The bill doesn’t know what problem it’s trying to solve.
For more Vox analysis: http://www.vox.com/2017/1/5/14179258/obamacare-repeal-republican-votes-trump
You can read the bill here: http://www.cnn.com/2017/03/06/politics/house-republicans-obamacare-repeal-replace-text/ https://waysandmeans.house.gov/wp-content/uploads/2017/03/03.06.17-AmericanHealthCareAct_Summary.pdf
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Republicans in the House have finally released a bill to repeal and replace Obamacare: the American Health Care Act. The GOP healthcare bill keeps some of the most popular parts of Obamacare, like letting young adults stay on their parents' health insurance until age 26 and requiring insurance companies to cover people with pre-existing conditions.
But the Republican bill gets rid of the key element that made Obamacare work: the individual mandate. Now that people aren't required to have insurance, healthy people could leave insurance pools en masse, leaving sick people who are more expensive to cover.
Hypocrisy is a minor sin in politics, but still, it is remarkable how much of it there is to be found in this legislation. A core Republican complaint when Obamacare was passed was that the law delayed many of its provisions in order to reduce public outcry and manipulate the CBO’s score. The GOP bill is similarly aggressive with such tricks, delaying changes to the Medicaid expansion until 2020 and pushing Obamacare’s tax on expensive insurance plans out until 2025.
Because Republicans aren’t even trying to win Democratic votes, they’re stuck designing a bill that can wiggle through the budget reconciliation process (another thing they complained about Democrats doing). That means they can’t make major changes to insurance markets like repealing Obamacare’s essential benefit standards or allowing insurance to be sold across state lines. That last part is particularly striking, given that it was one of President Trump’s five demands in his speech last week. I’ve always been skeptical about the savings Republicans could wrest by changing those regulations, but now they can’t get those savings at all — which means sacrificing a key part of their theory of cost control.
This bill has a lot of problems, and more will come clear as experts study its language, the Congressional Budget Office release its estimates, and industry players make themselves heard. But the biggest problem this bill has is that it’s not clear why it exists. What does it make better? What is it even trying to achieve? Democrats wanted to cover more people and reduce long-term costs, and they had an argument for how their bill did both. As far as I can tell, Republicans have neither. At best, you can say this bill makes every obvious health care metric a bit worse, but at least it cuts taxes on rich people? Is that really a winning argument in American politics?
In reality, what I think we’re seeing here is Republicans trying desperately to come up with something that would allow them to repeal and replace Obamacare. This is a compromise of a compromise of a compromise aimed at fulfilling that promise. But “repeal and replace” is a political slogan, not a policy goal. This is a lot of political pain to endure for a bill that won’t improve many peoples’ lives, but will badly hurt millions.
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Visit Vox.com for more information and analysis: http://www.vox.com/2017/3/6/14829526/american-health-care-act-gop-replacement Click here for a full list of stories on the legislation: http://www.vox.com/2017/1/5/14179258/obamacare-repeal-republican-votes-trump
God, these comments are stupid. Healthcare in the US itself is ridiculously expensive. Universal healthcare won't solve that. Compare any other country in the world and how much they spend in total on healthcare per capita and you will see what I mean. Americans need to reform the healthcare industry itself if we wish to start looking at Universal healthcare or any other option. For starters, we need to re-evaluate costs and reform the whole "code book" system. Sure, doctors should be paid well but does the hospital really need a 75% cut? I dislocated my shoulder a year ago and my bill cost me 15,000 without health insurance! Only about 3,000 went to the doctor, the emergency room, the nurses, and pretty much everything else. The extra 12,000 was bullshit charges that the hospital gave me! Universal Healthcare will only ignore this problem if we don't change the industry itself.
YOU ARE ALL YOUNG AND YOU ARE BEING BRAINWASHED BY THE MEDIA. LOOK UP WHICH PARTY VOTED TO KEEP SLAVERY, and KEEP BLACKS AND WOMEN FROM VOTING.... THE DEMOCRATS. THEY CONTROL 95% OF THE MEDIA SO YOU ARE BRAINWASWHED. ACTUALLY WATCH FOX FOR REAL JUST AS A GOOF AND HEAR THE WORDS THEY SAY... not taken completely out of context so badly you can see the clock hand moving in the background...
