Who will benefit most from an ACA replacement?
Check out our Huffington Post column:
The Affordable Care Act is one of the more divisive pieces of legislation in the last decade. President Barack Obama’s signature health reform law has not only been mired in partisanship since its inception, but consumers also tend to have pretty passionate opinions on the topic. For some, the law was a literal life-saver. For others, it has only made health coverage more expensive and less accessible.
With a Republican-led Congress and White House, repeal of the ACA is imminent. Most expect Congress to repeal the law early next year, but put off dismantling the ACA for up to four years, as a replacement policy is developed.
Republicans have issued a few replacement proposals already, though no legislation has been introduced since Trump won the election. House Speaker Paul Ryan and Tom Price, Trump’s pick for the Department of Health and Human Services, have each published policy papers on what Republican health reform looks like.
As Larry Levitt of the Kaiser Family Foundation recently tweeted, “Obamacare” had winners and losers, and whatever Republicans come up with to replace it will also. The ACA particularly benefited lower income consumers, as well as those with pre-existing conditions who were previously “uninsurable” before the law was passed. However, it hit healthier, wealthier people harder. Those with higher incomes, ineligible for subsidies, have faced increasingly expensive premiums.
In looking at the current Republican proposals, we can make a few predictions about who will be most impacted by an ACA replacement—both the “winners” and “losers.”
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