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Understanding Obamacare

 The Affordable Care Act (ACA or “Obamacare”) was signed into law by President Barack Obama in 2010. A major overhaul of the U.S. health-care system, Obamacare aims to reduce the amount of uncompensated care the average U.S. family pays for by requiring everyone to have health insurance or pay a tax penalty. Recently, Obamacare has seen some changes from our new president. Read on to see what has changed and how this may affect you.
February 28, 2018
https://www.ehealthinsurance.com/resources/affordable-care-act/understanding-obamacare


-- 2014 --

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Undated: 33 million people in the United States (10.4% of the US population) did not have health insurance in 2014 according to the US Census Bureau. The United States, Greece, and Poland are the only countries of the 34 members of the Organization for Economic Co-operation and Development (OECD) that do not have universal health care.
https://healthcare.procon.org/

January 22: What are the pros and cons of a “single payer” system?
https://www.brookings.edu/blog/up-front/2014/01/22/can-canadian-style-healthcare-work-in-america-vermont-thinks-so/

August 25: ... federal law [ACA/Obamacare] prohibits health insurance companies from discriminating against transgender people, and it bars insurers from denying coverage based on pre-existing conditions. That makes it possible for more transgender people to purchase private plans.
http://www.thedailybeast.com/obamacare-now-pays-for-gender-reassignment

-- 2015 --

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June 16: [Trump On the future of the Affordable Care Act]: “Remember, Obamacare really kicks in in ‘16. 2016. Obama’s gonna be out playing golf. He might even be on one of my courses. I would invite him, I actually would say it. I have the best courses in the world so I’d say, you know what if he wants to. I have one right next to the White House. Right on the Potomac. If he’d like to play, that’s fine. In fact, I’d love him to leave early and play.”
http://www.politico.com/story/2015/06/donald-trump-2016-announcement-10-best-lines-119066

September 22:
Despite some dire predictions, Obamacare isn't having much of an impact on hiring by businesses so far, according to a new study.

Employers with at least 100 full-time workers must offer health insurance to full-time employees who work 30 or more hours a week or pay a penalty, as of this year. This mandate will start applying to smaller companies with 50 or more full-timers in 2016.

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But few employers report changing their staffing or hiring because of Obamacare, according to the 2015 Kaiser Family Foundation/Health Research & Education Trust survey, released Tuesday.

Only 4% of employers with at least 50 full-time workers said they shifted some staffers from full-time to part-time schedules so that they wouldn't qualify for health care. And another 4% said they were reducing the number of full-time employees they planned to hire because of the cost of health benefits.

"Despite all the debate about the so-called employer mandate...the actual employer response does not match the rhetoric," said Drew Altman, the foundation's president. "It's muted. It's modest. It cuts in different directions with no big shift to part-time employment."
http://money.cnn.com/2015/09/22/news/economy/employers-obamacare-jobs/?iid=EL

-- 2016 --

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August 17: This brief explains three provisions of the ACA – risk adjustment, reinsurance, and risk corridors – that were intended to promote insurer competition on the basis of quality and value and promote insurance market stability, particularly in the early years of reform. [See March 23, 2017 Marco Rubio]
https://www.kff.org/health-reform/issue-brief/explaining-health-care-reform-risk-adjustment-reinsurance-and-risk-corridors/

December 5: Risk corridors program -- The Obama administration is now on the hook for more than $8 billion in payments to cover insurer losses on the health insurance exchanges, but industry experts are growing doubtful the full tab will ever be paid.

At the same time, while Republican lawmakers are committed to sewing up the federal wallet to keep the current administration from paying insurers what they call a “bailout,” they don't want to see the insurance markets collapse under their watch. Any replacement plan for the Affordable Care Act—which President-elect Donald Trump and Republicans in Congress have vowed to repeal and replace—would require private insurers to jump on board. And alienating them by refusing to pay promised funds would be bad for business, experts say.
http://www.modernhealthcare.com/article/20161205/NEWS/161129937

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Undated:
Gender Reassignment Surgery - What Does Your Plan Cover?‎ Types of care likely to be covered include mental health counseling, hormone replacement therapy, and organ removal (orchiectomy, hysterectomy/ oophorectomy). Gender confirmation surgeries and procedures such as electrolysis may or may not be covered, depending on the plan.
http://forwardtogether.org/transgender-healthcare?gclid=CLjR4oj1z9QCFdi1wAodwPILGA

December 14:
Mindful of the clock ticking down to a Trump presidency, the Obama administration issued a final rule on Wednesday to bar states from withholding federal family-planning funds from Planned Parenthood affiliates and other health clinics that provide abortions.
https://www.nytimes.com/2016/12/14/us/politics/obama-administration-planned-parenthood.html

December 31: A federal judge in Texas on Saturday issued a court order barring enforcement of an Obama administration policy seeking to extend anti-discrimination protections under the Affordable Care Act to transgender health and abortion-related services.

"Today's decision is a setback, but hopefully a temporary one, since all Americans - regardless of their sex, gender identity or sexual orientation - should have access to quality, affordable health care free from discrimination ..."

... the U.S. Supreme Court in 2012 and 2015 issued rulings that kept the Affordable Care Act, [Obama's] top legislative achievement, intact.

http://www.reuters.com/article/us-usa-obamacare-idUSKBN14L0OP

-- 2017 --

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Undated: Many health plans are still using exclusions such as “services related to sex change” or “sex reassignment surgery” to deny coverage to transgender people for certain health care services. Coverage varies by state.

... transgender health insurance exclusions may be unlawful sex discrimination. The health care law prohibits discrimination on the basis of sex, among other bases, in certain health programs and activities.
https://www.healthcare.gov/transgender-health-care/

Undated: ObamaCare does a lot to help equality of all genders and income levels, but there is no specific anti-discrimination law that protects transgender Americans. Check out the list of insurers ... and make sure to understand the insurers rules for transgender health coverage.
https://obamacarefacts.com/questions/is-there-transgender-health-coverage/

January 23: Donald Trump ran a campaign that pledged to get rid of Obamacare.

But his administration will have to either defend the controversial law in federal court or fork over tens of millions of dollars to angry insurers.

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Several insurers took the Obama administration to court in the fall to force the administration to pay out money they say was promised to them. Those lawsuits won't likely be resolved by the time Trump takes office on Jan. 20, meaning he will have to settle them or fight for a law he wants to repeal.

The idea was promoted by the Obama administration as a way to ensure predictability for insurers that had no idea who was going to sign up for Obamacare in 2014. However, it didn't work out like that.