THE WORKING PEOPLE THAT HAS TO PAY MEDICAL INSURANCE FOR THE UNEMPLOYED IS WRONG. IN ADDITION OBAMA CARE PROGRAM RESULTED TO SOME WORKING CLASS TO NOT AFFORD THEIR OWN MEDICAL INSURANCE DUE TO HIGH COST. WORKING PEOPLE HAS TO PAY PENALTY FOR NOT HAVING MEDICAL INSURANCE AT THE END OF THE YEAR TO IRS. $1400.00 PENALTY FOR NOT HAVING MEDICAL INSURANCE
30 years old and first time I came to realise that US constitution does not provide free healthcare for its citizens, people we are talking about the Father of all constitution in the world. A third world country of mine gives free healthcare and education to its citizens. Proud to share that the my country's top Medical institution and University are both run by Government and its free.
So does the Republican healthcare plan cover pre-existing conditions? I watched an interview with Trump and in the 1st phase it didn't cover pre-existing conditions. Trump said in the 2nd phase they added it and every state had to provide it...supposedly it wasn't up to the states to decide, but I don't trust Trump for a second.
Congress needs to be half and half. Trump will get rid of Preexisting Conditions. One in every 3 babies born in the United States is by C Section. Since C Section is a Preexisting condition it is not covered under Trumps Proposal. C Sections then cost anywhere from 12k to 32 k. If you are Democrat or Republican you will pay this amount out of pocket. Just hope you have a regular birth. Just check Trumpcare.com and check the Preexisting Conditions. Hospitals will rake in over 7 Billion just from this 1 preexisting condition per year.
+I3D NZ and AU is free a democracy, freedom of speech and the right to protest is a given... as well as high quality of living, low infant mortality, longer life expectancy and some of the best healthcare systems in the world, these two countries prove that you can have free healthcare without stripping ones freedom. Have no idea why Americans believe they are the only free democracy in the world , when NZ comes first or second for having the least corrupt government in the world and ranks highest on an individuals freedom.
"Better healthcare" really? I haven't heard of anyone leaving the United States in pursuit of better healthcare; I have heard of the exact opposite - especially from Canada, people with serious health conditions prefer to be treated in the United States. Interesting, right?
Besides, universal healthcare isn't required for a county to have "good healthcare" (some could even argue universal healthcare reduces it's quality but that's not relevant here). Universal healthcare isn't part of what makes a country good or whatever. Your point is like saying every developed country has limitations on freedom to speech, therefore we should too; many developed country has trial by judges rather than jury, therefore we should too.
America is different; we have rights to bear arms (most of the world bans them), we have rights to speak freely and offend freely (most of Europe places limits on hate speech), we have rights against self-incrimination (UK's adverse inference from silence), rights against arbitrary detention (preventive arrests and dangerous offenders), and so on. This doesn't mean we're worse; if every country was identical, we'd be living in a very dull world. It is a good trait that the United States are different from the rest, and countries in Europe should also seek to compete for residents, try to be better or at least different from the other European nations, etc.)
You can avoid expensive and ineffective options about healthcare that truly cares with a simple, commonsensical technology. It's non-invasive, non-chemical and can be done right in the comfort and privacy of one's home. Its use only requires two simple things: an open logical mind, and a strong will to drink one glass of water for every ten pounds of body weight. If you can do that, search for and learn more about Virutron today.
The insurance companies wrote Affordable Care Act ; to benefits insurance companies. Social Security was robbed to pay for ACA that's right !! Get your facts straight ! Many are misinformed and misguided !!
As far as I'm concerned, there should be no government health insurance. Government has no business getting involved in it. Health insurance and health care should be entirely the consumer's choice and should be purchased in a free market, like any other consumer good/service. Honestly, I oppose the notion that health insurance should even really be there, at least not for anything more than emergencies. Health insurance is a large reason why health care costs are so high. But, if consumers want insurance, it's their choice. Get the government out of all of this. Health insurance and health care providers should freely compete for the business of consumers in a free market by providing better quality and lower costs than their competitors.
+John C First of all, I agree that if the goverment is too strong, it will eventually led to dictatorship. That's what happned in my country (Russia) in the beginig of this century. So I'm not for state economy or something. But totally removing goverment from economy and social affairs is neither good and can lead to kind of dictatorship. The funny thing is, this also happend in Russia, but in the 90's, when top 1% of the richest people got 90% of national wealth. Crime rate, unemployment and inflation skyrocked, while slaries and life expactancy dropped drmaticly. In 1996 elections Yeltsin lost on the second ballot, but Yeltsin-backed oligarchs rigged elections and used their influence to declare him a winner. And you know who the people of Russia did elect after this nightmare decade? You've got the point, the one who promised to fight back the oligarchs (actully he just sided wih half of them and imprisoned\exciled\killed another half, but that's a story for another day).
