The GOP’s latest strategy for keeping the ACA intact is to try to sell it to voters as a solution to Obamacare’s problems
The Republican party has adopted a plan to replace Obamacare with an alternative that would leave most of its major health-care features intact.
The strategy is a reversal of what the party is supposed to do for the first few years of the ACA’s existence.
Republicans in Congress have spent the last six years promising to repeal the law, with little hope of being able to get any votes in the Senate.
The plan they’re proposing today is to make up for that.
It would make the ACA work for the vast majority of Americans, including people with preexisting conditions, by repealing the individual mandate, which requires most people to have insurance.
That’s not enough, Republicans have said, and the plan would also undo all of the health care gains the ACA has made.
They’re also proposing to slash Medicaid spending, as well as eliminate subsidies to buy private insurance, and they would end Medicaid expansion for the poor.
But there’s a major problem with this strategy: It will probably never pass Congress.
It’s a political impossibility.
The House and Senate have already rejected the Republican proposal, and President Trump himself has called it “dead on arrival.”
The strategy Republicans are using, then, is to sell their plan as the only option that can help those who have insurance, while also providing a path to the vast middle class.
It has the potential to be the most radical reform in years.
The plan’s backers, including the House and the Senate leadership, have said that they’ve heard from tens of thousands of Americans who are willing to sign up for a plan that doesn’t repeal the ACA.
But they haven’t offered much more than a handful of examples.
The GOP plan would allow people to stay on their existing insurance plans while also allowing them to buy a new plan that offers lower premiums and greater choice.
It also would allow those who don’t have health insurance to buy insurance through their employers or their employers’ health plans, and to do so with an employer-provided voucher or tax credit.
There are two big problems with this plan.
First, it’s a massive subsidy.
The Congressional Budget Office estimates that the House plan would leave more than 13 million people with less insurance than they would have had they stayed on their plans.
The Senate plan, on the other hand, would leave fewer than half as many people with more health insurance.
Second, it would leave many of those who already have insurance but who want to buy coverage for the sick and disabled with higher premiums and fewer choices.
The bill that Senate Republicans are now working on, the American Health Care Act, is a step in the right direction.
It cuts spending for Medicaid, which is one of the biggest costs for the ACA, and would raise taxes on high-income people.
But it doesn’t go far enough.
The bill would cut off federal funding for the Children’s Health Insurance Program and the Supplemental Nutrition Assistance Program, which provide food stamps and other food assistance to millions of low-income families.
And it would eliminate federal support for community health centers and community health partnerships, which give low- and moderate-income residents access to health care services that can be expensive for patients with health problems.
The American Health and Human Services Act, which passed the House in May, would restore federal funding to Medicaid, the Children and Families Health Insurance Fund, the Supplemental Nutritional Assistance Program for Women, and other programs that serve low-wage workers.
The Trump administration has not yet offered an alternative plan.
But that’s not all.
The Republican plan would eliminate the individual and employer mandates that drive up premiums.
It says that it will not cut Medicaid spending beyond what it currently does, but it would cut federal funding, potentially wiping out the entire federal budget for Medicaid.
The Senate plan would create a new program called the Children in Need Fund, a federal government-backed program that would provide grants to low-risk families and individuals who are not currently covered by Medicaid.
It calls for a 10-year phase-in period, which would begin in 2021 and last for five years.
But the GOP bill says it would end the funding for this program by 2025.
The House plan, meanwhile, would give states the option of using a “risk adjustment” system that would increase premiums for some people but leave others untouched.
It will also repeal the Medicaid expansion.
It proposes to replace Medicaid with a new “block grant” program, a system in which states could raise taxes to cover certain basic health care needs, but not to pay for Medicaid expansion, which, according to the nonpartisan Congressional Budget Center, would add $6.5 trillion to the national debt over a decade.
But none of those changes would eliminate all the major features of the Affordable Care Act.
The most drastic changes would likely leave in place many of the protections the law offers to low income people, like allowing them access to free preventive care and preventing them from losing their coverage.
That’s because the bill would also