Senate Releases Healthcare Reform Bill – Only 142 (Easy to Read) Pages – W/Full pdf…

After Democrats announced they wanted nothing to do with the Obamacare reform efforts, the Democrat leadership and their water-carrying media counterparts cried foul because they feel they were not consulted on a current Senate bill to reform Obamacare.  Go figure.

The original (’09/’10) ObamaCare bill was 2,700 pages and most of the toxic takeover construct was intentionally and ambiguously deferred to HHS Secretary Kathleen Sebelius where she added an initial 74,000 pages of regulatory and compliance rules and procedures. [Those HHS regulations now total 673,448+ pages and growing.]

Today, the Senate releases their version of a bill to reform the collapsing Obamacare construct.  It is only 142 pages (full pdf below), and essentially tracks along the three-stage repeal and replace road map previously outlined by HHS Secretary Tom Price.

Despite their pearl-clutching pontifications, all of the whining politicians and media-gnats can read the bill in a few hours.  Here’s the TOP-LINE basics:

♦ Overview of the Discussion Draft of Senate Amendment to H.R. 1628 – Help stabilize collapsing insurance markets that have left millions of Americans with no options.

•Short-Term Stabilization Fund: To help balance premium costs and promote more choice in insurance markets throughout the country, this stabilization fund would help address coverage and access disruption – providing $15 billion per year in 2018 and 2019; $10 billion per year in 2020 and 2021.

•Cost-Sharing Reductions: Continues federal assistance – through 2019 – to help lower health care costs for low-income Americans in the individual market.

•Free the American people from the onerous Obamacare mandates that require them to purchase insurance they don’t want or can’t afford. Repeals the individual and employer mandates.

•Improve the affordability of health insurance, which keeps getting more expensive under Obamacare.

•Long-Term State Innovation Fund: Dedicates $62 billion, over 8 years, to encourage states to assist high-cost and low-income individuals to purchase health insurance by making it more affordable.

•Tax Credits: Targeted tax credits will help defray the cost of purchasing insurance; these advanceable and refundable credits – adjusted for income, age and geography – will help ensure those who truly need financial assistance can afford a health plan.

•Health Savings Accounts: Expanded tax-free Health Savings Accounts to give Americans greater flexibility and control over medical costs; increased contribution limits to help pay for out-of-pocket health costs and to help pay for over-the-counter medications.

•Repeals Obamacare Taxes: Repeal costly Obamacare taxes that contribute to premium increases and hurt life-saving health care innovation, like the taxes on health insurance, prescription drugs, medical devices, and “high-cost” employer sponsored plans.

•Empowers states through state innovation waivers (Obamacare 1332 Waiver): Provide states additional flexibility to use waivers that exist in current law to decide the rules of insurance and ultimately better allow customers to buy the health insurance they want. Allow the Department of Health and Human Services (HHS) to fast-track applications from states experiencing an Obamacare emergency.

•Preserve access to care for Americans with pre-existing conditions, and allow children to stay on their parents’ health insurance through age 26. (There are no changes to current law as it applies to Veterans, Medicare, or Social Security benefits.)

•Strengthen Medicaid for those who need it most by giving states more flexibility while ensuring that those who rely on this program won’t have the rug pulled out from under them.

•Targets Medicaid to Those Most in Need: In 2021, begins gradual reductions in the amount of federal Obamacare funds provided to expand Medicaid, restoring levels of federal support to preexisting law by 2024 while providing fairness for non-expansion states.

•New Protection for the Most Vulnerable: Guarantees children with medically complex disabilities will continue to be covered. Provides additional state flexibility to address the substance abuse and mental health crisis.

•Flexibilities for Governors: Allows states to choose between block grant and per-capita support for their Medicaid population beginning in 2020, with a flexibility in the calculation of the base year. Allows states to impose a work requirement on non-pregnant, non-disabled, non-elderly individuals receiving Medicaid.

•New Protections for Taxpayers: Curbs Medicaid funding gimmicks that drive up federal costs.

Here’s The Full Senate Bill:

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This entry was posted in Big Government, Big Stupid Government, Dem Hypocrisy, Election 2017, Election 2018, Election 2020, Legislation, media bias, Mitch McConnell, Obamacare, Paul Ryan, Uncategorized. Bookmark the permalink.

428 Responses to Senate Releases Healthcare Reform Bill – Only 142 (Easy to Read) Pages – W/Full pdf…

  1. peace says:

    From zerohedge:

    What’s In The Republican Healthcare Bill: The Full Breakdown
    Tyler Durden’s picture
    by Tyler Durden
    Jun 22, 2017 1:30 PM
    25
    SHARES

    Submitted by Justin Bilyj,

    The Republican party has just released their healthcare bill and really, it isn’t a replacement, more like an alteration of Obamacare. There’s no full repeal, but just tinkering with definitions, you know the usual way DC get’s things done.

    So you’re probably wondering what’s in the bill. I perused the bill just this morning and here’s a list of 24 items covered in this 142 page healthcare bill.

    Gives subsidies illegal immigrants if they are working in the United States
    Subsidies based on 350% Federal Poverty Level, not 400%.
    Gets rid of business and consumer mandates with no penalty
    Qualified plans don’t need to provide abortion coverage unless it’s to save the life of the mother
    Each state gets 15-10 Billion for uninsurables
    Cadillac tax is gone
    OTC med tax is gone
    HSA penalty tax is 10%
    Prescription tax is gone
    Medical device tax is gone
    Business owners can deduct part d expense again
    Deductible medical expenses are back to 7.5% instead of 10% AGI
    Tanning tax is gone (ironic)
    Net investment tax is gone
    HSA deductibility will be adjusted every year for COLA
    Both spouses can now make catch-up contributions to a family HSA
    60 day limitation to setting up an HSA account when first getting the plan for purposes of a current claim
    No coverage for abortion clinics
    Repeal of cost-sharing subsidy
    MLR set by states
    Grants for states battling opiod addiction (like mine)
    CHIP is reauthorized
    $5,000 app fee to create small business association health pool
    Psychiatric coverage is limited to institutionalized individuals only, and for stays up to 30 days but not to exceed 90 days
    The Senate draft health-care bill doesn’t currently include a provision penalizing people who don’t maintain continuous coverage

    There’s even more than that within the bill, mostly about Medicaid, Small Business healthplan requirements etc.

    Like

  2. MakeAmericaGreat says:

    A ploy to try to rally ‘conservative’ opposition to the AHCA.

    That’s all it is.

    Liked by 4 people

  3. bessie2003 says:

    This looks to be an excellent start within the 3-Step process.

    My question is where in this process will we see the elimination of the whole existence of the Independent Payment Advisory Board and all other avenues that the Federal Government can use to dictate what treatments and procedures physicians and hospitals can or cannot do or face the wrath of federal bureaucrats?

    Also, from memory, in reading the ACA when it was first being posted online, so this may have changed, there was a section which placed all licensed hospitals and physicians to ultimately be under the jurisdiction of the military (in case of govt. declared emergencies they could tell doctors where they would be allowed to practice medicine, say under-served areas of the country or other emergencies).

    Would elimination of those provisions in fall under Step 3? Or would those little gems that were spread throughout the original ACA still be on the shelf somewhere for a future Administration to dust off and put into play?

