Republican President-elect Donald Trump vowed on the campaign trail to repeal Obamacare, but making good on that promise may be easier said than done.
President Barack Obama’s 2010 national healthcare reform law extended medical insurance to 25 million more people by expanding the Medicaid plan for the poor and creating subsidized coverage for individuals.
Republican lawmakers, who have voted more than 50 times to repeal all or part of the law, have begun pressing Trump to deliver. Senate Majority Leader Mitch McConnell said on Wednesday repealing Obamacare is a “pretty high item on our agenda” for the new Congress.
But a complete repeal of Obama’s Affordable Care Act may not be immediately in the cards, as Republican lawmakers now hold 51 seats in the Senate at latest count, well short of the 60 seats required to overturn it.
Instead, health policy experts said, Trump could try to dismantle key elements through a process called budget reconciliation. That would allow him to eliminate funding for the income-based subsidies that make the new insurance plans affordable, or cut the money providing expanded Medicaid benefits in 31 states.
“Some of the policy experts on the Republican side would say tearing it up and starting over would be very disruptive,” said Paul Howard, director of health policy at the conservative Manhattan Institute.
Parts of the law have been weakened through legal challenges. Several of the largest U.S. health insurers have pulled out of the exchanges for individual coverage after losing money on a sicker-than-expected group of patients. Consumers not eligible for government subsidies have seen premiums rise sharply, including a projected average increase of 25 percent for 2017.
Scrapping the law altogether without a clear plan for providing replacement coverage for so many people would be politically risky, experts said.
Trump also would face a tight deadline were he to try to dismantle the insurance exchanges by 2018; many state-based health insurance regulators require insurers to submit plans for the upcoming year by April or May – only a few months into a new administration.
Trump also could seek changes to other provisions of the law, such as a tax on medical device makers, or the so-called “Cadillac tax” that is due to hit rich employer-based healthcare plans in 2020.
However, some elements could not be eliminated by depriving the law of funds. For instance, the law prevents insurers from denying coverage to people based on their health or pricing insurance based on gender. Mandatory coverage of preventive benefits also would be unaffected – short of a complete repeal.
It also is not clear if Trump would try to reverse the individual mandate, which requires people to purchase health insurance or pay a penalty. The goal of the requirement was to broaden the pool of policyholders to include more healthy Americans.
Read More: reuters
리액툰즈
Hongzhi 황제는 주위를 둘러 보았습니다. “Xiao Jing …”
문 프린세스 100
Wang Ao는 절을 할 수밖에 없었습니다. “피험자는 죽었습니다. 지금은 … 지금입니다 …”
슈가 러쉬 X마스
속삭이는 소리를 들으면서 다들 조금은 감동을 받은 것 같았다.
톰 오브 매드니스
Hongzhi 황제는 “그는 갈 수 있지만 나는 갈 수 있습니다.”
슈가 러쉬
그가 이 두 단어를 말했을 때 홀에 있던 모든 사람들이 충격을 받았습니다.
123 슬롯
사실 그는 약에 대해 전혀 모른다.
슬롯 게임 사이트
그때… 팡지판에게 개인적으로 물어보지 않은 이유는.
케이 슬롯
분명히… 반대편의 타타르인들은 여전히 지켜보며 머뭇거리고 있었다.
오공 슬롯
Zhang Chaoxian은 얼굴이 붉어졌고 그들을 무시했습니다.
아시아 슬롯
여러 왕조를 거친 후 Liu Huiwen은 항상 Hongzhi 황제에게 정직하고 노인의 이미지를 부여했습니다.
슬롯 나라 무료
이때 만세의 목소리는 점차 약해졌다.
파워 슬롯
하지만 육안으로만 봐도 수확은 이미 아주 만족스럽습니다.
79 슬롯
그는 화재로 화상을 입은 것은 Fang Jifan뿐만 아니라 자신도 …
슬롯 사이트
Zhu Houzhao의 뇌는 여전히 조금 돌이킬 수 없습니다.
합법 스포츠 토토 사이트
Zhu Houzhao의 마음은 바닥으로 가라 앉았고 Fang Jifan이 이럴 줄 알았고 그것을 꿰뚫어 보았습니다.
미스터 플레이 슬롯
배 반대편에서 갑자기 무수한 화염이 터져 나왔다.
토토 베트맨
Fang Jifan은 “내가 언급했다고 말하지 말고 가서 말하십시오. “라고 말했습니다.
토토 보증 업체
내 모든 분노를 불길로 바꾸고 Fang Jifan을 재로 태울 수 있으면 정말 좋겠습니다.
에그벳 스포츠
Wang Wenyu는 “사람들을 불러 모아 총기를 준비하십시오. “라고 말했습니다.
톰 오브 매드니스
이 회사가 일부 재해 피해자를 수용하고 더 많은 인력을 모집할 수 있기를 바랍니다.
문 프린세스 100
눈 깜짝할 사이에 값이 몇 배로 커졌는데 왜 눈에 띄지 않는 걸까?
무료 슬롯
“아…” Xiao Jing은 방금 기억했습니다. “당신의 하녀가 지금 가고 있습니다…”
크라운 슬롯
그러나 지금까지 Francois, 지상전을 만날 가능성은 극히 적습니다.
가네샤 골드
“열심히 일해, 무엇을 위해 노력하고 있니?” Zhu Houzhao는 당황했습니다.
하바네로 슬롯
비밀편지의 내용을 바라보는 그의 몸은 끊임없이 떨리고 있었다.
위하여 토토 사이트
이 순간 그는 여전히 아이들의 열정에 감동했습니다.
플레이 슬롯
광산 아래에는 산기슭을 따라 작은 마을 같은 건물이 오르락 내리락합니다.
ufc 토토 사이트
이로 인해 많은 사람들이 궁중의 생각이 바뀌었을 것이라고 추측했습니다.
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