- Aug 2019
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doc-0s-c0-docs.googleusercontent.com doc-0s-c0-docs.googleusercontent.com
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PolicychangesduringtheTrumpadministration
The Shift
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(1)occasionallystatingthatitwouldnothavetheInternalRevenueServiceenforcethetaxpenaltiesforthosewhochoosetoremainuninsured–thisisrelevantto2018,whentheindividualmandateisstillinforce;(2)severelycuttingfundingforoutreachduringtheannualopenenrollmentperiod,aswellasthelengthoftheperiod;(3)providingnegativepublicstate-mentsabouttheACA;and(4)choosingnottofundtheso-called“cost-sharingsubsidies.
So these are the effect of the trump administration when they remove Obama care
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CongressionalBudgetOfficeprojectthatby2027,fivemillionAmericanswouldloseindividualcoverage;anotherfivemillion,Medicaidcoverage;andthreemillionmore,
That would mean 13 million Americans will lose health coverage under this repeal. Despite not being penalized for not being insured that is 13 million people out of insurance.
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onlyabouthalfofpooradultswerecoveredbyMed-icaidandalmost30%ofboththepoorandnear-poorunderage65lackedanycoverageatall
Before ACA many Americans lacked insurance coverage because it was not a requirement, however in many high-income countries people would could not afford healthcare got it regardless unlike america and that was until ACA.
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Asfarbackasthe1950sthosewithpre-existingillnessesgen-erallyfoundindividualinsurancepoliciesunaffordablebecauseinsurerscouldchargehigherpremiumstothosewithahistoryofillness.TheACAincreasedindividualcoverageby:prohibit-inginsurancecompaniesfromexcludingpeopleorchargingmoreforpre-existingconditions;mandatingthatallindividualsobtaininsurance;andbyhelpingindividualspayforthisthroughincome-basedpremiumsubsidies.
Before ACA if private insures knew someone had an illness they would raise prices forcing them to pay more if they wanted insurance. Under ACA making someone pay more because of illness is prohibited under ACA.
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UntilthemajorprovisionsoftheACAwentintoeffectinJanuary2014,healthinsurancecoveragewasalwaysvoluntary.About30%ofthepopulationwascoveredthroughthetwomajor
Before ACA (Affordable Health Care Act) health care was voluntary meaning you could have coverage or you could not. No penalties since it was your choice.
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CongressionalleaderscouldnotmusterenoughvotesinlargemeasurebecauseCongress’ownbudgetofficereportedthatrepealwouldresultin23millionAmericanslosingtheircoverage
If the repeal had went through 23 million people would be losing health care coverage in doing so.
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