Tag Archives: pre-existing conditions

Paul Ryan is Coming for Your Health Care

Paul Ryan, the wunderkind of the right wing, finally saw fit to release his proposed “replacement” for the Affordable Care Act.  Let me sum it up for you:

  1. If you relied on the individual market or Medicaid for health coverage you will get less. According to Paul Ryan you will like it because the free market will warm your insides with the fiery glow of Ayn Rand’s ridiculous ideology.
  2. If you relied on Planned Parenthood for any health services you are screwed because Paul Ryan hates Planned Parenthood. This is red meat thrown to a conservative base that might have a hard time supporting the bill, but can now hide behind the fact that it defunds Planned Parenthood.  Imagine the member of Congress going back to angry constituents, “I realize you are getting less health care, paying more, and even being denied coverage but we defunded evil Planned Parenthood.”  Look for this to be Ted Cruz’s defense when the human blobfish eventually goes along with passage.
  3. If you are wealthy you like this bill. Why?  You will pay less in taxes.  It is the right wing salve for the soul.  Got an HAS?  You will get to sock away more money under this plan.  The problem with this part of the plan is that poor people are living paycheck to paycheck and cannot afford to fund an HAS for future health obligations.
  4. The bill keeps the popular provisions of the Affordable Care Act that deal with keeping your children on your insurance until age 26 among others, but I suspect that these provisions will be weakened or removed entirely as the bill works its way through committee and reconciliation assuming it gets that far in the process.

Republicans do not understand how people actually live.  Asshats like Jason Chaffetz subscribe to the old Ronald Reagan “Cadillac driving welfare queen” when saying bullshit like this:

Americans have choices. And they’ve got to make a choice. And so maybe rather than getting that new iPhone that they just love and they want to go spend hundreds of dollars on that, maybe they should invest in their own health care. They’ve got to make those decisions themselves.

This is the first shot in a war that Paul Ryan intends to fight over the government providing any sort of assistance to anyone other than the rich and corporations.  Remember, Paul Ryan only has eyes for…

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Having “Access” to Health Insurance is the Latest Right Wing Bait and Switch

Over the next few weeks you are going to hear a lot of right wing talking heads spout off about ensuring “access to health insurance” in whatever plan they happen to be promoting at the time.  However, access to health insurance is not the same thing as being able to obtain health insurance.

Bear with a thought exercise for a moment.  Everyone in the United States has access to a Chevrolet Corvette.  However, only a small percentage of the population of the United States can actually afford a Chevrolet Corvette.  Access does not equal the ability to obtain.

The example is facetious and it does not go far enough.  No one needs a Chevrolet Corvette for transportation when a Chevrolet Sonic will do just fine in most cases.  Yes, it is a completely different car but it provides basic transportation.  Again, a large segment of the population cannot obtain a Chevrolet Sonic even though they have access.

Prior to the passage of the Affordable Care Act millions of Americans were denied access to health care based on pre-existing conditions.  Now, Republicans are likely to not totally scrap the prohibition of denial based on pre-existing conditions but it is likely to be modified in a way that benefits health insurance companies in denying you coverage.  Therefore, Republicans will have preserved “access to health insurance.”  See, they are looking out for the little guy.  Aren’t you relieved?

Beyond accessibility is the issue of affordability.  Under the current system, which again is defined by the Affordable Care Act, health insurance for lower income individuals is subsidized.  Makes less money and you qualify for a larger subsidy.  According to Republican logic this is evil.

Under Republican plans the current menu of subsidies would disappear and be replaced with…you got it, tax credits.  These tax credits are not based on income, but age so even if you are rich you get the same tax credit as someone who is poor.  Furthermore, these tax credits will do nothing for the segment of the population that cannot afford health insurance and does not pay taxes because they make too little income.

Make no mistake that the right wing of the right wing, known to most in Washington D.C. as the so-called “Freedom Caucus,” will probably support none of this tax credit nonsense.  The reasoning will be a word salad including the terms “socialism, communism, fascism, Obama, market based solutions, capitalism, Ronald Reagan, America, freedom, and Jesus.”  You can feel free to rearrange the words to match whatever particular politician from the Republican Party happens to be speaking.

In practice this means that whatever mechanism to ensure affordability that survives the gauntlet of Ted Cruz and Rand Paul will likely be so meaningless as to make health insurance as unaffordable as it was prior to the Affordable Care Act.  Therefore, “access to health insurance” has been limited because affordability is central to accessibility.  Do not fall for this madness.

Under Republican plans prices for plans will go up, the ability of health insurance companies to screw you over will increase, and the ability of people to actually afford health insurance will erode considerably.  However, you will have “access to health insurance” and that should make you feel all warm inside as you read that dog eared copy of Atlas Shrugged.