Social Question

stanleybmanly's avatar

Can the GOP really abolish the ACA?

Asked by stanleybmanly (24153points) January 4th, 2017 from iPhone

Schumer says the crowd of dummies is dumbfounded. “They’re like the dog who chased the bus and caught it”

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47 Answers

zenvelo's avatar

Yes, they can. And then we will have a mess. But then they get small businesses off their back.

Tropical_Willie's avatar

Kiss the ACA “good-bye”, vengeance for it being done during a Democratic President’s term.

They will pull the pin on the hand grenade, throw the pin (Obama’s idea) and hold on to the grenade. Small businesses will be happy and people will die. In two to four years insurance companies will just bump the prices for insurance policies, and report to their stockholders all the profit the insurance companies are making.

BellaB's avatar

@Tropical_Willie , from what I see actuaries doing , it won’t take that long for the premiums to go up.

Tropical_Willie's avatar

@BellaB it will be after January 2018, not before.

Cruiser's avatar

The Republicans now have their backs against the wall especially the Republican Congressmen, Senators and Governors who are up for re-election in 2018. I would not be the least surprised Republican leaders including Trump start backpedaling and say let’s not get ahead of ourselves with this repeal and replace thing and stall till after the mid-terms.

I also don’t think there will be much they can do differently than how our healthcare is setup. Probably tweak Medicare/Medicaid slightly but that invites the wrath of Medicare/Medicaid voters again why they will kick this can down the road till after the midterms. I hear they also want to eliminate the individual mandate and the fine for not having health insurance. Trump says it is wrong to force anyone to buy something they don’t want or can’t really afford.

Once they start looking under the hood I am sure they will realize if they haven’t already that this task will be much harder than the catchy campaign slogans they spouted. When they do get around to making changes they will be small and perhaps incremental changes. I know some of the more meaningful changes Trump wants is to open the exchanges across state lines to encourage competition which could/should lower pricing in some areas. Another meaningful change would be torte reform of malpractice claims which was something the republicans wanted in the original legislation.

It will be a tweak not a repeal and if anything they will change the name to just the Care Act as no matter what they do it certainly will not be any more affordable.

Dutchess_III's avatar

I wonder what the conservatives expect to happen if the ACA is abolished. Will they be satisfied if the only thing that happens is that millions of people lose their health insurance due to pre-exisiting conditions, and people under the age of 26 lose their health insurance? Will that be enough to satisfy them?

Dutchess_III's avatar

But yes. I’m pretty sure they can. Humans make laws, humans can rescind laws. It’s happened 27 times, so far, in the Constitution.

Cruiser's avatar

@Dutchess_III Trump has already said and assured he will not remove the clause that protects people with pre-existing conditions

Dutchess_III's avatar

So, what exactly are you expecting to see changed @Cruiser?

Cruiser's avatar

@Dutchess_III Read my first answer here. I covered what I think will happen pretty well.

josie's avatar

They might, but not in the context that people fear.

The one thing that is driving insurance companies out of the pre-paid medical plan market is the pre-existing condition clause. But the truth is, nobody will ever vote for eliminating the pre-existing condition clause. So the only thing you can do under the current conditions is make it super expensive for young, healthy people to opt out by imposing huge penalties/taxes on them if they do, and open up the provider pool by letting people shop across State lines. I really don’t know who would vote for the former, and the latter will wind up in court. You could bring back the Cadillac Tax, but Trump got plenty of the labor vote, and they don’t like it.

The only real way out is to raise every single American’s taxes and put everybody on Medicare. And just about anything is possible with a politically eclectic New York Republican like Trump.

Dutchess_III's avatar

Well, Jesus @Cruiser. “Once they start looking under the hood I am sure they will realize if they haven’t already that this task will be much harder than the catchy campaign slogans they spouted. ” Doesn’t it bother you that they didn’t know this before they started spouting off? Doesn’t it bother you that maybe they did know it, but kept spouting the bullshit anyway?

