Expert analysis of the latest health reform issues

New Senate draft leaves its five fatal…

July 14, 2017 – HAROLD POLLACK: Today, Republican Senate leaders released the latest version of the Better Care Reconciliation Act (BCRA), their Affordable… Read more

The GOP's ACA repeal legislation – and its waiver options for states to adjust essential health benefit requirements – would clearly impact small-group plans.

What ACA repeal could do to…

July 7, 2017 – The GOP's ACA repeal legislation – and its waiver options for states to adjust essential health benefit requirements – would clearly… Read more

The Kansas legislature begins each day with prayer, followed by the Pledge of Allegiance. For me, as we finish with "... and justice for all," I frequently add under my breath "thus, expand Medicaid!" Social justice is one of the four tenets in bioethics, and a value that I hold close to my heart. Being a Republican Senator from Kansas and a vocal advocate for Medicaid expansion, as unexpected as that sounds, is simply a natural consequence of quoting the pledge each day. – Kansas State Sen. Barbara Bollier

‘Justice for all’ must include…

July 7, 2017 – If this country wants to have any control over the cost of healthcare coupled with positive health outcomes, it MUST seek ways to ensure… Read more

What argument could possibly convince critics of the Medicaid expansion that taking back health coverage from someone who earns $46 dollars a day – or less – is the right thing to do?

Clawing back coverage from the poor

July 5, 2017 – What argument could possibly convince critics of the Medicaid expansion that taking back health coverage from someone who earns $46 dollars… Read more

I have diabetes. The ACA is a ‘BFD’…

June 29, 2017 – As someone with diabetes, I can attest that the ACA is truly a BFD. The law has been a godsend to me, financially, health-wise, and, well,… Read more

Mitch McConnell

High out-of-pocket costs are a…

June 29, 2017 – The high cost sharing in the BCRA is not a bug, it's a feature. The Republican bill could aptly be called the Cost Sharing Inflation… Read more

Health Wonk Review for June 23, 2017

June 25, 2017 – I nearly did a double take when I saw Joe Paduda's work on this week's Health Wonk Review – and not just because he dubbed it The Double… Read more

Kentucky Gov. Steve Beshear

Healthcare is about people – not…

June 23, 2017 – Healthcare is about people, not the legislative victories that Sen. McConnell so desperately… Read more

What ‘ramming through’ a health bill…

June 23, 2017 – Is what Senate Republicans have done anything at all like what Senate Democrats did to pass the Senate version of the Affordable Care Act?… Read more

Imagine the added burdens Rep. Scalise and other survivors of this tragedy would face if they were uninsured and facing multiple surgeries, rehabilitation, and other intense needs that accompany serious gunshot wounds.

What if Rep. Steve Scalise was…

June 19, 2017 – Tens of thousands of people are shot every year and survive their injuries. Many require costly forms of care. At least through ACA, we… Read more

AHCA’s unkindest cuts

June 16, 2017 – The damage Republicans will likely do to the individual market is dwarfed by the damage they will certainly do (if they pass anything) to… Read more

False hope for millions who dread…

June 12, 2017 – A Senate pledge to preserve a guarantee to cover pre-existing health conditions is of little value if other ACA protections don’t also… Read more

Huh. It's growing increasingly clear to me that the them of 2017 is going to be "alternative facts."

Health Wonk Review for June 1, 2017

June 2, 2017 – Huh. It's growing increasingly clear to me that the theme of 2017 is going to be "alternative facts."… Read more

The Senate is working on its own version of repeal-and-replace legislation. Here's what happens next ... and how you can react.

The Senate’s Obamacare repeal bill: a…

May 26, 2017 – The Senate is working on its own version of repeal-and-replace legislation. Here's what happens next ... and how you can… Read more

You can only lie about policy in…

May 25, 2017 – What's worse: Covering up for a 'joke' about Trump being paid by Vladimir Putin? Or fundamentally mischaracterizing the clear implications… Read more

While the individual market might not be exploding (not yet, at least), Republican talking points about the problems in the individual market are not entirely without merit. But the story of Obamacare's problems is not complete unless we take a look back over the last several years and look at all the ways Republican lawmakers, governors, and pundits – and now the Trump Administration – took steps to deliberately weaken the Affordable Care Act. - Louise Norris

10 ways the GOP sabotaged Obamacare

May 17, 2017 – The story of Obamacare's problems is not complete unless we take a look back at all the ways Republican lawmakers took steps to… Read more

The Zombie Trumpcare (AHCA) Cheat…

May 4, 2017 – After weeks of uncertainty, the House Republicans appear to finally have reached a point of certainty as to whether they can pass the… Read more

By allowing states to waive preexisting condition protections, AHCA would allow insurers to restore a practice called "medical underwriting" to rummage through your private business in ways that most Americans find intrusive and revolting.

Get ready for the uncomfortable…

May 3, 2017 – By allowing states to waive preexisting condition protections, AHCA would allow insurers to restore a practice called "medical… Read more

Health Wonk Review for April 20, 2017

April 20, 2017 – Brad Wright has the Who's on First? Edition of Health Wonk Review posted over at Wright on Health and it's giving me a nasty case of dèjá… Read more

although it may be true that the ACA markets overall are not in a death spiral, there are certainly some states where the situation is precarious, even without further destabilizing action on the part of the Trump Administration.

The ACA isn’t imploding. Is your…

April 18, 2017 – Although the ACA is a federal law that applies in every state, insurance markets are regulated at the state level, and markets vary… Read more