    (I had read the original ACA as passed in the Senate and then reconciled and passed by the House then conferenced and sent to then Pres. Obama to sign into law so apologize for not being able to cite page and paragraph in reference to my IPAB and the military jurisdiction questions.)

    Liked by 3 people

    • carrie2 says:

      Contact Trump with your questions and concerns at whitehouse.gov/contact#page which is what I have been doing. Thank God we finally have a president to whom we can make contact. I also like potus45@wh.com for communication with Trump. Take advantage of either or both sites because Trump wants our input.

      Liked by 7 people

    • pageoturner says:

      I would like ALL legislation to have a sunset provision. Provisions of every bill end in 10 years. Do cost/benefit analysis then.

      We have too many failed programs that continue with new, worse programs layered on top.

      If we re-introduce free market and price discovery to medical care there won’t be any need for government run health insurance.

      Liked by 5 people

    • The Demon Slick says:

      In my opinion anything short of full repeal is a trap for President Trump. There’s too many tiny poisonous bits to remove. The only way to be sure is to remove the entire parasitic organism from the American body. Then replace. I really don’t even believe in replace (what do you replace athletes foot with? Or a colony of termites in your basement?) but I understand the political realities.

      Liked by 3 people

  4. JeremyJohn says:

    I am not genius, so help me understand the bill. What happened to preexisting condition?
    Will this bill reduce premium and deductibles?

    Like

    • Gil says:

      Did you see the part about repealing both the individual mandate?????
      No mandate to purchase = no forced purchase=need to keep business=LOWER COST
      😁

      Liked by 3 people

      • Pinkie says:

        I think Jeremy wants insurance. It doesn’t sound like he wants to drop it.

        Liked by 1 person

        • Gil says:

          I would buy car insurance uf i was not forced to also. But because my state forces me, costs are high. Similar situation here. No assumption from these companies to get business means they have to compete again and lower costs.

          Like

          • Pinkie says:

            You’ve got to worry about the guy that would buy insurance unless forced. You don’t want to get hit by him.

            Like

            • No you don’t. Make sure your own auto nsurance covers – if you believe in insurance. Gil is right that requiring car owners to “buy” insurance causes the premiums to go up beyond inflation. She didn’t say that exactly, but it is true.

              Like

      • KittyHat says:

        It looks like a lot there for business but not much for individual benefit. Still not clear about pre-existing conditions and this can be a serious issue for many people. Giving flexibility to state is good thing but there should be certain common rules. Insurance may come up with low premium plans which will eventually be useless. In that case, a lot of people will not buy insurance.
        On the political front, pre-existing condition will be the talking point for dems and also how many people are covered! That is a mysnomer because if no one s forced to buy, some people may not buy. hence not covered!

        Like

        • Others have pointed this out, but it bears repeating. Paying medical expenses of a person who has no insurance (pre-existing condition) is charity or welfare. It is NOT insurance. Insurance is to protect against expenses that MIGHT occur. Or used to be anyway.

          You know it is a scam when the words and terminology keep changing. Medical insurance. Health insurance. Health care insurance. Health care. All meant the same thing. Very dishonest.

          Liked by 1 person

    • Gil says:

      A couple things I dont see listed are:
      Purchasing insurance across state lines and
      Prescription medicine coverage being addressed, only hsa for over the counter.
      Unless these are in there it will be the next round.
      Across state lines is HUGE though.

      Liked by 3 people

    • pageoturner says:

      Pre-existing conditions must still be covered.
      The Mandatory provisions Obama put in (like maternity care for 60 year olds) is gone. States can decide what to include.
      Children can stay on parents’ plan until 26

      Like

  5. Troublemaker10 says:

    Don’t freak out over Cruz, Paul, Lee, and Johnson opposition. It’s part of the process. Cruz just said he thinks they can get to a “yes” on passing this bill.

    When freedom caucus opposed house bill, we ended up with stronger bill.

    Cruz says wants improvements to lower cost and give states more flexibility.

    I have not doubt Senate Bill has room for improvement before final bill format resolved.

    Liked by 3 people

    • snaggletooths says:

      I could care less what lyin Ted’s opinion is on anything.
      This is a draft and improvements will be made this is only stage 1 .

      Liked by 9 people

      • snailmailtrucker says:

        When you say “You could care less” about what Lying Cruz’s Opinion is….
        Doesn’t that mean you Care about what his Opinion is ?

        You should be saying you “Couldn’t Care Less” !

        Like

    • Bob Thoms says:

      Cruz will fall in line. His star status in Texas is very tarnished because of his over the top anti-trump attitutde….he could easily lose to a democrat the next election cycle………………………Mike Lee might be a problem; the Mormons love him. His seat is safe.

      Liked by 7 people

      • snaggletooths says:

        I was hoping Lee do a Chaffetz and leave, that be great news

        Liked by 5 people

      • Tejas Rob says:

        >Cruz will fall in line. His star status in Texas is very tarnished because of his over the top anti-trump attitutde….he could easily lose to a democrat the next election cycle<

        No, that ain't happening.

        Liked by 1 person

      • svenwg says:

        Hopefully he is beaten in the primaries and a person who backs the Trump Agenda to the Hilt is elected to the Senate. Never a Demoncrap, EVER, in any State of the Greatest Country in the World. Make sure it stays that way by putting all the Demoncraps into the doggie-poo bin for eternity!

        Like

    • Niagara Frontier says:

      In principal you are correct about the process. But I’m not buying their so-called sincerity one bit because there is no need whatsoever for them to run to the cameras and so stridently bad-mouth the bill.

      It only gives the opposition talking points and harms the President. I can add two and two.

      Liked by 6 people

    • MakeAmericaGreat says:

      Agreed, Trouble. This is “opposition for effect,” I imagine.

      Only Johnson worries me in that group. On the other hand, another insurer just left the ObamaCare exchanges in Wisconsin, so that might help tip him to ‘yes.’

      Liked by 3 people

  6. Niagara Frontier says:

    I can imagine LBJ as Senate leader having the likes of Cruz, Paul and Lee out-of-the-gate, bad mouthing a bill of his to the press.

    The Senators would be quickly stripped of plum committee assignments and their offices would be relocated to the basement next to the janitor’s office. That’s what these three fools deserve.

    Liked by 7 people

  7. Bob Thoms says:

    Bad idea = charging a fee to form an association for purchasing coverage.

    Liked by 2 people

  8. Carolina Kat says:

    Thank you Sundance. I have been looking around for a detailed discussion on this bill and this is the only site I’ve found it. (I could have saved time by starting here, as I usually do.)

    My fear is that the law of unintended consequences applies, and the impacts of these changes may not be predictable and quantifiable. However doing nothing is both, and very negative outcomes can be expected. I wish the prohibition of funds for PP was extended indefinitely rather than staged at one year. But so far, that is my only complaint.

    Liked by 7 people

    • carrie2 says:

      Carolina, remember that we have not yet had the 2018 budget and I believe PP will be removed, just like NRP and PBS, and Arts. We need money to bring America and our standards up and not support those who murder, are non-objective and should sell their art like was always done before. So be a little patient.

      Liked by 5 people

  9. Sandra-VA says:

    One other thing that will help reduce costs and get more people covered… is repealing the rule that says 30hrs or more per week means you must provide coverage – hence only part time work available.

    Repeal that, people can work full time again.

