Fact Check: 'We Don't Have Health Care In This Country,' Trump Says

Vincent Carr
May 19, 2017

Provisions in the Affordable Care Act, such as access to health insurance regardless of a pre-existing condition, expanded coverage of Medicaid, and funding for preventive health services for women, like those offered at Planned Parenthood, have contributed to more African Americans gaining health insurance coverage. Instead of tweaking the House-passed bill, AARP, which has announced its opposition to the replacement legislation, is urging the Senate to simply toss the House's work and start over. Unlike the House, the Senate is unlikely to move forward without an updated analysis of the legislation by CBO.

People with pre-existing conditions would likely face large premium surcharges under an AHCA waiver, according to the analysis, as insurers would be unable to decline coverage based on a person's medical history, a practice that was permitted in almost all states before it was prohibited by the Affordable Care Act in 2014.

AMA recently penned a letter to Senate leaders advocating protection for patients at risk of losing health insurance coverage as the Senate begins considering health system reform, according to a press release.

Aetna Chairman and CEO Mark Bertolini told a group of shareholders that the country ought to have a rational discussion about moving toward a single-payer health care system that would provide health insurance for every American. "Young people may have a gap in coverage as they turn 26 and are unable to stay on their parents' insurance policies".

To qualify, an individual must get insurance through the HealthConnector and have a household income up to 400 percent of the federal poverty level.

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Then they looked to see how many had a coverage gap - perhaps due to a job loss, job change, divorce, move or some other life change.

"A core commitment of mine throughout this process was to ensure those with pre-existing conditions are protected".

Under Obamacare, insurers can no longer charge consumers based on their medical histories. But by allowing states to opt out of the ACA's so-called community ratings based on health status the GOP bill would essentially allow insurers to price sick people out of the market. By utilizing high-risk pools, the state can continue to cover those people who have gained access to health insurance with a plan that has similar coverage to an Obamacare plan, while also removing their risk and the rising costs that result from having these individuals and their increased costs in the same pool as the general marketplace. The AHCA, as passed in the House, would give states the option to alter the health plans even more, but CBO has not scored that yet.

Meanwhile, a group of Democratic senators from states like West Virginia, Massachusetts and New Hampshire hit hard by the opioid epidemic said the proposed Medicaid cuts will make it more difficult for the addicted to get treatment. The Kaiser Family Institute estimates that more than a quarter of non-elderly adults have preexisting conditions that would have negatively affected their coverage prior to the passage of the Affordable Care Act.

Other reports by BadHub

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