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📣 OK FOLKS, with Trump's latest whopper, time to dust off the #3LeggedStool one more time. Again, this is what the ACA's 3-legged stool looked like when it originally passed. The blue leg on the left = the Pre-Existing Condition protections (& other consumer protections): 1/
Unfortunately, as with any major piece of legislation impacting millions of people and billions of dollars, there were some legitimate problems with the original structure which have never been addressed due to political resistance. 5 major ones in my view are shown here. 2/
Basically, subsidies aren't robust enough and cut off too low on the income scale; high deductibles are still a big problem; the mandate penalty wasn't robust enough to be fully effective; and the minimum network requirement isn't strong enough. All of these COULD be fixed... 3/
UNFORTUNATELY, instead of FIXING the problems with the ACA, the Trump Administration has repeatedly attempted to HACK AWAY at all three legs of the stool in various ways, resulting in the stool looking like THIS today... 4/
...and if the #TexasFoldEm lawsuit (brought by GOP AGs, supported by the GOP Admin & GOP DoJ, decided by a GOP-controlled court & pending a decision by a GOP-controlled Supreme Court) is successful, you can kiss that *entire* Blue Leg goodbye...possibly along with the rest of it.
I should note that there are excellent #ACA2.0 bills in the House (#HR1884) and Senate (#S1213) which address most of the *real* problems I mentioned above, as well as fixing a whole bunch of other problems and greatly strengthening the ACA as well.
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