, 12 tweets, 8 min read Read on Twitter
@realDonaldTrump #Tuesdaythoughts on #healthcare (tangent style):

You, President Trump, have clearly made some progress in understanding some of the issues with the ACA (despite your failure to realize it was originally a plan devised by the Federalist Society ie Barr/Kavanaugh types). 1/
@realDonaldTrump Nonetheless, you have correctly identified (a) #premiums (b) #deductibles and (c) coverage for pre existing conditions as key issues to address. Indeed.
2/
@realDonaldTrump Plus, the kicker for me at least is to make #PPO plans available to everyone not just for those who get their health plans through their employer (in sum, #HMO/EPO/POS = 👎; PPO = 👍 ....
3/
@realDonaldTrump but PPOs must abide by fair market rates for determining #reimbursement (eg in #NYC, see Fair Health).

Crucially, consider capping deductibles for out of network PPO plans at $1000.00 & cap premiums w or w out deductibles at $500 per individual per month.
@realDonaldTrump HMO plans should never have a deductible imo. Same premium cap though for HMOs.

5/
@realDonaldTrump Further, make sure #HIPAA remains in full force. Not sure htf u plan to make sure pre existing conditions r covered unless u mean covered at differential price premiums/deductibles depending on your pre existing condition which is no protection at all. 6/
@realDonaldTrump Further, imo there must be serious penalties if any insurer sells trades or shares any #PHI w any other persons or entity for whatever reason w out written consent from both patient & provider that is not coercive in any way. 7/
@realDonaldTrump Also, if you want to go ahead and axe progress notes, #treatment plans, dx & #cpt service coding for #mentalhealth #insurance billing, I would not complain. J’ai fini. 8/8 End.
@realDonaldTrump *Do not take the idea from that failed community theatre actor w the androgynous name called Lindsey Grahamm about letting each state decide and re allocating $ to the states. Worst idea ever. He’s an idiot.
@realDonaldTrump Lindsey is straight b*tch.
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