[메디컬리포트=Oliver Smith 기자] President Obama was finally baited back into the healthcare debate with Republicans after his departure from the White House.
Photo source: Zachary Bell via Wikimedia Commons
Former U.S.President Barack Obama launched his way right back into the debate with Republicans on the Hill Thursday as they attempt to finally repeal and replace Obamacare.
Obama wrote a prolix Facebook post about the Senate GOP bill as “not a health care bill.” He calls it, instead, a transfer of wealth to the rich and castigates conservatives who argue that Obamacare is failing and needs to be replaced posthaste.
“Simply put, if there’s a chance you might get sick, get old, or start a family—this bill will do you harm,” Obama said in his post.
“And small tweaks over the course of the next couple of weeks, under the guise of making these bills easier to stomach, cannot change the fundamental meanness at the core of this legislation.”
The Obama Administration’s final White House press secretary state that Obama would not involve himself in partisan debates after he left the Oval Office, and Obama has, indeed, refrained from doing so until now.
On Thursday, Republicans in the Senate finally made public the draft they’ve been composing behind closed doors of the Better Care Reconciliation Act of 2017 (BCRA), and it prompted Obama to react on social media.
The draft threatens to get rid of a broad panel of tax hikes that Obamacare imposed on the upper tax brackets, stop penalizing people for not buying insurance and massively cut Medicaid.
The Senate bill, however, does let go of the waivers that the U.S.House of Representatives put forward originally to let states permit insurers to raise premiums for patients with pre-existing conditions.
In large part, supporters of the bill spotlight Obamacare as being problematic without remorse for the fact that the new bill deliberately disadvantages the poor.
In a subjective analysis of the draft, Ryan Ellis, a contributor for Forbes, wrote on Monday:
“There’s the usual nonsense about how millions of people will lose coverage (which only makes sense if you think the individual mandate is a good idea or that using an outdated Medicaid coverage baseline is sound actuarial science), all of which can be safely ignored as #fakenews.”
The term, individual mandate, refers to a provision of Obamacare that requires all U.S.citizens to have health insurance or pay a fine.
Ellis calls baseline coverage for Medicaid outdated and suggests in the statement above that this precludes millions of citizens losing healthcare when the BCRA takes effect despite the fact that Medicaid funding takes massive cuts as a result of this bill, which the majority of discussion has focused on and which Ellis failed to even broach (the term, Medicaid, appears only once in the article, as quoted above).
“By far the most under-reported upside to this bill is the immediate (indee, retroactive) capital gains and dividends tax cut.
By repealing the ‘net investment income tax’ (NIIT) of 3.8 percentage points, BCRA results in a right-now cut in the all important investment rate from 23.8 percent to 20 percent.”
The net investment income tax provision in Obamacare is solely purposed with funding itself by adding 3.8 percent tax to taxpayers whose income sources classify as net investment income, which are high income taxpayers; taking effect in 2013, this tax offsets Obamacare costs.
The Patient Protection and Affordable Care Act has been the subject of considerable social and political controversy.
Exacerbating the controversy as of late has been the unquantifiable nature of its impact on certain facets of medical practice, but there are polarizing responses throughout the United States to this legislation due to the drastic changes it has effected on multiple industries including but not exclusive to the medical and insurance industries.
The significance of the Affordable Care Act’s impact is actually evidenced by the fact that it is frequently referred to as the largest regulatory overhaul of American healthcare since President Lyndon Johnson’s leadership in creating the Medicare and Medicaid programs.
What is particularly problematic about the PPACA is that an overhaul of the U.S.healthcare system inevitably reshapes the landscape of healthcare in a way that changes how hospitals operate, changes personnel responsibilities, changes the profits of various private interests, and even costs a select few their jobs.
Obama Care makes a number of significant provisions to insure all American citizens.
Perhaps the most significant provision is termed “guaranteed issue” in the legislation according to the U.S.Department of Health and Human Services (2010).
It restricts insurers from refusing to insure citizens on the basis of pre-existing conditions, and an insurance companies are also legally obligated under the Affordable Care Act to offer the same premium to all applicants of the same community or age.
This protects citizens from being denied insurance on account of any of a variety of prejudices or biases that could unfairly neglect American citizens.
Another important milestone that the PPACA accomplishes is what the Department of Health and Human Services refers to as individual mandate.
This provision legally obligates any citizen who is not insured to get insurance.The idea was that, as healthcare was made affordable for everyone based on their economic class, everyone would be able to be insured.
Unfortunately, critics point out that Obama Care may have financially hurt those without health insurance near the base of the middle class yet unable to qualify for government subsidies to purchase insurance.
The primary means by which the Affordable Care Act operates is based on the health insurance exchanges that the ACA legislated into being.
These are markets, much of which is online, in which small businesses and individuals alike can compare policies and purchase insurance.
Citizens and businesses enroll in the exchanges and shop for insurance policies, which theoretically leads insurance companies to make premiums more competitive, which also makes them more affordable for Americans.