Obamacare: ‘Repeal and replace’

Expert analysis of proposals to amend the Affordable Care Act

Trump pulls vote on AHCA

Obamacare remains the law of the land.…

March 24, 2017 – After four hours of debate today, House leadership abruptly pulled H.R. 1628 – the American Health Care Act (AHCA) — without a vote.… Read more

Kara is by inclination vigilant about her health, and the periods of uninsurance caused her serious anxiety. "I am Type A – get a yearly skin check, see my OB-gyn, put a lot into making sure I'm healthy." In 2013, she recalls, "I held my breath – paid out-of-pocket for any healthcare I needed, while desperately seeking insurance. I would have paid $500 a month if I could have found a plan. I was terrified that one injury or illness could financially devastate me. I signed up for Obamacare the day the marketplace went online."

The price isn’t ideal, but ACA’s…

March 23, 2017 – These four earn too much to be eligible for subsidies, and their plans' provider networks can be narrow. Still, they dread repeal of the… Read more

Will “repeal and replace” implode?

March 14, 2017 – Republicans just proposed a $12,900 annual premium increase on low-income 64-year-olds. A shambolic… Read more

Trumpcare disappoints.

How does Trumpcare measure up?

March 13, 2017 – Yes, that's right: 24 million more people would be uninsured under Trumpcare than are today...more than reversing the 20-22 million net… Read more

6 reasons women should fear ACA repeal

Top 6 reasons women should fear ACA…

March 13, 2017 – As an independent journalist, I’ve long bought health insurance on the private market. And, I remember the days before the Affordable… Read more

The poor get poorer under GOP’s tax…

March 10, 2017 – The AHCA would result in higher premiums for older people, smaller tax credits for poorer and older people, reduced access to Medicaid for… Read more

Trump ‘shooting from the hip’ to…

March 8, 2017 – HHS has proposed a variety of rule changes aimed at individual market stabilization for 2018, but the overall strategy doesn’t appear to… Read more

Decoding Republicans’ language of…

March 4, 2017 – With so much at stake for millions who gained coverage thanks to the ACA, it’s critical that consumers not be misled by promises wrapped… Read more

Democrats in Congress should consider pushing for a vetting of the Cassidy-Collins bill if only to keep Republicans from signing on to a swift gutting of ACA funding via budget reconciliation.

I was spanked by a Nun on the Bus

February 23, 2017 – Democrats in Congress should consider pushing for a vetting of the Cassidy-Collins bill if only to keep Republicans from signing on to a… Read more

As a matter of political strategy, I understand why ACA's opponents might seek to divide Americans with disabilities from other Medicaid recipients. I don't think this will work. Curtailing Medicaid expansion certainly won't improve disability services. Instead, it will make them worse.

Enrollment freeze: ‘the cold shoulder’…

February 22, 2017 – As a matter of political strategy, I understand why ACA's opponents might seek to divide Americans with disabilities from other Medicaid… Read more

Affordable Care Act supporters gird…

February 20, 2017 – We're at one of those moments right now for millions of American families. It's a moment to tell the truth to the American public. Get past… Read more

But to get a sense of how congressional representatives are responding to their constituents' calls about the Affordable Care Act, whether callers reached a real person and whether they felt their concerns were heard, I reached out, via social media, to a handful of folks who contacted their representatives asking them to preserve the Affordable Care Act.

You’re protesting ACA repeal. Is…

February 15, 2017 – To get a sense of how congressional representatives are responding to their constituents' calls about the Affordable Care Act, whether… Read more

By block granting Medicaid, Republicans will finally produce the death panels they’ve always predicted.

Could Republicans wreck Medicaid?

January 26, 2017 – By block granting Medicaid, Republicans will finally produce the death panels they’ve always… Read more

'Ryan’s playing us all for fools in an effort to drum up support for his own version of health care reform.' – Louise Norris

3 GOP repeal comments that are…

January 22, 2017 – 'Ryan’s playing us all for fools in an effort to drum up support for his own version of healthcare reform.' – Louise… Read more

Just how badly could Republicans mess with your health coverage? Minnesota's legislature has just passed a terrifying blueprint.

The end of real coverage as we know…

January 22, 2017 – Just how badly could Republicans mess with your health coverage? Minnesota's legislature has just passed a terrifying… Read more

How will Republicans' repeal-and-delay strategy play out? Here are some possible scenarios, listed worst-to-best from the point of view of someone who wants to maintain affordable coverage for as many people as possible.

