Fallout from Trump’s decision to stop Obamacare

Fallout from Trump’s decision to stop Obamacare

Nearly 20 states have filed a lawsuit against President Donald Trump over his decision to stop payments that lower health insurance deductibles and co-pays for millions of Americans with modest incomes.


Stopping the Obamacare Cost-Sharing is Going to Cost a LOT of Money

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Last year, the Trump administration stopped making cost sharing payments to insurance companies who operate on the Obamacare exchanges, and all that saved government loot has now gone to increased subsidies. A recent court decision means insurance companies will be able to recoup a lot of that money. Healthcare Triage (with thanks to Nick Bagley for the legal interpretation) has the details.

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John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen – Graphics
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How to Fix Obamacare’s Marketplaces

Obamacare’s marketplaces were supposed to give consumers choices of health plans from insurers that compete to keep premiums down. But fewer insurers are participating, and premiums are increasing sharply.

Fixing this problem will obviously be politically difficult with a Republican-controlled Congress that has vowed to “repeal and replace.” President-elect Donald J. Trump has also said he wants to get rid of the ACA, although he amended that recently by saying he’d like to keep some elements. Replacing the law, without a Senate supermajority, would also be politically difficult.

From a policy standpoint, however, some solutions to problems facing the marketplaces are ones that Republicans have endorsed before: for Medicare. That’s the topic of this week’s Healthcare Triage.

This episode was adapted from a column FOTS Austin Frakt wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2016/11/15/upshot/politics-aside-we-know-how-to-fix-obamacare.html

John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen — Graphics




And the housekeeping:

1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better!
2) Check out our Facebook page: http://goo.gl/LnOq5z
3) We still have merchandise available at http://www.hctmerch.com


Obamacare and October 1st: Healthcare Triage #1

http://www.healthcare.gov

Healthcare Triage is a new series from Dr. Aaron Carroll and the team behind Crash Course and Mental Floss Videos. In this episode, Aaron gets a visit from noted hypochondriac John Green, and allays some of his fears about Obamacare. He provides an overview of what is going to happen on October 1st, when the Affordable Care Act, AKA Obamacare, goes into effect. Aaron will talk stuff like individual mandates, subsidies, and the three-legged stool of Obamacare, which is not a real stool. You’ll learn who exactly is affected by the changes on October 1st, get a brief tour of healthcare.gov, and learn a little about alien alternative medicine, which also isn’t even real. The rest of the video is totally real. All this, plus the aforementioned metaphorical furniture should make this pretty hard to resist.

Read more on Aaron’s blog: http://theincidentaleconomist.com/

Written by Aaron Carroll
Produced by Stan Muller
Graphics by Mark Olsen





A breakdown of the moment John McCain voted against repealing Obamacare

U.S. Senator John McCain was one of three lawmakers who voted down the latest attempt by the Republican-controlled Senate to repeal Obamacare. Susan Collins and Lisa Murkowski also voted against what had come to be called the ‘skinny’ repeal. Replaces an earlier version that contained a spelling mistake.


Obamacare vs. Affordable Care Act #2

Back in 2013 we conducted an experiment on our show. We went out on the street and asked people which was better: Obamacare or the Affordable Care Act. Obamacare is of course just a nickname for the Affordable Care Act. They’re the same thing. So with all the attention now on this subject, we decided to ask this question again to see if Americans have learned anything over the last three years.

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Obamacare vs. Affordable Care Act #2


Is Obamacare Working? The Affordable Care Act Five Years Later

In which John Green pauses, five years after the Affordable Care Act was signed into law, to consider what we know so far about the law’s effectiveness and repercussions. I also look at health care in the United States more generally, and the limited scope of the Affordable Care Act relative to the size of the overall health care system in the U.S.

I got a ton of help from Aaron Carroll, who hosts the great Health Care Triage https://www.youtube.com/user/thehealthcaretriage, but any errors are my fault and mine alone.

SOURCES:
More than 17% of US GDP goes to health care expenses: http://en.wikipedia.org/wiki/Health_care_in_the_United_States
The U.S. spends way more on health care than any other country: http://www-tc.pbs.org/prod-media/newshour/photos/2012/10/02/US_spends_much_more_on_health_than_what_might_be_expected_1_slideshow.jpg
And yet our healthcare outcomes are not generally better (and are in many cases worse): http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
44 (or maybe 46) million Americans were uninsured in 2009: http://www.pbs.org/healthcarecrisis/uninsured.html
This NYT article assessing the ACA is excellent: http://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html#/
Understanding pre-existing condition exclusions: http://kff.org/health-reform/fact-sheet/health-insurance-market-reforms-pre-existing-condition/
Medical debt is the biggest cause of U.S. bankruptcy: http://www.cnbc.com/id/100840148
Employer-based insurance distorts the labor market in the United States: https://www.bostonfed.org/economic/conf/conf50/conf50e.pdf
Both the access and the cost savings parts of the Affordable Care Act are discussed really well at this wikipedia page: http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act
We are nowhere close to a path to health care spending stability: https://www.cbo.gov/publication/45471
But the uninsurance rate has dropped dramatically: http://www.gallup.com/poll/180425/uninsured-rate-sinks.aspx
And more than 12 million people have gotten insurance through the health care exchanges set up by Obamacare: http://acasignups.net/
The rollout of healthcare.gov was a disaster: http://en.wikipedia.org/wiki/HealthCare.gov
Insurance premiums rising more slowly than before exchanges: http://kff.org/health-reform/issue-brief/analysis-of-2015-premium-changes-in-the-affordable-care-acts-health-insurance-marketplaces/
More insurance companies are participating in the exchanges this year than last year: http://www.wsj.com/articles/u-s-states-to-get-more-insurers-under-affordable-care-act-1411495473
The law is costing less than expected: http://www.nytimes.com/2015/03/10/us/politics/budget-office-again-reduces-its-estimate-on-cost-of-the-affordable-care-act.html
Is the law actually improving health? It seems so at least for young adults and also for colonscopy screening rates, but much is still unknown: http://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html#/
Many are still uninsured and underinsurance is a huge problem: http://www.nytimes.com/2014/12/02/upshot/underinsurance-remains-big-problem-under-obama-health-law.html
(Don’t get mad at me for linking a lot to the New York Times; they do way more data analysis and reporting on this stuff than anyone else I’ve come across)
Britons live longer and healthier lives than Americans despite being pretty similar lifestyle-wise: http://www.ncbi.nlm.nih.gov/books/NBK62373/
Our health care spending will sink us in the long-run, but if anything the situation was worse before the ACA: https://www.cbo.gov/publication/45471

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