    Liked by 7 people

  10. Anchored says:

    For those who actually think the GOP wants to get rid of Obamacare, I suggest rereading Sundance’s essay from last year: https://theconservativetreehouse.com/2016/03/07/why-neither-democrats-nor-republicans-will-ever-remove-obamacare/#more-113429

    Liked by 5 people

    • F104 says:

      That is what I have been saying in earlier posts. I am a broker and can tell you with confidence that this will only speed up the journey to single payer. People just can’t seem to understand that the owners( see The big Club-George Carlin) don’t want to pay for employees healthcare anymore. They want to control our health insurance instead so they have more control over us.

      Obamacare never was supposed to live. It was supposed to die and lead us to single payer. The mandate made it to where the insurance companies felt they could be hosed with preexisting conditions which is a false premise and be able to therefore bring in enough premium to cover the preexisting conditions costs. That is the only reason they bought into this charade in the first place.Now, with the mandate taken out, it will dramatically speed up the journey to single payer.
      The republicans know this which is why they are going to just give the insurance companies the money to make up for the shortfall due to the mandates being dropped.

      I’m in the business. Ask your broker. It’s interesting that you never see the media asking a broker what all of this means. We are to the insurance business what a quarterback is to football. Think about it. If you are still fuzzy on it, imagine if the govt passed a law that said you can come to my office the day after your house has burned down and buy a homeowners policy to pay for it!!! What does everyone at the Treehouse think would happen?

      The first thing would be homeowners would start climbing. Next, people would figure out they don’t have to buy it until after they have a problem and that would cause homeowners to really go up more until the companies would start bailing out of homeowners insurance. Does this sound familiar?? The only solution is get the govt out of healthcare and when that is done, your health insurance premiums will be like the rest of the insurance business.

      Until the preexisting conditions are dropped, we are going to single payer. There is no other way. I want to leave you with a call to the Rush Limbaugh show I heard 8 years ago. She was from Canada and said “Most Americans have health insurance and have the greatest healthcare in the world. We Canadians all have health insurance but most of us have poor healthcare.”

      What you are seeing today is death by hanging rather than gunshot. It’s just a charade nothing more. I just hope Trump does something about it.

      Liked by 6 people

      • Gil says:

        I agree obamacare was the lead in to fully implement single payer, under Hillary. Now, they are being forced to do what they dont want to do, repeal and replace, and probably are trying to obfuscate anything left from obamacare that they really want. Pre existing conditions are a very touchy subject though. I remember catastrophic policies for cancer, etc.
        Maybe those need to be looked at again.
        The industry is not the same at all from healthcare provider to supplier to pharmacy to coding to insurance.
        Fresh eyes, innovation, choices, educated legislation(where input from people like you is needed), and faith are some basic requirements now.
        If necessary, we can always whip out the torches and pitchforks at a later date.

        Liked by 2 people

      • Tejas Rob says:

        So what would you suggest doing with people who learn they have something like cancer and now need insurance?

        Like

        • Old CrewDog says:

          Rob- what do you do with them now? YOU (and I) get to pay for them.

          Liked by 1 person

          • Tejas Rob says:

            Yeah, I know, but I was asking F104 who said they are an insurance agent what they think is the best way to handle it.

            Like

          • skaebne says:

            There is only one way to provide healthcare to uninsured people who develop a major medical problem, and that is not to require insurance companies to issue them a policy. There are two reasons for this: First, insurance works by amortizing costs over a heterogeneous pool over an extended period of time — you cannot amortize costs when people can jump into the pool any time they get sick; Second, even assuming the insured pool would accept the distributed-but-unamortized cost of providing care to people who purchase insurance only after they get sick, there is no way to determine what the cost would be by actuarial methods –none.

            This means that forcing insurance companies to pay for uninsured people when they get sick is, by definition NOT insurance, so we shouldn’t pretend it is. We simply have to pay for their care by other means. The Republican proposal is to create high risk pools, meaning we create a budget line item in the state budget for this purpose, and raise the funds through taxes. This has two benefits: First the costs are borne up front in your tax bill — if an insurance program is forced to cover the uninsured, the costs to the taxpayer are hidden; Second, the cost can be contained to the amount in the pool — like it or not, if there is no cost-containment mechanism for high-risk individuals, the cost of their care expands until there is no money for anybody else.

            Liked by 1 person

        • xyzlatin says:

          I have had private health insurance for 50 years, and it has been a struggle at times to pay for it. Nothing annoys me more than people who think they can just jump in and get insured and benefits on any pre-existing condition, not just cancer. Of course, if the insurance company allows it, they will pay a much higher premium, and so they should. If they cannot get insurance, then they take their chances on the state system set up for poorer folk, or they pay out of their savings, for the treatment in a better facility. Isn’t that fair?

          Liked by 1 person

        • F104 says:

          Something like that already exists for workers compensation in every state. Trump has eluded to that. He knows what to do. This is not some complicated mystery. The question is can he get it repealed. So far, what the establishment Republicans have done is essentially keep the critical part of Obamacare which is preexisting conditions which gives you single payer. It would do the same thing to homeowners,auto, gl, builders risk etc. You could pick any line of coverage among est the hundreds that exist and abolition of the coverage is what you would get.

          Liked by 1 person

      • Old CrewDog says:

        Barack Obama destroyed the American Health Care System. THis bill makes damn sure it STAYS destroyed. It keeps all of the features which render Obamacare actuarially and financially IMPOSSIBLE to o sustain – and THEN it eliminates the taxes that barely now can pay for it. With this gian crap sandwich goes the American economy and your freedom. Including the assurance that your grandchildren will slave forever like Sisyphus, desperately trying to pay for the impossible. DAMN the Republican Uniparty.

        Liked by 2 people

        • Old CrewDog says:

          In other words this bill repeals NOTHING. It ENSHRINES OBAMACARE (and all of its worst features) PERMANENTLY. And henceforth, the Republicans OWN EVERY DAMN WORD OF IT.
          It creates hundreds of billions of NEW subsidies, and makes sure you pay for every millenial’s and immigrant’s future care.
          It cannot be overstated that this bill is financial, political and medical mass suicide for the American people.
          And Obama and Hilary and company win. Permanently.

          Liked by 1 person

          • F104 says:

            I agree. I don’t see what is so difficult to understand. I think emotion just gets the best of people and reason goes out the window. They keep regurgitating all of the uniparty talking points without playing it out in their heads. Knowing Donahue likes it.

            Like

      • frank field says:

        Thank you F104. You are precisely correct. No owes me or mine…I owe no one health care. What I owe is love to all. No hospital in the USA ever turned away someone truly in need. Single payer soon. Sad. Unconstitutional.

        Like

        • Single payer WILL turn people away. It DOES turn people away. Look at your current state care for the indigent – one way or another, some medical care DOES NOT take place for the sick. Look at current single payer systems anywhere in the world.

          Like

      • frank field says:

        Thank you F104. You are precisely correct. No owes me or mine…I owe no one health care. What I owe is love to all. No hospital in the USA ever turned away someone truly in need. Single payer soon. Sad. Unconstitutional.

        Like

  11. helmhood says:

    Now would seem an appropriate time for a public service reminder that this only one more step in a drawn out process. This is not the final bill.

    But it’s a good start.

    Liked by 3 people

  12. jeans2nd says:

    This bill will pass. Guaranteed.

