I spend a lot of time in communities with high Obamacare enrollment. A few thoughts, as we had into a possible repeal Senate vote. (1/15)
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I find constants in these diverse areas. First, Medicaid is *way* more popular than marketplace plans. No deductibles or co-pays! (6/15)
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Marketplace coverage is another story. Lots of complaints, mostly about deductibles and, to a lesser extent, premiums. (7/15)pic.twitter.com/gECQiw7AiA
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Obamacare has problems. Enrollees tell me that all the time. But here’s the thing: GOP bills don’t fix them. (8/15)
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Medicaid coverage is more popular than marketplace. The House-passed AHCA bill kills the expansion completely. (9/15)
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Or look at deductibles, the #1 complaint I hear. Under most GOP plans we’ve seen, they go up, not down. (10/15)
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Premiums decline in the individual market — but only because coverage gets*too expensive for many to buy. (11/15)https://www.nytimes.com/2017/03/14/upshot/no-magic-in-how-gop-plan-lowers-premiums-it-penalizes-older-people.html?_r=0 …
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Last thought: Obamacare repeal isn’t theoretical for those who rely on it. They are making decisions now, based on the uncertainty. (12/15)
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Yesterday, I spoke with one enrollee who cut his anti-depressant dosage in half — he’s stockpiling pills in case he loses coverage. (13/15)
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You can read my story about him and others — looking for jobs, moving to the Netherlands — here. (14/15)https://www.vox.com/policy-and-politics/2017/7/27/16039156/obamacare-enrollees-repeal-aca …
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Point being: there are human costs to making Obamacare repeal a distinct possibility — and even more from passing the bill (15/15)
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Fin! (16/15)
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1/ What is never made clear to public is WHY those marketplaces struggle: GOP govs. not doing state exchanges, not expanding Medicaid, etc..
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2/ Where are the "Here's Who You Should Really Blame for ACA Not Working for You" articles. Why does GOP get a pass? Insurers?
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TN and IA allowed by court to gfather in non Essential Benefit plans. That's why ACA market struggles there. EBs + MCaid Expnsn = success.
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It's misleading to say "Obamacare" explodes. It's healthcare under Trump that explodes. (It wouldn't explode if Obama were in charge)
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Democrats have offered plans to fix the marketplace issue, allowing for more choice, yet the
@GOP has at every turn dismissed them to repealThanks. Twitter will use this to make your timeline better. UndoUndo
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