Last week, the House of Representatives passed a bill to repeal and replace the Affordable Care Act. For millions of others, premiums skyrocketed by nearly 25 percent previous year, and as more insurers flee the market, those cost hikes are the tip of the spear.
The Republican Party will be rewarded for doing "what's right" by voting to overhaul a "failing and collapsing" health care system, a top aide to President Donald Trump asserted as Democrats and at least one outside group began laying the groundwork to challenge the GOP for control of the House in the 2018 midterm election.
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This is the system liberals are now fully embracing and defending.
Officials in CT have set up a similar task force, and NY lawmakers say they are prepared to hold a special session later this year to deal with any fallout.
Under the 2010 Affordable Care Act, individual health coverage must be offered to people with pre-existing conditions, which can be anything from asthma, acne and obesity to cancer, heart disease and AIDS.
Collins is a moderate senator whose vote will be important in the narrowly divided Senate. It projected an earlier version would toss 24 million people off health coverage, a damaging blow that made it harder for House Republicans to pass their bill. The final House bill passed without the score being updated, although most outside analysts said the changes were likely to increase the number who would lose insurance.
House Speaker Paul Ryan (R-Wis.) struck a similar note in urging his colleagues to pass the bill.
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That helps explain why the American Medical Association and other medical organizations are anxious that many people will lose their coverage under the House bill.
"Our plan establishes a program to provide federal resources for states to create high-risk pools, reduce out-of-pocket costs or promote better access to services", McMorris Rodgers wrote. Because of that, there might be the potential in some states for a pregnant woman to be charged more for coverage. The state's average premiums and out-of-pocket costs would rise by $7,549 annually. One of the most popular provisions of the Affordable Care Act - supported by 87 percent of Americans in a March CNN/ORC poll - barred insurance companies from discriminating against those with pre-existing conditions. The Trump administration has compounded the issue by signaling that it would no longer enforce penalties for those who fail to buy insurance. Why not just require the insurers to cover everyone at the same rate?
Major medical and other organizations, including the American Medical Association, oppose the House bill.
Under current law, individuals are protected from spending a fortune on health care because their annual and lifetime expenses for so-called "essential" or "standard" benefits - things considered basic, like hospitalization, newborn care and prescription drugs - are capped.
"I'm going to read the House bill, find out what it costs and where I find good ideas there, why we'll borrow them". "I'd be very opposed to it". "So much discretion is given to the states without any guardrails", she commented.
But she and other patient advocates said that resolve may be tested by the lack of competition in some areas, which insurers could use as a bargaining chip for more leeway on regulations. She said she worries the company could threaten to pull out if the state doesn't opt for weaker standards.
"This really helps", Trump said, saying that the vote had brought fractious Republicans together and laid the foundation for future victories on tax cuts and more.
Ryan also huffed about the "bogus attack from the left", complaining that the House hadn't waited for the Congressional Budget Office to lay out the impact of the new bill. This is a disaster in every way, as Americans have discovered in recent years, to our horror. In addition, many GOP governors took the federal government's offer in the ACA of near-complete federal funding to expand Medicaid to non-disabled, working-age adults, and they are anxious about the impact on their residents and their budgets if the expansion goes away and the program's funding is restricted.
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