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Paul Ryan Says *This* Is The “Closest We’ll Ever Get” To Obamacare Repeal
Red State ^ | March 9, 2017 | Andrea Ruth

Posted on 03/09/2017 9:42:44 PM PST by TBP

Speaker Ryan dropped a bombshell on every person who has ever voted Republican since 2010 because of the chance to repeal Obamacare:

Follow POLITICO ✔ @politico .@SpeakerRyan: “This is the closest we will ever get to repealing and replacing Obamacare” http://politi.co/2lITgKG 6:40 PM - 9 Mar 2017 32 32 Retweets 35 35 likes

Wow. Their steaming pile of crap, Obamacare Lite, (NON-REPEAL), “World’s Greatest Healthcare Plan of 2017” — No, I’m not even joking with that moniker — is apparently the best thing Republicans can offer after years of promising to repeal Obamacare.

Thank you, Republicans. Thank you for proving again that you can’t follow through on anything. You voted to repeal the Affordable Care Act how many times while President Obama was still in office, but the best you can offer now with a “Republican” in the White House is the same system shuffled around a bit and presented as new?

This is not the repeal you promised or Americans have been wanting.

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TOPICS: Government; Miscellaneous; Politics
KEYWORDS: gopsellout; obamacare20; rinorinoryan; romneycare; romneycare4ever; teamromney; trumpcare
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To: Advil000

Hate to be the one who has to introduce some actual facts into this debate, but here is the Congressional Research Service summary of the “Obamacare Repeal” Bill Passed by the House and Senate and vetoed by President Obama. Looks more like “Obamacare Defund” to me.

https://www.congress.gov/bill/114th-congress/house-bill/3762?r=1

Shown Here:
Passed Senate amended (12/03/2015)

TITLE I—HEALTH, EDUCATION, LABOR, AND PENSIONS

(Sec. 101) This bill amends the Patient Protection and Affordable Care Act (PPACA) to terminate the Prevention and Public Health Fund, which provides for investment in prevention and public health programs to improve health and restrain the rate of growth in health care costs. Unobligated funds are rescinded.

(Sec. 102) Funding for community health centers is increased.

(Sec. 103) Certain funding for U.S. territories that establish health insurance exchanges is no longer available after 2017.

(Sec. 104) The Department of Health and Human Services (HHS) may not collect fees or make payments under the transitional reinsurance program.

(Sec. 105) This bill makes appropriations for FY2016 and FY2017 for HHS to award grants to states to address substance abuse or to respond to urgent mental health needs.

TITLE II—FINANCE

(Sec. 201) This bill amends the Internal Revenue Code to require individuals to pay back the full amount of advance payments in excess of their premium assistance tax credit. (Currently, there is a limit on the amount of excess an individual must pay back.)

(Sec. 202) Provisions relating to the premium assistance tax credit, reduced cost-sharing, and eligibility determinations for these subsidies are repealed on December 31, 2017.

(Sec. 203) The small employer health insurance tax credit does not apply after 2017. (This credit is for certain employers who make contributions toward employee health coverage purchased through a health insurance exchange.)

(Sec. 204) The penalty for individuals who do not maintain minimum essential health care coverage is eliminated.

(Sec. 205) Large employers are no longer required to make shared responsibility payments.

(Sec. 206) For one year, this bill restricts the availability of federal funding to a state for payments to an entity (e.g., Planned Parenthood Federation of America) that:

is a 501(c)(3) tax-exempt organization;
is an essential community provider primarily engaged in family planning services and reproductive health;
provides for abortions other than abortions in cases of rape or incest, or where a physical condition endangers a woman’s life unless an abortion is performed; and
received a total of more than $350 million under Medicaid in FY2014, including payments to affiliates, subsidiaries, successors, or clinics.

(Sec. 207) This bill amends part A (General Provisions) of title XI of the Social Security Act (SSAct) to require the additional payments to U.S. territories for Medicaid under the Health Care and Education Reconciliation Act of 2010 to be made by the end of FY2017 instead of the end of FY2019.

This bill amends title XIX (Medicaid) of the SSAct to end the expansion of Medicaid under PPACA on December 31, 2017.

