Instead, the four governors urged the two leaders to consider their alternative health care plan that would allow each state "to pursue Medicaid transformation in its own way". It would change how the federal government provides funding to individuals to purchase insurance and to whom that funding is available, and would change penalties for individuals without health insurance. Like Obamacare, Republican proposals call for tax credits to help people buy coverage, but there are significant differences. Buyers younger than 30 would get a $2,000 tax credit, with increases per decade of age. The wealthier a taxpayer is, the more tax breaks he or she would receive.
In Northern California, hospitals and doctors charge up to 40 percent more than they do in Southern California.
The CBO said that the Republican plan would make insurance so unaffordable that older people would be forced to go without, leaving mostly the younger, healthier people to join insurance plans. But negative reaction to the GOP plan is proving that the more important promise, frequently repeated by President Trump, is to provide coverage to all.
Really? The uninsured have no coverage at any ER.
And, it includes an "age tax" - a tax on the cost of health care for everyone 50 to 64. The CBO found that for a 64-year-old earning $26,500 a year, health care premiums would rise by nearly $13,000 a year. Not everyone agrees. Washington and Lee law professor emeritus Timothy Jost says younger and wealthier people in low-priced areas will be better off than they were under Obamacare. "It is about cutting care for lower-income people, seniors, people with disabilities and kids to pay for the tax cut".
One of the most cynical GOP assumptions is that if such a person drops coverage, they have chosen to voluntarily give up health insurance. Meanwhile, many poorer people will not be able to afford coverage even with the credit. "It's a no-win situation for these older folks". "But that doesn't mean they're going to take them".
Carol Terryberry similarly said the bill needs to undo more insurance regulations, explaining the ACA stifles consumer choice and competition with "one-size-fits-all" plans, adding, the ACA set higher minimum standards for insurance plans.
Under the AHCA, federal Medicaid funding - starting in 2020 - would be capped based on how much each state spent per enrollee in 2016.
Reaction to the CBO report. While Medicare does not pay for long-term stays in nursing home facilities, Medicaid does.
The ACA of the previous presidential administration sought to increase the number of people receiving healthcare and improve the quality of that care. He said he believes they have not agreed to quickly phase out an expansion of Medicaid, another conservative demand. They paid less than 10% of their income for insurance.
Concern, though, still looms among governors in 31 states including in that expanded Medicaid through the Affordable Care Act using federal dollars.