Bold thinking, careful analysis needed on health care

Brunilde Fioravanti
Giugno 7, 2017

Few (14%) believe that the House-passed bill fulfills all or most of President Trump's promises on health care, while three quarters (76%) say it fulfills none (35%) or some (40%) of them.

Before those elected to represent the people back home go to bat for a plan to fundamentally change the way health insurance works, it would be nice if they could actually explain what the plan is looking to accomplish.

The House passed a new version of the AHCA earlier this month but Senate leaders say they will not approve it as written and want to, at the very least, tweak it - if not write an entirely new version.

Almost 1 of out of every 5 rural Pennsylvanians uses Medicaid following the program's expansion under the Affordable Care Act, commonly known as Obamacare. What it should do is start from scratch, understanding that there is national value in ensuring that Americans have access to good health care, then figuring out which parts of Obamacare to keep and which to change, all with an eye on reducing costs, improving care and keeping Americans healthy.

There are large partisan divisions on these questions, with far more Republicans holding favorable views of the replacement plan (67%) than of the ACA (12%).

As they craft a health care bill, senators will have the delicate task of managing what will likely be a tricky relationship with the Trump White House.

The focus on rural areas is no accident: In Pennsylvania, President Donald Trump defeated Hillary Clinton by almost 3 to 1 among small-town and rural voters in November, according to a CNN exit poll, and the Democratic Party is chastened after being accused of ignoring rural, mostly white voters in Rust Belt states. And 34 percent said the GOP bill would likely make the quality of their health care worse, compared with 19 percent who said that about the ACA repeal. The best change would be universal single-payer health care because it would be much cheaper and cover all people.

According to an estimate from the Congressional Budget Office, the AHCA would result in 23 million people losing healthcare coverage.

Trump wants to kill those CSRs, according to Politico - which would make premiums spike for many Americans, or force insurance companies to drop out of insurance markets altogether. It's clear that he caters to the wealthy and corporate profiteers (i.e., campaign contributors) rather than the health of the constituents he claims to represent.

"It's unlikely that we will get a healthcare deal", Burr said in an interview with a North Carolina News station Thursday.

The poll, conducted May 16 to 22, surveyed 1,205 adults with a 3% margin of error. They received a recess packet encouraging them to emphasize the "terrible consequences" of their GOP colleagues' bill. Republicans in the Senate have made it clear they plan to write their own version and not use the House's version.

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