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Mon Mar 13, 2017, 04:15 PM

CONGRESSIONAL BUDGET OFFICE COST ESTIMATE: American Health Care Act

Source: Congressional Budget Office

Effects on Health Insurance Coverage

To estimate the budgetary effects, CBO and JCT projected how the legislation would change the number of people who obtain federally subsidized health insurance through Medicaid, the nongroup market, and the employment-based market, as well as many other factors.

CBO and JCT estimate that, in 2018, 14 million more people would be uninsured under the legislation than under current law. Most of that increase would stem from repealing the penalties associated with the individual mandate. Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums.

Later, following additional changes to subsidies for insurance purchased in the nongroup market and to the Medicaid program, the increase in the number of uninsured people relative to the number under current law would rise to 21 million in 2020 and then to 24 million in 2026. The reductions in insurance coverage between 2018 and 2026 would stem in large part from changes in Medicaid enrollment because some states would discontinue their expansion of eligibility, some states that would have expanded eligibility in the future would choose not to do so, and per-enrollee spending in the program would be capped. In 2026, an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.

Read more: https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf

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Reply CONGRESSIONAL BUDGET OFFICE COST ESTIMATE: American Health Care Act (Original post)
brooklynite Mar 2017 OP
underpants Mar 2017 #1
sakabatou Mar 2017 #2
montanacowboy Mar 2017 #3
Docreed2003 Mar 2017 #4
zentrum Mar 2017 #26
Docreed2003 Mar 2017 #27
Botany Mar 2017 #5
still_one Mar 2017 #6
mahatmakanejeeves Mar 2017 #7
Dopers_Greed Mar 2017 #8
Kimchijeon Mar 2017 #9
brooklynite Mar 2017 #10
grantcart Mar 2017 #11
wishstar Mar 2017 #12
LeftInTX Mar 2017 #13
maxsolomon Mar 2017 #20
yallerdawg Mar 2017 #28
LeftInTX Mar 2017 #31
JDC Mar 2017 #14
dae Mar 2017 #17
world wide wally Mar 2017 #15
maxsolomon Mar 2017 #21
not fooled Mar 2017 #34
brooklynite Mar 2017 #39
Sunlei Mar 2017 #16
world wide wally Mar 2017 #22
Sunlei Mar 2017 #36
world wide wally Mar 2017 #37
Sunlei Mar 2017 #38
Highway61 Mar 2017 #18
klook Mar 2017 #19
csziggy Mar 2017 #25
klook Mar 2017 #29
csziggy Mar 2017 #30
MontanaMama Mar 2017 #23
stuffmatters Mar 2017 #24
exboyfil Mar 2017 #32
Xolodno Mar 2017 #33
not fooled Mar 2017 #35

Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:18 PM

1. Costs more, works less.

There's my summary.

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Response to underpants (Reply #1)

Mon Mar 13, 2017, 04:21 PM

2. Yep

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:23 PM

3. Surprise Surprise Surprise

as Gomer would say

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:24 PM

4. Exactly as predicted...less coverage for greater costs....the GOP way...

And it dismantles the fabric of Medicaid in the process so it's a plus for the Ayn Rand syncophants.

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Response to Docreed2003 (Reply #4)

Mon Mar 13, 2017, 07:02 PM

26. They hate the people. The

...people include libruls and people of color and people who are not rich.

Lenny Bruce!

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Response to zentrum (Reply #26)

Mon Mar 13, 2017, 07:07 PM

27. True! The world could do with a little more Lenny Bruce today!!

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:26 PM

5. Guess we can go back to some old time religion for our health care.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:27 PM

6. So it takes care of the republican social security and medicare problem also, people will not be

around to collect

I cannot tell you how much I hate these assholes


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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:29 PM

7. Associated Press Twitter feed:

BREAKING: Congress’ nonpartisan budget analyst says 14 million would lose coverage next year under Republican health plan.


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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:30 PM

8. Now the CBO is going to be purged

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:32 PM

9. Horrible, just horrible.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:40 PM

10. I think you're all missing the point...

FREEDOM!

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:40 PM

11. CBO predictions on the ACA were right on the money.




https://talkingpointsmemo.com/dc/cbo-obamacare-american-health-care-act

Elmendorf, now the Dean of Harvard's Kennedy School of Government, agreed that on the big questions surrounding the ACA, the CBO has been vindicated.

"CBO was right that insurance coverage would rise sharply under the ACA, which a number of prominent people disagreed with at the time," he told TPM. "CBO was right that employers would not stop offering health insurance in large numbers. The CBO was right, roughly, about the level of insurance premiums today."

"Premiums came in below CBO's forecast, but they've since caught up," he clarified. "CBO estimated what insurers would need to charge in order to cover their costs. But in fact, for the first few years, insurers charged less and suffered losses. Now they are charging closer to what CBO expected."