Tropical_Willie's avatar

First of all Cheeto talks out of both sides of his ____.

The Congress wants to show the people that elected them, they can take away the healthcare system the the “Muslim from Kenya” insisted on bringing to the country.

@Dutchess_III They may throw the baby out with water, just to get rid of the water. Oh they don’t have any of their skin in the game because they are on their own healthcare plan.

Lightlyseared's avatar

Yes, they can. But really who cares? The US health system is the laughing stock of the world. Yes. If you’re rich and have really good insurance you can get the sort of treatment that every other westerner takes for granted.

Dutchess_III's avatar

@Tropical_Willie They’re basically on Medicare. It has to follow the same guidelines and rules set forth in the ACA as all other insurance companies.

MrGrimm888's avatar

They don’t mind shutting down the government. They don’t care about anyone but themselves. Their greed knows no bounds…

Of course they can/will…

Got to get the war on the poor started!

jca's avatar

I think we may think we’re entitled to health care but the powers that be feel otherwise.

zenvelo's avatar

@Dutchess_III It has to follow the same guidelines and rules set forth in the ACA as all other insurance companies.

That is actually one of the first ACA provisions slated to be repealed.

We’ll all get to see TrumpCare soon!

stanleybmanly's avatar

The ACA was on its way toward bust independently of the Congress. The declaration of its dismantling places the conservatives in the position of having to openly announce exactly which millions of their constituents they will allow to die in the streets, or bankrupt themselves through skyrocketing premiums. They would have been better off had they shut up about gutting the thing and stuck to merely complaining and fiddling on the edges of the unwieldy turkey. In the end, sheer economics is going to force this country into universal government financed healthcare like every other first world nation in the civilized world.

Tropical_Willie's avatar

@stanleybmanlyuniversal government financed healthcare like every other first world nation in the civilized world” I don’t think that is in the Congress’ vision.

Cruiser's avatar

@Dutchess_III Doesn’t bother me one bit for two reasons. I already knew this was the case about how hard it will be to make meaningful changes to the bill the second they started saying it and their stretched truths pale in comparison the the BS Hillary and Sanders were spewing. I will add the clock is/was already running out on the ACA and only a matter of a couple years at the most before it totally implodes if no one does anything to change the bills structure.

Mariah's avatar

Of course they can. They’re about to, and I and millions of others are fucked.

Enjoy your lower taxes. You have blood on your hands.

Dutchess_III's avatar

@Cruiser one minute you sound like you’re against Trump because he’s an idiot, and the next you’re defending him. Man.

Dutchess_III's avatar

I don’t think taxes will be lowered @Mariah.

Cruiser's avatar

For the record @Dutchess_III The last think I think of Trump is that he is an idiot. I think he is a genius for what he accomplished to win this election. Also the second to last thing is that I am a cheerleader for Trump. You are misinterpreting my utter contempt for Hillary to be support for Trump.

LostInParadise's avatar

It boggles the mind that they can talk about “repeal and delay”. They have had years to think of a replacement and have not settled on anything. Once they ditch ACA, what is going to happen in the next year that will make any difference?

kritiper's avatar

They have been trying to find an alternative for 7 years and haven’t yet. But they sure are hot to trot to get rid of what we already have. Idiots! Totally agreeing with @LostInParadise here! (If they really wanted to help the health care dilemma, they would do something to control the costs of drugs, medical care, insurance. We REALLY need socialized government provided and controlled medicine!)

Dutchess_III's avatar

I’m am pretty sure he simply ran as a joke @Cruiser. My God…he did everything he could think of to not even get the nomination! Saying he could shoot people in broad daylight and people would still vote for him. Making fun of people with handicaps. Insulting women and minorities. Blatantly lying, right to everyone’s faces. He can’t even spell, or put together a whole sentence that even makes any sense.
It was not genius on his part. It was breath taking stupidity on the part of the people who voted for him.

