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US Republicans working on Medicaid, tax credit changes: Ryan
20 March 2017, 02:43 | Myron Mathis
Speaker of the House Paul Ryan explains the American Health Care Act on Thursday in Washington. Win McNamee Getty Images
House Speaker Paul Ryan says the Republican Party is revamping its alternative plan to Obama's health care law to include a work requirement for the Medicaid program for the poor and boost benefits to older Americans.
Thank you for reading and relying on TulsaWorld.com for your news and information. The change would make insurance less expensive for younger people, likely enticing more of them to enroll, and lowering premiums for all, at least marginally, according to the Congressional Budget Office.
Separately, lawmakers have been getting hammered over how the legislation would affect Americans in their 50s and early 60s who purchase plans on the individual market.
The Commonwealth Fund, a private health policy foundation, has estimated that 30 million people previous year had a lapse in coverage of more than two straight months.
Democrats warn of the GOP bill's "age tax".
Under Obamacare, insurers can charge only three times more. So Republicans are now looking to enhance the tax credits for this group.
The initial Republican plan to completely scuttle the 2010 health care law promised a cut of more than $2 trillion from the deficit over 10 years.
Later in the week, Trump held a rally in Nashville for a reason.
Rep. Jody Hice, R-Ga., member of the conservative Freedom Caucus, has also expressed concern about a "30 percent penalty for those who drop their insurance, perhaps just for unfortunate times they fall into".
Ironically, among those the hardest hit are voters who went the most enthusiastically for Trump in 2016.
Health care experts predict those older adults will end up buying skimpier plans with lower coverage and higher deductibles because that's all they will be able to afford.
Even though several members of that chamber have openly decried the American Health Care Act (AHCA), Donald Trump and GOP leaders remained confident this week that it was on track to pass.
Her policy jumped this year from $630 to $929 a month. "It's a good thing to be supporting across party lines", he said. "They get better with care".
In 2015, the industries with the largest number of workers covered by Medicaid included: restaurant and food services, 1,399,000; construction, 956,000; elementary and secondary schools, 397,000; hospitals, 383,000; grocery stores, 367,000; and home health care services, 329,000.
"They've taken (Medicaid) off the table", said Douglas Holtz-Eakin, a conservative economist and former Congressional Budget Office director.
Dr. Manny Sethi operates a nonprofit, Healthy Tennessee, that conducts preventive health fairs across the state. The system is too big and too bureaucratic, he believes. He has been an outspoken critic of the US health-care system; his 2014 book's full title continues as "How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System". The first error becomes magnified as the operation continues and doctors try to compensate for that first mistake. But he emerged from the meeting with Trump having reversed his position. In Tennessee, Sethi said, "most physicians agree that the exchanges are imploding". It was a point of pride. "They would tend to be higher than anticipated under current law", and would climb even higher for the less well-off after 2020, when cost-sharing subsidies are repealed, "significantly increasing out-of-pocket costs. for many lower-income enrollees". GOP leaders have said they expect changes to the existing proposal, and have been working to win over wavering centrists, particularly those from Pennsylvania and New Jersey.
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