Too many insurers requested payments from the federal government and not enough paid in to the program to cover the payments in 2014. The result was a major shortfall, with $2.87 billion in requested payments for 2014 but insurers receiving $362 million.

Jost and Holtz-Eakin said they doubted that repealing Obamacare, which likely won't go into effect for a few years until a GOP replacement is approved, would affect the lawsuits.

"I think the suits are relative to the law at the time," Holtz-Eakin said.
http://www.washingtonexaminer.com/obamacare-lawsuits-put-trump-in-awkward-place/article/2610652

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January 26: Trump administration ... kills Obamacare ads for HealthCare.gov with less than week to go in open enrollment
https://www.cnbc.com/2017/01/26/trump-administration-kills-obamacare-ads-for-healthcaregov.html

February 23: Former House Speaker John Boehner predicted on Thursday that a full repeal and replace of Obamacare is “not what’s going to happen” and that Republicans will instead just make some fixes to the health care law.

Boehner, who retired in 2015 amid unrest among conservatives, said at an Orlando healthcare conference that GOP lawmakers were too optimistic in their talk of quickly repealing and then replacing Obamacare.

"All this happy talk that went on in November and December and January about repeal, repeal, repeal -- yeah we'll do replace, replace -- I started laughing because if you pass repeal without replace, first, anything that happens is your fault. You broke it."
http://www.politico.com/story/2017/02/john-boehner-obamacare-republicans-235303

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February 24: Support for Obamacare is at an all-time high, according to two surveys released this week as Republican leaders continue to press the case for repeal amid fierce resistance at many town halls.
http://www.cnn.com/2017/02/24/politics/pew-survey-obamacare-support-record-high/index.html

February 27:
Trump: ‘Nobody knew that health care could be so complicated’
http://www.politico.com/story/2017/02/trump-nobody-knew-that-health-care-could-be-so-complicated-235436

March 6: The legislation that House Republicans have unveiled to repeal and replace ObamaCare would eliminate nearly all of the 2010 health law's taxes — with one key exception.

The House bill, unveiled Monday evening, would allow ObamaCare's "Cadillac" tax on high-cost health plans to take effect in 2025. The tax, which has been opposed by both Democrats and Republicans, had been slated to take effect in 2020 under current law.
http://thehill.com/policy/finance/322625-house-gop-bill-would-repeal-obamacare-taxes

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March 9: “The number of women of reproductive age who were uninsured dropped by a third between 2013 and 2015,” Adam Sonfield, a senior policy manager of the Guttmacher Institute, explained ...

“Our abortion rate is the lowest it’s been for decades, and [we’ve also seen] lower pregnancy rates for teenagers. Across the board, all positive changes.”
http://allaboveall.org/announcement/good-luck-women-under-the-gop-health-care-bill-itll-be-tougher-to-have-a-baby-and-tougher-not-to/

March 23: Well before midnight ... Republicans still had no deal on their health care bill to repeal Obamacare, as a Thursday vote loomed around the corner.
http://www.cnn.com/2017/03/22/politics/house-health-care-bill/

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March 23: Who knew health care was so complicated? The 535 members of the 111th congress, and all of their aides, who spent nearly a full year drafting the Affordable Care Act, that's who.

[Unfortunately for the ACA, the risk corridors program was intentionally damaged by Marco Rubio]:

[The Marco Rubio]  amendment placed a hard limit on risk corridor payments, thus restoring the risk to insurers that the risk corridor policy was designed to mitigate.  More than anything else, it was this single act that caused insurers to "flee the exchanges", especially in those states that did not expand Medicaid.

... Rubio bragged about this action of his during the Republican Presidential debates, calling risk corridors a "bailout fund" for the insurers.

So when you hear that "Obamacare is on life support, and we're pulling the plug," remember that it was Republican partisanship that put it there.  
https://www.dailykos.com/stories/2017/3/23/1646512/-Risk-Corridors-or-How-Marco-Rubio-Broke-Obamacare

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March 28:
Obamacare has dodged another bullet!

 ...
Obamacare survived: What all this means for you ...
http://www.brownellinsurance.com/tag/obamacare/

March 28:  There's one thing [congress] can do that will likely drive a stake through [the heart of the Affordable Care Act] -- refuse to fund the law's cost-sharing subsidies. The subsidies continue to be paid this year, but insurers want to know whether lawmakers intend to fund them for 2018. If they don't, many, if not all, carriers would likely drop out of the exchanges next year.
http://money.cnn.com/2017/03/28/news/economy/obamacare-congress/index.html

March 24: After withdrawing his health care bill from the House floor in an embarrassing defeat, Speaker Paul Ryan said Friday that “Obamacare is the law of the land” and will remain so “for the foreseeable future.”

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“I don't know what else to say other than Obamacare is the law of the land,” Ryan told reporters shortly after House Republicans canceled a planned afternoon vote on their alternative to Barack Obama’s 2010 health care reform law.

“It's gonna remain the law of the land until it's replaced,” Ryan continued. “We did not have quite the votes to replace this law."
https://www.politico.com/story/2017/03/obamacare-repeal-failed-paul-ryan-reaction-236478

March 27: President Trump is serious about working with Democrats to move his agenda forward and has already fielded phone calls from liberal lawmakers about healthcare reform, White House spokesman Sean Spicer said Monday.
http://thehill.com/homenews/administration/325944-white-house-trump-is-serious-about-working-with-democrats

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March 30:  House Speaker Paul Ryan says he has no interest in working with Democrats on getting health care legislation passed

Donald Trump is "absolutely" willing to work with Democrats on a way forward on health care.
http://www.cnn.com/2017/03/30/politics/paul-ryan-democrats-health-care/index.html

March 30: Speaker Paul Ryan (R-Wis.) said Thursday that the administration will continue to fund key ObamaCare payments to insurers while a House lawsuit runs its course ... House Republicans sued the Obama administration over these "cost-sharing reductions," or CSRs, which reimburse insurers for giving discounted deductibles to low-income ObamaCare enrollees. ... Insurers are worried the payments could be discontinued, which could throw the market into chaos and cause insurers to pull out of the marketplaces.
http://thehill.com/policy/healthcare/326533-ryan-says-key-obamacare-payments-will-continue-during-house-lawsuit

March 30: [House Democratic leader Nancy] Pelosi warns GOP against 'sabotaging' Obamacare, as House Speaker Ryan vows to press repeal

Pelosi said individual health plan premiums and deductibles could increase dramatically, by 35 percent to 40 percent above current levels, if the Republicans did two things to "sabotage" Obamacare.