MrGrimm888's avatar

Hard to listen to someone who uses the words Trump and genius in the same sentence….

stanleybmanly's avatar

@Tropical Willie Never fear. The beauty of the current crisis is that sheer economics is going to drag those resistant to universal healthcare kicking and screaming to the table. It is without question the cheapest and certainly most efficient solution, and even the dumbest of us and those now profiting enormously from the current disaster, will be forced to see the light. And it looks like it might well be that Trump and the Republican Congress might force the country into full fledged socialized medicine as a result of willy-nilly knocking the wheels off the ACA.

Cruiser's avatar

@Dutchess_III “My God…he did everything he could think of to not even get the nomination! ”

That is what makes Hillar’s loss all the more remarkable.

Dutchess_III's avatar

She didn’t lose. She won by more than two million votes. The whole thing is astonishing.

MrGrimm888's avatar

All these threads are becoming circular.

Sometimes I can’t remember the question, but the comments are all the same.

All roads lead to Trump….

MrGrimm888's avatar

Fluther should add a ‘Trump’ section to go with General, Social, and Meta….

Cruiser's avatar

@MrGrimm888 “All roads lead to Trump” and a long bumpy road it will be for all of us.

Lightlyseared's avatar

@Mariah it’s not going to save tax. In 2007 the US was spending more tax dollars on healthcare per citizen than the UK. And what did you get for that? Nothing. Zip. Jack shit.
This was mainly spent on paying for the healthcare of uninsured people who’d failed to pay. They also had to pay the interest, and the collection company that had failed to recover the debt.
The ACA actually saved tax dollars. But no one cares.

You could just visit the U.K. for your healthcare needs. Technically you’d havr to pay but to be honest the NHS is a bit crap at asking for money. This is why it’s so broke all the time.

Mariah's avatar

Money spent on premiums, then?

Mariah's avatar

I did a MASSIVE amount of research today and I think I finally understand the whole picture of what’s going on.

To repeal ACA entirely without delays caused by filibusters, the Repubs would need 60 Senate seats. They have 52.

They are instead using a backdoor called budget reconciliation in which they only need 51 votes to pass new legislation, but that legislation is only allowed to touch parts of the ACA directly related to federal spending.

This will allow them to gut healthcare funding, gut subsidies that help make premiums affordable for poorer folks, gut Medicaid, and get rid of the mandate portion of the ACA. They are poised to do this right away, within days. They cannot, via this method, touch things like the preexisting conditions clause.

However, the preexisting conditions clause is entirely unsustainable without a mandate. That’s like letting you buy car insurance as soon as you get in an accident. Nobody who’s healthy will buy in, and we need their premiums to fund the system for the sick folks.

What will happen when the Repubs pass this is that healthcare will go into a flaming tailspin. They will then point and say, look at what a disaster Obamacare is. Then they hope this causes you to vote more of them in in 2018 so they can have their 60 seats to repeal the rest.

You think they give a shit about you? They’re breaking our healthcare just to prove a point.

Don’t let them get away with it.

MollyMcGuire's avatar

Such drama…............people dying in the streets.

MrGrimm888's avatar

^Don’t worry your pretty little head. Most will die in emergency rooms, or hospital beds after racking up 5–6 figure debts that their corpse will not repay.

Now… Isn’t that nice?

Mariah's avatar

Just because you’re lucky enough not to be at serious risk due to what’s going on doesn’t mean we all are, @MollyMcGuire.

Mariah's avatar

Budget reconciliation passed today.

Mariah's avatar

Crikey, sorry, read a really bad headline – the vote to move forward with the budget reconciliation vote passed Wednesday – the Senate is discussing it now.

Dutchess_III's avatar

Nice work on the research @Mariah. I meant to tell you the other day but then I lost this question.

I’m actually starting to worry about how bad it could actually get in America…..

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