Thursday, June 22, 2017

Senate reveals its "kinder, gentler" Better Care Reconciliation Act of 2017


Senate Republicans are about to unveil their “kinder, gentler” health care bill today, which seems (like a grand jury investigation) to have been carried out in secret, Washington Post story (“Power Post”) story by Sean Sullivan, Juleit Eilperin, and Paige Winfiled Cunningham, here.

It's called the Better Care Reconciliation Act of 2017.  Here is Business Insider’s story. The text of the bill (HR 1628) is embedded in this article.

The main feature of the bill seems to be the indexing of subsidies according to income (inversely) rather than age.  It does sound like it will handle the biggest concerns about pre-existing conditions and low to moderate income people, and that will stabilize markets for a while.  But it will weaken Medicaid over time.  It may undermine not only abortion but family planning services.  It could undermine HIV prevention (like PrEP).

Actually, some people say the bill still allows states to waive out of paying for pre-existing conditions (the "states rights" idea, or simple federalism), and Sen. Rand Paul talks about the "death spiral" of Obamacare.

Ironically, McConnell says it strengthens Medicaid and does allow adult kids to stay on their parents’ plans until age 26.  Nursing home care under Medicaid will be weaker and could cause more imposition of filial responsibility laws.

Democrats say the bill won’t guarantee coverages that many Americans actually need. Democrats also say they have only ten hours to debate the bill. No open committee hearings.



I tweeted POTUS recently, that the bill needs subsidies, not Just tax breaks, and some way has to be found to pay for it.  So much for letting the rich off the hook.

"VoxCare" weighs in here.

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