People Like the ACA, so it’s hard to Repeal. Here’s why.

It’s not surprising that so many people like the ACA (Affordable Care Act), and that it’s been difficult for Republicans to repeal.

ACA (Obamacare) versus AHCA

Here are 12 reasons people like the ACA (also known as Obamacare), along with detail in supporting charts that compare it with the Republican’s American Health Care Act (AHCA). Most of this work is attributed to The Century Foundation.

1.  The uninsured rate across all ages and income levels has fallen to the lowest level on record, thanks to the ACA’s health insurance exchanges, Medicaid expansion, and other provisions.

The uninsured rate across all ages and income levels has fallen to the lowest level on record, showing that people like the ACA.

People Like the ACA because both young and old benefit

The uninsured rate has fallen for all income levels, showing that people like the ACA.

2.  States that expanded Medicaid have seen much larger gains in health insurance coverage. Texas, which had the lowest uninsured rate, is one of those that chose not to expand Medicaid. Shameful.

People like the ACA, especially those living in states that expanded Medicaid.

3.  Millions more workers are now protected against financial ruin because of the ACA banned caps on insurance benefits.

People like the ACA, because millions are now protected from financial ruin.

4.  National health expenditures are still high, but the ACA has flattened the growth curve below pre-ACA projections. In fact, costs have risen at the slowest rate in over fifty years since the ACA was enacted, and projections of future costs have fallen sharply.

Even though costs are still too high, people like the ACA, because it has flattened the growth of costs.

Even though costs are still too high, people like the ACA, because the growth of costs has slowed to the lowest in 50 years.

Growth in real healthcare costs have slowed, even for those with employer-provided insurance.

5.  By shifting from fee-for-service business models to incentives based on outcomes and value, the ACA has caused a decline in unnecessary testing and a related savings in costs. As a result, 83% of consumers buying health insurance through HealthCare.gov are paying no more for premiums in 2017 than 2016, so clearly the ACA is still working.

People like the ACA, which is responsible for reducing the number of unnecessary tests by changing the incentives away from fee-for-service.

6.  The quality of care received by hospitals patients has improved since the ACA. There have been much fewer hospital-acquired conditions and a sharp drop in readmission rates.

People like the ACA, because they've seen care quality improve.

People like the ACA, because care quality has improved, and hospital readmission rates have fallen.

7.  The ACA has also been good for the economy in general. It has substantially improved the long-term budget outlook, according to the CBO, and it even extended the life of the Medicare Trust Fund by 11 years.

People like the ACA but may not know that it has improved the long-term debt outlook.

People like the ACA but may not know that it has extended the Medicare Trust fund by 11 years.

8.  GOP-fueled rumors of an impending ACA “death spiral” were debunked by analysis of the latest state-level data by The Brookings Institute, showing that premium increases are not having a significant effect on insurance sign-ups.

People like the ACA and are skeptical of Republican claims that it's in a death spiral. They would rather ACA problems be fixed than the law repealed.

9.  The GOP’s American Health Care Act (AHCA) would have caused 24 million people now insured under the ACA to lose insurance, according to the Congressional Budget Office. The latest rumored changes to that would worsen those projections.

People like the ACA but don't like the AHCA, because tens of millions would lose health care, and tens of thousands would die as a result.

10. Consumers know that the American Health Care Act (TrumpCare) is more about tax reform than health reform, shifting federal funds away from helping low- and middle-income Americans get health care, and instead giving large tax breaks to special interests and high-income Americans. Seniors under the age of Medicare eligibility would be harmed the most, especially those with low-income. The after-tax premium increase for a 64-year-old making $26,500 would be $12,900. Someone that age making $1,000,000 would get a $12,900 tax cut.

People like the ACA but not the Republicans AHCA, because they see it as tax reform rather than health reform.

11. Repealing major ACA revenue provisions would mostly benefit Millionaires. 800,000 people in 20 states and D.C. would lose billions of dollars in tax credits to give tax cuts to just the top 400 households.

People like the ACA but don't like the AHCA, which mostly benefits millionaires.

12.  People who self-report having better health have higher employment rates and earnings, and that helps drive the economy and GDP.

People like the ACA and know that their health effects their earning capacity.

Comments on “People Like the ACA, so it’s hard to Repeal. Here’s why.

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