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Reply to "Implications of a repeal of the ACA"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]http://www.npr.org/sections/health-shots/2016/11/09/501203831/trump-can-kill-obamacare-with-or-without-help-from-congress https://www.donaldjtrump.com/positions/healthcare-reform [/quote] From the npr article: [quote]During his campaign, Trump proposed a series of measures that he said will allow people to buy affordable health insurance policies outside of the Obamacare exchanges. [/quote]I already buy outside the exchange, and the premium still went up 50%. This is a fallacy. [quote]Those measures include promoting tax-free health savings accounts that might help individuals save money to pay for health care costs and allowing people to deduct the cost of their premiums on their personal income tax returns. Trump has said he also wants to allow insurers to sell policies across state lines to boost competition."[/quote] I already have a high deductible plan with an HSA, and again, premiums went up 50% with a high deductible. Others have complained about this too. [b]Health insurance companies already sell across state lines, no? I had Blue Cross/Blue Shield when I lived in another state. I have it now in MD. What's the difference between what he's stating about sellers selling across state lines and what we have now? [/b] I already deduct the premium I pay; so do most others who get insurance through employers. It's a before tax deduction on your gross income. I also read his stance on his website. The only thing I saw that we don't have now and that I 100% agree with is accessing cheaper imported drugs. But, other than that, I really don't see anything else that's different to what we already have now.[/quote] To this point, insurance companies currently sell across state lines by forming individual sub-corporations in each state that only sell in that state in compliance with that state's laws, which can vary significantly, particularly when it comes to coverage requirements and consumer protections. So BCBS may sell in multiple states, but it's through different branches of BCBS selling different policies depending on state law. Under the Republican proposal to sell across state lines, BCBS and other insurers would no longer need to do this, they could just have one company selling one set of policies in the state that is most friendly to insurers and has the weakest consumer protection laws, and that would be your only option, regardless of what requirements are provided by your state's law. They claim it will lower prices, but to the extent it does so, it will be through the gutting of your protections as an insured. Your coverage will most likely become weaker, and if your insurer fails to provide the contracted-for coverage, your recourse will be to the insurance commissioner of another state who's not really going to care about your problems because you're not one of their constituents.[/quote] And your policybeill probably have a provision mandating arbitration before someone selected by the insurer. [/quote]
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