The new version is appreciably worse. Like the original, it threatens the health coverage of more than 24 million Americans but includes provisions that are even crueler. Here’s a handy guide to the worst elements of a nasty bill that will harm you and your neighbors.
Trumpcare has seven main policy points. Many of them are Republican orthodoxy, like allowing insurance sales across state lines (part of the Republicans' 2010 Pledge to America) and fostering a greater reliance on health savings accounts (a favorite policy proposal of Mitt Romney during the last campaign cycle). And, of course, Trump repeals Obamacare.
As the rightly acclaimed television series Downton Abbey unspools its final episode some fans have criticized the producers decision to devote so much time to a debate about the future of Downton’s Cottage Hospital. But underneath the repartee lies a serious and persistent issue: what should be the relationship of the community to the emerging age of a high tech, highly capitalized and highly specialized medical system?
Five years in the ACA still primarily serves as a huge government marketing campaign for private insurance companies, funneling millions of new customers with few if any restrictions on ever-escalating prices. The ACA built upon the flaws of our market-based system and, quite predictably, is failing to contain costs and provide broad access to affordable, quality health care. Corporate interests still trump the common good in U.S.
The for-profit health-insurance industry in the United States is profoundly inefficient and costly, and a sane and sustainable alternative exists—single-payer, otherwise known as expanded and improved Medicare for all. Just change the age of eligibility from 65 to zero.
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