How your health care may change under the new government

The United States voters have elected a new president and a new legislature, both Republican. Analysts expect major changes in policy and law after 8 years of Democratic control.

In a previous post, I outlined then- candidate Donald Trump’s proposals for health care reform, chief of which is repealing the Affordable Care Act (alternately known as the ACA or ObamaCare). Here is a link to that post for your review.

How your vote for president will affect your health care

Since his election, President-elect Trump says there are two features of the ACA he would like to see preserved-

  • Prohibition of insurance denial for pre-existing conditions
  • Covering young adults age 18-26 years old on their parents’ insurance plan

He confirmed this in an interview with Leslie Stahl on  November 13, 2016 which you can view here-

60 Minutes Interview : President-elect Donald Trump

 

Since he will need to work with Congress to achieve his proposals,  we should review the Republican party’s platform on health care.

While similar to the President-elect’s plan, it is broader in scope and more specific. Larry Levitt, MPP, reviewed both parties’ platforms in a recent issue of JAMA (September 6, 2016) , basing his review from the parties’ online platforms.

 

 

The Republican Platform includes:

  • Repeal of the Affordable Care Act
  • Protect insurance discrimination for preexisting conditions as long as continuous coverage is maintained
  • Allow people to buy insurance across state lines
  • Make individually purchased health insurance tax deductible
  • Limit federal spending on Medicaid, allowing the states more leeway in administering the program through block grants
  • Changes to Medicare- providing people under 55 years with a traditional Medicare option or a premium support system of competing plans; raising the age of eligibility for Medicare.

 red, white and blue Republican elephant

 

 

In comparison, the Democratic Party proposes

  • Continue building on the ACA to achieve universal health care
  • Provide a “public option” plan and allow people over age 55 years to buy-in to Medicare
  • Make premiums more affordable and reduce out-of-pocket costs to patients
  • Cap out-of-pocket monthly drug costs
  • Permit importation of lower-priced drugs from other countries
  • Allow Medicare to negotiate drug prices directly with manufacturers
  • Expand funding for community health centers
red, white and blue Democratic donkey

Mr. Levitt is Senior Vice President for Special Initiatives at the Kaiser Family Foundation and Co-Executive Director of the Kaiser Initiative on Health Reform and Private Insurance. He summarizes his review  this way-

“The ACA has increased insurance coverage by 20 million people and is now the status quo in our health care system. Fully repealing it would be very disruptive.

At the same time, the public remains divided on the law, so building on it will also be controversial.”

You can read his full review and  analysis here-

The Partisan Divide on Health Care

Follow this blog here and on Facebook for more updates on what will happen to our health care under a new administration. Feel free to share your opinions, ideas, and experiences here- thoughtful, considerate, and helpful comments are always welcome.

Advent Words from Charles Dickens

Charles Dickens, English writer, wrote some of the most beloved and quoted literature in the English language.

Charles Dickens, English writer, wrote some of the most beloved and quoted literature in the English language. Almost everyone is familiar with his Christmas classic,

A Christmas Carol in Prose, Being a Ghost-Story of Christmas,

better known as  A Christmas Carol,

which has been portrayed on stage and film – even animated versions.

What would Christmas be without Ebenezer Scrooge showing up in some form or another?

Dickens also wrote

Another Dickens book created the name for a medical condition –

Pickwickian syndrome: The combination of obesity, somnolence (sleepiness), hypoventilation (underbreathing), and plethoric (red) face.

The syndrome is so named because of the “fat and red-faced boy in a state of somnolency” that Charles Dickens described in his novel, The Pickwick Papers. (The same boy is thought by some experts possibly to have had the Prader-Willi syndrome).

Dickens may have been the “first celebrity medical spokesman.” 

 Dickens delivered a rousing speech on the plight of ill children and the need to support the children’s hospital. As an extra bonus, the author threw in a reading of his beloved “A Christmas Carol.” The journalist T.A. Reed, said of Dickens’ performance that night, “I never heard him, or reported him, with so much pleasure … his speech was magnificent.”

pbs.org
I will honor Christmas in my heart. Charles Dickens
graphic from LIGHTSTOCK.COM, affiliate link

What is Advent?

The season of Advent, which comes comes from the Latin word adventus meaning “coming” or “visit,” begins four Sundays before Christmas and ends on Christmas Eve. Advent is the beginning of the liturgical year for Christians. [Liturgical — from liturgy, which means the forms and functions of public worship.]

Many families observe Advent with Bible readings, lighting candles, songs, and stories to remind them of the events leading up to the birth of Christ as told in the New Testament. (these are affiliate links for you to consider and help support this blog with a commission on any purchases you make while reviewing)

sharing the HEART of Advent

I appreciate all of you who are following Watercress Words, and if you aren’t I invite you to join the wonderful people who are. You can meet some of them in the sidebar, where you can click on their image and visit their blogs. Use the form to get an email notification of new posts. Don’t worry, you won’t get anything else from me.

And thank you for considering the affiliate links in this post, which fund this blog.

Dr Aletha

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