Health Care

Dreams of A Compromise Obamacare Fix

So after the GOP’s Obamacare repeal effort failed with three Republican Senators joining the Democrats to vote it down, Senate Majority Leader Mitch McConnell made a statement mostly bemoaning the failure. He largely blamed the Democrats for not joining in the effort to dismantle Obama’s signature law but did at one point say, “So now I think it’s appropriate to ask, ‘what are their ideas?’ It will be interesting to see what they suggest as the way forward.” He even repeated the sentiment by later saying, “It’s time for our friends on the other side to tell us what they have in mind, and we will see how the American people feel about their ideas.” While his sincerity is undercut by the tone of his statement, I’m willing to be irrationally optimistic and take him at his word. With their partisan, one-sided repeal effort dead, let’s assume the road is open to bipartisan compromise and a real Obamacare fix. (more…)

My Analysis of the GOP Senate Health Care Bill

Well, I promised a deeper dive into the Republican Senate health care bill (the Better Care Reconciliation Act of 2017, or just BCRA), and here it is. I was frustrated by other analysis I found on the web because they generally don’t say WHEN various changes kick in, and that is of course pretty important to some of us. Consequently, I took special care to look at the dates that different parts of the law would go into effect, and I’ve organized my discussion appropriately. I’m mostly focusing on the big changes that will directly impact most people, so details like the repeal of the tanning salon tax didn’t get much attention. I’ve also glossed over details of Medicaid cuts because there is a LOT of detail there… the largest part of the bill is dedicated to it… and this is meant to be more of a summary. Suffice it to say that the bill takes an ax to Medicaid, which will mean a lot of people losing health coverage. That said, here is all the other stuff the BCRA would do and the timeline of when it does it: (more…)