What reforms should Democrats propose for the ACA?

[kentuck]

There needs to be some serious regulations and controls on Big Pharma and prescription drugs, in my opinion.

Also, in those areas of the country where there are no plans offered, if no insurance companies volunteer to step forward, then the government should offer a plan for these Americans that need health insurance. It should be a public option.

Also, they may have to compromise on the taxes on medical tools and equipment that presently helps to pay for the ACA?

They should propose a comparative study of the cost of Medicaid versus the cost of private insurance. If the difference is very significant, then the one with the best price should be considered?

[Chasstev365]

1. Universal Health Care!

[Wounded Bear]

2. Guarantee Medicaid funding at competitive rates...

and indexing it to inflation.

Repubs have been starving this for years by refusing to pay doctors a fair rate for accepting Medicaid patients.

[Sedona]

3. Doctors should be made to stay on a plan for at least the calendar year

They seem to jump on and off various plans at will.

We should be guaranteed the same doctor for at least the year we are enrolled in any given plan.

Also Blue Cross randomly changed my primary care provider on its own and did not tell me.

Big surprise when I arrived at my next check up. This should not be allowed.

[Iwasthere]

4. Unroll 2018 not much will be possible imo

However, we should try. Perhaps those in the high risk pool could buy Medicaid, a number of benefits would result.

[Roland99]

5. Repeal and Replace (with Single Payer!)

[BigmanPigman]

6. The Dems know what we want and now we must hold them accountable.

[doc03]

7. Public option nt

[mythology]

8. There are several things

Reinstating the risk payments that were taken out.

Raising payments for Medicare and indexing to inflation as someone else mentioned.

Additionally I would look to moving to a more fee for outcome than fee for service payment system. The ACA did some of this, and it's a hard sell.

While not directly related to insurance, I would push for solutions to our shortage of general practitioners. I'm not sure what the best solution is, whether it's incentives in terms of student loan forgiveness for general practitioners, support for nurse practitioners, or something else.

[bluecollar2]

9. tie the premium to the income level

Cap deductibles...

Make affordable a defined value...

[Exilednight]

10. Make the ACA the congressional health care provider

Make it the Congressional health care plan that they have to pay out of pocket for with no subsidies.

Watch how fast the prices of healthcare drop.

[tonyt53]

12. THIS might have more of an impact than anything else!

[eleny]

11. Reverse Rubio's erosion of the risk corridor issue and deal with big pharma

I agree with you about the public option. It makes complete sense to offer it as we ease ever so slowly into a single payer system.

[tonyt53]

13. Agreed. Most people have no idea just how difficult this will be, and not just financially.