    U.S. Chamber President Reacts to Senate Health Care Proposal
    https://www.uschamber.com/press-release/us-chamber-president-reacts-senate-health-care-proposal

    Liked by 2 people

    • Pinkie says:

      I thought COC and Donohue want Obamacare? They must be up to something.

      Liked by 1 person

    • 4sure says:

      If Tom Donohue supports it, then you know full well that the lobbyists wrote the bill to benefit someone other than us. We don’t need to know anything more to oppose this bill.

      Liked by 7 people

      • F104 says:

        Bingo Bulwarker! Donahue’s support is a dead give away. This whole thing is just preying on the public who aren’t in the business and don’t understand all the moving parts.

        Liked by 4 people

    • MakeAmericaGreat says:

      Woah. If Lobby Boy Tommy wants this passed, the Globalists might really be done with ObamaCare for real.

      Interesting.

      Liked by 1 person

      • 2x4x8 says:

        Tom and CoC can’t hide the exchanges are collapsing, Trump is President, the end result of “the ACA game” was to crater it and the Fed Gov steps in with Single Payer rescue not going to happen

        the bill is similar to the one Paul Ryan had to be dragged kicking and screaming to write, as leaders, can’t promise then hide

        where is the picture of Trump and Sanders marching away with the Republican and Democrat Parties?

        Liked by 2 people

      • Old CrewDog says:

        No- it means the Globalist can take great satisfaction that they will HAVE Obamacare – by any other name – FOREVER. THEY WIN. YOU (WE ALL) LOSE.

        Liked by 1 person

    • bulwarker says:

      Well if the Donohue likes it then there must be something amiss. I get that this bill would take the tax burden off businesses but someone will have to pay for the continuing subsidy and tax credits.

      Liked by 1 person

  13. SandraOpines says:

    Sandra rule definitely in place as always.

    Sandra Rule reads: Do not react to anything for 24 – 48 hours and retreat to a safe distance while everyone absorbs info and contains themselves. *some subjects take more the 24/48 hours

    Meanwhile, politicians will look for any excuse to get TV time. But when policy is put to a floor vote they will NOT want to be a holdout that failed to bring their own promises to fruition. Political death by “principles” is not a winning plan.

    #MAGA

    Liked by 2 people

  14. Pinkie says:

    Uh oh — it looks like the Senate is cannibalizing a House bill again.

    Like

  15. MakeAmericaGreat says:

    There are trolls on Capitol Hill today and there are trolls also afoot in the Treehouse today.

    All-out push from the left to save Obama’s legacy.

    Don’t be fooled. The AHCA, in whatever form it takes, needs to pass so Trump can succeed and America can move on.

    Get it done, GOP. You’d better.

    Liked by 7 people

    • MakeAmericaGreat says:

      Typical troll = fake purity ‘conservative’ who thinks ObamaCare needs to be fully repealed and the AHCA isn’t good enough.

      This is the same tactic the ObamaCare creator is taking today, to try to split the GOP and keep ObamaCare intact.

      Perfection doesn’t exist. Take the good step and work towards the next good step. The next realistic good step.

      Beware the perfectionist trolls. They are not our friends.

      Liked by 6 people

      • F104 says:

        I usually enjoy your comments MakeAmericaGreat. Please don’t sling mud just because you don’t agree with someone. I am in the insurance business as a owner and am telling you that this bill is not of any value. As I have pointed out with explanation above, this bill will speed up the process to single payer. Tom Donahue is for single payer and he is supporting this bill on twitter right now. I know you have been around the Treehouse long enough to know who he is.
        Respectfully,

        Liked by 5 people

        • MakeAmericaGreat says:

          Fair enough, F104. Thanks.

          I’m just going off of what I see and what I know of Obama trolls, like the guy who created ObamaCare who is trying to split the GOP.

          Donahoe being for the bill is suspicious, for sure.

          To me, we have to do what’s practical. It’s not going to be perfect. There is no way that the moderate GOPers are going to go as far as we want. Thus, we need to get what we can.

          My primary interest at the moment is ending ObamaCare. Whatever revisions and modifications need to happen later, I’m ok with. But I’m willing to take an imperfect first step rather than waiting for a never-going-to-come perfect first step.

          Thanks for being respectful. I want to be that way as well.

          Liked by 2 people

          • 4sure says:

            We all want Ocare repealed. There is nothing good about it. We also do not trust the uniparty as SD has so aptly taught us. SD has never taught us that Tom Donohue is our friend and Tom D never supports anything that is good for us.

            The uniparty does not want to repeal O care. They (Boehner, McConnell, Cornyn) said so several yrs. ago when they said they only wanted to tweak it. Because the lobbyists don’t want it repealed. As SD said, the pubs. did not have a HC plan in the wings because the lobbyists did not want Ocare repealed, so they did not need to write another HC bill.

            We know Ocare could be fully repealed either by the nuclear option or by the two speech option. I see no reason not to use the nuclear option, but for those who don’t want to use it, the two speech option is available. The fact that it is available and does not want to be used by McConnel, tells me that the uniparty would use any excuse possible NOT to fully repeal.

            IF there is a way to fully repeal, why would we NOT want it repealed and an entirely new HC bill passed that would be simple. Cover pre existing conds. in some manner, sell ins. across state lines, and set up some method or pool to help those who can’t afford to purchase HC ins.

            And thank you for your respectful response to F104. I too like your posts here and always look forward to reading them.

            Liked by 2 people

            • MakeAmericaGreat says:

              Thanks, 4sure. I appreciate your respectful tone as well.

              We all want the same thing. We just differ on how to get there.

              I just don’t want us to be divided. Especially when we are so close to the goal.

              Like

          • F104 says:

            Fyi, the three phase strategy was used by the uniparty to trick Reagan in the eighties into giving citizenship to Mexicans. They said phase one citizenship for some, phase two, send the rest back etc etc . Except, they never got to the phases that counted.
            The point I am making is that what I see right now on the table speeds up the Obamacare process and I am in the insurance business as an owner.

            Liked by 3 people

            • MakeAmericaGreat says:

              All right, fair enough. You are closer to the ground than I am.

              Here’s my issue — if we slow down, the left will win because they will make the issue toxic with unending protests, sob stories and the like.

              I don’t think we have much time here to get the process started. And I don’t think the political will or bravery exists to do what should be done.

              Thus, I’m accepting an imperfect solution to get done what I think must be done.

              I wish it were different. Just as I wish the wall were already built.

              I’m just trying to take things where I think that they are.

              Like

              • F104 says:

                I’m not advocating slowing down. I’m saying strike while the iron is hot and get rid of Obamacare and put in some very simple things that would force peoples health insurance premiums down dramatically and quickly.

                What I am talking about is not something the powers at be don’t know about. They know exactly what to do and could do it with a shorter bill than what they have put forth. Go nuclear and get it done, lower peoples premiums and if the dems got in control eight years later, they could never try to go back to this communist BS. Everybody except Dc and the folks that are in the game got completely screwed on this deal.

                This bill is complete BS. There, I said it. The chamber of commerce is promoting this bill. I am going nuts just thinking about this scam. I am going to the Dayton airshow this weekend. That should make me feel better.

                Liked by 3 people

        • MakeAmericaGreat says:

          The longer we wait, the worse it will get. Because the left is going to go berserk trying to keep ObamaCare.

