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18 Octubre 2017, 03:24 | Bibiana Flor
Trump's open sabotage of Obamacare
This summer, as political uncertainty plagued the national healthcare debate, Florida's Office of Insurance Regulation told Obamacare insurers to price their 2018 coverage assuming the Trump administration would stop paying the cost-sharing subsidies.
But in Florida, the president's executive order would lead to a financial windfall for Obamacare insurers and better coverage options for numerous 1.4 million Floridians with an ACA plan, health policy experts say.
Attorneys general in almost 20 states filed a lawsuit against the Trump administration to keep the money flowing, contending that the president is not following a legal requirement to pay the subsidies. Insurers have said they will need much higher premiums and may pull out of the insurance exchanges created under the Affordable Care Act if the subsidies are cut off. The rest of the United States will see more federal dollars spent to clean up this mess. Who are the newly insured? The vast majority of people who enroll in the ACA also qualify for premium tax credits, another subsidy offered under current health law.
The timing of Trump's announcement just before that period concerns those who advocate for continuing the cost-sharing subsidies.
Trump has spent months toying with the idea of ending these payments, which are drawn from a $7 billion fund set up specifically to cover these costs.
Those might be unintended consequences of the executive order, but as President Trump has said: "Nobody knew that healthcare could be so complicated". In reality, they don't seem to understand health law.
However the Trump administration argues it can not legally continue to make CSR payments without Congress's approval. "These expenditures cannot go on without Congress' support", Sessions said.
That's the idea that healthy people will sort into low-priced, bare-bones plans, while relatively costly people will stay in the more generous, Obamacare-compliant plans, which can't legally turn customers away. Congress - the easy way to solve it would be for Congress to appropriate the money.
Trump's bid to fulfill his campaign promise to repeal Obamacare has come unstuck in Congress, with the White House failing to secure the support required in the GOP backed House and Senate.
Trump's decision to end the funding immediately may have been a surprise, but he's been considering cutting the payments for months. Because virtually all of Obamacare's mandated benefits do not apply to short-term plans, these would obtain the most regulatory relief.
The nonpartisan Congressional Budget Office estimates a rise of 20 per cent. Half approve of the Trump administration decreasing federal spending on advertisements encouraging people to sign up for health insurance and suggesting the federal government may stop enforcing the individual requirement to have health insurance or else pay a fine. Sadly, for many Americans, health insurance remains unaffordable.
The White House made a decision to take action because "premiums have been skyrocketing".
But that is what he said he'd do Thursday, when he signed an executive order on health care. "And I guarantee you one thing, it's not Donald Trump". This has been a main rallying cry against the ACA. More than two dozen states reported in 1992 that these early association plans had committed "fraud, embezzlement or other criminal law" violations.
As such, the plans weren't subject to Obamacare consumer protections such as essential health benefits and guaranteed issue to people with pre-existing conditions. They have to pay for their insurance in full. Depending on a individual's income level, the subsidies have lowered costs by, on average, $1,000 a person, but they can range anywhere from $700 to more than $3,300 a person.
But you were telling us it's not that simple. "This is the... guy who remodeled your house, who drives a pickup truck and he's wearing a Trump hat". "Lifting restrictions on short-term insurance plans, for instance, is a long-overdue step that will help consumers who are caught in Obamacare's affordability gap".
"Today's actions by the Trump administration will help consumers who can't afford Obamacare plans by giving them lower cost, longer-term options". In the case of short-term health plans and Health Reimbursement Arrangements, the Executive Order could lead the Departments merely to rescind President Obama's prior regulations-which nearly by definition cannot represent regulatory overreach.
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