not even here yet to speak for themselves. I've seen liberal democrats use similar tactics when they claim to speak on behalf of children who can't vote, but when you use unborn fetuses to boost your political clout? That's beyond hypocrisy. That's just plain rude, and that's just one example.

Time and time again conservative fundamentalists make choices that they claim is for everybody but leads to a "Not In My Back Yard" attitude. They are reactionary to hate and fear. They want to build walls and circle the wagons, effectively painting themselves into a corner and then behaving as if they've been cornered whenever challenged. They also refuse to ever acknowledge they were wrong, even though they repeatedly are. Trump's pathological lying is a very blatant extreme of that, but the entire GOP has been behaving similarly for decades now. From Iran Contra to Weapons of Mass Destruction not being found in Iraq. They don't like to admit they were wrong, and they pretend to ignore anyone who reminds them that they were, even as they pass the buck to any patsy they can prop up like a scarecrow in a field filled with birds that are so not fooled.

So yeah. A black guy outsmarted all of them, in spite of years of acting like children, stonewalling and strong arming him at every possible opportunity. The GOP can't admit defeat. They made a deal with the devil to avoid admitting it. That's what this is really about. Saving face. And they will sacrifice the future of this country to avoid eating crow, even as crow is stuffed down their faces against their will by another little thing they like to pretend isn't real: facts.
Blazed and Confused
Obomber cares
what are the republicans trying to achieve
profits for insurance companies, that was the whole point of
the affordable care act
Kahurangi Millin
Is this strikethrough?
You missed one key thing about this, how many Americans were buying healthcare but, could never use it because they could not afford the deductible under the Obama administration?

This is a point you raise on the GOP bill how many people won't be able to afford the deductible if they did buy health insurance, but many people already can't using Obama's rules.

The best thing for the system is to either break it apart till it finally breaks and is forced to repair itself, or nationalize it. The biggest problem right now is their is no competition among the insurance companies, lots of them were wiped out because of ObamaCare. That bill may have forced us into nationalized healthcare system because, how would it be rebuilt to include lots of new companies that were forced to offer the lowest price and best service.

The way I heard it best is that ObamaCare didn't actually improve healthcare it was merely the insurance companies bailout that all the other companies got to make things "fair".
just repel and go back to old days
How about we repel Obama care and improve medicare which we already pay into
Jake Ryan
I like how he believes he is the authority on everything healthcare. Saying "this is not going to work" without any data from previous US systems or current healthcare systems from other countries.
Ja va
obama care is a scam
Ja va
Dumb video.
Adam Mullins
"Small fine" - So Dense.
CommentsfromMe Yazzy
Hows Trumps Health Care Plan working out for all Trump voters? You like?
Scot Lemay
vox and ezra need to shut up right now. This is straight up fraud. As a medically disabled american that hasnt got any healthcare because of yes because of obama care and i ended up homeless i feel like doing so many things to you political party pushers lying to all americans about how great obamacare was for us. You scream we will die on any other care yet ive lived through 5 presidents sicker then any one of you can imagine and during obamacare was the first time in my life i no longer could get treatments. I believed you people 7 years ago and you lied to me and then you let me and thousands of others get so sick we ended up homeless. How dare you print the lies you print with a straight face. EZRA for this video i hold you accountable for what happens to us. Your lies effect people EZRA.
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