PUT ANOTHER WAY, so far, unsubsidized #ACA enrollees will be paying around $790 more *per enrollee* next year on avg. than they otherwise would be without #ACASabotage.
EXAMPLE: In New York, rates WOULD have gone up 12.1%, but due specifically to the GOP repealing the #ACA individual mandate & Trump killing restrictions on junk plans, they’re expected to increase ~24%.
1. This idea that some #GOP have that the DT’s risky behavior is worth the risk because of the potential gains needs some tempering. In fact, the idea that DT would bring some flair for fortune-building from his business acumen was always dangerous.
2. For starters, there are few similarities between running a country and running a business and even fewer similarities between ‘business deals’ and global relations, foreign trade and the balance of power. And the latter issues, our POTUS barely comprehends.
3. #GOP leaders know this, but they’re still clinging to this monster of their own making. Let’s face it, 2 #SCOTUS seats, Ryan’s coveted #taxscam and busting up the #ACA is almost worth the destruction of the global economy, peaceful alliances, even their party, worth it.
The Achilles heel of the #ACA exchange structure is that participation is VOLUNTARY on the part of the carriers. If every carrier in a given region/state decides that offering individual market plans is too risky for them (whether justified or not)...
...there’s not much which can be done unless you tie participation to MCO/MA contracts or whatever (which I support, but which isn’t the case in most states).
Short version: This is the sole remaining #ACA stabilization program. There were a couple of lawsuits by carriers claiming that the formula was wrong. Looks like the Trump Admin is considering freezing payments entirely in response, which is apparently unnecessary.
I’m not an expert on Risk Adjustment by any means, so my first tweet *may* have overstated the “red alert!” status, which is why I cc’d folks who know a lot more about it like @bjdickmayhew, @rebeccastob and @wcsanders.
1/ DEAR DEMOCRATS: Based on 21 states so far, I’ve concluded that you’re *sort of* overplaying your hand re. 2019 #ACA premium hikes. Let me explain. acasignups.net/18/07/03/updat…
2/ The talking point being spread among Dems is that “#ACA premiums will spike by double digits due to #ACASabotage!” The image which comes to mind is of rates increasing by ~20-25% with sabotage vs. perhaps ~5-10% without it, costing unsubsidized enrollees up to $1,000 more.
3/ Now the first part *is* accurate: #ACASabotage *is* causing premiums to increase an extra ~12% or so. However, the *specifics* are shaping up to be a bit different than I expected:
Marches don't do shit to solve the problems we face as a nation. Due to gerrymandering, Citizens United, NRA and cheating (Scotus, stolen election) we have no opportunity to hold our representatives accountable $ is their only constituent. #FamiliesBelongTogetherMarch
Not-so-fun-fact: Every year Georgia doesn’t expand Medicaid, we miss out on $3 billion (billion, with a “B”) federal dollars meant to pay for Georgians' health coverage. That’s $8 million left on the table every day. Here's why that matters. 1/ gbpi.org/2018/georgia-r…#gapol
240k Georgians earn too much to qualify for Medicaid, but too little to receive subsidies available under the #ACA. They fall in a “coverage gap.”
Medicaid expansion would close that gap, providing health coverage to 473k more Georgians in '19. 2/ #gapolgbpi.org/2018/fast-fact…
But back to the $3 billion/year. The $8 million Georgia leaves on the table every single day could be used to keep our rural hospitals open, expand access to mental health care, and reduce our alarmingly high maternal and infant mortality rates. 3/ #gapolpolitics.myajc.com/news/state--re…
I'm one of a few million Americans awake when we should be sleeping because of the pain of #cancer or some other chronic illness.
Adding to our sleeplessness is knowing #healthcare is under threat. We may not be able to afford it due to the #GOP's actions.
My parents were Civil Rights workers. My father was a Freedom Rider. As a small child I was taught the legacy of #MLK.
I watched people invoking MLK on Monday. Not in defense of #votingrights or in outrage over how the #SCOTUS ruled on two pivotal cases on gerrymandering.
MLK wasn't being invoked for #votingrights but for Sarah Huckabee Sanders, who lies to America every day about policies that could very well kill me & others.
Policies that are hurting millions.
Policies that have kept me a citizen without equal rights in my own country.
