Thread by @larry_levitt

Biden's public option proposal has gotten more attention, but his expansion of ACA premium subsidies could be an even bigger deal.

More than 12 million people with employer health insurance could save money. That's a group the ACA largely left out.

kff.org/health-reform/…

Biden's proposal to build on the ACA eliminates the "subsidy cliff," providing help to enrollees who are middle-income, older, and in rural areas.

It also eliminates the "firewall" that prevents people with expensive employer health insurance from accessing ACA subsidies.

If Democrats sweep the November election, Biden's proposal to expand ACA subsidies could attract broad support.

His proposal for a public option has significant public support, but would bring vehement opposition from the health care industry.

One group who would especially benefit from Biden's health proposal is low-income people in states that have declined to expand Medicaid under the ACA. They would be automatically enrolled in the public option plan.

Any health reform plan involves trade-offs. In the case of Biden's, it's primarily the budgetary cost -- an estimated $750 billion over 10 years, according to the campaign.

We have not done an analysis of President Trump's health reform plan, because...well, there isn't such a plan.

We did, however, do an analysis of who would benefit and lose under the Republican House ACA repeal and replace plan, supported by Trump.

kff.org/interactive/ta…