Tag: Senate bill

Hiding the True Costs of Health Care – the GOP Approach

George S LedyardFirst of all, the GOP health care bill is about hiding the true costs of health care. Whatever costs it will appear to cut will simply be shifted to areas in which they will be less apparent to the folks who can afford insurance.
By removing the requirement contained in the ACA that everyone be required to participate in the risk pool, this plan will allow people to opt out. That essentially takes us back to the days where millions of Americans simply used the hugely expensive emergency room system for their primary care. The ACA had brought those costs down substantially and now they are likely to rise back up.
The other way that costs for Americans who do have insurance will “appear” to go down is due to the fact that it will push tens of millions of Americans covered under Medicaid off the rolls. The Senate version does this more slowly than the House version, but it still does so. It does so to the tune of nearly one trillion dollars.
So, we allow people to not carry insurance. We push tens of millions of the poor and under employed off the rolls. Now, add to that removing the requirement for larger companies to offer insurance benefits at all. Potentially more people with no benefits. even if they are gainfully employed.
Then the insidious elements that can go below the radar. Remove the essential requirements for policies. That allows companies to go back to offering sub standard policies that appear to cover people that do not in fact cover many of the most important areas like maternity care, mental health coverage etc.
Additionally, think higher deductible policies that simply make receiving basic care, even preventive care, un-affordable for most people.  In the short run, this appears to reduce costs but the reality is that when people do not get the regular preventive and maintenance care they should be receiving. They simply wait until more serious medical catastrophe to access care. That ends up being far more expensive in the longer run.
The bill sneakily shifts many of these considerations to the states. Effectively what that will do is allow the states with the poorest populations, which incidentally tend to be Red States that support the GOP, to push even more people out of adequate coverage. The wealthier states will most likely find ways to work around these issues, thereby going even farther than we are towards two Americas. The haves and the have nots.
The bill contains a bit of money for the opioid epidemic but many billions less than what the experts say is required. Emergency medical services are currently at their limit handling the crisis and the numbers are still on the upswing. So, precisely at the moment when the nation is experiencing a health crisis, this bill is giving tax breaks to the rich, penalizing the poor and working class folks, exactly the people most effected.
This bill is nothing less than a denial that the essential right to health care is a “right” at all. The right wing, Libertarian approach that the GOP seems committed to is quite simply about the rich being cared for and the less well off being either denied access to coverage or receiving inadequate coverage. It really is that simple. Precisely at a time when the income / wealth divide is widening, the GOP is attempting to reduce assistance to the poor in order to reduce costs for the elites and grant the richest Americans a massive tax cut.
This approach is unconscionable, immoral, and unjustifiable. It is a travesty and moves the country in a direction backwards and in exactly the opposite direction that we need to go.