So the purpouse of the goverment is to maintain the balance. If corporations are too strong, you'll got a bunch of oligarchs and rigged democracy, but if the goverment is too strong, you'll got dictator like Putin and riggerd democracy. Suprisingly, scandinavains understood this. It's not correct to say that they built a socialist heaven on Earth or whatever. Actually, the swedish goverment acts like a bunch of libertarians (no offense to you) in economy with almost no intervension in buisness afairs and eleminating burocratic barriers, while having a strong social security to fight eventual efects of such aproach. I belive, this is example for most of countries in our time and such a rich and powerful country like the US can afford a strong social security.
+Klash1100 - Alright, yes, governments do that. I still disagree with it being a legitimate role of government. I think things such as healthcare, humanitarian aid, and helping the homeless are absolutely good things. I have no issue with them. My issue is with government being involved in such matters. If you will, define for me what you believe the legitimate purpose of government is. If you can't, then I am to assume there is no limit to what you might allow government to encompass. This is how government becomes so large, powerful, and out of control. It starts with there being no specific boundaries to its power. It then gradually expands and gains ever more power and influence in our lives. As government increases, freedom decreases. On top of that, larger government means more money stolen from the people to fund government programs. I would much rather have more freedom and keep more of my own money.
> Yah, food and water are also a question of life and death. So, by your logic it's also right for the government to force you to pay taxes for food and water
Actually, lots of goverments already do this, even the US goverment. Humanitarian aid, free food for homless people, you get the point.
+Klash1100 - Yah, food and water are also a question of life and death. So, by your logic it's also right for the government to force you to pay taxes for food and water. .......... Government should absolutely not be taxing you to pay for my health care, or health insurance. No, you pay for your needs and I pay for mine. .............. My views on such issues as health care are based on reason. It isn't reasonable for me to use the government to force you to pay for my food, water, health care, housing, clothing, car, or just about every other consumer good. The only thing the government should be doing is protecting each of our rights to our own person and property. If I decided to murder you, rape you, steal from you, commit fraud, vandalize, burglarize, commit arson, etc., then the government absolutely should get involved. What do you define as the government's legitimate role? Is there any end to what you think the government do via other people's money?
Me coming from Germany I seriously do not understand why a lot of people in the US do not understand that literally everybody (healthy or sick) has to pay for an insurance. It’s not about “Uh I am healthy I don’t need to pay for others” it is about “Oh well at the moment I am healthy but I could be sick one day”. It is an insurance which helps you (if everything works out properly) all through your life.
Luckily I am not living in USA. I am so happy that in Germany we are all evolved enough to understand the important of health insurance. All these having & not having health insurance discussions are utterly stupid and premature.
+Marlowe ! Yeah, it really shouldn't be. In an ideal democracy, everyone would be Independent and the ballot wouldn't have a party next to your name, but a list of beliefs, policies, and stances on certain issues. You end up with much more moderate representation rather than the radical fuckfest we have now.
Although the gross income may have gone up, but lots companies has decided to undercut health benefits and others incentives effectively lowering wages all across the workplace. Employees contributions and independents are paying a substantial or full amounts towards expenses that were parts of the salaries. An health plans for businesses cost 12k for individual and 25k for families of 4 and doesn’t include deductibles, something will need to be addressed soon, because many people and businesses wouldn’t be able to keep their health plans. It’s a foreseeable scenario that We taxpayers will pay soon or later.
We must smash with every inch of our fiber, the legacy of the worst president in u.s. history. Obamacare was nothing more than a scam to redistribute wealth from the non-black communities to the black communities. As if they didn't already receive enough. What they do receive they waste.
Reparations have been given to blacks ten fold, and yet they still ask for more. We need mass sterilization of black women, and we need it now.
It could be because minorities still make up the majority of poverty-stricken people. He's not redistributing wealth to blacks. He was redistributing wealth from the wealthy to the poor. It just happens to be that the majority of the poor are minorities and the majority of the rich are white.
