Saturday, May 6, 2017

Trumpcare shifts to the Senate and Colorado senator Cory Gardner is in the hotseat

A version of this appeared in all editions of the Sky Hi News 5/10/17

With a narrow vote, the GOP dominated House of Representatives threw  their version of repealing Obamacare and replacing it with Trumpcare to the Senate.  Colorado’s GOP Senator Cory Gardner will be facing voters  again in 2020.  He is one of a GOP committee of thirteen men crafting the Senate version. Women were the largest group  harmed by the House version.


If Gardner can take comfort that voters may forget how he voted in on Trumpcare with any Senate alterations in 2017 or 2018,  he should dream on because   the  full impact will  be seen clearly for what it does  since it will be fully implemented and  painfully and personally felt around  2020.  It is not only a pocket book issue, it is a matter of life and death for those  harmed by the House Trumpcare version,  including  women, the over 50 crowd, lower middle class, the poor, the near poor, those with pre-existing conditions. All  with employer provided insurance are at risk, as well.. Over  400,000 in Colorado alone would lose their health insurance in ten years.  Rural hospitals and urban charity hospitals would lose  many paying customers, causing some to close.
The most damaging hit on Colorado  is that funding for  Medicaid expansion under Obamacare would be eliminated.  With Obamacare  Medicaid  qualifications were loosened to cover those who fell in the crack between qualifying tor  traditional Medicaid and their an  income level needed to pay for the lowest subsidized premiums.   Colorado  could  vote to restore the loss of Medicaid expansion  at the cost to taxpayers of $15 billion over ten years. That is how significant this loss to the state and our families would be.


With the House Trumpcare bill. 22% of Colorado adults  with  the most conservative definition of pre-existing conditions could be dumped into a “high risk” pool. So inadequately would those pools be  funded  under the House version that the premiums would have to be raised to the point of being unaffordable to make up the difference. In any case  women could be charged more than men again for  coverage of their special services, from pre-natal to maternity care, cancer screenings, mammograms, birth control pills,  assuming those benefits would even  be offered. All guarantees  of  such benefit inclusion were removed in  the House Trumpcare bill.


Winners could  be premium reductions for some , especially men under 50 with no pre-existing conditions . The  greatest beneficiaries are the  wealthy  who saw Obamacare taxes on them of $300 billion  eliminated and some health care providers who were relieved of another $300 billion in taxes.  No one will be required to have insurance and employers will not be required to provide it or to include essential benefits  or coverage of pre-existing conditions if they do.


In 2018, all members of the House of Representatives will be up for re-election.  In 2017 if not later, all will get another bite at their poisonous Trumpcare apple because the Senate and the House versions will go to a conference committee. The result of that melding will be voted upon by the House and Senate again . Keep your eyes on the following GOP Representatives  in Congress  who voted for the House Trumpcare bill this month: Doug Lamborn, Ken Buck, and  Scott Tipton.  GOP Rep. Mike Coffman and all Democrats voted no, including Grand County’s  Representative Jared Polis.





The sources for these figures and analyses follow..


http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-aca-replacement-plans-womens-health/


http://www.cnn.com/2017/05/04/politics/house-health-care-vote/index.html?sr=fbCNN050417house-health-care-vote/0745PMVODtopLink&linkId=37210223
http://www.skyhinews.com/news/colorado-health-care-series-part-4-experts-warn-to-beware-effects-of-dismantling-obamacare/




https://www.forbes.com/sites/beltway/2017/03/22/the-ahcas-tax-changes-and-transfers-would-benefit-the-wealthy-hurt-the-low









http://connectforhealthco.wpengine.netdna-cdn.com/wp-content/uploads/2016/09/C4HC_OE_2016-17Report_WEB.pdf

http://www.9news.com/news/local/next/colorado-congressman-ken-buck-explains-his-healthcare-flip-flop/437288128

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