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Sunday, January 22, 2017

AP - How Trump's executive order impacts future of ACA - 'Obamacare' - no replacement in sight

Death By A 1000 Administrative Cuts:

Trump will later say ... it was just bad ... I didn't do anything ... it just failed on its own.

Jan. 21, 2017 2:48 PM ET How Trump's executive order impacts future of 'Obamacare' By JULIE PACE and RICARDO ALONSO-ZALDIVAR, Associated Press



 (AP) — President Donald Trump's first executive order targets the sweeping "Obamacare" law by giving federal agencies broad leeway to chip away at the measure. But Trump still needs Congress to do away with the law for good.
Trump signed the executive order in the Oval Office Friday, hours after being sworn in as the 45th president of the United States.
 
The one-page directive gives agencies authority to grant waivers, exemptions and delays of provisions in the Affordable Care Act. But until it becomes clear what steps federal agencies take as a result, its full impact on Americans and their health insurance is uncertain.

JAN 21, 2017 AT 10:56 AM Trump’s Executive Order On Obamacare Means Everything And Does Nothing By Anna Maria Barry-Jester Filed under The Trump Administration 


There are other important signals in the short executive order. It says HHS should “encourage the development of a free and open market in interstate commerce” and “provide greater flexibility to States,” suggesting that Trump will push HHS to grant more flexibility to states in how they implement the law.
It was no secret before Trump signed the executive order that he wanted the Affordable Care Act repealed, and all of these changes were possible before it was signed. But now Trump has made his intentions clear, with one of his first acts as president: The Department of Health and Human Services, “to the maximum extent permitted by law,” should get to dismantling.

The strategy seems to be to destroy the "healthcare marketplace" ... how ironic for the GOP ... so much for their core values.

In the arguments being made (3/15/2017) giving people "choice" is going to make "health insurance" affordable and accessible.  Somehow doctors and other healthcare workers are going to be paid less and hospital stays are going to become less expensive so insurance costs will fall.  It is implicit that the "marketplace" will be transformed, perform more efficiently, etc.  How?

There are things that can be done to advance the goals of "affordable and accessible" -- choice is not one!

Consumer Reports: House Pulls GOP Health Insurance Bill, but Some Changes Already Are Underway Doing what it can, the Trump administration has started watering down the Affordable Care Act - Donna Rosato Last updated: March 24, 2017

... The changes could result in sharply higher premiums and less coverage for many. For example, Health and Human Services Secretary Tom Price has said he wants to water down regulations requiring insurers to offer comprehensive coverage in 10 areas, including maternity care, prescription drugs and mental health services.
Consumers already are worried they could be priced out of the market. In a recent nationally representative CR Consumer Voices Survey, 55 percent said they’re not sure they or their loved ones could afford insurance to get quality healthcare. ...
...The mandate requires most people to buy insurance or pay a penalty to the IRS ($695 per adult and $347.50 per child under 18 but no more than 2.5 percent of your gross income). In February, the IRS followed Trump’s order when it announced it would no longer automatically reject the tax return of someone who didn’t check the box confirming health coverage or fill out the form to pay a penalty. People who don’t have insurance still owe the penalty— but the IRS isn’t going to hold up your return if you don’t provide the information.
Another executive action took aim at the ACA’s most recent open-enrollment period. Just five days before the January 31 signup deadline, the Trump administration directed Health and Human Services to halt TV ads encouraging people to sign up and ended other outreach efforts.  ...
WI 1848 Forward: #TrumpCare #RyanCare  Still Plan to Gut #ACA and blame it on #Obama  http://wi1848forward.blogspot.com/2017/01/ap-how-trumps-executive-order-impacts.html?spref=tw

#AP -How #Trump 's #PresidentPriebus executive order impacts future of #ACA ' #Obamacare ' - no replacement in sight http://wi1848forward.blogspot.com/2017/01/ap-how-trumps-executive-order-impacts.html?spref=tw

WI 1848 Forward: #PresidentPriebus ExecutiveOrder-  #Obamacare Means Everything And Does Nothing - #ACA to be gutted http://wi1848forward.blogspot.com/2017/01/ap-how-trumps-executive-order-impacts.html?spref=tw

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