Saturday, January 11, 2020

Why these Flag waving, Jesus loving, Gun toting Caucasians don't realize Trump's deliberate sabotaging of Obamacare is killing them?

Why these Flag waving,  Jesus loving,  Gun toting Caucasians don't realize Trump's deliberate sabotaging of Obamacare is killing them?

If Obamacare were just allowed to continue, the Congressional Budget Office (CBO) found, the individual marketplaces covering twelve million people would be financially viable. That non-partisan finding also disclosed that the original failed "replacement" bill was essentially an $883 billion tax cut for the wealthiest individuals and health companies that drained $839 billion from Medicaid, but its analysis of the individual health-care market didn't take into account Trump's deliberate sabotaging of Obamacare. The House-passed version was even more draconian than the first one that failed. The new bill gutted protections for consumers with preexisting conditions and allowed states to eliminate essential health benefits— including mental health and maternity care—even from corporate health plans. "The latest version of Trumpcare doesn't just threaten access to behavioral health coverage for those on Medicaid, it threatens access to behavioral health coverage for everyone," Rep. Joe Kennedy (D-Mass.) wrote in an op-ed for STAT, an online health news site.

Regardless of the final outcome in Congress, the Trump administration's early actions in office especially aimed at destroying the ACA on a variety of fronts. As his first executive order, he undercut active enforcement of the individual mandate needed to spur younger and healthier people to sign up; his Health and Human Services (HHS) department initially pulled $5 million in advertising designed to urge people to enroll; and the White House dithered in early 2017 about whether to support or oppose "cost-sharing" subsidies worth about $7 billion that limit such out-of-pocket costs as deductibles for the six million lower- income purchasers of marketplace plans. At first, after the first bill failed, Trump threatened to end those subsidies in an effort to blackmail Democrats into supporting a revised repeal bill. But then his administration agreed—temporarily—in April 2017 to continue paying them to avoid a government shutdown over a federal budget dispute. Without those subsidies, first challenged in a House Republican lawsuit against the Obama administration, the private marketplaces will almost surely collapse, most experts agree. Even before these latest attacks on Obamacare, the nonstop political attacks and congressional time bombs planted by Republicans led to a stunning decline in insurers in many states. A Vox survey found that the number of counties with only one insurer quadrupled to 960 in 2017 compared to the previous year, leading to exorbitant premiums and potentially no coverage at all in 40 percent or more of American counties. Recent polling shows that nearly two-thirds of Americans will blame Republicans if Obamacare fails. Nevertheless, Trump is sticking by his blame-the-Democrats strategy to further undermine whatever remains of Obamacare after his agencies and the Republican Congress have artfully used their power to starve the private marketplaces of funding, incentives and support. Although the imminent threat of a successful congressional onslaught on Medicaid's budget has diminished somewhat as of this writing, there hasn't been nearly as much attention paid to the continuing dangers posed to recipients of Medicaid even if the Republicans' frontal assaults on the program in Congress fail. Medicaid lacks the broad political support afforded Medicare, but with seventy-four million people enrolled—more than Medicare—the federal-state program is the country's leading funder of services for the most seriously mentally ill adults and children. In the harsh

 the Biography  of Alex azar on HHS  website states 

"While at HHS, Secretary Azar has developed and led President Trump’s vision for healthcare: a patient-centric, affordable, personalized system that puts the patient in control and treats the patient like a human being, not like a number. He has pioneered a patient-centered approach to the value-based transformation of the American healthcare system, including through transparency around price and quality, outcomes-based payments, interoperable health IT, provider collaboration, and unprecedented regulatory relief that places patients over paperwork"

every one of those adjectives is  a Joke .

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