          I am not a fan of the Ann Coulter types seeking perfection from Trump and the GOP Congress. It’s not reality.

          We cannot wait here. We need to act. Perfection be damned.

          That’s where I am at. And I don’t have any tolerance for GOP splitting, no matter who is doing it or for what purpose.

          Sorry to be blunt, but this bill needs to pass in one form or another. I’m not going to move off that position.

          Liked by 1 person

          • 4sure says:

            Fair enough. But there are also others who do not agree w/you and they too are not going to move off that position. And I don’t see it as calling for perfection. I see it as calling for more than a GOPe tweaked version of Ocare. So, let’s agree to just disagree in a respectful manner.

            Liked by 1 person

          • Old CrewDog says:

            They don’t have to. This bill effectively keeps it FOR them forever. The key is it is NOT practical and it certainly is not better than nothing. Please listen to F104 – he knows whereof he speaks. You will never see free market healthcare again. And without it, the rest of the economy begins to fall.

            Liked by 2 people

            • MakeAmericaGreat says:

              Fair enough. Look, I wish it wasn’t like this. But we have to deal with where we are at now and what we might be able to get done, practically.

              Like

              • I”m inclined to agree with F104. He knows the business intimately. Trust the people in the business. If a new bill is just like the old bill except for “tweaks” you have achieved nothing. Not something. Not something that is better than nothing. It is something that is worse than nothing.

                My dear Dad, the Depression era Democrat, used to say when I complained about the clear, visible damage that FDR’s programs had caused, he would say, “Yeah, but he had to do something.” I’m pretty sure Dad didn’t know what was going on behind the scenes. At least we Treepers DO know what is going on behind the scenes.

                Personally, I think it would be better to let Ocare fail miserably with all the attendant hysteria that we know is coming. Easy to blame it on the Dems! They wouldn’t help, so we couldn’t get a good bill passed.

                When the American public and the behind the scenes crowd finally cry, “Uncle!,” we can fully repeal Ocare and all the regulations and start over, soothing the public saying we did all we could, but now we have to start over.

                Liked by 1 person

                • MakeAmericaGreat says:

                  I understand that position. I’m not against it, but I am looking from a perspective larger than just that of this particular bill.

                  Many things are in the balance right now. If this bill gets passed, almost all of them will resolve well. Even if this bill is not a great bill.

                  If this bill does not pass the senate, I am concerned that things could fall apart for both Trump and the GOP Congress.

                  Personally, I can’t take that chance. Even if the bill is not a very good bill.

                  Like

        • andrewalinxs says:

          What maters is does the President support the Bill.

          Both can align on an action but be working towards different outcomes. I trust the President will get what he wants and Donahue wont. Why? because every time so far Donahue has lost when it came to a choice between the two.

          The President wants the bill passed that is what matters. Abandoning the Presidents desired to pass the bill because you don’t like someone giving their support is still trying to be a purist.

          I am not saying trust Donahue I am saying Trust the President. I voted for him to deal with snakes like that haven’t been disappointed yet.

          Liked by 2 people

        • 2x4x8 says:

          the bill is a winner

          de-evolution
          cancel all taxes
          cancel mandate
          cancel employer 30 hour

          Liked by 1 person

          • F104 says:

            The preexisting conditions are the lynch pen. I explain how and why the plan will not do anything other than usher in single payer quicker. The pieces of the bill you mention above do not hurt Obamacare , it speeds up the path to single payer. If you feel differently, as a broker I would like to know HOW those parts give us back our private health insurance system. If nothing else, why is Donahue for the plan??

            Liked by 1 person

            • 2x4x8 says:

              grants money to States to do pre-existing as they please, a pool, its in their hands, not Fed Gov

              Like

              • F104 says:

                State run health insurance is a disaster. I only place clients there as a last resort. Talk with your broker in person and he or she can answer probably help. If you don’t want to go to that trouble, just apply common sense with regards to Donahue supporting the bill.
                Respectfully,
                Fyi; I normally enjoy your posts as well.

                Liked by 1 person

        • mark4trump says:

          If this bill repeals the mandates it neuters Obama care ** It’s a great 1st step.

          Liked by 1 person

          • F104 says:

            Repealing the mandates does the opposite of what you think. Read my post above which explains why.

            Liked by 1 person

            • Old CrewDog says:

              Repeals all the mechanisms that generate the wherewithal to pay. KEEPS all the benefits which guarantee that costs will never come down – with no way to pay for them other than subsidies. That would be YOU. And me.

              Like

        • trialbytruth says:

          I f I may suggest

          1 a simple life time cap on payouts for pre-existing conditions

          Example lets say ypu have cancer cancer related expense capped at 250k. While covered you have a heart attack only cap is cal policy stipulates.

          2 pre-existing part of coverage comes from a shared risk pool just like a convicted drunk driver.

          As long as the risk is predictable and losses are limited actuary tables can make it work.

          Please offer solutions if you don’t like these.

          Now go sell some insurance

          Like

          • Old CrewDog says:

            And the bill guarantees that losses can NEVER be limited.

            Like

          • In your suggestion, is the cap for prescription meds too?

            Like

            • trialbytruth says:

              I dont know why it wouldnt 2 things to keep in mind wanting to live is worth mortgaging your house. If you dont have enough assests to cover then under medicaid they do a spend down and the state picks up the tab.

              In truth most never get to that point because most who are suffering truly catastrophic cost are disabled and therefore qualified for medicare. I know we can all come up with a poster child or two of catastrophic recovery and on with a normal life but not often.

              In those rare cases the prognoses is usually grim and the disability expected.

              By the way when you apply for a disability, while awaiting confirmation, Medicaid eligibility is automatic.

              Like

  16. bcsurvivor2 says:

    I read here everyday but never post.
    I have to add anecdotal as it is. I am sick and tired of people blaming one’s lifestyle for their pre-exsisting conditions. I was humming along just fine. And then BAM breast cancer. 3 major surgeries in the last 2 1/2 years. Last surgery I just had my breasts lopped off. No reconstruction. Done. No chemo, wouldnt work on me and no nasty hormonal drugs for 5 to 10 years… too many side effects.
    No insurance..Why no insurance $850 a month with $12000 deductible and copays. Akk!
    So as an example the hospital charge for last surgery was $56000 (23 hours in hospital)> I find it oh so interesting that, because I am self pay, the bill was reduced to $14000. Paying it off, interest free, over the course of 2 years. Same with surgeon, $2500 instead of $17000, My every 3 month check up is only $44..I pay for what I need. I get the exceptional care I pay for.
    Until premiums come down I’ll stay the course.

    Liked by 5 people

    • Ad rem says:

      Wow….what a lousy welcome to posting at the tree House…getting stuck in the Spam Bin! I’m afraid it’s a WordPress thing…something with the way their algorhythm’s set up. All very hush-hush. 😦

      Like

    • Congratulations on your mental and physical recovery! Happened to me as well, but “just” one surgery and that was more than 30 years ago. We had no insurance at all, but fairly good savings in the days when banks paid fairly good interest on savings.

      I asked my DH what the medical care cost and he said he wouldn’t tell my because he was afraid knowing that would make me sick. I didn’t take the hormones either. So glad. All i had to do was get over the amost incapacitating fear, which did gradually abate over five years. By the ten year mark I was fear-free!