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One would be killing the ACA mandate that most Americans have insurance or pay a fine. The second would be if GOP lawmakers refuse to continue funding subsidies to insurers that lower out-of-pocket costs for millions of Americans.
https://www.cnbc.com/2017/03/30/pelosi-warns-against-sabotaging-obamacare-ryan-vows-to-press-repeal.html

April 12: President Donald Trump is threatening not to reimburse health insurers for covering low income people as a way of forcing Democrats to the negotiating table on health care.
http://www.greensborotimesonline.com/posts/trump-threatens-to-stop-insurance-payments/

March 30: Trump predicted Monday that Democrats will ultimately collaborate with Republicans on healthcare once ObamaCare starts failing.

“The Democrats will make a deal with me on healthcare as soon as ObamaCare folds — not long,” he tweeted. "Do not worry, we are in very good shape!”
http://thehill.com/homenews/senate/326466-gop-senator-jabs-ryan-on-dems-healthcare

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April 13:
Aetna considers gender  reassignment surgery medically necessary when [certain] criteria are met ...
http://www.aetna.com/cpb/medical/data/600_699/0615.html

April 13: President Trump signed legislation on Thursday aimed at cutting off federal funding to Planned Parenthood and other groups that perform abortions, a move cheered by conservatives who have clamored to impose curbs on reproductive rights [after Obama ruled that such clinics be funded].
https://www.nytimes.com/2017/04/13/us/politics/planned-parenthood-trump.html

April 26: With just two days left to stop a partial shutdown of the federal government, the Trump administration on Wednesday removed another major sticking point in the spending bill negotiations.

The White House told lawmakers it will not cut off federal subsidies that help low-income Americans pay for health insurance under the Affordable Care Act, at least for now, an administration official and congressional sources confirm to NPR.
http://www.npr.org/2017/04/26/525784529/easing-shutdown-worries-trump-relents-on-another-major-hurdle?utm_source=npr_newsletter&utm_medium=email&utm_content=20170426&utm_campaign=breakingnews&utm_term=nprnews

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April 28: House GOP leaders, despite a furious push Thursday, were unable to wrangle the votes necessary to move forward on their latest effort to repeal and replace the Affordable Care Act.

The development short-circuits, yet again, the House effort to repeal the cornerstone domestic achievement of President Barack Obama. It guarantees President Donald Trump will be without a cornerstone legislative achievement on his 100th day in office -- a symbolic moment that the White House has focused on intently in recent days ...
http://www.cnn.com/2017/04/25/politics/shutdown-border-wall-obamacare-congress/index.html

May 4: House Republicans pass healthcare bill in first step toward replacing Obamacare ...

Partisan approval with one vote to spare sends American Health Care Act to uncertain fate in Senate, after negotiations reveal cracks in Republican party ...

Republicans burst into applause when the bill passed the 216-vote threshold, a feat that had seemed insurmountable just days before.

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Democrats too saw a reason for celebrating. After it passed, they sang the 60s hit Na Na Hey Hey (Kiss Him Goodbye) – appearing to suggest Republicans would lose their seats if the repeal proved unpopular.
https://www.theguardian.com/us-news/2017/may/04/republican-healthcare-bill-passes-house-vote-obamacare-repeal

May 24: Latest poll: a majority oppose the Republican plan to replace Obamacare.
http://www.foxnews.com/politics/2017/05/24/fox-news-poll-trump-approval-down-voters-support-special-counsel-on-russia.html

May 26: Today, more than 17 million women in the U.S. aged 18 to 64 have health insurance because of Medicaid, according to data from the National Women’s Law Center. Nearly a fourth of these women gained access to health insurance for the first time as a result of Medicaid expansion under the Affordable Care Act (ACA) that passed in 2010.
http://abcnews.go.com/Health/gops-proposed-medicaid-cuts-leave-millions-women-uninsured/story?id=47667870

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June 6: Sen. Lindsey Graham, a South Carolina Republican who recently met with Trump, told CNN on Monday that he didn't think health care reform will get passed by the Senate this year.

"I just don't think we put it together among ourselves," he said. "I've always believed, let Obamacare collapse, which it will and challenge the Democrats to help us fix it. That's always been my preferred route."
http://www.cnn.com/2017/06/06/politics/trump-agenda-russia-congress/index.html

June 22: The closely guarded Senate health care bill written entirely behind closed doors finally became public Thursday in a do-or-die moment for the Republican Party's winding efforts to repeal Obamacare.

With the exception of some key changes -- notably keeping Obamacare's subsidies to help people pay for individual coverage -- the bill is similar to the version of the House measure that passed last month which Trump has since called "mean" despite having a Rose Garden celebration with House Republicans.
http://us.cnn.com/2017/06/22/politics/senate-health-care-bill/?iid=ob_lockedrail_bottomlist

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June 28: Just 12% of Americans support the Senate Republican health care plan, a new USA TODAY/Suffolk University Poll finds, amid a roiling debate over whether the GOP will deliver on its signature promise to repeal and replace the Affordable Care Act.

[In a survey] taken Saturday through Tuesday, a 53% majority say Congress should either leave the law known as Obamacare alone or work to fix its problems while keeping its framework intact.
https://www.usatoday.com/story/news/politics/2017/06/28/suffolk-poll-obamacare-trump-senate-health-care-plan/103249346/

June 28: By more than 4-1, those surveyed trust congressional Democrats over congressional Republicans to protect the interests of them and their families on health care, 43%-10%. Another 19% say they trust President Trump most. The president's ratings on handling health care far lags his standing on other issues, including the economy and national security. Twenty-seven percent approve of the job he's doing on health care; 61% disapprove.
https://www.usatoday.com/story/news/politics/2017/06/28/suffolk-poll-obamacare-trump-senate-health-care-plan/103249346/

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July 6: Republicans are starting to admit they may have to work with Democrats on healthcare
http://www.businessinsider.com/mcconnell-republican-democrats-healthcare-bill-senate-2017-7 

July 18: POTUS said he was "disappointed" about healthcare.

He also said his plan was now "to let Obamacare fail, it will be a lot easier. And I think we're probably in that position where we'll let Obamacare fail. We're not going to own it. I'm not going to own it. I can tell you the Republicans are not going to own it. We'll let Obamacare fail and then the Democrats are going to come to us."
https://www.vox.com/2017/7/18/15990986/trump-let-obamacare-fail

July 19: New Jersey Sen. Cory Booker slammed President Donald Trump for declaring he would let Obamacare fail ...

... during the 2016 election, Trump promised voters that only he could fix health care in America, but he outsourced responsibility to the Republican leadership.

