JD you're kidding, right?

[u/janjinx]

[u/BukkitCrab]

Can anyone explain which Trump policies Vance was referring to that "improved" the ACA?

[u/Whend6796 → u/BukkitCrab]

If people are really curious

1. Removed the “individual mandate”. Aka the tax penalty for not having coverage.

2. Allowed states to add work requirements for Medicaid

3. Expanded access to short term plans

4. Stopped CSR subsidies to insurance companies

5. Cut marketing budget.

[u/Bright_Cod_376 → u/Whend6796]

1)OK, that's an improvement

2)that's not an improvement, it's a reduction in those covered

3)that's an improvement

4)that raises prices

5)that has no effect on Obamacare itself.

[u/Attheveryend → u/Bright_Cod_376]

The main thing the individual mandate does is keep prices low across the board.  It's what brings insurance closer to being a universal healthcare where taxes pay healthcare directly, i.e. the individual mandate is enforced with tax evasion and not merely a tax-as-alternative.

It's many hands make light work philosophy.

[u/Bright_Cod_376 → u/Attheveryend]

As someone who comes from the state with the highest uninsured rate where we didn't expand medicare and such? It was punishment for being too poor to afford insurance but make too much to get assistance to have cheap insurance. It was a shitty thing to implement and the result of implementing a Republican created, half assed solution to the insurance problem rather than just going all in on universal healthcare.

[u/MagicTheAlakazam → u/Bright_Cod_376]

Those who can't afford it are supposed to fall under medicaid.

Unfortunately most republican states immediately refused free money from the federal government for political points and made their consituients lives much much worse for no good reason.

So yeah a lot of republican run states ended up having a gap because they didn't accept the medicaid expansion.

They then used this gap as a reason Obamcare was bad.

Standard republican bullshit of cause a problem then blame it on the democrats.

[u/ManlyBearKing → u/Bright_Cod_376]

highest uninsured rate

didn't expand medicare

I think any solution would have sucked in your state unless it came with massive subsidies (which your state would probably not accept anyways). It's a $ problem, not an inherent design flaw.

Yes, ACA has its flaws, but better subsidies for ACA plans in poor states would have fixed this in a similar (if possibly less efficient) way to directly buying into a Medicare-for-all plan.

[u/Whend6796 → u/ManlyBearKing]

The federal government pays for 70% of Medicare and lets the states define and manage it within certain rails setup by the government.