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🧵THE DEAD POOL: Since @MikeJohnson and @JDVance are promising to Concentrate folks w/pre-existing conditions into separate Camps, let's talk about that. 1/ acasignups.net/24/10/04/dead-…
Let's go back to the pre-ACA healthcare landscape. This is what it looked like in 2012...*before* the ACA's major provisions went into effect.
Half the US had employer coverage. Another third had Medicare or Medicaid. ~11M had "individual" insurance; ~48M had nothing at all. 2/
The ACA had 2 main goals:
1. Reduce the number of uninsured Americans as much as possible by making coverage more affordable & accessible;
2. Provide protections from insurance industry abuses, *especially* for the individual market where the abuses were the most blatant. 3/
AGAIN: This graph is the single most important explainer of how risk pools work & the dangers of separating people out into risk pools based on their CURRENT health.
5% of the population racks up over 50% of total healthcare spending.
If you throw them under the bus, healthcare costs for the other 95% of the population drops in half, except for one small problem even IF you don't care about Grandma or Cousin Fred Who Was Just Diagnosed With Cancer:
You never know when YOU'RE gonna become Cousin Fred.
So, VP @KamalaHarris has posted her official policy agenda on her campaign website. The healthcare section includes, among other solid items, making the enhanced #ACA subsidies of the IRA permanent.
Here's an idea of how important this is for over 21 MILLION Americans: 1/
The enhanced subsidies are currently scheduled to sunset at the end of 2025. If they aren't extended, they'll revert back to the original formula, which was good for those earning < 200% FPL, but mediocre for those earning 200 - 400% & NONEXISTENT for those earning over 400% FPL.
I ran state-by-state case studies to show how letting the upgraded subsidies expire would impact 5 different households at various income levels.
The results range from painful to disastrous depending on the household & where they live.
The Inflation Reduction Act is also the reason over 20 million #ACA enrollees are saving an average of $800/yr on health insurance premiums.
Unfortunately that provision is scheduled to sunset at the end of 2025 unless legislation is passed to make the savings permanent.
I’ve written up estimates of how much net premiums would jump for various households in every state starting in January 2016 if the IRA subsidy formula isn’t extended. It’s not pretty. Here’s the first 5 states: acasignups.net/24/07/09/state…