      Oh, BTW, DH did confess that the cost of the surgery, etc. was high enough that we would get an income tax deduction for that year! Now, I praise G-d when I learn each year that I don’t get that tax deduction in spite of having several other medical issues. When I don’t get the deduction, I remind myself that that means I was healthy that year! Yay!

      Like

  17. thesavvyinvester says:

    I scanned / searched the Bill quick for a reference to Health Savings Accounts / Direct Primary Care, the last one DCP the ability to use HSA monies to partake in a DCP regardless of your HSA’s size and I did not see any.

    I hope it comes from Dr Price and his “Administrator Shall” authority or that Insurance rule if you will is devolved to the states. not seeing what I am looking for? NOT GOOD…..

    Like

    • joninmd22 says:

      See phase 3 in the table posted by Sundance.

      These policies need 60 votes to pass

      Like

      • thesavvyinvester says:

        I am not sure Joni.

        It is not universally a pre-tax ( your HSA $’s ) fund-able item, the DCP’s. That is an issue. Under Obamacare, you can do it if you are in a large Group plan, well what about the smaller plans and LLC’s w/ even smaller plans etc etc, why are they not getting the same pre-tax utilization? To me even though this is technically taxes which is the purview of Congress, this seems like more of an administrative issue than one of legislation since it is about a current inequality of how you utilize your pre-tax dollars, not whether they are pre-tax or not…

        Like

  18. SandraOpines says:

    My post appears to be lost in a bin somewhere. It never showed up 😦

    Liked by 1 person

  19. IndiaMaria says:

    Expect the Leaders of the CON-servative Cabal THAT GETS NOTHING DONE, ToxicTed, Mike Lee, Rand “Crazy Ivan” Paul, Ann Coulter, Paul Joseph Watson, and their “oppose first, think later” followers. to trash this GOOD PROPOSAL in 3…..2……1……..

    Seriously friends and fellow PATRIOTS. We simply must stop letting disorienting MSM, NeverTrumpers, Ideologues, and “Battered CON-servatives” cause us so much bitterness, angst, and confusion This is a solid start, being shepherded by OUR President. We CHOSE HIM, we TRUST him (que no?), and he deserves our numbers as he charges up the hill with machine guns trained on his every move. He simply does not need sniper fire from his REAR! Trust Trump. Trust Sundance. Trust Fleporeblog. These are hardworking, knowledgeable, wise PATRIOTS….or not.

    Liked by 1 person

  20. Pam says:

    The liberals have gone ape crazy over the release of this bill.

    Liked by 1 person

  21. MakeAmericaGreat says:

    Time for me to call my senators and tell them they better support this bill.

    Back when that’s done.

    Like

  22. Gil says:

    Does the bill also remove the real estate healthcare tax? Paying taxes on real estate for healthcare is another socialist construct that I dont agree with.
    Anyone see it here?

    Liked by 1 person

  23. Summer says:

    I want everything “Obama” burned to the ground, his hideous “legacy” condemned and, ideally, investigated.

    I haven’t formed an opinion about the Health bill yet. I know it is allegedly a much needed step forward, or, if you will, a step away from massive gubment overreach but it is still about billions poured into “underserviced communities” and whatnot. Yes, yes, I know, just the first stage, reconciliation etc., I just hope the RINO would actually move to stage 3.

    What’s the difference between the House bill and the Senate bill, anyone know?

    Liked by 3 people

    • 2x4x8 says:

      minor, expected their threat of do it themselves without House, has to similar in order to do 50 vote reconciliation

      Like

  24. Pam says:

    Liked by 2 people

  25. MakeAmericaGreat says:

    Just left phone messages for each of my senators urging them to support this bill.

    Time to act, Treepers. The far left is on the march, and we need to match that energy and outreach so we can get this bill through.

    If you we disturbed by the eight years under Obama, passing the AHCA is the way to finally end those years for good. Even if the AHCA isn’t perfect, and even if it may need to be altered somewhat down the line.

    Once ObamaCare is gone, then the left and the O-bots lose all motivation to ‘fight for Obama’s legacy.’ We cannot be fully free of Obama’s poisonous influence until that happens.

    Please call your senators, as I have, and urge them to support this bill. Tell your friends the same. Tell your congressman. Tell the media. Act.

    This bill is supposed to come to the floor of the Senate next Thursday for a vote. We have one week to win the PR battle, and we can be done with Obama for good.

    The left is fighting to save ObamaCare.

    We need to fight to end it.

    Liked by 5 people

  26. Pam says:

    Like

  27. Chuck Finley says:

    Also important to reiterate healthcare reform is vitally necessary to ANY tax reform bill. That is from President Trump himself. Tax reform will be greatly limited if Obamacare is left on the books as is.

    Liked by 4 people

  28. 4sure says:

    Dimms know that the uniparty pubs could iF they wanted, repeal Ocare. However they know that they will not. They know the uniparty of McConnel will pass a tweaked version which will save the dimms from this monstrosity. The dimms will put on their dog and pony show for their base to obstruct the uniparty. The uniparty leadership in the GOPe will make it sound like this tweaking is the best that they can possibly do so as to con the base into supporting this fake bill.

    In the end, the uniparty gets what they both wanted. Pubs. keeping base fooled, dimmms keeping base fooled.
    Uniparty hugs and kisses, while keeping us divided.

    Like

  29. SoCalPoster says:

    I still think everything about “fixing” healthcare was/is done in the wrong way. I always used to have employer coverage, but since my husband was self-employed he didn’t. The premiums to be on my “group” plan were outrageous compared to the regular insurance marketplace. But, he had a minor pre-existing condition and therefore couldn’t buy individually. I then lost my employer coverage and also could not get coverage because I had used fertility drugs while trying to get pregnant years before. That excluded me from getting coverage for at least 5-7 years. When I kept asking why, what did the drugs do to me that made me uninsurable…did they know I was more likely to get x, y, or z disease? No answers. Just arbitrary.

    Anyway, after getting totally bent about the pre-existing thing, I started looking around and found out that insurance companies could exclude/deny you for ridiculous things…if your wife was pregnant (not her being covered, the husband), if you had been diagnosed with acne, if you had ever been given a test for an STD, etc. The government (since they stick their nose in everything anyway) should have checked into the ridiculous reasons for denial. They should have told the insurance companies that they couldn’t willy nilly come up with reasons to deny.

    We wanted insurance. We wanted to pay for it. We wanted coverage but couldn’t get it. We hardly ever used insurance when we had it before. Our minor conditions meant 1 appointment each a year for a minor checkup and prescription refill (and those prescriptions run about $4 a month – not billed to insurance!). We did not “cost” the insurance companies. Yet they didn’t want us when we wanted them.

    As I said before, I’m in California so I’m expecting that even if Obamacare is fully repealed California will replace it with something obnoxious. Gosh, I hate the whole health insurance thing.

    Like

    • Deb says:

      Are you talking about private insurance outside the exchanges? In a place like CA, the insurance companies would have been pressured by the gov to help get more people on the exchanges. Could that be part of the motivation of all the “arbitrary” denials, to push more people onto Obamacare? Remember, they needed to hit their targets for enrollment to make the exchanges viable. It’s collapsing now because they couldn’t meet them.