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"The great deal maker failed to make a deal," Booker said. "And so now he's just saying I am going to imperil 30 million Americans ... you will see very devastating things happen. That's just not a cynical way that's violating his promises, that's sinister. It's evil to plot against Americans like that."
http://www.phillytrib.com/news/trump-letting-obamacare-fail-is-cynical-and-sinister-sen-cory/article_b859831c-6859-576a-9167-99f1b5ecabae.html

July 27: As of Thursday afternoon, the text of the Republican bill that would scrap Obamacare's individual and employer mandates -- known as the "skinny repeal" bill -- remained unseen by senators but it was discussed during a closed-door lunch and an outline of it has been circulating among lawmakers and lobbyists.

Rep. Mark Meadows, leader of the House Freedom Caucus: "Am I gonna send a skinny health care plan to the President for him to sign? The answer is absolutely not"...
http://www.cnn.com/2017/07/27/politics/health-care-debate-thursday/index.html

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July 27: The Senate is expected to kick off a marathon of voting on health care amendments — known as a vote-a-rama — at some point Thursday or Friday before getting down to final passage of a health care bill.

The Senate defines it [a vote-a-rama] as 15 or more votes that happen on a piece of legislation in a single day (while vote-a-ramas are often done on budget resolutions, they can be about any piece of legislation, like the health care bill). After the allotted time of debate on a bill expires, any senator can introduce an unlimited number of amendments to a piece of legislation. They then vote on the amendments, marathon-style. This can go on for hours.
https://www.usatoday.com/story/news/politics/onpolitics/2017/07/27/vote-a-rama-senate-health-care-bill/515819001/

July 28: In a 2 a.m. tweet on Friday, after the Senate failed to pass the so-called "skinny" health care bill, President Trump said, " 3 Republicans and 48 Democrats let the American people down. As I said from the beginning, let ObamaCare implode, then deal. Watch!"
https://www.cnsnews.com/news/article/susan-jones/trump-3-republicans-and-48-democrats-let-american-people-down

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July 30: A coalition of roughly 40 House Republicans and Democrats plan to unveil a slate of Obamacare fixes Monday they hope will gain traction after the Senate’s effort to repeal the law imploded.

The Problem Solvers caucus, led by Tom Reed (R-N.Y.) and Josh Gottheimer (D-N.J.), is fronting the effort to stabilize the ACA markets, according to multiple sources. But other centrist members, including Rep. Kurt Schrader (D-Ore.), and several other lawmakers from the New Democrat Coalition and the GOP’s moderate Tuesday Group are also involved.

Their plan focuses on immediately stabilizing the insurance market and then pushing for Obamacare changes that have received bipartisan backing in the past.
https://www.politico.com/story/2017/07/30/obamacare-health-care-stabilization-241151

August 7: [Insurer] Anthem (ANTM) is pulling out of Nevada's Obamacare exchange for 2018 and cutting its presence in Georgia's marketplace roughly in half, the company announced Monday ...
 
Other insurers are also expected to downsize their involvement or to hike rates in coming weeks.

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"Today, planning and pricing for ACA-compliant health plans has become increasingly difficult due to a shrinking and deteriorating individual market, as well as continual changes and uncertainty in federal operations, rules and guidance, including cost sharing reduction subsidies and the restoration of taxes on fully insured coverage," the company said in a statement.
http://money.cnn.com/2017/08/07/news/economy/anthem-obamacare/index.html

August 7: Every county in the United States is expected to have at least one health insurer offering coverage through the Affordable Care Act's exchanges in 2018, with the announcement Thursday that the nonprofit insurer CareSource next year has agreed to offer plans in the last potential "bare" county in Ohio.

As many as 82 counties nationwide – many concentrated in states including Missouri, Nevada, Ohio and Tennessee – had previously been considered at risk of having no coverage offerings for 2018.
https://www.usnews.com/news/national-news/articles/2017-08-24/last-bare-county-in-us-to-have-obamacare-coverage-in-2018

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August 7: In one bright spot for Obamacare, Blue Cross and Blue Shield of North Carolina announced it is reducing its requested 2018 premium increase to 14.1% because its policyholders filed lower-than-expected medical claims in June and July. The company had initially asked for a 22.9% rate hike, much of which is due to the uncertainty surrounding the cost-sharing subsidies.
http://money.cnn.com/2017/08/07/news/economy/anthem-obamacare/index.html

August 24: Percentage of Americans aged under 65 without health insurance (see comparison chart)
http://www.bbc.com/news/world-us-canada-38663043

September 1: President Trump talks incessantly about how the Affordable Care Act has failed. He has threatened to make it “implode.” Now he has taken a major step toward making his own predictions and threats come true.

The Department of Health and Human Services announced Thursday that it is cutting the advertising budget for the upcoming open enrollment period for individual insurance policies by a stunning 90%, to $10 million from last year's $100 million. The HHS also is cutting funds for nonprofit groups that employ "navigators," those who help people in the individual market understand their options and sign up, by roughly 40%, to $36.8 million from $62.5 million.
http://beta.latimes.com/business/hiltzik/la-fi-hiltzik-trump-obamacare-20170901-story.html

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September 6: After a dramatic series of failed Senate votes in July, there’s one repeal-and-replace plan for the Affordable Care Act left standing. ... The proposal, crafted by Sens. Bill Cassidy (R-La.), Lindsey O. Graham (R-S.C.) and Dean Heller (R-Nev.), essentially turns control of the health-care markets over to the states. ... It also allows states to opt out of many ACA regulations.
https://www.washingtonpost.com/graphics/2017/politics/cassidy-graham-explainer/?utm_term=.e3b7013fc012

September 18:
The 4 steps for Republicans to repeal Obamacare in the next 2 weeks
https://www.vox.com/policy-and-politics/2017/9/18/16327468/senate-republicans-obamacare-repeal-cassidy-graham-4-steps


September 21: Republicans are caught between a rock and a hard place ...

The rock is the seven years of near-constant campaign promises that the first thing they would do if given full power in Washington is repeal and replace Obamacare. Republicans won control of the House in 2010 -- and gained seats in 2014 -- almost entirely on that message.

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The hard place is the fact that the legislation sponsored by Sens. Lindsey Graham of South Carolina and Bill Cassidy of Louisiana is being moved rapidly through the legislative process because of a drop-dead deadline of the end of the month. That means that it isn't going through anything close to regular order -- up to and including the fact that the Congressional Budget Office won't score the bill -- for costs etc. -- before the Senate needs to vote.

