What would happen to healthcare coverage under emerging GOP plan?

Roger Marshall

Under the Affordable Care Act, or ACA, more than 400,000 Nevadans have gained health care coverage over the last four years through the state insurance exchange or the expansion of Medicaid.

Republican schemes would get rid of those subsidies and offer a more straightforward tax credit that would vary only because of age.

Founded in 2013, Redirect Health helps entrepreneurial businesses and their advisors build affordable health care plans on a self-insurance platform. "It doesn't say how much".

The site was created by the company HealthMarkets, a distributor of individual and family health insurance based in North Richland Hills, Texas, which serves many self-employed clients.

Nobody, that is, except everyday people who worry about finding adequate health coverage and fear what a catastrophic illness could do to their finances. Thirty-one states, including OR, have expanded their Medicaid populations under Affordable Care Act provisions - putting stress on the program in the eyes of some, but also granting health benefits to millions more Americans.

Whatever happens, the effects could be broadly felt. You can't just say 'don't tell me what to do, I don't wanna buy health insurance.' It is a hard concept, but if we are going to continue to be in a state where we have insurance-based health [coverage], then this is how it has to be.

The study found that lower-income people, older adults, and people living in high-cost areas would get lower subsidies.

In the seven years since Obamacare was enacted, it has failed to deliver on its core promises. If 22 House Republicans or three Senate Republicans join united Democrats and oppose health legislation, it would fail.

The programs covered about 225,000 Americans back then.

FILE - A woman reads a leaflet on Obamacare at a health insurance enrollment event in Cudahy, California, March 27, 2014.

"That's why I'm fighting", she said. And he would require more documentation from people who are eligible to buy insurance during special enrollment periods (when they've changed their marital status, for example).

Tosher, a self-employed editor, told her story during a rally outside Republican Sen. Snyder is very aware of the challenges facing the health care law as a whole, and he thinks the insurance market could collapse without swift action from lawmakers. Before the law, it was common for people without health care to show up at expensive emergency rooms, either because they put off needed primary care, or because they had no other health care options. Insurers could review medical and pharmacy records.

Insurers automatically denied individual coverage for people with cancer, cerebral palsy, congestive heart failure and many other conditions.

While Republican strategist Jonathan Torres believes the protests are premature, especially since Republicans haven't revealed details of what they're going to propose. That's about 15 percent of all self-employed individuals in the state, according to IRS tax filings for that year. High premiums and high deductibles are aspects of the health law, Packham says, that could be improved.

Affordability is another matter, he said, and would be handled differently in each state.

Western and rural Colorado are unlikely to fare well in the effort to repeal, replace and/or fix the Affordable Care Act, an effort that won't be easy, parliamentarily speaking. But you can't throw out the requirement for everyone to buy coverage and keep robust protections for people with pre-existing conditions. With about 100,000 patients participating nationwide, the government unexpectedly froze enrollment.

Not only that, House Speaker Paul Ryan and Trump's new Department of Health and Human Services Secretary, Tom Price, are on record wanting to use block grants to dramatically slash funding for Medicaid, forcing millions more into the ranks of the uninsured, and to turn Medicare into a voucher program that shifts massive costs onto future seniors while enriching big insurance corporations and their Wall Street backers.