Opinion: Quack cures from the GOP

(AP)

Republicans such as Tom Price, secretary of Health and Human Services, keep claiming that their party’s health-care plan will institute “patient-centered” reforms to the nation’s health-care delivery system.

Yet every legitimate patient-advocacy group in the debate, from the American Cancer Society to AARP to the American Diabetes Association, strongly opposes the GOP plans.

“The various patchwork solutions offered by lawmakers would still leave the millions of patients we represent, who have serious and chronic health conditions, at risk of not being able to access life-saving treatments and care,” 10 major patient-advocacy groups wrote in a letter to Congress last spring. “There is no substitute for fundamental, unequivocal protections for people with pre-existing conditions.”

Price is a doctor by training, and he puts that credential to hard use by also claiming that the Republican approach will empower physicians and put doctors and patients back in charge of health-care decisions.  If that were true, doctors and other medical providers ought to strongly back GOP initiatives.

Yet every mainstream provider group in the country, from the American Medical Association to the American Hospital Association to the American Nurses Association, has rejected both the House and Senate Republican reform efforts. The reason is pretty simple, as an analysis by Moody’s Investor Services documents.

“Under the proposed Senate bill, both for-profit and not-for-profit hospitals would face weaker demand for services and higher rates of uncompensated care expense,” according to Daniel Steingart, a Moody vice president.

You also hear Republicans from President Trump on down claim almost endlessly that the Obamacare markets are collapsing, that the much-hyped death spiral has begun. The Congressional Budget Office disagrees, describing the market as “stable in most areas.” A new study released by the Kaiser Family Foundation says the same thing.

“We’re not seeing any evidence of a death spiral or a market collapse,” says Cynthia Cox, Kaiser’s associate director of health reform and private insurance.

That’s not to say there aren’t problems. After seven years, every major initiative, in the private sector as well as the public sector, will need adjustments of the type that Congress has so far refused to consider. But in the short term, groups such as the Kaiser foundation, the CBO and the American Health Insurance Plans are unanimous that the biggest problem facing the insurance market is uncertainty that has been consciously created by President Trump and Republican leadership, and that only they can dispel.

Insurers need to know two things as they plan prices and policies for 2018:

1.) Will the administration continue to subsidize coverage for those patients requiring the most expensive care?
2.) Will it continue to enforce the mandate that people buy insurance?

The response to those questions from the Trump administration has been “maybe we will, and maybe we won’t.” As a result, insurers are forced to price their policies considerably higher to offset the additional risk they face. And according to Blue Cross Blue Shield and others, including the Chamber of Commerce, we now have “clear evidence that this uncertainty is undermining the individual insurance market for 2018 and stands to negatively impact millions of people.”

But Mitch McConnell and his pals don’t care. They don’t care about getting a plan that will work, they’re desperate to get a plan that will pass. As a result, a revised Senate plan reportedly contains an amendment by Sen. Ted Cruz that he calls the “consumer freedom option,” designed to win conservative support. Yet experts say the Cruz proposal will create the very death spiral that they claim to abhor.

According to insurers, the plan “would fracture and segment insurance markets into separate risk pools and create an un-level playing field that would lead to widespread adverse selection and unstable health insurance markets.”

The Kaiser Foundation is even more blunt:

 

“It’s not really freedom. It’s adverse selection,” warns Karen Pollitz, a senior fellow at Kaiser. “It would trigger the death spiral, like, overnight. This wouldn’t take years.”

This is what you get when you empower a party that has no interest or basic competence in governing.

Reader Comments 0

1503 comments
Peachs
Peachs

McCain may be out for a while. It is almost poetic justice.  The "loser" is going to make Trump's healthcare bill a loser. 

StraightNoChaser
StraightNoChaser

td1234 10 minutes ago

@StraightNoChaser Key word is "ties" and ties does not mean meeting. 


You are kidding right td?  You really did not just post that ridiculous response.  Will someone please explain to @td1234 that no ties between his campaign and Russia is the same as Trump saying that his campaign did not meet with Russians? Wow

honested
honested

@StraightNoChaser @td1234 

I'm sure he is just quoting some fat, sweaty wrong wing nut that is attempting to keep the contrivance of a defense current with the exposure of the crimes.

gotalife
gotalife

The end of trumpcare is close.


Then the wealthy will get their tax cuts.

gotalife
gotalife

Wealthy are getting impatient on their tax cuts.

honested
honested

@gotalife 

Then they should get the help to fluff up the cushions 'cause they may be sitting for a while.

Hedley_Lammar
Hedley_Lammar

If Trump fires Mueller ( which he cant do directly ) he will be impeached


He would have to fire Rosenstein. Then hire someone in his place to fire Mueller


Impeached. 