To not make good on the promise -- with total control of Washington and no one to blame -- would be, in the minds of many Republican elected officials, a complete betrayal of their base, with potentially disastrous consequences on the ballot next fall.
http://www.cnn.com/2017/09/21/politics/grassley-trump-health-care/?iid=ob_article_footer_expansion

September 22:
Right and Left React to the Graham-Cassidy Bill
https://www.nytimes.com/2017/09/22/us/politics/graham-cassidy-bill-right-and-left.html?mcubz=1


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September 22: Senator John McCain (R-AZ) announced his opposition to the Graham-Cassidy legislation on Friday, likely killing the health-care bill’s chances of passing the Senate. “I cannot in good conscience vote for the Graham-Cassidy proposal,” McCain said in a statement. “I believe we could do better working together, Republicans and Democrats, and have not yet really tried. Nor could I support it without knowing how much it will cost, how it will effect [sic] insurance premiums, and how many people will be helped or hurt by it.
https://www.thedailybeast.com/mccain-i-cannot-in-good-conscience-vote-for-graham-cassidy

September 22: Sen. Rand Paul of Kentucky said he would not back Graham-Cassidy
http://www.cnn.com/2017/09/22/politics/john-mccain-health-care/index.html

September 22: The push for single-payer healthcare just went national.
http://www.latimes.com/politics/la-pol-ca-bernie-sanders-single-payer-20170922-htmlstory.html

September 24: Sen. Susan Collins said Sunday morning that it would be "very difficult for me to envision a scenario" where she would vote for Republicans' latest plan to repeal and replace Obamacare, but the Maine Republican said she wanted to wait for a Congressional Budget Office score of the Graham-Cassidy bill before rendering a final decision.
http://www.cnn.com/2017/09/24/politics/susan-collins-graham-cassidy-decision/index.html

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Undated:  Click link for Physicians for a National Health Program chart comparing health plans:
http://www.pnhp.org/sites/default/files/HR676vsACAvsAHCA.pdf

Undated: The United States is the only country in the developed world that does not guarantee access to basic health care for residents. Countries that guarantee health care as a human right do so through a “single-payer” system, which replaces the thousands of for-profit health insurance companies with a public, universal plan.

Does that sound impossible to win in the United States? It already exists – for seniors! Medicare is a public, universal plan that provides basic health coverage to those age 65 and older. Medicare costs less than private health insurance, provides better financial security, and is preferred by patients (Davis, 2012). Single-payer health care is often referred to as “Expanded & Improved Medicare for All.”
https://www.healthcare-now.org/what-is-single-payer/

September 24:
A Canadian Doctor Explains How Her Country's Single-Payer Health Care System Works
http://www.npr.org/2017/09/24/553336111/a-canadian-doctor-explains-how-her-countrys-single-payer-health-care-system-work


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September 20: Single-payer health care: What is it?
http://www.foxnews.com/politics/2017/09/20/single-payer-health-care-what-is-it.html

September 25: Whose Health Care Is Best? A Look at the Pros and Cons of 6 Countries’ Health Care Systems Across the World
https://www.brit.co/whose-healthcare-is-best-a-look-at-the-pros-and-cons-of-6-countries-healthcare-systems-across-the-world/

Undated:
What are the pros and cons of a single payer system vs. universal healthcare?
https://www.quora.com/What-are-the-pros-and-cons-of-a-single-payer-system-vs-universal-healthcare

Undated: Proponents of the right to health care say that no one in the richest nation on earth should go without health care. They argue that a right to health care would stop medical bankruptcies, improve public health, reduce overall health care spending, help small businesses, and that health care should be an essential government service.

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Opponents argue that a right to health care amounts to socialism and that it should be an individual's responsibility, not the government's role, to secure health care. They say that government provision of health care would decrease the quality and availability of health care, and would lead to larger government debt and deficits.
https://healthcare.procon.org/

List of Pros and Cons of Single Payer Health Care [also at January 25, 2015]
https://occupytheory.org/list-of-pros-and-cons-of-single-payer-health-care/

What Would Single-Payer Mean for Doctors? Experts outline the pros and cons [also at
January 17, 2016
]
https://www.medpagetoday.com/washington-watch/reform/55879

September 1: Slashing advertising and outreach funds, Trump takes his sabotage of Obamacare to a new level
http://beta.latimes.com/business/hiltzik/la-fi-hiltzik-trump-obamacare-20170901-story.html

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September 18: As Federal Government Cuts Obamacare Ads, Private Insurer Steps Up

Open enrollment for Affordable Care Act insurance doesn't start for another six weeks. But the quirky insurance startup Oscar Health is launching an ad campaign Monday aimed at getting young people to enroll.

The company is boosting its ad spending after the Trump administration announced it would slash its ACA advertising budget by 90 percent.

Oscar is the first private insurance company to step in to try to make up for government's advertising cuts. Whether others join them — and whether they're effective — will only be clear when open enrollment ends, and the numbers are tallied sometime early next year.
https://www.npr.org/sections/health-shots/2017/09/18/551776441/as-federal-government-cuts-obamacare-ads-private-insurer-steps-up

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September 22: Obamacare signup site to be shut down for 12 hours nearly every Sunday of open enrollment

HHS regularly schedules maintenance outages for Healthcare.gov during open enrollment period, according to a spokesperson from the Centers for Medicare & Medicaid Service. The spokesperson said the schedule was provided earlier this year “to accommodate requests from certified application assisters.”

“System downtime is planned for the lowest-traffic time periods on HealthCare.gov including Sunday evenings and overnight,” the spokesperson said in a written statement to the NewsHour.

The department has already planned to shorten open enrollment season by 45 days — running from Nov. 1 to Dec. 15, 2017 for 2018 coverage. During the previous enrollment period, people had twice as much time to enroll for individual health insurance. https://www.pbs.org/newshour/health/obamacare-signup-site-shut-12-hours-nearly-every-sunday-open-enrollment

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October 12: President Donald Trump took his first steps Thursday toward fulfilling his vow to dismantle Obamacare, signing an executive order that he says will bring affordable health insurance to millions more people.

The order [which] broadly tasks the administration with developing policies to increase health care competition and choice in order to improve the quality of health care and lower prices ... could also destabilize Obamacare by siphoning out younger and healthier Americans from the exchanges ... The changes could take six months or more to take effect, a senior administration official said.
http://www.cnn.com/2017/10/12/politics/trump-obamacare-executive-order/index.html

October 12: Critics ... worry that [Trump's] order may free these association health plans from several key Obamacare regulations and from state oversight, allowing them to sell plans with lower premiums but skimpier benefits across state lines. That could siphon off younger and healthier customers from Obamacare and send premiums skyrocketing for sicker people left in the exchanges.
http://fox8.com/2017/10/12/ill-do-it-myself-trump-hopes-to-boost-lower-premium-health-insurance-plans/

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October 12:
Trump plans to end a key set of Obamacare subsidies that helped lower-income enrollees pay for health care, the White House said Thursday, a dramatic move that raises questions about the law's future.

