Current Events > GOP finally releases new health care bill

(+) Yeah! (+)

http://www.cnn.com/2017/06/22/politics/senate-health-care-bill/index.html


Full text of the bill:

http://www.cnn.com/2017/06/22/politics/republican-health-care-bill-text/index.html
---

So money for the rich and no healthcare for middle and lower class citizens. I am afraid billions would die because of this.
---

What's the balanced, unbiased tldr on it?

ArchiePeck posted...

What's the balanced, unbiased tldr on it?

Fuck the little guy?
---

Cheater87 posted...

So money for the rich and no healthcare for middle and lower class citizens. I am afraid billions would die because of this.

what?
---

ArchiePeck posted...

What's the balanced, unbiased tldr on it?

i am writing one on reddit:

https://www.reddit.com/r/politics/comments/6iu33v/h_r_1628_american_health_care_act_full_text/dj9214c/
---

Trumpnocare 3.0
---

ArchiePeck posted...

What's the balanced, unbiased tldr on it?

It takes healthcare affordability from the poor to give tax cuts to the rich.
---

Wasn't the plan that they wouldn't release the actual bill until like right before the vote happens?
---

Antifar posted...

ArchiePeck posted...

What's the balanced, unbiased tldr on it?

It takes healthcare affordability from the poor to give tax cuts to the rich.

pretty much, but it notably doesn't take it from the high risk people
---

Darkman124 posted...

ArchiePeck posted...

What's the balanced, unbiased tldr on it?

i am writing one on reddit:

https://www.reddit.com/r/politics/comments/6iu33v/h_r_1628_american_health_care_act_full_text/dj9214c/

Tldr of tldr is more expensive, covers less, less people eligible, but they're hoping these changes will bring down the price in general because profit driven businesses will be generous or something.
---

poor people get fucked like usual fucking republicans always shilling for the rich
---

From reddit:

They aren't repealing Obamacare they are amending it to Trumpcare. Most(Healthy portion) of the ACA is retained.

Obamacare (the ACA) => Trumpcare (the ACA amended to the AHCA).

1.) Subsidy eligibility tied to income level not just age, scaling up to 350% of poverty line (down from 400%) (page 2, table on page 6)

2.) Minimum coverage requirement dropped from 70% to 58% (page 5)

3.) Abortion is not a requirement for qualified plans (except to save life of mother) starting in 2018 (page 8)

4.) States can offer "more flexible" medicaid plans starting in 2020 (page 86)

5.) 'Essential health benefit' requirements completely removed starting in 2020 (Page 41)

6.) Removed requirement for portion of premium revenue that must go to providing healthcare starting in 2020 (page 134)

7.) States are penalized by between 0.5% to 2% of their medicaid grant for spending more than 25% above the average per participant of the preceding year, not just exceeding their own caps (page 64)

8.) Allocates $2 billion in FY2018 to the department of Health and Human Services "to provide grants to States to support substance use disorder treatment and recovery support services for individuals with mental or substance use disorders." (Pg 133)

9.) No change on pre-existing conditions or creation of a "high risk" pool

#6 seems the most questionable part.

Bullet_Wing posted...

Darkman, do you think McConnell has the votes? Only two need to nay it for it to fail.

i think it will not go to the floor if they do not have the votes

Questionmarktarius posted...

From reddit:

whoever wrote that stole my post
---

I hope I'm not the one being referred to as a low level democratic party staffer darkman

another thing to point out is that the way premium assistance is calculated expects older people to pay much more of their income than the ACA does, but young people are expected to pay less

table on page 6 v table on this page: https://www.thehortongroup.com/resources/acas-affordability-contribution-percentage-increase-for-2017
---

If you're poor you're fucked either way. I'm not sure how people get poor anyway, just get a degree.

also, the cuts to Medicaid through per capita caps are much steeper starting in 2025 because their growth rate afterwards is tied to urban CPI rather than medical CPI
---

Trump was right this shit is very mean to the poor do republicans think they have no poor supporters that will be hurt by this clue less assholes
---

Balrog0 posted...

