{"id":2080,"date":"2017-03-07T20:06:34","date_gmt":"2017-03-08T01:06:34","guid":{"rendered":"http:\/\/bowdoinglobalist.com\/?p=2080"},"modified":"2017-03-07T20:06:34","modified_gmt":"2017-03-08T01:06:34","slug":"indiana-rand-paul-jones-and-the-temple-of-healthcare-reform","status":"publish","type":"post","link":"https:\/\/students.bowdoin.edu\/bowdoin-review\/united-states\/indiana-rand-paul-jones-and-the-temple-of-healthcare-reform\/","title":{"rendered":"Indiana \u201cRand Paul\u201d Jones and the Temple of Healthcare Reform"},"content":{"rendered":"<p><span style=\"font-weight: 400\">On December 23, 2015, the United States Senate cast a final vote, 52\u201347, to repeal the Affordable Care Act. The repeal bill, proposed by Congressman Tom Price, was similar to bills proposed by Republicans on a regular basis since the Affordable Care Act became law in 2009. It intended to roll back the major measures of the Affordable Care Act, repealing the Medicaid expansion, removing the individual mandate, and drastically cutting the subsidy for private care. Price\u2019s bill was vetoed by President Obama. <\/span><\/p>\n<p><span style=\"font-weight: 400\">When the obstacle of the veto was removed on January 20 this year, Congressional Republicans were suddenly playing with live ammo: faced with the prospect of their bill becoming law, they were less than eager to rush a repeal bill to the president\u2019s desk. The House Freedom Caucus, the Tea Party group in the House representing the right wing of the Republican Party, seemed to insist on nothing less than the 2015 bill. A handful of Senate Republicans, heeding the advice of several Republican governors, wanted to protect measures like the Medicaid expansion. And the president had more or less guaranteed perfect, universal, and inexpensive care. It was not clear that they could reach a compromise that would satisfy everyone, especially given the Republicans\u2019 razor-thin margin in the Senate.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Whether or not the bill that House Republicans introduced on Monday will thread the needle is uncertain. It seems that even they are doubtful. This past weekend\u2019s draft was kept under lock and key, safe from the prying eyes of the media, Senate Republicans <\/span><a href=\"https:\/\/www.washingtonpost.com\/news\/the-fix\/wp\/2017\/03\/02\/rand-paul-a-copy-machine-and-a-secret-obamacare-bill\/?utm_term=.5d74f4f20195\"><span style=\"font-weight: 400\">such as Rand Paul<\/span><\/a><span style=\"font-weight: 400\"> (who spent his weekend spelunking in Congressional basement offices in pursuit of the Ark of the Covenant Bill), and the Congressional Budget Office (CBO). With Republicans hoping the bill will clear committee <\/span><a href=\"http:\/\/thehill.com\/homenews\/senate\/322735-schumer-house-repeal-bill-is-trumpcare\"><span style=\"font-weight: 400\">within the next two days<\/span><\/a><span style=\"font-weight: 400\">, we will likely find out soon enough. <\/span><\/p>\n<p><span style=\"font-weight: 400\">As the president recently learned for the first time, <\/span><a href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/02\/trump-nobody-knew-health-care-could-be-so-complicated.html\"><span style=\"font-weight: 400\">healthcare is quite complicated<\/span><\/a><span style=\"font-weight: 400\">, but the basics of the bill are as follows:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Begin phasing out the Medicaid expansion in 2020.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Replace income and age-based subsidies with purely age-based subsidies, with the eligibility income cap for normal subsidies raised from $75,000 per year to $100,000 per year and with new smaller subsidies for high income individuals in the older age bands.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Allow insurers to charge older customers five times as much as younger ones, an increase from the previous cap of three to one.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Repeal the individual mandate, which fines people without insurance. Instead, introduce a \u201ccontinuous coverage\u201d rule: if a person loses coverage for more than two months, they are forced to pay thirty percent more when they repurchase health insurance for a full year.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Expand tax breaks for employer-sponsored healthcare plans.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Begin \u201cblock granting\u201d Medicaid, with unclear implications for Medicaid\u2019s long term funding levels.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Defund Planned Parenthood.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">The bill includes many other small provisions, such as the removal of caps on insurance company CEO pay and a surprisingly long provision regarding lottery winners. The thrust of the bill is that revenues are likely to decrease (the new continuous coverage mandate, unlike the Obamacare mandate, funds insurance companies and not the state) and subsidies will generally move to wealthier consumers.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This legislation is significantly more generous than the 2015 Price Bill, and <\/span><a href=\"http:\/\/www.businessinsider.com\/house-obamacare-bill-conservatives-2017-3\"><span style=\"font-weight: 400\">has already been labelled<\/span><\/a><span style=\"font-weight: 400\"> \u201cObamacare 2.0\u201d by Republican Congressman Justin Amash. The Republican Study Committee, a 172-member conservative caucus in the House, released a statement that was hardly enthusiastic, and some members of the Freedom Caucus were even more critical; former chair Jim Jordan called it \u201cObamacare by a different form.\u201d Conversely, four vulnerable Republican senators have issued a statement expressing opposite concerns, asking for greater protection for the Medicaid expansion in several areas. It is easy to see why some Republican senators might be wary. Susan Collins, for example, represents Maine, the state with the oldest average age, where voters are unlikely to be happy about increased costs for older people who are still too young for Medicare. Republicans representing states that have expected Medicaid, such as Colorado Senator Cory Gardner, are also among the skeptics. A series of <\/span><a href=\"http:\/\/www.businessinsider.com\/trump-tweets-american-health-care-act-obamacare-replacement-2017-3\"><span style=\"font-weight: 400\">early morning tweets<\/span><\/a><span style=\"font-weight: 400\"> from the president (once again) complicated the situation, as Trump announced his full-throated support for the bill while simultaneously explaining that his beloved \u201cgetting rid of the lines around the states\u201d provision would come in a \u201cphase two\u201d rollout. Staffers later corroborated Trump\u2019s point, and explained that they would need a filibuster-proof sixty votes to get phase three through the Senate. The bill will receive no love from Democrats.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Moreover, the bill has yet to be \u201cscored\u201d by the CBO. At this point, it is not clear how much this bill will cost the federal government, and how many people are likely to lose coverage. House Republicans begin to plan marking up the bill on Wednesday, perhaps in an attempt to outrun the CBO.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Right out of the gate, Paul Ryan\u2019s \u201cAmerican Health Care Act\u201d is already beset by criticism on all sides. Whether or not it can gain support from across the Republican Party remains to be seen, and some powerful constituent advocacy groups like the AARP are already unhappy with many aspects of the bill. It is quite possible that Paul Ryan will have to go back to the drawing board, and that world famous detective Rand Paul will be forced to resume the hunt.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>On December 23, 2015, the United States Senate cast a final vote, 52\u201347, to repeal the Affordable Care Act. The repeal bill, proposed by Congressman Tom Price, was similar to bills proposed by Republicans on a regular basis since the Affordable Care Act became law in 2009. It intended to roll back the major measures [&hellip;]<\/p>\n","protected":false},"author":515,"featured_media":2077,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[25],"tags":[169],"class_list":{"0":"post-2080","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-united-states","8":"tag-healthcare","9":"entry"},"_links":{"self":[{"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/posts\/2080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/users\/515"}],"replies":[{"embeddable":true,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/comments?post=2080"}],"version-history":[{"count":0,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/posts\/2080\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/media\/2077"}],"wp:attachment":[{"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/media?parent=2080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/categories?post=2080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/students.bowdoin.edu\/bowdoin-review\/wp-json\/wp\/v2\/tags?post=2080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}