CHRIS McCANDLESS
Portland, OR

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Donald Trump on Health Care: Slowly Taking Apart Obamacare

By on December 14, 2017

All initiatives of Donald Trump on health care have been done as a move to slowly take apart the Obamacare and reform the healthcare system.

It all started with the move to repeal and replace Obamacare.

But on July 2017, President Trump’s move to repeal and replace the Obamacare died a sudden death when Congress voted against it and chose to retain Obamacare as still the existing Law on Healthcare but opted revisions for it.

ease the burden of Obamacare

Enter the Trumpcare

Since then, Trump has been slowly taking it apart and reshaping the  healthcare with a series of executive orders and changes done through the HHS or the Health Human Services.

All these initiatives by Donald Trump on healthcare are lumped together and called Trumpcare.

This include:

  • The House Bill to repeal and replace the Obamacare, which did not pass in Congress
  • The Senate’s Better Care Reconciliation Act of 2017 and its revisions which replaced the House Bill
  • The January 2017 Executive order which does nothing to the law but clearly shows the direction that Trump is taking with his reform
  • April 2017 regulations that allow for shorter enrollment periods
  • The October 2017 Executive order on Association Health plans, Short Tem Coverage and HRA’s or Health Reimbursements Accounts.
  • The October 2017 Cuts to Cost Sharing Reduction of assistance payments to insurers who provide cost sharing reduction assistance payments to low income earners
  • The Oct 2017 changes to employer mandate to cover birth control which will allow employers not to cover contraceptives
  • The Nov 2017 changes to Medicaid expansion

All these are geared toward fulfilling a campaign promise to “ease the burden of Obamacare”.

So will Trump’s actions affect you?

Here’s how they can:

  • If you’re healthy Trump’s actions could lower your cost

This is because you do not have to pay a tax penalty under his reform plan and you could buy a short term plan or an association plan that costs less but may have less benefits

The catch is if you get sick, you might exceed the plan’s annual limit then you might have to buy Obamacare plan for a more expensive price.

  • If you have a chronic illness, your costs could rise.

This is because you’d have to rely on the ACA exchanges and as healthy consumers leave the exchanges, insurers will have to raise the cost of insurance there to be profitable.

  • If you’re a high income earner or a company owner, you don’t have to pay high Obamacare tax

The Senate repealed the high taxes for Obamacare.

  • If you are one of those who receive subsidies or Medicaid expansion.

The Senate had frozen Medicaid expansion and lowered funding for Medicaid.

  • If you are a planned parenthood patient

The Senate prevents Planned Parenthood from accepting Medicaid for one year thus effectively while partially defunding it.

  • If you want to reapply for health insurance after a lapse of 61 days

You’ll pay no penalty but you’d have to wait for 6 mos.

So these are just some of the moves and initiatives of President Donald Trump on Health care reform.

It looks good on paper, but whether or not it will truly “ease the burden of Obamacare”, only time will tell.

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