Jueves, 21 Febrero, 2019

Insurers say Trump must do more to stabilize 'Obamacare'

Dems Trump's tax secrecy complicates legislative overhaul Dems: Trump's tax secrecy complicates legislative overhaul
Eleena Tovar | 15 Abril, 2017, 08:46

After facing defeat at that hands of its own party, GOP lawmakers are looking to resurrect the Trumpcare bill and force Democrats to the table by withholding approximately $7 billion in insurance subsidies. Many people have a limited choice of doctors, hospitals and other providers in insurers' restrictive networks.

Jones is also running for attorney general in California, a heavily Democratic state where fighting the Trump administration is a key political asset. The House sued the Obama administration for awarding the subsidies without a clear congressional appropriation and won its lawsuit in federal court a year ago. Congressional Republicans had challenged the Obama administration in court over the legality of CSRs.

Trump expressed confidence to the WSJ that his threat would prompt Democrats to parley because "they own Obamacare". But his words make it clear he is willing to sabotage it, in her view. It has been the subject of extended negotiations involving the White House and both parties in Congress, aimed at removing "poison pills" that might produce a deadlock, a Senate Democratic filibuster, and a government shutdown. For Trump, uncertainty is leverage-why would you surrender a negotiating advantage?

House Democratic Caucus Chairman Joe Crowley of NY on Thursday denounced Trump's tactic as "political blackmail". "And that would dramatically disrupt the insurance markets, and we should not let that happen". The reality is that they've been working fine in some states and struggling in others, with signs of gradual improvement overall, as a recent report from S&P Global Market Intelligence showed.

Providing an appropriation for CSR payments would permanently take this particular weapon out of Trump's hands - no matter how an underlying lawsuit, over the constitutionality of the Obama administration making the payments without such an appropriation, turns out. Now the Republicans are in charge. It would have given millionaires, billionaires, and insurance and pharmaceutical companies huge tax breaks, while taxing good health insurance plans, like those bargained for by the UAW, to pay for them. Insurers are unsure how to proceed in the market at this time.

If the subsidies stop, insurers will likely try to pull out of the Obamacare exchanges immediately.

This is exactly what insurers are anxious about. Without federal payments to cover those discounts, it's estimated that insurers would hike premiums by an average of 19 percent.

"But CSRs matter in a bigger way, too, that is about more than money", Kliff wrote.

While they are biding their time to see what action Trump's administration ultimately takes regarding the healthcare law, liberal state attorneys general and lawyers told Reuters that the president's public statements about letting the ACA "explode" could prove useful. "No decisions have been made about how the administration will proceed", the agency stated. The deal was that I'm just on a different team right now.

Of course, Levitz pointed out at NY, "t$3 here are a couple obvious problems with this plan".

County-level data going back to 2010, when the law was signed, shows a patchwork of people living without health insurance that ticked down slowly for the first three years under the ACA. "Democrats need to help solve this failed Obamacare plan".