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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:41 PM

12. Almost a trillion cut in Medicaid, biggest reason it will save money

"Budgetary Effects of Health Insurance Coverage Provisions
The $935 billion in estimated deficit reduction over the 2017-2026 period that would stem from the insurance coverage provisions includes the following amounts (shown in
Table 3):
• A reduction of $880 billion in federal outlays for Medicaid;
• Savings of $673 billion, mostly stemming from the elimination of the ACA’s subsidies for nongroup health insurance—which include refundable tax credits for premium assistance and subsidies to reduce cost-sharing payments—in 2020;
• Savings of $70 billion mostly associated with shifts in the mix of taxable and nontaxable compensation resulting from net decreases in the number of people estimated to enroll in employment-based health insurance coverage; and
• Savings of $6 billion from the repeal of a tax credit for certain small employers that provide health insurance to their employees."

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:47 PM

13. Wonder how this applies to the filibuster?

I'm not the brightest, but there was something about "reconciliation". What does this mean for reconciliation?

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Response to LeftInTX (Reply #13)

Mon Mar 13, 2017, 06:02 PM

20. The ACA was passed under Reconciliation

It will be repealed under it as well.

It bypasses cloture votes.

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Response to LeftInTX (Reply #13)

Mon Mar 13, 2017, 07:18 PM

28. As long as the proposal is revenue neutral or reduces the deficit...

it can be passed under a Senate simple majority rule.

Where we all understand now (with the ACA) that delivering more healthcare costs more money (duh), now we can understand delivering less healthcare costs less money.

Both versions make sense considering which party supports the differing healthcare policies and goals.

Why we are Democrats - and they are greedy fucking self-serving dumbasses!

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Response to yallerdawg (Reply #28)

Mon Mar 13, 2017, 09:10 PM

31. Thanks...that's what I was wondering.....

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 04:49 PM

14. Ahh, freedom. Paul Ryan is their "policy genius"

Complete incompetence wrapped up in a suit and tie.

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Response to JDC (Reply #14)

Mon Mar 13, 2017, 05:42 PM

17. +1 - Paul Ryan is a Policy Wanker not Wonk, a devious little snit.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 05:26 PM

15. Other than the fact that Obama's name has been attached to the ACA, what is the problem,

And why won't they just tweak what needs fixing.
Is it the desire to ruin people's lives or just pure, unadulterated greed?

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Response to world wide wally (Reply #15)

Mon Mar 13, 2017, 06:05 PM

21. In a word, Soshlyzm

A new "Entitlement", when Entitlements are supposedly driving the deficit and debt.

Not the DoD and it's attendant costs (Veterans). Nope, don't look there. Don't question Defense. In fact, throw more at it - it's a stealth jobs program, but it only builds death.

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Response to maxsolomon (Reply #21)

Mon Mar 13, 2017, 10:11 PM

34. His puppetmasters the kochs--

who are running the puke party--say "no more big gubmint programs". Also, "repeal the tax increases on the wealthy".

Lyin' Ryan dances to their tune.

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Response to maxsolomon (Reply #21)

Tue Mar 14, 2017, 11:26 AM

39. As I recall, there were some folks here angry at being "forced" to buy "corporate" insurance.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 05:41 PM

16. Add another 100 mil-Insured by "TRUMPCARE" who struggle to make a $2,000 a month payment.

or die.

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Response to Sunlei (Reply #16)

Mon Mar 13, 2017, 06:09 PM

22. I see a lot of people rebelling and just having no insurance at all.

After all, health consequences are later. A few extra bucks in your pocket is right now.

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Response to world wide wally (Reply #22)

Tue Mar 14, 2017, 09:14 AM

36. That's like playing the lottery with your life. Everything medical is so expensive to treat.

Uninsured when they crawl into emergency rooms are treated like meat.

The basic lowest tier "medical care" for indigent persons can really suck if the Doctors or staff don't care to do their best work for non payers.

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Response to Sunlei (Reply #36)

Tue Mar 14, 2017, 09:30 AM

37. Yes, it sucks.

But some people are just not going to spend every red cent they earn just to buy insurance and live like paupers.. Just a fact.

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Response to world wide wally (Reply #37)

Tue Mar 14, 2017, 11:23 AM

38. same here, its been a wonderful 3yrs with my obamacare' I got off healthcareDOTgov website.

People on that website helped to pick a plan I can afford. Because of ACA laws, no insurance corp can refuse to cover me and I can't be dropped for any reason except not paying the monthly premium.

With Republicans Trumpcare all that ACA Federal oversight & regulation of Insurance Corporations will go away, including the HealthcareDOTgov. website.

I'll only be able to afford the Insurance Corps crappy cheapest plan- a plan that doesn't cover anything.

I can't afford the basic 'decent' Insurance that costs $12,000 a year or more.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 05:52 PM

18. W. T. F.

eom

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 05:58 PM

19. Huge boost to industry

- the undertaker industry, that is.

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Response to klook (Reply #19)

Mon Mar 13, 2017, 06:59 PM

25. Not really - communities will end up like West Virginia

With no enough money to buy the indigent deceased.