⚠️ THREAD: According to the HHS Dept., appx. 130 MILLION non-elderly Americans have pre-existing conditions which would likely get them either denied coverage or charged so much for coverage they’d be effectively priced out of the market. 1/
THREAD: Snapshots of our broken Healthcare system. Without even approaching universal healthcare or medicare for all, these snapshots from personal life experience bring into stark relief WHY the U.S. Healthcare system is in a trash heap.\1
In December, I was hospitalized for a minor intestinal infection. During my evening, a staff doctor visited and told me she was shocked they hospitalized me. She said typically patients are just sent home with medication, but THIS hospital admitted 'everyone for everything' \ 2
During my 36 hours, they did everything they could to push every conceivable EXPENSIVE test on me. I had migraines, diagnosed 25 years ago, occasionally, so they wanted to run new MRIs and CT scans \ 3
⚠️⚠️⚠️ THREAD: On the 1-year anniversary of the @HouseGOP passing the #AHCA (to repeal the #ACA), how many Americans would’ve lost their healthcare coverage in YOUR Congressional District?
1/ One year ago today, the @HouseGOP passed the #AHCA, which would have repealed the #ACA and replaced it with a plan which the CBO projected would cause 24 million people to lose healthcare coverage by 2026: cbo.gov/publication/52…
#RudyGiuliani is up to no good. He's not suddenly senile. He's admitting to the Cohen repayment to preempt evidence in the Cohen files & he's admitting obstruction re Comey that Mueller was initially brought on to probe for an excuse to fire him if settled & the job is *done*.
WoW. I usually have to wait a lot longer for confirmation of my theories. @JoyAnnReid
Bet Trump already has a deal w/ Ryan & McConnell to allow toothless reprimand/censure from Congress -- as opposed to impeachment -- for his now-admitted obstruction of justice in firing @Comey. Huge move. HE'S GEARING UP TO FIRE #MUELLER, IMHO. @JoyAnnReid
"We support the heroes of law enforcement...We defend our flag and we honor our flag. And if others honored our flag they'd be much better off wouldn't they?"-@realDonaldTrump@POTUS Washington, Michigan H/T @GST_Politics
More hospital for me, today.
The rest of you, remember to breathe and keep the toxic at bay.
And take in some beauty.
The tulips and daffodils are in bloom!
Thanks so much to all the lovely, kind people wishing me well. Your support is so vital.
It was a harrowing day. #Cancer is a slog, but I am managing (except for some trolls who have sad lives).
I remain grateful for all of you, for great docs, for my fab fam.
Thank you. 💜🌿
Filing columns from hospital beds is exhausting.
Once, when I was at @PhillyDailyNews, before email was a thing, I wrote my copy long-hand from the ICU. That story, about the ICU, was later nom'd for Pulitzer, but all I remember was thinking those might be my last written words.
BREAKING: Trump's radical leaked “public charge” reg that will separate families, discriminate against ppl w/disabilities & effectively deny healthcare & other basics to legal immigrants & citizen kids just moved to OMB, meaning could be dropped soon reginfo.gov/public/do/eoDe… 1/
What is “public charge?” It’s an arcane immigration provision, designed to exclude immigrants who would be primarily dependent on govt for subsistence. Traditionally that's meant that they rely on cash assistance for subsistence or receive Medicaid for long-term care. 2/
The draft executive order would radically redefine “public charge” in three ways that would mean millions of legal immigrants and US citizens would be affected. 3/
After six hearings and over 30 hours of testimony, the Assembly Select Committee on Health Care Delivery Systems and Universal Coverage has released its report and recommendations for paths forward: healthcare.assembly.ca.gov/sites/healthca…
Here are some of the select committee's findings:
Despite four million Californians gaining health coverage thanks to the #ACA, three million residents remain uninsured.
California’s lowest-earning families are the most likely to struggle from having inconsistent sources of health care.
The funny thing about this @Heritage analysis bashing the #ACA is that I agree 100% with everything I’ve quoted here. Yes, #ACA regulations like denying pre-existing condition discrimination, requiring EHBs & so on DID cause most of the rate hikes… 1/
…which is why tax credits need to be beefed up to cover the bulk of the increase. Alternately, we could impose price controls on doctors, hospitals, drug cos, device makers etc. Take your pick. What ISN’T an option anymore is “keeping costs down” by kicking the sick to the curb.
If you want to *significantly* cut down on how much *patients* pay for healthcare (beyond nibbling around the edges via “increased efficiency’ & the like), there’s really only 3 ways to do it:
—Throw the sick under the bus
—Reduce how much providers receive
—Increase tax funding