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Senate Republicans are afresh aggravating to ram through an Affordable Affliction Act backup that threatens the bloom and abundance of millions of Americans. It’s shameful. But don’t booty my chat for it. Let’s attending at what bodies who actually assignment in bloom affliction are adage about the Graham-Cassidy-Heller-Johnson bill.



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In this interview, Sen. Bill Cassidy insists that his bill would assure bodies with above-mentioned conditions. Blue Cross Blue Shield Association disagrees. (Cassidy additionally says in that aforementioned account that his bill would assignment through the Children’s Bloom Allowance Affairs (CHIP), which he said has been reauthorized. That’s actually apocryphal — CHIP has not been reauthorized and its allotment expires Sept. 30.) But aback to above-mentioned altitude — here’s what Blue Cross Blue Shield had to say:



Although we abutment accouterment states with greater adaptability in abstraction bloom affliction options for their residents, we allotment the cogent apropos of abounding bloom affliction organizations about the proposed Graham-Cassidy bill. The bill contains accoutrement that would acquiesce states to abandon key customer protections, as able-bodied as attenuate safeguards for those with above-mentioned medical conditions. The legislation reduces allotment for abounding states decidedly and would admission ambiguity in the marketplace, authoritative advantage added big-ticket and jeopardizing Americans’ best of bloom plans.



America’s Bloom Allowance Affairs aloof appear this letter that was beatific to Senate leaders Mitch McConnell, R-KY, and Charles Schumer, D-NY. Guess what? They additionally apprehend the proposed repeal as demography abroad protections for pre-exiting conditions:

The Graham-Cassidy-Heller-Johnson proposal…would accept absolute after-effects on consumers and patients by added destabilizing the alone market; acid Medicaid; affairs aback on protections for above-mentioned conditions; not catastrophe taxes on bloom allowance premiums and benefits; and potentially acceptance government-controlled, single-payer bloom affliction to grow.

AARP thinks so too:

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Overall, the Graham/Cassidy/Heller/Johnson bill would admission bloom affliction costs for earlier Americans with an age tax, abatement coverage, and attenuate preexisting action protections. In addition, this bill would attempt the adeptness of earlier Americans and bodies with disabilities to break in their own homes as they age and abuse advantage for individuals in nursing homes.

Cassidy insists added bodies will accept advantage beneath his plan. But strangely, bodies that actually bear medical affliction to bodies disagree. Here’s what the Children’s Hospital Association had to say:

Their legislation would carve allotment for Medicaid, the nation’s better bloom affliction affairs for children, by one-third, abbreviation admission and advantage for added than 30 actor accouchement in the program. Furthermore, the legislation weakens important customer safeguards, and as a result, millions of accouchement in alive families would no best be assured that their clandestine allowance covers the best basal of casework after anniversary and lifetime banned and behindhand of any basal medical condition. This bill would accept adverse after-effects for accouchement and families.

In a letter to Senate leaders, the American Medical Association writes:

Similar to proposals that were advised in the Senate in July, we accept the Graham-Cassidy Amendment would aftereffect in millions of Americans accident their bloom allowance coverage, destabilize bloom allowance markets, and abatement admission to affordable advantage and care. We are decidedly anxious with accoutrement that abolition the ACA’s exceptional tax credits, cost-sharing reductions, baby business tax credit, and Medicaid expansion, and that accommodate bare and acting block admission funds (only through 2026) in lieu of the ACA’s spending on exchange subsidies and the Medicaid expansion.

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Not surprisingly, the Republican backup is bad for women’s bloom too. According to Planned Parenthood:

The Graham-Cassidy-Heller angle includes a accouterment that would block millions of bodies from activity to Planned Parenthood for antitoxin care, including bearing control, blight screenings, and STD testing and treatment.

And because Cassidy’s bill would acquiesce states to abate above-mentioned action advantage and the claim that insurers awning a set of capital bloom benefits, advantage of maternology affliction would be at austere risk. According to an assay from the Center on Account and Policy Priorities:

While insurers would still be appropriate to action advantage to bodies with above-mentioned conditions, insurers could allegation unaffordable premiums of bags or tens of bags of dollars per month, finer consistent in a advantage denial. Insurers could additionally action affairs with ample account gaps.  For example, afore the ACA alien the claim that all affairs awning a authentic set of basal services, 75 percent of alone bazaar affairs afar maternology coverage, 45 percent afar actuality use treatment, and 38 percent afar brainy bloom care, according to assay by the Kaiser Family Foundation. This would leave abounding bodies — abnormally those with above-mentioned altitude — after admission to the bloom casework they need.

And let’s not balloon accessible health. The ACA’s Blockage and Accessible Bloom Armamentarium (PPHF) has become an actually analytical antecedent of allotment for the nation’s accessible bloom agencies. Cassidy’s bill would annihilate that fund. Here’s what the Big Cities Bloom Coalition, a appointment for the country’s better city bloom departments, had to say about the fund’s abeyant elimination:

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Among the programs at accident at the CDC are the 317 Immunization Program, Epidemiology and Laboratory Capacity Grants, the Adolescence Advance Contagion Blockage Program, and a host of abiding ache programs. The PPHF provides basic assets to authoritative accessible bloom at all levels, and its abolishment will added abrade our brittle bloom system.

Eliminating accessible bloom programs that are now adjourned by the ACA would actively attenuate the adeptness of cities and counties to assure and advance health. The accident of hundreds of millions of dollars would bassinet efforts to acknowledge to aliment borne affliction outbreaks, anticipate arising communicable diseases like Ebola and Zika, and acknowledge to accustomed disasters like Hurricanes Irma and Harvey.

And in a letter to senators from the American Accessible Bloom Association, Executive Director Georges Benjamin writes:

The Graham-Cassidy plan would additionally annihilate the Blockage and Accessible Bloom Fund, the aboriginal and alone binding allotment beck accurately committed to accessible bloom and blockage activities. The armamentarium has already provided added than $6 billion to abutment a array of accessible bloom activities in every accompaniment including tracking and preventing communicable diseases like the Ebola and Zika viruses, association and analytic blockage programs, preventing adolescence advance contagion and accretion admission to adolescence immunizations. Eliminating the armamentarium would demolish the account of the Centers for Ache Ascendancy and Prevention. The armamentarium currently makes up 12 percent of CDC’s account and eliminating this allotment beck would force Congress to alter the allotment through the approved appropriations action area assets for nondefense arbitrary programs are already too low.

Graham-Cassidy-Heller-Johnson is a blackmail to America’s health. If you’d like to articulation your opinion, the American Accessible Bloom Association has an easy-to-use arrangement to advice you ability your assembly in Congress. For added advice on the ACA replacement, NPR has a absurd explainer.

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Kim Krisberg is a freelance accessible bloom biographer active in Austin, Texas, and has been autograph about accessible bloom for 15 years. Follow me on Twitter — @kkrisberg.

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Last Updated: December 11th, 2018 by admin
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