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Reply to "Trump to gut ACA via executive order"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Insurers in 14 states assumed CSRs would continue, so they're screwed—expect insurers to exit. This includes: Alaska, Arizona, Maryland, Massachusetts, Michigan, Montana, New Hampshire, New Jersey, North Dakota, Oregon, Rhode Island, South Dakota, Texas and Vermont. Off the top of my head, Alaska, Arizona, Michigan, Montana, New Hampshire, North Dakota, South Dakota and Texas are Red/Purple states. I wonder how they will deal with an immediate collapse in their markets and how their voters feel today? Maryland and New Jersey can likely do something to bridge the gap, though voters in Garrett, Alleghany and Washington County will definitely feel the pinch.[/quote] Except the cost-sharing subsidies go to the much poorer people, and the struggling working class (say a couple of HS grads earning $30k each) will continue to get insurance premium subsidies. And THEY are the core of the "idiots in flyover country" that you elitists demean, and who largely voted for Trump. And THAT is exactly what these "barely-getting-by" had been complaining about - that poor people got all the government goodies while they were left holding the bag. OTOH, the poor people - urban cities in the liberal states, like CA, IL, an NY - are primarily the Hillary voters who wanted to keep the goodies flowing. That would be fine and dandy if money were unlimited, but it's not, and so now they will feel the pain that Obamacare caused the middle class (who get NO subsidies at all), while leaving the working class - the Trump voters - unaffected for the most part. It's a good start in forcing the Congress to act - and that includes addressing the high cost of medical care itself.[/quote] Not true. The poorest in our society will continue to get Medicare. It's the lower middle class/working poor who are going to get stiffed by the removal of the subsidies for health insurance and go without needed medical care. Trump seems to enjoy breaking things, but has no talent for building anything. [/quote] Well, it all depends on what you consider lower-middle/working poor, which in DCUMland is highly skewed. The lower-middle and working class are NOT getting the premium subsidies removed. The working poor (those making $20,000 a year) WILL lose the cost-sharing subsidies, so instead of paying $5 to see the doctor, they'll have to pay $20. Will it hurt? Sure. Will it keep them from going to the doctor? Possibly. But that's what has been happening with the TRUE middle class (the $50K earner) for years now under Obamacare - only in addition to not having their insurance cover anything, they're paying a fortune in premiums for the privilege. Where was the outcry for the middle class who have had to go without needed medical care? For example, my neighbor was bragging to me that under Ocare, her mother (an immigrant from 40 years ago who never learned English and never had a job) gets her eye treatments for FREE, thanks to Ocare. (My neighbor could well have helped her mother pay for them, but better someone else pay, right?). She did not realize that I have the same eye condition, and require the same eye treatments. They are a fortune! I cannot afford to go according to the recommended schedule, and am stretching them out. WHY should I have to pay $800/month in premiums and not be able to afford the treatments I need, after 30 years of paying federal income tax, and yet the neighbor's poor mother gets the treatments for free? Maybe before we hand out all the free medical care to poor people, we should look to their successful adult children to help pay their medical costs. Why toss it over to a middle-class person to provide medical care for your parents when you are able to do it yourself?[/quote]
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