The uncertainty over the subsidies' fate was a key reason that many insurers are substantially hiking their rates for 2018 -- some by more than 20%. Several major carriers dropped out of the individual market, unwilling to wait and see what Trump and congressional Republicans would do.

Insurers have already signed contracts committing them to participating in 2018 and setting their rates. They must continuing [sic] offering the reduced deductibles and co-pays to eligible enrollees, but they won't be paid for them. That's why many asked for such large rate hikes.
http://www.thedenverchannel.com/news/national/trump-will-end-health-care-subsidies-for-some-low-income-americans

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October 12: A statement from 18 patient groups, follows:

“This order has the potential to price millions of people with pre-existing conditions and serious illnesses out of the individual insurance market and put millions more at risk through the sale of insurance plans that won’t cover all the services patients want to stay healthy or the critical care they need when they get sick.

“Allowing the expansion of association health plans and exempting them from covering the essential health benefits—including services like preventive care, prescription drugs, or hospitalization—would mean Americans could again face arbitrary annual or lifetime coverage caps and insufficient benefits. Short-term plans would no longer be short-term, but instead could be sold for a year and renewed indefinitely. These plans can deny coverage based on pre-existing conditions and are inadequate for long-term insurance needs  ..."
http://www.businesswire.com/news/home/20171012006307/en/Health-Insurance-Put-Meaningful-Health-Coverage-Reach

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October 12: The action ... is likely to spur many lawsuits. New York Attorney General Eric Schneiderman, who is part of a coalition defending the subsidies, swiftly announced that group would take action against Trump.

Nearly 6 million enrollees, or 57%, qualify for the cost-sharing payments this year, according to the most recent data from the Department of Health and Human Services.

The uncertainty over the subsidies' fate was a key reason that many insurers are substantially hiking their rates for 2018 -- some by more than 20%. Several major carriers dropped out of the individual market, unwilling to wait and see what Trump and congressional Republicans would do.
http://www.cnn.com/2017/10/12/politics/obamacare-subsidies/index.html

On Twitter: The Democrats ObamaCare is imploding. Massive subsidy payments to their pet insurance companies has stopped. Dems should call me to fix!
October 13
@realDonaldTrump


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October 13: "So what happens now? Lawsuits, lawsuits, and more lawsuits," Nicholas Bagley, an assistant professor of law at the University of Michigan, wrote in a blog post Thursday night.

Insurers and state officials could sue the Trump administration for ending the payments. New York Attorney General Eric Schneiderman, who is part of a coalition defending the subsidies, announced Friday that a group of states filed a lawsuit to force the president to continue the funding.
http://money.cnn.com/2017/10/13/news/economy/trump-obamacare-subsidies/index.html

October 14: The damage is not catastrophic. But it is real and it will linger.

That was the conclusion many health care industry officials and analysts had reached by week’s end, following a pair of blows that President Donald Trump delivered to the Affordable Care Act ― and, indirectly, to the millions of people who buy private health insurance on their own.

The first blow came on Thursday, in the form of an executive order designed to undermine the new rules that “Obamacare” has placed on insurers. The 2010 health care law famously prohibits carriers from denying coverage to people with pre-existing conditions. It also requires that all plans cover a set of “essential” health benefits including mental health and maternity care.

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With the executive order, Trump instructed three federal agencies to carve out some exceptions to those rules. The result could be a parallel market full of plans that don’t have all of the essential benefits and, in some cases, that are available to people only in relatively good health.
https://www.huffingtonpost.com/entry/trumps-obamacare-sabotage-is-doing-real-damage-to-american-health-care_us_59e1840be4b04d1d5182082d

October 14: It's true large companies can't exclude or charge higher premiums to individual workers based on their medical history, as Paul and the Trump administration are quick to point out. But the rates an employer pays as a whole are based on the health status of its workers.

... it's likely association plans would try to cherry pick small businesses with younger and healthier staffers. They could do this by charging higher premiums or offering skimpier benefits to firms with older and sicker workers, or those with more women, who tend to use more health care services.
http://money.cnn.com/2017/10/14/news/economy/trumps-executive-order-pre-existing-conditions/index.html

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October 23: The Trump administration's move to slash Obamacare outreach and education budgets will lead to at least 1.1 million fewer people signing up for health insurance this enrollment season, a new analysis estimates.

And those 1.1 million lost customers will tend to be younger and healthier than the people who do sign up, putting even more financial pressure on health insurers, the analysis found.
https://www.cnbc.com/2017/10/23/trumps-obamacare-ad-cuts-will-slash-enrollment-by-more-than-one-million.html

October 23: Collectively, "the impact is pretty grim," [Joshua Peck, former chief marketing officer for HealthCare.gov] said in an interview.

Peck also said he expects the administration to use the lower enrollment figures and higher premium prices that result from its own actions as ammunition to bash the law further.

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"They're clearly going to say that the declining enrollment is evidence of lack of popular support of Obamacare, and I think there's a lot of evidence that shows that is patently false," Peck said.
https://www.cnbc.com/2017/10/23/trumps-obamacare-ad-cuts-will-slash-enrollment-by-more-than-one-million.html

November 3: Trump personally pushing GOP leaders to use tax bill to undermine Obamacare ... Party leaders ... took a preliminary step to study Trump’s proposal to include language in the tax bill that would scrap the Affordable Care Act’s individual mandate, a change nonpartisan analysts say would save the government more than $400 billion over a decade but would also leave 15 million more Americans without health insurance.
https://www.washingtonpost.com/powerpost/obamacare-mandate-could-still-be-repealed-in-gop-tax-bill-chairman-says/2017/11/03/efdf4e38-c0c3-11e7-8444-a0d4f04b89eb_story.html?utm_term=.bab7c1c34aa5

November 6: President Donald Trump's 90 percent cut to Obamacare advertising has U.S. health insurers in many states digging deeper into their pockets to get the word out about 2018 enrollment, which opened last week.

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Independence Blue Cross, a health insurer in Pennsylvania, has commissioned a tractor trailer truck to bring insurance consultants out to shopping centers and other neighborhood spots around Philadelphia.

