How do you feel about repealing the ACA?

This question is more for people who voted Trump. How do you feel about Congress moving to repeal the ACA without an alternative in place? If it was such a big issue and obamacare is so bad then the alternative would have been easy to put into place right?

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questionWeaver

Yes ... they are making way too much out of this repeal thing.

Having been part of a leadership team putting in place the ACA for a leading insurance company.

The repeal is easy ...

(1) End all the business restrictions immediately

(2) Discontinue the IRS/ income tangle immediately.

(3) Stop all mandates for individuals

(4) Discontinue adding new, subsidized members immediately

(5) Remove for 2018, all the non-medical treatment junk from plan, so the insurance companies can reprice.

(6) Immediately, for 2018, regionalize the exchanges.

(7) Outsource the exchange administration.

(8) Set a preliminary ceiling for medical malpractice

(9) Immediately eliminate the huge block regional hospital grants.

(10) Then, provide an affordable basic medical plan, low deductibles and build from there.

Oh ... and repeal all those crazy real estate development rules inside the law.

It is easier to repeal the whole thing ... then bring back in the few pieces we need ... and build from there

SW-User

If it's that easy why take three-four years?

questionWeaver

@BigAsset: I agree ... the biggest hurdle is the regionalization of markets ... NY, NJ and CA will fight this to no end ... they can win, because of state autonomy. CA can be their own Region ... problem really is New England and NY

SW-User

@questionWeaver: and there is no gurantee that premiums will come down, and same benefits will remain.

questionWeaver

Having been part of the insurance pricing for ACA ... it is all the "crazy" in the ACA benefits that drove the price up ... raised the deductibles and actually reduced the medical treatment availability.

There are many many ACA members who have no medical facility within 50 miles of them, that will accept ACA insurance.

SW-User

@questionWeaver: am sure there are pros and cons. My point is if it's so apparent, then have an alternative and then repeal. Right now no one knows.

questionWeaver

Good point ... it is a lawyer thing ... until everything is perfectly decided and balanced ... nobody wants to talk.

The good hunch is there is an intention, along the lines of the above, to put forth a basic affordable plan, with continuity.

A lot of the conversation is more about discontinuing the current plan ... it will take 2 months to get the actuarial costs to disband the monster.