ByteMe
ByteMe

@Hedley_Lammar I think Rosenstein said if he was asked to do it he would refuse and recuse himself... which would then leave it to the solicitor general... who Trump never bothered to nominate. so then it's the next in line after that and I think the woman knows and is keeping her head down.

rimsky
rimsky

@Hedley_Lammar None of them look like likely scenario.

Damned if you do

damed if you don't.


Checkmate.

td1234
td1234

@Hedley_Lammar I have laid out the prima facie case for what is happening and when the voters say no them the Republicans in the House will NOT impeach if Trump decided to do it. 


The momentum is growing and more and more information will be placed before the voters. The demand from the voters will be loud and clear before Trump would take any action. 


Just watch and see.  

Hedley_Lammar
Hedley_Lammar

@td1234 @Hedley_Lammar You are badly misreading this situation.


If Trump fires another person investigating him the outrage will be severe enough that Congress will have to take action.



honested
honested

@td1234 @Hedley_Lammar 

With the momentum of a highly delusional 1/3 of the electorate I'm sure this can happen......in your head.

td1234
td1234

I have posted three different articles from conservatives sources in just the past two days calling for an investigation into Mueller and Comey. 


These and many other similar articles and comments are exploding all over conservative social media. 


I posted them to make a point that consensus is being built in Conservative world to call on Congress to totally use their power to question everything Mueller has done or for Trump to fire him. 


Like I have attempted to tell the progs that give it another few weeks and Trump will be free to do whatever he wants to do with zero ramifications.  

Hedley_Lammar
Hedley_Lammar

@td1234 These and many other similar articles and comments are exploding all over conservative social media. 


Im sure they are.


Just like the birther stuff was awhile back. Consider the source


Prayer rugs on the border !!!!

honested
honested

@td1234 

Who really cares what conserrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrvatives are whining about?

Visual_Cortex
Visual_Cortex

@td1234

yeah no duh, Val--we know you guys ALWAYS set up an alternative reality for your idiot base to suck up.

We have to deal with a hardcore ~25% of America stuck on stupid, accepting this fake narrative.

We also have to deal with the sun rising in the East.

HDB0329
HDB0329

@td1234 ...only the conservatives like the idea of obstruction of justice....just as long as they maintain power......


....and you wonder why we keep saying that conservatives don't care about the people...only the rich.....

Cherokee51
Cherokee51

@td1234

Trump will be free to do whatever he wants to do with zero ramifications.  


Even if you like the man, as an American, that should scare you to death.

stefpe
stefpe

@td1234 "Trump will be free to do whatever he wants to do with zero ramifications"

Yeah because to hell with checks and balances, right?

Cherokee51
Cherokee51

@td1234 @stefpe

I'll remember that the next time the FBI comes calling at my door.  I'm sure they will back off when I quote you.


Brilliant.

gotalife
gotalife

The gop's out on health care is vote no to proceed that needs 60.


Then they will not be on record to vote for trumpcare.

StraightNoChaser
StraightNoChaser

See @td1234 let me tell you something you can't call anyone a liar when it comes to something that Donald Trump has said and done because a simple google search proves ever time that Donald Trump is the pathological liar.  Yes Trump is on record denying any contact with Russians.  Conspiracy theory?  Trump led an 8 year birther conspiracy theory against Obama so cry me a river about a conspiracy theories against Trump.


“I can tell you I think if I came up with that they’d say, ‘Oh, it’s a conspiracy theory, it’s ridiculous,’” Trump told CBS4’s Jim DeFede during an interview at his golf resort in Doral. “I mean I have nothing to do with Russia. I don’t have any jobs in Russia. I’m all over the world but we’re not involved in Russia.”

Hedley_Lammar
Hedley_Lammar

@StraightNoChaser @td1234 “Russians make up a pretty disproportionate cross-section of a lot of our assets. We see a lot of money pouring in from Russia.”


Donald Trump Jr

rimsky
rimsky

@StraightNoChaser @td1234 No matter how much proof you produce you won't be able to pry valedictorian boys head out of Trumps tookus..  It is too far up their.  LOLOL

honested
honested

Never before in American history has a 'witch hunt' netted so many witches.

Hedley_Lammar
Hedley_Lammar

 "Rep. Ron DeSantis (R-FL) and Sirius XM host Alex Marlow discussed with Breitbart News Daily


Prayer rugs on the border !!!


They never learn

gotalife
gotalife

Deport all russians. Now.

rimsky
rimsky

@gotalife Auction off all their properties, including their mistresses, on the court house steps.

Visual_Cortex
Visual_Cortex

 propaganda set up by the LSM and the progressives in an attempt to have a bloodless coup and remove a elected President or if that cannot be accomplished to stop his agenda to transform the nation to an American first philosophy. 

After reading such obviously brainwashed sentiments, am I the only one here who fully expects to hear next that "Donald Trump is is the kindest, bravest, warmest, most wonderful human being I've ever known in my life"?