Does not seem like a good idea....so they remove all the subsidies....
what's going to happen to the people who depend on those to get insurance?
Not to mention - if they want to reinvent the wheel and replace it with a new plan, they don't have enough votes with out Democrats joining in.
Republicans Take The First Step To Repeal Obamacare
Republicans have to use a special legislative maneuver, called a budget resolution, to undo the ACA because they don't have enough votes to overcome a Democratic filibuster in the Senate. Budget bills aren't subject to filibuster, so lawmakers will be able to repeal the parts of the law that have budget and tax implications.
That means they can essentially gut the law, removing all the subsidies that help low- and middle-income people buy health insurance and getting rid of the smorgasbord of taxes — on medical devices, insurance companies and wealthy individuals — that pay for those subsidies
Enzi's resolution calls on the Senate to get a bill to the Senate Budget Committee by Jan. 27.
Republican lawmakers say they don't want the 20 million people who have newly gained insurance because of the ACA to lose their coverage. So they plan to phase out Obamacare over time while they devise a replacement plan that they say will make affordable health insurance available to everyone, without the much-hated mandate to buy insurance if you don't want it.
Many analysts are skeptical that this "repeal and delay" strategy will work.
"The most likely end result of 'repeal and delay' would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services," said Joe Antos and James Capretta of the conservative American Enterprise Institute in a blog published Tuesday in Health Affairs.
Not focusing on the "AFFORDABLE" in ACA is the fatal flaw.
Unless the COST of health insurance starts DEescalating, it's not just working poor who can't afford it now. O-Care ripped UP the Group plans by which most self-employed working folks were covered. Whether you were a restaurant owner, a veterinarian, a lawyer or an engineer, there were Professional Groups thru which you could pool insurance. O-care made all that illegal. Tossing most self-employed into the pool and RAISING their premiums.
When you subsidize something -- it becomes more expensive. And it's already fraught with potential for abuse. If someone "rich" decides to retire early -- they can STOP working so hard, reduce their income and have OTHER people pay for their healthcare. It's an unintended consequence of "income testing" for subsidies.
No need to rip up the "exchanges". Just back off the coverage mandates. Don't PRICE EVERY policy to include maternity, contraception, full psych benefits, and all the other "ACA requirements" for a plan. Let people choose a la carte. Keep the "pre-existing" clauses. Allow cross state competition. Encourage Med Saving Accounts. Encourage "direct pay" for med services.
Don't subsidize the insurance premium, subsidize the DEDUCTIBLES, co-pays, etc. That's the flaw in the O-Care Bronze cheapy plans that will bankrupt working poor people anyways. (and cause premiums to soar)
When patients AND doctors understand the REAL costs of medical services -- prices will come down. They don't right now. The "rack rate" for services is astronomically inflated and is not what the insurance companies pay out. When you stop subsidizing premiums, premiums will come down. There has been no similar "medical inflation" in plastic surgery or veterinary care. And both of those have gotten better and more efficient. Because patients and doctors are both aware of real costs.
Nobody who NEEDS MediCaid should be shoved into an insurance plan. Most dollars of Medicaid costs are gonna come from Government anyways, not from the enrollees. Doing that just HIDES the fact, that the govt is skating on covering MediCaid costs and the POOL is "redistributing" the cost by the ability to pay. It's a hidden redistribution tax to fund MediCaid.
Make medical services compete on cost. Direct to the consumer. Give them an incentive to innovate.