π£β οΈπ¨ππ₯ HEADS UP! The fate of the #ACA & healthcare coverage for 30 million people may be decided this Monday: acasignups.net/21/05/13/headsβ¦
AS A REMINDER, there's basically 4 ways this could go:
1. SCOTUS throws out the case for being stupid or because the plaintiffs have no standing.
This is what SHOULD happen.
2. SCOTUS strikes down the individual mandate itself only, severing it from the rest of the law.
This is the most likely scenario IMO. It would be a bit irritating but would basically amount to the status quo.
3. SCOTUS strikes down the mandate *and* the ACA provisions "directly related" to it...but leaves everything else.
This would leave a lot of important parts of the ACA in place (Medicaid expansion, subsidies, etc)...but would WIPE OUT PRE-EXISTING CONDITION PROTECTIONS.
This would be horrible for ~130M w/pre-existing conditions...but would also make for a logistical mess. How do you calculate subsidies based on the "benchmark plan" when there IS NO "benchmark plan"? (Not to mention, insurers could go back to denying coverage altogether anyway).
4. SCOTUS strikes down the Entire. Patient. Protection. And. Affordable. Care. Act. (or virtually all of it).
THE NIGHTMARE SCENARIO.
As a reminder, here's just a sampling of what would happen if SCOTUS strikes down the entire/nearly the entire law:
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Counties w/highest cumul. #COVID19 *cases* per capita: 1. Chattahoochee County, GA 2. Crowley County, CO 3. Bent County, CO 4. Dewey County, SD 5. Lincoln County, AR 6. Lake County, TN 7. Norton County, KS 8. Bon Homme County, SD 9. Trousdale County, TN 10. Buffalo County, SD
Counties w/highest cumul. #COVID19 *deaths* per capita: 1. Foard County, TX 2. Galax, VA 3. Jerauld County, SD 4. Emporia, VA 5. Hancock County, GA 6. Gove County, KS 7. Gregory County, SD 8. Iron County, WI 9. Dickey County, ND 10. McMullen County, TX
You go to a grocery store. You're vaccinated, so you don't wear a mask. How the hell is anyone else supposed to know whether you aren't wearing a mask because you're vaccinated, or you aren't wearing one because you're an asshole?
I'm not just talking about getting dirty looks from other customers, I mean in terms of actual *store policy*...how are they supposed to enforce it without an official "vaccine passport" etc?
This is good to hear, but it's going to make the "asshole who refuses to follow store policy" problem 100x worse. nytimes.com/2021/05/13/heaβ¦
The first Zoom speaker is claiming that if they expand Medicaid, it will somehow cause people to WANT to earn less so that they'll qualify for it. Which might make some sense if the rest of the ACA didn't exist for those who earn more, or if they could afford ANY coverage NOW.
The second Zoom speaker claims that Wyoming has crappy oversight over Medicaid waste/fraud/abuse, therefore they shouldn't expand it. Here's an idea: Expand it *and* improve your oversight process? Just spitballing here.
π£ NEW: How much more would it cost the federal government if every holdout state expanded Medicaid via the #ACA? acasignups.net/21/05/10/how-mβ¦
UPDATE: Whoops! I made a rather obvious error which impacted nearly all of the calculations; this has been corrected throughout the post.
Bottom line: As far as I can figure, it would cost roughly $341 billion over a decade to cover all 6.4 million eligible Americans, or ~$34.1 billion/year, while reducing the uninsured rate by an additional 4.0 million people.