Could Republicans be this …


Repealing Obamacare is supposedly the top agenda item in the next Congress, but repeal is not necessarily what it appears. 

Congress doesn’t have to pass a repeal law, it only has to cut funding for key parts of the law including Medicaid expansion and federal assistance for ACA marketplace premiums. 

Add in tweaking such as eliminating the coverage mandate and the law is effectively dead. 

According to the Urban Institute, nearly 30 million Americans will lose or opt out of coverage as a result. Brilliant‼️

What insurance company will continue to offer coverage in this environment?

I don’t know how accurate the UI numbers are, but it’s clear there would be major disruption. 

What is really ironic is that many of the people affected are Americans who were inclined to vote for Trump. 


  1. Once medicaid was expanded there is no turning back. We may not like it, but we are moving to a one payer system. Everyone get ready for longer wait times and poorer service just like Canada.


    1. Most employer plans are self insured, by definition employed people are generally healthier and thus it is very unlikely Exchange plans are less costly with or without upgrading the benefits. Regardless, a plans costs reflect the claims paid and the cost sharing provisions so there is no logical reason why any comparable Obamacare plan to be less expensive.


  2. Took us 7 years to get to 2017 version of PPACA. Expect to see a slo motion repeal and replace over 3 or more years. When 30 million are on the taxpayer subsidy crack pipe, detox will take years, not months … Dumping them into withdrawal (cold turkey) not recommended.


  3. Ah yes, the Urban Institute. What a surprise they’ve come up with scary numbers.

    The Board of Trustees of the Urban Institute happens to be Jamie Gorelick, Bill Clinton’s Deputy Attorney General. For those who may have forgotten this story line, Wikipedia provides this:

    ” Even though she had no previous training nor experience in finance, Gorelick was appointed Vice Chairman of Federal National Mortgage Association (Fannie Mae) from 1997 to 2003. She served alongside former Clinton Administration official Franklin Raines. During that period, Fannie Mae developed a $10 billion accounting scandal.”

    Expect this and other liberal think tanks to ramp it up a notch in predicting apocalyptic scenarios whenever conservatives try to undo any of the latest progressive achievements.


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