      Like

  30. budmc says:

    Liked by 2 people

  31. Asobitai Ima says:

    Let us not forget history and how it played into where we are today. Saying that health insurers are pulling out “because of Obamacare” is odd. I have watched the dynamics play out from the inside as the promises made were broken, money withheld, until insurers had to start raising premiums AGAIN (remember health care costs and premiums were ALREADY rising BEFORE Obamacare) and started pulling out of the market. Instead of building towards affordable, accessible, quality healthcare for all, Americans were thrown to the dogs. Not sure who wins in all this. Certainly not me.

    “When the ACA was rolled out, telling insurance companies that they had to insure anybody who signed up, regardless of previous conditions or sickness, everybody realized that the insurance companies would probably lose money in the first decade or so, until previously-uninsured-but-sick people got into the system, got better, and things evened out.

    To get the insurance companies to go along with this danger of losing money, the ACA promised to make them whole for any losses in any of the first decade’s years. At the end of each fiscal year, the insurance companies merely had to document their losses, and the government would reimburse them out of ACA funds provided for by the law.

    The possibility of their losing money was referred to as the “risk corridor,” and the ACA explicitly filled those risk corridors with a guarantee of making the insurance companies, at the very least, whole.

    And then something happened. As The New York Times noted on December 9, 2015, “A little-noticed health care provision slipped into a giant spending law last year has tangled up the Obama administration, sent tremors through health insurance markets and rattled confidence in the durability of President Obama’s signature health law.”

    Rubio and a number of other Republicans had succeeded in gutting the risk corridors. The result was that, just in 2015, end-of-fiscal-year risk corridor payments to insurance companies that were supposed to total around $2.9 billion were only reimbursed, according to Rubio himself quoted in the Times, to the tune of around $400 million. Rubio bragged that he’d “saved taxpayers $2.5 billion.”

    And, indeed, he had. But the insurance companies were thrown into a crisis. And, with Republicans in Congress absolutely refusing to re-fund the risk corridors, that crisis would get worse as time went on, at least over a period of a few years.

    So the insurance companies did the only things they could. In states with low incomes and thus poorer health, they simply pulled out of the marketplace altogether. This has left some states with only one single insurer left. In others, they jacked up their prices to make up their losses.”
    http://www.salon.com/2017/03/22/how-republicans-quietly-sabotaged-obamacare-long-before-trump-came-into-office_partner/

    Liked by 1 person

    • F104 says:

      And getting rid of the mandates will make it even worse which is why they doing it. Donahue being for it is a dead giveaway.

      Like

      • F104 says:

        This will explain better.

        Getting rid of mandates do not force premiums down. Getting rid of the mandate forces the premiums up. Single payer centers around preexisting conditions. As long as that is there, we are going to single payer. Read my post on homeowners insurance. You can’t have people buying homeowners coverage after their home has burned down. You couldn’t charge enough premium to stay in business. Most people would not buy the coverage until they had a loss.
        That is the mechanism by which Obamacare used to slowly destroy the private healthcare insurance business. The mandate just made it to where the business would not collapse too fast by forcing people to buy coverage which increased revenue. The problem wound up being that the insurers thought it would be enough so that they could stay in business. Unfortunately, insurance companies are ran by libtards that have very little if any common sense. They know the price of everything and the value of nothing.

        Like

        • Asobitai Ima says:

          Yes, the mandate helps expand the risk pool across both healthy and sick which is supposed to lower premium costs. The “three R’s” (risk adjustment, reinsurance, and risk corridors) are supposed to help too. But it’s hard to see who in this “health care system” is really helping me – doctors charge too much ($220 for a 10 minute appt – really?!), drug prices are friggin’ crazy ($100 for one pill – really?!), insurer C level execs are earning 7 or 8 figure salaries while “utilization managers” deny claims for patients – everybody getting rich off of the sick. It’s not like buying a car. If I am in a life threatening situation, I’m not going to put off going to the hospital until I “save up enough money”. The health care system doesn’t work – we pour more money into it than any developed nation in the world and still get crap care (full disclosure – my mother died of a medical accident, and my niece was put in the ICU by an overdosage of her intravenous cancer drug). If something goes wrong in hospital, I don’t have the money to hire a lawyer. Especially since I am the main breadwinner and if I get sick and our savings run out I’m S.O.L. I held my breath when my spouse had cancer – because our insurer kept raising our rates until we could barely afford insurance anymore – we couldn’t “shop around” since cancer is a pre-existing condition. When the ACA was passed, we promptly found a cheaper plan (off the Exchange, no subsidies). So – I applaud individual, state, and federal efforts to try to fix the system. I’m glad people are paying attention to it and I don’t know what the solution ultimately will be – I just hope the debate stays front and center and that people keep trying.

          Like

    • SNAKESRULE says:

      Salon? Who cares a whit?

      Like

  32. Pinkie says:

    CBO will kill it

    Like

  33. lisaginnz says:

    Looks pretty good to me especially in comparison to Obama-care! #MakeItSo

    Like

    • Old CrewDog says:

      Read it again. It IS Obamacare. And Obamacare was a guaranteed loss for every insurer except the government. That would be YOU. And me. It is IMPOSSIBLE for any company to survive (and pay its promised benefit) if only the people who have already sustained losses buy the product. $5000 premium in exchange for $200,000 in benefits? Sure – I’ll buy that. Unless I’m healthy. Then I can save $5000.

      Like

  34. navysquid says:

    Remember this is called the DISCUSSION Draft bill…

    The Senate is using Trump “Art of the Deal” tactics…Let’s have a discussion on it and make it better. THIS is my hope that is what Lee, Cruz, Paul, and Johnson are doing…let’s make it the best we can and then vote and pass it.

    Like

  35. SandraOpines says:

    I got an email titled “MitchCare” Betrayal from Conservative Action Committee. It was praising The Gang of 4 and wanted me to send a prepared email to them….

    So I removed all of the prepared words in the email and put my own 😀
    Your Messages Are on the Way Sandra, thanks for taking action on behalf of Senate Conservatives Action. An individual copy of your letter will be sent to each official:

    June 22, 2017

    Dear U.S. Senate Republicans:
    Please pass the Senate Bill to Repeal and Replace O’care. People are suffering!

    Tell Rand Paul, Ted Cruz, Mike Lee and Ron Johnson to offer their amendments to change the bill if they want…. and then get this passed!

    I am OVER waiting for Congress on Healthcare!!!! Quit stalling.

    Get it done! #MAGA

    Sincerely,

    Like

    • WeThePeople2016 says:

      Exactly, Sandra. That is how I feel. Get this done and quit the nonsense. They had 7 years to work on this. They did show votes in the House and Senate during those 7 years to act like they were doing something. They should have started seriously working on this on January 6 and not waited until after the House passed its version in April. Enough already.

      Liked by 1 person

  36. IT IS A START. BUT WE ARE ALL GOING TO HAVE TO GET ON THE BACKS OF DEMS TO GET STEP 3. DEMS SHOULD BY NOW UNDERSTAND CHANGE IS INEVITABLE. NOW THEY SHOULD SUPPORT THE BEST DEAL FOR THE PEOPLE. IF THEY DON’T THIS ISSUE WILL BE ONE THAT THE DEM PARTY WILL NEVER RECOVER FROM.