Im afraid you are misrepresenting things here. Each of those countries has a different system and cannot be compared with each other. The NHS if it was fubded like the Socialists want would not just bankrupt people but the whole country. Healthcare is a political football that the left use to generate votes. They dont give a FF about people its all about politics
Why would tax subsidies for health care be based on personal income? It’s the same services every one else is getting...
Rich people did not get money from some magic tree.. they worked hard for it and pays huge sums in taxes every year 😉
What are Republicunts trying to achieve with their, Obama Light," medicare bill? Only that the people who make enough money to afford their shitty bill will get decent health care and people of meager means who can't afford it will die like a dog underneath the floorboards. At least now under a Republicunt leadership where they control the House, the Senate, and the Presidency, we get a good understanding about what we're up against with these right wing corporate whores. I say, "Go, Bernie 2020!" "Viva La Revolucion!"
Vox exemplifies a wrong point: insurance works not for what u need right now, it's for emergency or for the time you needed, without sufficient finance in the meaning while. A suitable healthcare is an basic aid and a human right
Why don't we just expand Medicare and have it so we all pay through taxes, that would guarantee if you're healthy or you're sick you're covered. Oh right, sorry, privitization is our fundamental principle in America, that works out so great in sectors like health where the prime objective is to make money at any cost, even at the expense of people's health and well being.
Capitalism should not be allowed in some areas of life, I'm all about letting you sell your trinkets to turn a profit, but when it starts to impact my health I draw the line.
Why would it be based on age and not income like Obama care I don't understand who's the person that age would be better than income or how sick the person is also I'm just a child so I might not know as much
I love the US, but the health care system always made me feel shock as I discovered more details. Coming from a country where if something happens to me, I will get treated with money from a shared money pool (what is essentially a forced insurance), the US system looks like something from an anti capitalism propaganda video.
He say that in obamas method to keep an even rate of price that if healthy people chose not to have it then they get a (small) fine. Ok ya only 2,500 bucks a year for everyone no matter the yearly income. So if you make 40,000 a year witch is on the brink of poverty for a family of 4 then that's a huge dent in your income. See it's communism, if you can't afford it and are not quite on a minimum wage income so you can't get it free. Well then Obama says just fine them 2,500. Makes sense well no it does not. That's communism. But the not hard workers and homeless people who don't contribute to our society just get it free of cost when a hard working blue collar family trying to provide for their kids has to risk bankruptcy because of a "small" 2,500 buck fine. It is absolutely nuts and Obama should be in jail.
Exactly that's what they want, they want to kill subsided health care, by 1000 paper cuts. Exactly, they don't want to pay for poor peoples health insurance, or middle class. They think you should pay for it on your own. Duh.
Health insurance in my country is cheap because almost everyone has it. If you work for a company, you are forced to have and co-pay your insurance. And the co-pay depends on what you earn, not what you want to pay (unless you want to add more premium features, which I find mostly unnecessary unless you ARE actually sick.)
Y pay around (more of less) 4% of my gross salary on health care.
Which is fair, people with less than me get to enjoy healthcare at the price they can pay, not the one I, or somebody with even higher salary, can pay.
As an Indian I find i hard to understand why is getting insurance so difficult in America. In India the poor people are given free health care in government hospitals then why can't the superpower do that?
This is America now. Each party just tries to change what the other does. It's as if our leaders don't want to make the people they represent happier, but just want the satisfaction of "winning." Why can't we just agree on things and work together? Struggles
i still can't understand why republicans love rich people and dislike the middle class (or the poors as they define them) since they are themeselves in the middle class. pls explain. do you hope to become rich? because if that's the case than i have pretty bad news.
You say oppose Trump Care, but we have never been able to afford Obama Care. Luckily no one in our family has needed anything major in the last few years. My son broke his arm, and we paid out of pocket. there is no way we can pay the monthly premiums of Obama Care, pay the huge deductibles, and then pay all the co-pays, and everything else it does not cover. Who is it that is getting so rich from all of this???
russell bergener The thing about obamacare is that the version obama wanted was not what happened. Obama basically wanted universal healthcare which would've been excellent. However, Republicans hate poor people and didn't want poor people getting healthcare so they deliberately sabotaged the ACA to make it weak.
Think about the terminally ill you filthy Republic Trash this is a democracy and you guys need to get out so go on little Republicans scat scat she'll get out and take your old most gracious Trump with you Trump doesn't have brains he's not going to fix things he's going to destroy them Trump is a dumnass and i think it would be best if he was dead
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