7 ways the GOP could blow up ACA’s…

January 17, 2017 – How will Republicans' repeal-and-delay strategy play out? Here are some possible scenarios, listed worst-to-best from the point of view of… Read more

High-risk pools were a last resort for…

January 13, 2017 – High-risk pools could be resurrected, and yes, they could potentially work. But they would require massive cash infusions from the federal… Read more

Stay calm and resist repeal.

January 12, 2017 – Supporters of the law who may fear a death blow was struck last night actually have plenty of time to channel their fear and nervous energy… Read more

6 ways you can resist ‘insta-repeal’…

January 11, 2017 – What can you do to protect the ACA's hard-won benefits – 12 million people enrolled in health plans in the ACA marketplace, another 12… Read more

A post-ACA subsidy that already exists

December 23, 2016 – Is deductibility of health premiums a promising 'repeal' component? See how it works for over 4 million who already take the… Read more

Allowing insurers to impose benefit limits might help lower premiums, but would taxpayers, patients, and families be left holding the bag?

Benefit maximums: An end to ‘free…

December 23, 2016 – Allowing insurers to impose benefit limits might help lower premiums, but would taxpayers, patients, and families be left holding the… Read more

The Kaiser Family Foundation is out with a report that highlights the extent to which the ACA's current beneficiaries – most of whom are in the lower third of the country's income distribution – would be left out in the cold by repeal.

The sickest states are the poorest…

December 15, 2016 – The states most vulnerable to medical underwriting happen to be most in need of the Affordable Care Act's income-adjusted… Read more

As a standalone replacement for the ACA, Tom Price's plan would render coverage unaffordable for the vast majority of the 20-plus million people who have gained insurance through the ACA.

A (Tom) Price cut for subsidized…

December 14, 2016 – As a standalone replacement for the ACA, Tom Price's plan would render coverage unaffordable for the vast majority of the 20-plus million… Read more

To imagine that HSA-centric legislation is going to create a seismic shift in Americans' ability and willingness to save money is ivory-tower thinking, especially if it's not combined with measures to ensure that everyone can earn a living wage.

The health savings accounts Tom Price…

December 3, 2016 – To imagine that HSA-centric legislation is going to create a seismic shift in Americans' ability and willingness to save money is… Read more

If Trump were serious about offering "something beautiful" in place of the ACA, it might look very like a "BHP for all who need it" – that is, a program offering plans to anyone lacking access to employer-sponsored insurance or another public insurance program.

Replacing the ACA with something…

November 12, 2016 – If Trump were serious about offering "something beautiful" in place of the ACA, it might look very like a "BHP for all who need it" –… Read more

Donald Trump will be our next president. What exactly does that mean for your health insurance coverage and access to healthcare?

The ‘Trump effect’ on your Obamacare…

November 12, 2016 – Donald Trump will be our next president. What exactly does that mean for your health insurance coverage and access to healthcare?… Read more

Paul Starr wonders whether the nation can ignore a 'drumbeat of cynicism' and deliver health reform gains under a new administration.

Obamacare and its future under a new…

November 4, 2016 – Paul Starr wonders whether the nation can ignore a 'drumbeat of cynicism' and deliver health reform gains under a new… Read more

Ryan’s outlandish proposal is wrong on the facts and ignores recent history. But it does give us a peek at what a Republican replacement for the Affordable Care Act will look like – and it is both ugly and cruel. – Ron Pollack, Families USA

Paul Ryan pulls back the curtain

May 9, 2016 – Ryan’s outlandish proposal is wrong on the facts and ignores recent history. But it does give us a peek at what a Republican replacement… Read more

Marco Rubio says Obamare was a job killer. The employment numbers tell a different story.

Look who’s talking about healthcare…

February 26, 2016 – After months of lip service on healthcare, Republican presidential frontrunners unleash a barrage of recycled and nonsensical policy… Read more

Despite all their talk about replacing Obamacare, none of the Republicans running Congress or running for president have taken the time to flesh out an alternative that would work better for most Americans.

GOP candidates and the Faulty Five

January 9, 2016 – President Obama vetoed Obamacare repeal legislation this week, but will happen if on January 20, 2017, the day the next president is… Read more