GOP politicians are aware they must come up with a replacement because of the political backfire if they do not. Repeal without replacement would give Colorado consumers hard times again. In Colorado, 67 thousand plus received on the average of over $300 in subsidies awarded based upon their low income levels. That is 60% of the total who bought insurance through the Colorado exchange. Over 39% of subscribers of exchange offered insurance did not require subsidies. To buy insurance on the open market, those 67,000 would have to make up the difference but due to low income, could not. These figures do not take into account another nearly 60 thousand receiving Medicaid plus CHP (Child Health Care), with Medicaid expanded to include them under provisions of Obamacare..In Grand County individuals earning less than $15,856 or $30 thousand for a family of four have been covered by expanded Medicaid. Individuals earning between $15, 856 a year and $45,960 and families of four earning between $32,499 and $94,200 have qualified for reduced cost premiums per income level. Those subsidies would go away if some current GOP proposals were enacted.
For eight years GOP members have tried to come up with a replacement plan that even comes close to the coverage, consumer protection standards, and affordability of Obamacare , and have not found one. Pres.elect Trump's cabinet pick for Health and Human services, Tom Price, has a plan, but experts looking at it conclude it would leave consumers sicker and poorer.18 to 27 million would lose health insurance and premiums would increase 20 to 25%, per the Congressional Budget Office. Implementation plans also creates such uncertainty that within that three year period, insurers will pull out of Obamacare, not because they are being mean-spirited, but because the uncertainty will lead to business decisions inherent in the insurance industry. What should be demanded, not that it will since the GOP controls both houses of Congress, is that any repeal must be accompanied with replacement at the same time so that the public can see who of the current near 20 million getting benefits from subsidized medical insurance or expanded Medicaid and those receiving employer provided insurance now meeting high standards will get screwed.
GOP members are talking about retaining popular provisions of requiring coverage of pre-existing conditions and permitting kids under 25 to be covered by their parents' insurance. How to pay for pre-existing coverage is the question not answered since under Obamacare the healthy insured expand the pool to spread the cost around. Attempts to provide subsidies to premiums restricted to those with pre-existing coverage have failed in states including Colorado that have tried it because of the costs.
Addendum: My comments posted on Facebook January 4, 2017.
Addendum: Feb. 27, 2017:
Ali Velshi on CNN interviews person from Columbia U. Half of the 20K covered by Obamacare get Medicaid Expansion (11 mil).. 31 states did Medicaid expansion; half have GOP governors. Right now states and federal government split costs and GOP proposals floated would give the states a block grant, but no guarantee in future would be enough or would the block grants be the same.
Currently subsidies for those on Exchanges based upon sliding scale of income. GOP proposals would change that to one based on age and young people would get $2K credit (enough for catastrophic, but not much more) and older people would get $4K credit. However, cost of older people 5x younger so not enough for the older, sicker.