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Reply to "Trump to gut ACA via executive order"
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[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] Except you are wrong. Truly poor is covered by Medicaid, not the ACA. That’s people at 100% to 400% of the poverty level, depending on your state. Most red states did not take Medicaid expansion, so someone making 250% of the federal poverty level is likely on Medicaid in a blue state, but not in a red state. In the blue state, nothing changes for this working class family. Because this does not touch Medicaid. In the red state, without Medicaid expansion, a family with the same income is not Medicaid eligible, and is paying ACA premiums. With are about to go through the roof. So red staters get trash policies that cover nothing or at least a 20% joke. Blue staters on Medicaid aren’t affected at all. There is a reason Rs could never actually pull the trigger on repeal. It hurts their base— the people in the middle and non-Medicaid expansion states—more. BTW- 86% of people who use the ACA get subsidies— so almost everyone. https://mobile.nytimes.com/2015/03/11/us/11-7-million-americans-have-insurance-under-health-act.html It feels like you have no idea what you are talking about. [/quote]
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