    Like

  37. woohoowee says:

    Trust Trump45, please! He reads contracts for a midnight snack. We’re in the best of hands 🙂

    Liked by 1 person

  38. 4430lacey says:

    “”•Preserve access to care for Americans with pre-existing conditions, and allow children to stay on their parents’ health insurance through age 26.””
    Sooo, that remains the same, up to age 26, probably the healthiest years of your young parasites life. Why is this a good deal, your paying for it? You add the parasite to your policy, you pay!

    Like

  39. Donna Kraft says:

    Where does it state that Congress shall not be exempt?

    Like

  40. NoOneButTrump says:

    I remember being in a political science class in New York in the late 80’s. One of our teaching assistants worked in insurance. The state was about to MANDATE coverage for invitro fertilization. The politicians claimed the high price of the procedure for the small number of people who were PAYING for it could be spread across all policies to make it AFFORDABLE. Our TA said that when every insurance policy had to cover very expensive procedures and hide the cost from the consumer, then lots of people would choose those procedures and rates would start climbing. She also said that lots of similar mandates would soon follow and she expected to see insurance rates start mushrooming as a result. Her predictions were spooky in their accuracy.

    Pre-existing conditions are not the big problem. It’s hiding the TRUE COST of optional procedures and drugs from consumers through mandates on coverage that is driving up the cost of every insurance policy bogged down by these mandates. We need to return to having the option of purchasing basic life sustaining insurance coverage that was standard in the early 80s.

    Like

    • Asobitai Ima says:

      Yes! Insurance should be insurance – for life threatening things like cancer, hospital stays, etc. And the market should drive prices for preventive services and everyday illness. If people have to pay out of their pockets when they go to the doctor for antibiotics because they can’t miss a day of work – maybe they’ll take that day off of work instead so they can get well – rather than pumping themselves full of drugs so they can keep working (of course that won’t work for those who are paid by the hour – so that will need to be considered). Once the antibiotic manufacturers no longer have the insurers paying for their drugs, then maybe they’ll lower their prices to try to get more of the market share – instead of steadily raising their prices because the insurance company is paying for it anyway and no one will really see how much it costs…

      Like

      • G. Combs says:

        At many companies if you take too many sick days you get fired. The company could care less about your health. This is also why the flu will go straight through a company as those who are sick are forced to go to work to avoid being fired.

        One manager I know didn’t even have a set number of sick days. He just used a Pareto distribution to figure out who took the most sick days and fired them without any regard to past performance or knowledge.

        Like

        • Deb says:

          That sounds like a sure fire way to put a company out of business. Hiring and retaining talented employees is what leads to success, and firing them for being sick would lead to failure.

          Like

  41. Fred says:

    It is missing the most important sentence: The Affordable Care Act is hereby repealed.

    Like

    • sg says:

      never gonna happen. aca is part of the fabric of society whether we like it or not. bill mitchell’s your voice america show was on this topic tonight. you might want to listen, i found it informative.

      Like

  42. First Last says:

    First Page: Same as Barry’s, except we get rich and they don’t.
    The remaining 141 pages? Copies of first page.

    Like

  43. Jeff says:

    HEALTH CARE ACT .

    Establishing a 50 state and District of Columbia market place for HEALTH INSURANCE COVERAGE for individuals and Families .

    Insurance providers interested in entering this market place will meet requirements of assurances of payment the same as all other insurance companies .

    The playing field or market is open to ANY CITIZEN of THESE UNITED STATES . The UBER MODEL for a FREE MARKET will have constant updated RATINGS of both PROVIDER and Recipient of service .

    The range of insurance will be from CATASTROPHIC CARE at a minimum to provide insurance from a MAJOR ACCIDENT or health catastrophe. The proper role of SMALL government is to set guidelines for the market and define the overall means for the rules of the market .

    Coverage under ” CATASTROPHIC CARE ” can be hammered out with a representative from both private insurers and small oversight gov . WITH THE GOAL of serving the citizens !!

    EACH citizen already has a SS # assigned to them . The HEALTH SAVINGS ACCOUNT can be administered by EXISTING SS WORKERS to…..SERVE THE CONSTITUENCY. THE HEALTH CARE SAVINGS ACCOUNTS are the property and ASSET of the individual . Capable of being passed on to heirs or used to cover medical expenses of family or even charitable contributions to others . The market place is defined by SMALL GOVERNMENT working …WITH THE PRIVATE SECTOR to establish qualifying medical expenses , costs , etc these accounts can be used for .

    DEEP STATE has STOLEN SS $ to pay for JIHAD and ILLEGALS INVASION to act as BROWN SHIRTS …restore the proper role of SS to SERVE THE AMERICAN PEOPLE or fire those bastards !!

    SHOW ME THAT BILL !!

    Just as I can go online and type in my name address vehicle type and choice of FULL COVERAGE or liability only for my TRUCK .

    The same market should be in place for my HEALTH CARE .
    AND ….just as back in my former state of Maryland there was MAIF for the drivers with ” pre-existing conditions of POOR DRIVING RECORDS ….a pool of money is set aside to cover those people . Protecting the INSURED RATE PAYERS from uninsured motorists or driver who would NOT BE COVER-ABLE under standard conditions .

    That same can be done for pre-existing conditions and people with health issues that no one could possibly ” insure ” To insure means simply to make a profit beyond the COST of the service provided . Subsides for those “uninsurable ” will come from a pool of money collected by the larger “insured ” group .

    Recognizing that insurance is a FOR PROFIT BUSINESS with the goal being to pay OUT LESS than you take in .

    LET THE MARKET PLACE COMPETE for customers and SERVE THE CITIZENS desire to hedge the cost of their HEALTH CARE !!

    Let the STATES be the testing grounds for what works and what doesn’t . The behemoth ACA was designed to KILL the private sector of Health Care and usher in single payer gov run NAZI CARE (LESS ) . Johnathan Gruber himself told us so https://www.youtube.com/watch?v=77nfLD1YSP4

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    • Asobitai Ima says:

      I like it. Direct, potential for national pools of people to spread the risk, consumer transparency, easy to see quality ratings for health care providers, public/private partnership, ensures a safety net with a basic floor of catastrophic care. The only thing I would add to it is insurers can’t tell you which doctor you can go to (no more of the “narrow provider network” business). Insurers stay out of providing health CARE and dictating who your doctor should be and just provide health INSURANCE.

      Like

  44. Bubba says:

    Think of the 3 Step Process like it’s a rehab program:

    Phase 1 is the intervention. It’s just a start, not an end result. It sets the table for Phase 2 by giving Trump/Price more authority & more room & more time to maneuver via regulatory intervention.

    Phase 2 is the rehab. It’s where ocare is treated via regulatory reform. But, remember, do no harm. Reforms must be implemented while protecting the people in the system and protecting the system from corroding into single payer. You can’t quit ocare cold turkey because of the politics involved. Too many people would get hurt in the process. As Trump would day, NOT GOING TO HAPPEN.

    Phase 3 is the aftercare program. It will be the real test. Just like rehab, there’ll be no guarantees. Success, will depend on the conditions at the time. Conditions will be affected by what Trump/Price do in Phase 2. And, nothing happens in a vacuum. So, there will be events, as of yet unknown, that will affect the outcome as well. Will the country be in a position to move forward and enact new, long term Trump reforms or will we fall off the wagon? It’s impossible to know. But, I trust Trump 100%.

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