Judul : Www Health State Ny Us
link : Www Health State Ny Us
Www Health State Ny Us
i have rarely seen a document in politicsas completely devastating as the analysis the congressional budget office just releasedof the republican health care bill. we’re going to get into details in a minute,but here’s a one-sentence summary: under the gop bill, the more help you need, theless you get. it will make more people uninsured than livein new york state.
Www Health State Ny Us, and those raw numbers, those headline numbers,they actually obscure how cruel the underlying policy is. it is particularly bad for the old and thesick and the poor. it is particularly good for the rich and theyoung and the healthy.
and to understand why, you have to go intothe specifics of what the bill does. so here’s how it works. the bill guts medicaid, it cuts the valueof obamacare’s insurance subsidies in half, and it lets insurance companies charge olderamericans 500 percent more than they charge younger americans. then it takes the subsidies that are leftand reworks them to be worth less to the poor and less to the old. it takes the insurers that are left in themarket and it gives them the ability to change their plans, their plans to cover fewer medicalexpenses for the sick.
and then finally it rewrites the tax codeto offer hundreds of billions of dollars in tax cuts to the rich. as my colleague dylan matthews wrote, it isan act of incredible class warfare by the rich against the poor. imagine the set of questions you would havehad to ask to get a bill like this. who is sitting back and saying, what americanhealth care needs is more uninsured people, coverage that doesn’t cover as much, coveragethat is higher deductibles, more power for insurers to charge old people more money thanyoung people, and finally, hundreds of billions of dollars in tax cuts for the rich.
is that the populism donald trump ran on? is that what any republican’s seen at pollseven of their own voters? because i have looked at those polls. and even republican voters, they actuallywant better health care that is more affordable to them and that actually does cover whenthey get sick. the result of all this isn’t just 24 millionfewer people with insurance: of the people that are left with insurance, the pool istilted toward younger, healthier people who needed help less, because many of the older,poorer, sicker people who needed help the most have been driven out of the market.
they don’t have insurance they can actuallyafford. the example that keeps getting me: a 64-year-oldmaking $26,500, somebody who very well might have voted for donald trump, would see hispremiums rise by 750 percent. and now that 64-year-old gone, no insurance,but because he’s gone, the pool is a little bit younger, and so the premiums for the youngpeople left are a little bit cheaper. that is the context that is required to readspeaker paul ryan’s response to the report. he tweeted — and this was the most amazingpart of the whole thing for me — he tweeted: “cbo report confirms it, american healthcare act will lower premiums & improve access to quality, affordable care.â€
let’s break that down. so according to the congressional budget office,the lower premiums ryan is celebrating (those premiums, to be sure, they’re only 10 percentlower after 10 years, and that’s after they rise initially) — those lower premiums,the reason you get them, his bill drove older people out of the market, it let insurersoffer plans that covered fewer medical expenses and required more out-of-pocket spending. that is not “lower premiums†as most americansunderstand the term. getting lower premiums by cutting out thepeople who needed help the most? that's not what health care's supposed todo.
we have health insurance because people getsick, because they need it. but it is ryan’s last five words that demandthe most attention. he says his bill will “improve access toquality, affordable care.†i am trying to find a way to read this statementgenerously. ryan is not arguing with the cbo score here. this is what i can’t believe. he is not saying the cbo is wrong and morepeople will be covered under his bill. he is saying the cbo is right, its analysisproves his bill will improve access to quality, affordable care.
he is saying that a bill that throws 24 millionpeople off insurance is a bill that improves access to quality, affordable care. look, i am schooled in health policy wonkrhetoric. i know what is being said here. i know that “improves access†is somekind of dodge, ’cause you can have access to affordable health insurance even if youchoose not to buy it — but a bill that makes health insurance too expensive for millionsto afford doesn’t improve access under any definition of the word. a bill that makes the insurance not worthbuying, it doesn’t improve access, it doesn’t
improve choice. and look, maybe i’m overthinking this. maybe ryan did not know what his bill willdo, and he is now stuck defending it because it’s his bill, and he sees no other choice. maybe he has become the “this is fineâ€dog, cheerfully explaining away the fire raging around him, a fire he himself has set. but this is not fine. it is not decent, it is not compassionate,and it is not what republicans promised. it is a betrayal of donald trump’s vow toprotect medicaid from cuts.
it’s a betrayal of donald trump’s vowto pass a health care bill that covers everyone with insurance that has lower deductiblesand better coverage. it is a betrayal of paul ryan’s promiseto give americans more choices, because it is only when you can afford insurance thatyou really have the choice of which plan to buy. and it is a betrayal of the older, rural voterswho put republicans in power and who will pay the most for health insurance under thisproposal. it is hard to imagine the electoral reckoningthat would follow the implementation of this law.
but that’s the thing about setting a fire. you’re often the one who gets burned.
Demikianlah Artikel Www Health State Ny Us
Anda sekarang membaca artikel Www Health State Ny Us dengan alamat link https://yanderatjen.blogspot.com/2017/06/www-health-state-ny-us.html
0 Response to "Www Health State Ny Us"
Posting Komentar