blueollie

Why Republicans can’t repeal the ACA…

Bottom line: the ACA IS A REPUBLICAN IDEA. Yes, the statement is rated as “half true” but:

Republican Sen. John Chafee of Rhode Island was the point man. The bill he introduced, Health Equity and Access Reform Today, (yes, that spells HEART) had a list of 20 co-sponsors that was a who’s who of Republican leadership. There was Minority Leader Bob Dole, R- Kan., Sens. Orrin Hatch, R-Utah, Charles Grassley, R-Iowa, Richard Lugar, R-Ind., and many others. There also were two Democratic co-sponsors.

Among other features, the Chafee bill included:

An individual mandate;

Creation of purchasing pools;

Standardized benefits;

Vouchers for the poor to buy insurance;

A ban on denying coverage based on a pre-existing condition.

“You would find a great deal of similarity to provisions in the Affordable Care Act,” Sheila Burke, Dole’s chief of staff in 1993, told PunditFact via email. “The guys were way ahead of the times!! Different crowd, different time, suffice it to say.”

That said, the Senate plan from 1993 was not identical to the health care law that passed in 2010. The Republican bill did not expand Medicaid as Obamacare does, and it did have medical malpractice tort reform, which the current law does not. In contrast to the current employer mandate, the Chafee bill required employers to offer insurance, but they were under no obligation to help pay for it.

So, it did have a great deal in common with the Heritage Foundation plan. And, as Paul Krugman points out, all three pillars: mandate, community ratings, subsidies, are necessary.

Workout notes: 41:55 for 4 treadmill miles: 5 minute froggy for the first 20 minutes, 2.5 minute froggy for the next 22. 11:45, 22:10, 32:25 or 30:10 for the final 3..about 1 minute slower than my last 2 5K “races”.

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July 19, 2017 - Posted by | health care, politics/social, running

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