Centene Corp
, best known for its Medicaid health insurance, is expanding TV and print advertising for Obamacare as it ventures into three new states: Kansas, Missouri and Nevada. Tech-savvy newcomer Oscar Health has four different TV commercials running in six states including Texas and Ohio that espouse “easy health insurance” with video shots of patients text-messaging with Oscar.
http://whtc.com/news/articles/2017/nov/06/insurers-step-up-pitch-for-obamacare-as-government-slashes-its-effort/

November 8:
Where the states stand on Medicaid expansion ... 32 states, D.C., have expanded Medicaid ...
https://www.advisory.com/daily-briefing/resources/primers/medicaidmap

November 8: Obamacare made a comeback in Tuesday’s elections, its strongest show of support since President Donald Trump was elected and the GOP spent months on a futile effort to repeal it.

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In the governor’s race in Virginia and a ballot initiative in Maine, the Affordable Care Act buoyed Democrats, a remarkable reversal from how Trump and congressional Republicans won elections excoriating the “failed” and “doomed” law.
https://www.politico.com/story/2017/11/08/obamacare-boost-at-the-polls-244696

November 9: More than 600,000 people selected Obamacare plans for 2018 from Nov. 1 to Nov. 4 in the 39 states that use the HealthCare.gov eligibility and enrollment platform, Centers for Medicare and Medicaid Services said Thursday. Last year, about 415,500 enrolled from Nov. 1 to Nov. 5.

The early figures follow other evidence that voters are more supportive of Obamacare than the president and Republicans in Congress who have attempted to kill the law. In Maine, voters approved the expansion of the Medicaid program for the poor, a vote that could encourage other states to follow. Among a string of victories for Democrats in off-year elections, Virginia voters who elected a Democratic governor cited health care as a top issue in their decision.
https://www.bloomberg.com/news/articles/2017-11-09/more-than-600-000-sign-up-for-obamacare-in-first-four-days

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December 11: The Senate included a repeal of the Obamacare tax on those who don't get health insurance in its tax reform plan. The CBO estimated 13 million people would drop coverage as a result. The federal government would no longer have to pay the health insurance subsidies of the people who would drop coverage. That would save it $338 billion. On the other hand, health care costs will rise because fewer people will get preventive care.
https://www.thebalance.com/how-could-trump-change-health-care-in-america-4111422

December 19: Congressional Republicans are cheering a major win as tax reform makes its way through Congress to President Donald Trump's desk but they could be barreling toward a government shutdown at the end of the week because of a major fight between House and Senate GOP lawmakers over Obamacare payments.

Unless they pass a stopgap funding bill before a midnight Friday deadline, federal agencies' coffers run dry.
http://www.cnn.com/2017/12/19/politics/government-shutdown-republicans-congress/index.html

December 15: Will Obamacare survive the tax bill?
http://money.cnn.com/2017/12/15/news/economy/obamacare-individual-mandate-tax/index.html

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December 18: Without the Insurance Mandate, Health Care’s Future May Be in Doubt
https://www.nytimes.com/2017/12/18/us/politics/tax-cut-obamacare-individual-mandate-repeal.html

December 19:
Republicans will regret this tax bill sooner rather than later.
https://newrepublic.com/minutes/146363/republicans-will-regret-tax-bill-sooner-rather-later

December 20: The House on Wednesday approved a massive Republican plan to overhaul the tax code, clearing the bill’s final hurdle in Congress and sending it to President Trump to be signed into law.

The measure passed the House 224 to 201 as overwhelming Republican support carried the bill past unanimous Democratic opposition and ‘no’ votes from 12 GOP members. The House vote comes after the Senate approved an identical measure early Wednesday morning, with all Democrats opposed and all Republicans present in support.
https://www.washingtonpost.com/business/economy/gop-tax-bill-passes-congress-as-trump-prepares-to-sign-it-into-law/2017/12/20/0ba2fd98-e597-11e7-9ec2-518810e7d44d_story.html?utm_term=.05cc4dca2e03

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December 20: Obamacare will survive -- It won’t be pretty. But the law might really, finally be in the clear.

The Affordable Care Act is going to survive. Republicans are on track to repeal the law's individual mandate in their tax overhaul as early as next week. ... Repealing the individual mandate is a legitimate blow to the Obamacare marketplaces, but doing so won't unravel the markets entirely.

https://www.vox.com/policy-and-politics/2017/12/18/16777418/obamacare-will-survive

December 21: Nearly 9 Million Signed Up for Obamacare Despite Trump's War Against It ... Obamacare enrollment through federal websites reached 8.8 million this year, the Trump administration said on Thursday, just shy of the number who signed up in 2016 when the enrollment period was twice as long. [The number excludes the millions more who enrolled in Obamacare through state-run marketplaces, like those in New York, California, and about a dozen other states.] ... Although the individual mandate was repealed in the tax bill, it’s still in effect for 2018.
http://fortune.com/2017/12/21/obamacare-enrollment-surge-despite-trump/

-- 2018 --

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February 1: GOP eyes premium help at retreat, but ObamaCare 'full repeal' tabled
http://www.foxnews.com/politics/2018/02/01/gop-eyes-premium-help-at-retreat-but-obamacare-full-repeal-tabled.html

March 17: You were told the Republican tax bill would cut your taxes. ... But in the end, you may not have any more money in your pocket.

That's because higher health care premiums will cancel out the tax cut for those buying insurance on the Affordable Care Act exchanges without government subsidies. As many as 150,000 New Jerseyans could be affected.

The rate hikes will occur because the measure signed by President Donald Trump repeals the requirement that all Americans carry health insurance or pay a penalty.

"For middle-class people buying their own insurance, it could very well be that the premium increases will wipe out any savings they're getting from the tax cuts," said Larry Levitt, senior vice president with the Kaiser Family Foundation, which studies health care.

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Besides ending the individual mandate, the Trump administration cut last year's enrollment period in half, reduced efforts to help people sign up for insurance, ended payments to insurance companies to cover deductibles and co-payments for low-income policyholders, and took other steps to weaken the law.

"The administration's sabotage, coupled with the Republican tax scam that repealed the individual mandate, will result in massive health care cost increases."
http://www.nj.com/politics/index.ssf/2018/03/trump_tax_plan_will_take_from_nj_as_much_as_it_giv.html

June 5: ... it looks like Obamacare premiums could jump by double digits again next year.

Insurers in several states have requested large rate hikes for 2019, with many pointing to steps taken by President Donald Trump and Republicans in Congress as the main reasons why.

New York insurers want to hike rates by 24%, on average, while carriers in Washington are looking for a 19% average premium increase. In Maryland, CareFirst is asking for an average 18.5% rate bump for its HMO plans and a 91% spike for its PPO policies (which have far fewer enrollees), while Kaiser Permanente wants to boost premiums by more than 37%, on average.