I hope I'm not the one being referred to as a low level democratic party staffer darkman

i am happy to delete all reference to that if you prefer
---

Balrog0 posted...

also, the cuts to Medicaid through per capita caps are much steeper starting in 2025 because their growth rate afterwards is tied to urban CPI rather than medical CPI

can you give me a page # so i can add it
---

lol I just thought it was funny

I'm not a democrat but I'm sure it did come through democrats to get to me, so that's fine
---

Balrog0 posted...

another thing to point out is that the way premium assistance is calculated expects older people to pay much more of their income than the ACA does, but young people are expected to pay less

Isn't that just reality?

p 62

(B) for fiscal years after 2024, for all
9 1903A enrollee categories, the percentage in-
10 crease in the consumer price index for all urban
11 consumers (U.S. city average) from September
12 of the previous fiscal year to September of the
13 fiscal year involved.
---

yeah darkman, your post has been deleted on the thread
you can still read it on your userpage though
---

old people are sicker the healthy should be paying a little more so the sicker arent destroyed by medical bills in a good country thats the way it works
---

Questionmarktarius posted...

7.) States are penalized by between 0.5% to 2% of their medicaid grant for spending more than 25% above the average per participant of the preceding year, not just exceeding their own caps (page 64)

This will just create a race to the bottom as states try to stay below average (which, of course, not every state can do)
---

wtf moderators deleted the post without telling me

i asked them to restore it

it's a fucking good post
---

the new post is also not showing up for me, except on your userpage
very odd
---

apparently i'm not allowed to credit people. some bullshit right there
---

Reddit gunna reddit
---

This is why no one should ever post on reddit.
---

I Like Toast posted...

Reddit gunna reddit

---

cost-sharing reduction subsidies end in 2020, also, which would certainly cause premiums to increase

http://www.commonwealthfund.org/~/media/files/publications/explainer/2017/apr/explainer_cost_sharing_reductions.pdf

Insurance costs would rise as well, as companies opting to remain in the market would be forced to increase
premiums to make up for the lost government payments. Analysts say that marketplace insurers across the
country would likely raise premiums for silver plans by anywhere from 9 percent to 27 percent.
This also wouldincrease federal spending above what the CSRs cost, since higher premiums mean larger premium tax credits.

caveat here is that silver plans have an actuarial value of 70%, whereas the senate bill only requires plans to have a value of 58% -- so premiums may raise even more
---

Balrog0 posted...

cost-sharing reduction subsidies end in 2020, also, which would certainly cause premiums to increase

Seems more like poisoning the "exchanges" even more, unless I've completely misunderstood it.

new discovery

my finding on abortion was not correct

it isnt removing abortion coverage as a requirement

it is disallowing qualified plans from covering voluntary abortion

page 9 clarifies.
---

Questionmarktarius posted...

Seems more like poisoning the "exchanges" even more, unless I've completely misunderstood it.

absolutely

does anyone know how the new 58% actuarial value requirement is going to interact with cost-sharing reduction subsidies? im tired of looking at this legislation already
---

Darkman124 posted...

it is disallowing qualified plans from covering voluntary abortion

I wonder if there's a viable market for private abortion insurance...

M_Live posted...

Is it still a joke?

no, you can tell it was crafted by people who have some kind of idea what they're doing and not a bunch of clowns

it is still awful, though. worse, actually, in some respects.
---

so after asking mods to restore the post they deleted the topic instead because of a "rule breaking title" since there is no title possible that wouldnt break the rules

fuck /r/politics seriously
---

Darkman124 posted...

so after asking mods to restore the post they deleted the topic instead because of a "rule breaking title" since there is no title possible that wouldnt break the rules

fuck /r/politics seriously

littlebro07 posted...

I Like Toast posted...

Reddit gunna reddit

---