WV indigent burial fund out of money -- again
By Christopher Ingraham
The Washington Post
March 7, 2017

Deaths in West Virginia have overwhelmed a state program providing burial assistance for needy families for at least the fifth year in a row, causing the program to be nearly out of money four months before the end of the fiscal year, according to the state’s Department of Health and Human Resources. Funeral directors in West Virginia say the state’s drug overdose epidemic, the worst in the nation, is partly to blame.

West Virginia’s indigent burial program, which budgets about $2 million a year for funeral financial assistance, had already been under pressure from the aging of the baby-boom generation. The program offers an average of $1,250 to help cover funeral expenses for families who can’t otherwise afford them.

In the current fiscal year ending June 30, “1,508 burials have been submitted for payment through the Indigent Burial Program,” according to Allison Adler, a spokesman for state DHHR Secretary Bill Crouch. “There are funds remaining for 63 additional burials.”

The program has been around for decades, according to Adler, but only began running out of funds starting in 2013. In 2014, the program ran out of money in June. By 2015, the program’s budget was depleted by March, similar to where it stands this year.

- See more at: http://www.wvgazettemail.com/news/20170307/wv-indigent-burial-fund-out-of-money----again#sthash.aQq8Roz6.dpuf

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Response to csziggy (Reply #25)

Mon Mar 13, 2017, 07:54 PM

29. Ugh - true enough.

Grim scenario.

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Response to klook (Reply #29)

Mon Mar 13, 2017, 08:01 PM

30. When a friend died his veteran's benefit was not enough to pay for cremation

At the cheapest place in Southwest Georgia. His wife had the memorial service at their five acre place - outside because the only structure, the camper they lived in, wasn't big enough to fit his family much less all his friends. We all chipped in some money to help out his widow, but it took her two years to finish paying off that bill and his final medical bills.

My sister has had a number of friends who were borderline homeless and dying. Over the last ten years she has paid for several cremations so they weren't a burden to the county. She and her husband have prepaid their final expenses. I need to make those arrangements, too, so my husband doesn't have to deal with it if I go first - if I can afford to, I'd like to pre-pay for us both. It's a good idea if at all possible so all the choices are made and no one has to deal with it at the worst time.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 06:34 PM

23. I'm making plans to dump

My $1300 a month plan for a shit high deductible plan from chump care and bank the rest into an HSA and hope for the best. I'm not giving these jerk offs any more money than I have to. I'm already paying more than my mortgage for insurance.

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Response to brooklynite (Original post)

Mon Mar 13, 2017, 06:47 PM

24. It's a Die in the Gutter Cut to Medicaid. Most will need medicaid for nursing homes someday

First by capping it off in 2026, Ryan is able to keep the Baby Boomers out of nursing homes and on their kids couch or in the streets.
Problem solved providing for that Baby Boomers('Dirty Hippies" surge who the GOP always cites as sooo burdensome on the safety net.
Then every subsequent generation. Everybody gets old, nursing home costs are already prohibitive as is long term care insurance for most. Nursing Homes are what what Medicaid primarily does and, like medicare and social sec, part of our social contract and one of the costs our taxes have always been supposed to be paying for.

I wish Dems and MSM would emphasize that Medicaid primarily goes to paying for nursing home care for grandma & grandpa...average earners and taxpayers all their lives who simply do not have the wealth to pay hundreds of thousands for nursing homes at the end of their lives.

This GOP Bill is not just hundreds of billions of tax breaks to the wealthiest, it is also a sentence of essentially violent death to everyone but the wealthiest 1%. And, who knows, sometimes billionaires loose all their money, so even they might end of a victim of this brutal, sadistic attack and basically the agenda to destroy Medicaid.

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Response to stuffmatters (Reply #24)

Mon Mar 13, 2017, 09:13 PM

32. I think nearly my entire family descendants of my grandma

were Trump voters except me (mom, aunt, cousins). I handled the arrangements for my grandma in the last nine years of her life. She was in a wonderful nursing home in Iowa. She had absolutely no connection with Iowa (it has been my home for nearly 30 years). After my aunt in California could not take care of my grandma anymore, my mom got on a plane from her state, went to California, and got my grandma and brought her to Iowa pretty much without asking me.

I was fortunate to be able to get her into the nursing home and use the remaining funds in her bank account (her only assets) to set up a partial funeral account. She cost Medicaid $430K. When I explained this to my mom. She just said that we paid that in taxes (no way that is true of course).

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Response to stuffmatters (Reply #24)

Mon Mar 13, 2017, 09:41 PM

33. When the costs become to prohibitive...we'll see a return to the so called "good o'le days"..

....that being, take grandpa to the back of the barn with the shot gun.

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Response to Xolodno (Reply #33)

Mon Mar 13, 2017, 10:15 PM

35. They want to get us used to

living and dying with no medical care.

The road to that will be rough but they are girding their loins to force this on the country.

Congrats, idiot dump voters, for bringing back the Dark Ages.

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