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Many insurers cite two key drivers of the increases: Congress' elimination of the penalty for the individual mandate -- which requires nearly all Americans to have coverage or pay up -- and the Trump administration's expected expansion of two types of health plans that don't have to adhere to Obamacare's regulations.
https://www.cnn.com/2018/06/07/politics/obamacare-premiums/index.html

July 3: Badly Injured Woman Begs Passersby Not To Call An Ambulance, Due To Cost

Welcome to America: Where the pain of crippling debt from medical bills exceeds the visceral, searing pain of a literally crippling injury.

This stark epiphany brought to you by Maria Cramer, a reporter at the Boston Globe. Last Friday, Cramer encountered a woman during her commute whose leg slipped into the gap between the train and the platform, where it was pinned, twisted and bloodied.

Despite being in agony, the 45-year-old woman, whose name hasn’t been released, begged bystanders who came to her aid not to call an ambulance ― because she couldn’t afford it:
https://www.huffingtonpost.com/entry/injured-woman-no-ambulance-too-expensive_us_5b3bda49e4b09e4a8b283583


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July 30: When a lawsuit challenging the Affordable Care Act reached his Washington, DC, appeals court in 2011, Judge Brett Kavanaugh was careful not to commit. He described the law requiring people to buy health insurance as "unprecedented" and the breadth of Obama administration's defense of it "jarring."

"[T]here seems no good reason," wrote Kavanaugh, now President Donald Trump's choice for the US Supreme Court, "that [the administration's] theory would not ultimately extend as well to mandatory purchases of retirement accounts, housing accounts, college savings accounts, disaster insurance, disability insurance, and life insurance, for example."
https://www.cnn.com/2018/07/30/politics/brett-kavanaugh-obamacare-joe-manchin/index.html

August 2:
How Much Did Obamacare Cost?

Learn Why the Affordable Care Act Doesn't Add to the Debt

Does Obamacare add to the U.S. debt, or reduce it? The answers can be very confusing. Estimates range from saving $143 billion over the next decade to adding $1.76 trillion to it. And then there's President Obama's initial claim that the Patient Protection and Affordable Care Act would add $940 billion to the debt. Who's right? They all are. Here's how.
https://www.thebalance.com/cost-of-obamacare-3306050

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November 1: Trump Administration Hands States Another Tool for Dismantling Preexisting Condition Protections

Last week, the Trump administration issued long-anticipated guidance regarding the Affordable Care Act’s Section 1332 “innovation waiver” program. The release rebrands and creatively reimagines the ACA program (they’re now “State Relief and Empowerment” waivers), breaking dramatically with past policy and, arguably, with the statute it purports to interpret. In the administration’s view, the ACA permits states to funnel federal dollars towards insurance products, such as short-term plans, which do not meet the ACA’s key consumer protections, while reducing support for consumers who depend on coverage compliant with the ACA’s rules. Further, the new guidance assures states that they may push forward with such policies even if they will have a detrimental effect on people with preexisting conditions, those at lower incomes, or older Americans.
https://ccf.georgetown.edu/2018/11/01/trump-administration-hands-states-another-tool-for-dismantling-preexisting-condition-protections/


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November 28: Obamacare Sign-Ups Lag As Trump Slashes Funds For Enrollment Help

Enrollment is down sharply on the federal health insurance marketplace this fall, and the consumer assistance groups that help with sign-ups think they know why.

They don't have the staff to help as many customers as before because the Trump administration slashed funding. The federal government is spending $10 million this year on navigators who help individuals enroll in coverage. The government spent $36 million in 2017 and $63 million in 2016.
https://www.npr.org/sections/health-shots/2018/11/28/671045006/obamacare-sign-ups-lag-as-trump-slashes-funds-for-enrollment-help


November 29: Trump Administration proposes using ACA subsidies to buy non-Obamacare health insurance

Democrats demand answers to what they call a sabotage of the ACA.
https://www.healthcarefinancenews.com/news/trump-administration-proposes-using-aca-subsidies-buy-non-obamacare-health-insurance



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December 14: Former President Barack Obama released a video earlier this week urging people to hurry up and shop for health insurance on the Affordable Care Act exchange.

"This year I'm giving it to you straight," Obama says in the video. "It's important to have health insurance in case, God forbid, you get really sick, or hurt yourself next year."

"I hate to panic but I do think we're going to come in low on the federal exchange, says Rosemarie Day, CEO of Day Health Strategies. Day was the founding COO of Massachusetts' state exchange, which launched in 2006, long before the Affordable Care Act became law.

She blames the lower enrollment on the Trump Administration's decision to slash the advertising budget for open enrollment. Outreach, she says, is crucial to making sure that people who need insurance know where and when to get it.
https://www.npr.org/sections/health-shots/2018/12/14/676526601/aca-sign-ups-have-lagged-for-2019-but-what-does-that-mean


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December 15: A federal judge in Texas said on Friday that the Affordable Care Act's individual coverage mandate is unconstitutional and that the rest of the law therefore cannot stand.

The ruling and expected appeal sets up another cliffhanger in which the fate of the law, which Republicans have unsuccessfully tried to repeal for years, will likely once again ultimately lie with the Supreme Court.
https://www.cnn.com/2018/12/14/politics/texas-aca-lawsuit/index.html


December 15: Obamacare Will ‘Likely’ Survive Judge’s Ruling, Obama Tweets

He reassures Americans as he reminds people to sign up for the health care program before the deadline.
https://www.huffingtonpost.com/entry/obamacare-will-likely-survive-judges-ruling-says-obama_us_5c158727e4b049efa752d780


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December 16: Chuck Schumer Urges Congressional Vote Rejecting Obamacare Ruling

“If a majority of the House and a majority of the Senate say that this case should be overturned, it’ll have a tremendous effect on the appeal,” Schumer said.
https://www.huffingtonpost.com/entry/obamacare-decision-chuck-schumer_us_5c16602de4b05d7e5d82f100

December 18: Despite Court Ruling To Eliminate Obamacare, States Plan To Expand Healthcare For The Poor

Voters in Idaho, Nebraska and Utah recently approved plans to extend health insurance to 331,000.
https://www.huffingtonpost.com/entry/medicaid-aca-healthcare-court_us_5c192b4de4b01954d9b0690a


-- 2019 --

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January 18: The Trump Administration Signals That It’s Not Done Trying To Dismantle Obamacare

A discussion document floated this week reveals the Trump White House is considering a slew of reforms to the individual markets that could potentially throw them into chaos.
https://www.buzzfeednews.com/article/paulmcleod/trump-administration-obamacare-rule






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