American Health Care Act Ryancare

The House Republicans refuse to let Ryancare die. They are still making backroom deals with tone deaf congressmen to get their vote to pass the crap sandwich.

The latest deal will repeal the provision in the AHCA that ends the forced minimum coverage requirements under federal law. The difference now will be that instead of repealing it outright, states can petition the federal government to grant them a waiver on those requirements. Link to the MacArthur AHCA Ryancare Amendment

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These negotiations are picking around the edges, and the results are making this bad bill even more Democrat friendly:

The White House began ramping up pressure on GOP leaders two weeks ago, when top Trump officials called Ryan to the White House and chided the Wisconsin Republican for not delaying recess until a deal was struck.

Since then, the White House has worked with Freedom Caucus Chairman Mark Meadows (R-N.C.) and MacArthur (R-N.J.) to come up with a deal they hope will pick off enough conservatives and moderate support to pass the House.

Trump, meanwhile, has asked repeatedly — sometimes several times a day — about the status of the health care law and seems more engaged than during last month’s failed effort to get Ryan’s American Health Care Act through the chamber, a senior administration official said. The president believes that it will be difficult to gain momentum on other issues without “getting something done on health care,” according to one person who spoke with him. OMB Director Mick Mulvaney separately said Thursday the White House is ready to negotiate with Democrats on adding key Obamacare insurance cost-sharing subsidies to a fiscal 2017 spending bill to keep the government running — if Democrats agree to pay for some of Trump’s priorities,such as defense and border security money.

According to a draft of the tentative deal obtained by POLITICO, the latest proposal would allow states to apply for “limited waivers” that would undermine Obamacare’s protections for pre-existing conditions. Under these waivers, states could opt out of Obamacare standards setting minimum benefits that health plans must offer and a requirement — called community rating — forbidding insurers from charging different prices to people based on health status.

Both are provisions that the GOP’s ultraconservatives have pushed to eliminate as part of the repeal effort, contending that these coverage mandates drive up the cost of insurance. States opting out of the community rating rules would be forced to set up an “invisible risk-sharing” program aimed at providing a backstop to health plans while preventing sicker patients from being priced out of the market. The hope is that protecting insurers from the most expensive customers will bring down the costs for the rest of the risk pool. That will allow insurers to lower premiums, which in turn will entice more customers into the individual market.

At the same time, the deal would allow states the option of maintaining insurance protections, supported by centrist Republicans, including community rating.

While the changes will likely win over some conservatives, leaders will have a problem with their centrists. MacArthur said in a statement Thursday that he has insisted during the discussions that any compromise have protections for individuals with pre-existing conditions. But many of his like-minded colleagues believe he did not keep that promise under the current agreement.

These “centrists” are going to be the death of America. They propose that there is nothing wrong with the end result here: signing up for insurance after you get sick.

What do these economic illiterates think is going to happen with the insurance industry if we enshrine this idea that people can sign up for insurance after the disaster?

 
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