The Zombie Apocalypse of Republican Health Care Proposals

Newark  I don’t really watch these “living dead” zombie shows, but I’m starting to get the picture by following the various Republican proposals to “repeal and replace” the Obama Affordable Care Act. Here’s my question though? In the movies and television shows are each generation of zombies more disgusting and worse than the ones that came before them?

Certainly that is the case with the so-called Graham-Cassidy bill to take one more shot at this for the right wing before they would have to obtain more than a simple majority of Senators to push these horrors onto the American people. September 30th is the “expire by date” on the Republicans ability to make mischief with 50 votes, rather than having to go bipartisan with a super-majority.

Let’s look at this version of the healthcare apocalypse though.

A spokesperson for Kaiser Healthcare said it was almost impossible to imagine a bill so bad that it hurt even more people and that had less support from anyone.

Blue Cross/ Blue Shield, AARP, and other insurers, who have been largely silent in earlier versions of the bill, have all mobilized to oppose this version because they argue it will wreck havoc with insurance markets by destroying a national system and making it a state by state battleground.

Thirty-six states will immediately get less money from the Graham-Cassidy bill, if it succeeds. The pain will be especially pronounced in some of the blue states like New York, California, and Oregon, and generally in those states that expanded Medicaid for their citizens, but even the fourteen states that might see themselves as “winners,” have to understand it’s only temporary. By the 2020s part of the impact of this bill is not the simple devolution of healthcare responsibilities and the money that pays for them from the federales to the states, but a cutting of Medicaid dollars period, which will create a huge hole in state budgets everywhere and reduce many red states in the South to the healthcare delivery standards of third-world nations.

Economists argue that even the sponsors of the bill don’t seem to have a clear idea what’s in the language. For example, Cassidy and Graham have claimed it continues to protect those with preexisting conditions, but reading the bill it’s just not in there.

There is no cost estimate on the bill from the nonpartisan Congressional Budget Office nor is there a score on how many will lose coverage under this bill. The best estimate is that 30 million will be pushed off of insurance.

So, why are we worrying that this zombie may end up ruling our world, rather than having a stake driven through its heart? God knows, but it seems to be just a case of politics divorced from the impact of health and harm to the public. The Republicans are so desperate to fulfill an absurd promise that they willing to pretend a mangy dog is Lassie on the way to save you.

If there’s something you can do, do it now, before this zombie stalks the land and leaves million dead or dying.

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Welcome to the No-Insurance Emergency Rooms as Long as They Last

New Orleans  The Congressional Budget Office has released its score on the cost and impact of the Senate Republicans version of healthcare coverage. The bottom lines have gotten wide publicity. 22 million will lose insurance by 2026, 15 million almost immediately. 15 million lower income people will lose Medicaid coverage. It wasn’t big news that this will be an income transfer from the poor to the rich, because we had already known that was coming in all the Republican bills.

Elderly people hoping to live long enough to qualify for Medicare will have to run the gauntlet, unless they are wealthy. The New York Times gave two examples from the CBO report that were appalling.

for a typical 64-year-old with an annual income of $26500, the net premium in 2026 for a midlevel silver plan – after subsidies – would average $6500, compared with $1,700 under the Affordable Care Act. And the insurance would cover less of the consumer’s medical costs. Likewise, the report said, for a 64-year-old with an annual income of $56,800, the premium in 2026 would average $20,500 a year, or three times the amount expected under the Affordable Care Act.

Yes, you understand the math. In the first example that’s a quarter of the person’s income and in the second it’s more than one-third, 36% to be exact.

The Senate added an amendment at the request of the insurance industry recently that anyone not on insurance more than 60 days would have to wait 6-months to get coverage and pay 30% more on their premiums. The industry recognized that as bad as this bill is, no one is going to get coverage until they are sick, so they wanted to try and put some boulders in the road.

And, of course they are right. With no mandate and no penalties for not having insurance most people will not get insurance for the plain and simple reason that they won’t individually be able to afford it unless their employer is providing it for them. Young people on insurance will be rare. For the rest of the population, health insurance will be the American version of Russian roulette. How long can you wait before getting insurance? People will be arbitraging their family fiances against their lives.

What if you are diagnosed with cancer or something and have to wait 6-months for treatment? In the short term survival for you and tens of millions of others will mean throwing yourself on the mercy of the hospital emergency room, as long as the law doesn’t allow them to refuse service, and until so many of these hospitals go bankrupt from providing care without government support or private insurance payments.

There’s a reason why hospitals, doctors, nurses, and everyone connected to providing health care services have opposed these bills. It’s not because many will lose their jobs as healthcare facilities go under, which they certainly will. They aren’t politicians. They’ll see the people dying at their door, too late to save, and too poor for the insurance, yet too rich for any assistance. Who wants to live through that?

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