Consumer Issues Stemming From The Gop Health Care Initiative

By RICARDO ALONSO-ZALDIVAR, Associated Press, San Francisco Chronicle: Politics
Sat, 06/24/2017 - 12:50am

Not only would the GOP legislation scale back coverage through the insurance markets and phase out the Medicaid expansion, it would also make fundamental changes to the broader Medicaid program. The federal-state program covers low-income people, from newborns to elderly nursing home residents, from special-needs kids to young adults caught in the opioid epidemic. The GOP's biggest Medicaid change involves limiting future federal financing. Since its inception, Medicaid has been an open-ended entitlement, with Washington matching a share of what each state spends. [...] the GOP would phase out added financing that Obama's law provided as an incentive for states to expand the program and cover more low-income adults. The Congressional Budget Office estimated the House bill would reduce federal Medicaid spending by $834 billion over 10 years, and the program would cover about 14 million fewer people by 2026, a 17 percent reduction. Economist Douglas Holtz-Eakin, a longtime GOP adviser, says the Republican approach is "180 degrees different in its economic and budgetary philosophy," from the course steered by Obama. [...] the uninsured rate may start climbing again, because both the House and Senate bills cut federal financing and repeal an unpopular requirement to carry health insurance. [...] doctors see a health insurance card as a ticket into the system, so patients can be screened for chronic conditions that can ultimately lead to serious illnesses.

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