The new GOP “healthcare” plan

In case you missed it, republicans are back with a re-vamped version of their failed ACA repeal. The new American Healthcare Act (AHCA) is somehow even worse than before after a new amendment was added by Representative Tom MacArthur (R-NJ). The problem with the last bill was that it apparently didn’t screw enough people over, so the “freedom caucus” (hint: the freedom they want is the freedom for you to die destitute) lifted their noses in disgust and said no. The new amendment by MacArthur aims to bring those ultra-conservative members of the freedom caucus over to their side. How does this amendment do this, you ask?

I am so glad you asked. Here’s a copy of the actual amendment to the bill. The proposed changes are many, but I’d like to focus on one specific part which I think illustrates why this bill isn’t really a healthcare bill at all. One of the main focuses of this amendment is eliminating the mandate that insurance plans offer certain “essential health benefits” as outlined by the ACA. Here’s the actual text of the amendment:

(B) In the case of plan years beginning 2 on or after January 1, 2020, for health insurance coverage offered in the individual or small  group market in such State, to apply, subject to paragraph (5), instead of the essential health benefits specified under subsection (b) of section 1302 of the Patient Protection and Affordable Care Act, essential health benefits as specified by the State.

“Essential health benefits” are things that, by law, insurance is currently REQUIRED to cover. So, what kind of things did the ACA define as “essential” to your heathcare plan?

  1. Ambulatory services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services
  6. Prescription drugs
  7. Rehabilitative services
  8. Laboratory services
  9. Preventive services and chronic disease management
  10. Pediatric care, including oral and vision screening

Right off the bat, we can see some major hypocrisy here. I find it truly insulting that the party that claims to be about “family values” and touts how “pro-life” it is says you don’t need newborn care, maternity care, and screw your children’s pediatric care. They don’t give a fuck if your child’s teeth rot out or he can’t get glasses.

Second, whenever the issue of gun control comes up, republicans are the first people to shout, “It’s not a gun problem, it’s a mental health problem!” So naturally their healthcare plan would allow insurance companies to drop mental health coverage.

Third, and also just as disgusting: Trump campaigned on the opiate epidemic. Remember that? He talked about how it’s a tragedy and he feels their pain. So of course now they can just take the whole substance abuse treatment part out of your plan.

So how does this save you money? Well, let’s say your insurance company says, “Sure, we can provide all ten of those benefits for $500/month. But what if we lobbied the state, and now your plan looks like this…”

  1. Ambulatory services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services
  6. Prescription drugs
  7. Rehabilitative services
  8. Laboratory services
  9. Preventive services and chronic disease management
  10. Pediatric care, including oral and vision screening

“There. We’ll just provide you with those 4 benefits. You won’t need to visit the hospital, right? And you didn’t want drug coverage, did you? And forget preventive care–you don’t need to waste your money on avoiding illness. If we take all of those things out, we can give you a plan for $50/month.”

The problem with this amendment is that it allows states and insurance companies to decide what’s essential, and let’s them pare down the plans they offer to the point that you aren’t even really receiving healthcare anymore. Of course healthcare will be cheaper if nobody is actually offering you healthcare.

It saves you money in the same way that selling a car without windows, doors,  mirrors, seat belts, airbags, a back seat, and brakes would save you money on a vehicle.

Of course none of this is an issue if you’re rich. If you’re wealthy, you can afford everything that’s essential. But if you’re poor? Screw you, you have to pick and choose from bare-minimum plans that don’t cover everything necessary to keep you healthy.

If you’re middle or lower class, here’s your GOP healthcare plan:

libertarian-healthcare-plan-i-part-1-of-3-accepting-your-19537818

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4 thoughts on “The new GOP “healthcare” plan

  1. I can’t recall ever seeing such a devious, underhanded, cold blooded, despicable bunch of Rethugs as we have now. They want to end everything their selfish rich asses see as a handout, and cut their own taxes to be wealthier assholes than they are now.

    Nevermind the fact that THEY have free for life UBER healthcare. It is fine for them, but for us? Oh hell no!

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