After 2017, hospitals may no longer elect to provide Medicaid services to individuals during a presumptive eligibility period.

States must maintain Medicaid eligibility standards for individuals under 19 years old through FY2017 instead of through FY2019.

The federal medical assistance percentage (FMAP, the federal matching rate for Medicaid expenditures) for U.S. territories is 50% after 2017 (currently, the FMAP is 55%).

The increased FMAP for childless adults and home and community-based attendant services under PPACA ends December 31, 2017.

After 2017, states may no longer elect to provide certain individuals with a presumptive eligibility period for Medicaid.

Medicaid benchmark plans are no longer required to provide minimum essential health benefits after 2017.

After 2017, states are no longer required to operate a website for Medicaid enrollment that is linked to the state’s health benefit exchange and Children’s Health Insurance program (CHIP).

(Sec. 208) Medicaid allotments for disproportionate share hospitals are increased.

(Sec. 209) The excise tax on high cost employer-sponsored health coverage (popularly known as the “Cadillac tax”) does not apply after 2017.

(Sec. 210) Health savings accounts (HSAs), Archer medical savings accounts (MSAs), health flexible spending arrangements (HFSAs), and health reimbursement arrangements may be used to pay for over-the-counter medications.

(Sec. 211) This bill lowers the tax on distributions from HSAs and Archer MSAs that are not used for medical expenses.

(Sec. 212) Salary reduction contributions to an HFSA under a cafeteria plan are no longer limited.

(Sec. 213) The annual fee on manufacturers and importers of brand name prescription drugs is eliminated.

(Sec. 214) The excise tax on medical devices is eliminated.

(Sec. 215) The annual fee on health insurers is eliminated.

(Sec. 216) Medical costs are allowed as a tax deduction regardless of whether the costs are taken into account when determining the amount of the subsidy for an employer-sponsored retiree prescription drug plan under Medicare part D (Voluntary Prescription Drug Benefit Program).

(Sec. 217) A tax deduction is allowed for medical expenses in excess of 7.5% (currently, 10%) of adjusted gross income.

(Sec. 218) The additional Medicare tax on income above a certain threshold is eliminated.

(Sec. 219) The indoor tanning services tax is eliminated.

(Sec. 220) The net investment income tax is eliminated.

(Sec. 221) A health insurer is allowed a tax deduction for the full amount of an employee’s compensation. (Currently, there is a limit on the amount of an employee’s compensation that a health insurer may deduct.)

(Sec. 222) Provisions relating to the economic substance doctrine are repealed. (The economic substance doctrine treats a transaction as having economic substance if it has a purpose other than reducing income taxes. Currently, there are penalties for claiming tax benefits for transactions without economic substance.)

(Sec. 223) Funds are transferred from the Department of the Treasury to the Federal Hospital Insurance Trust Fund.


41 posted on 03/10/2017 2:43:56 AM PST by SubMareener (Save us from Quarterly Freepathons! Become a MONTHLY DONOR)
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To: TBP

Why is this clown the republican congressional leader?


42 posted on 03/10/2017 3:10:07 AM PST by Joe Boucher (President Trump makes obammy look like the punk he is.)
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To: Joe Boucher

I say we markup this bill as much as possible, and take it now. Then move on to tax reform. Let this issue simmer for a year and bring it back in time for the 2018 elections. Let’s make repealing the rest of Obamacare the Number One issue of the next election.


43 posted on 03/10/2017 3:12:39 AM PST by ez ("Abashed the devil stood and felt how awful goodness is." - Milton)
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To: TBP

Who is more dense: The Democrats or the Republicans?

Trump is looking at one term if he doesn’t jerk these RINOs into line.

(Of course, that could be the plan.)


44 posted on 03/10/2017 4:11:37 AM PST by Arm_Bears (Rope. Tree. Politician/Journalist. Some assembly required.)
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To: Extremely Extreme Extremist

45 posted on 03/10/2017 4:14:04 AM PST by Travis McGee (EnemiesForeignAndDomestic.com)
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To: TBP
The biggest problem is that almost everyone on the Republican side - including President Trump, bigly - has agreed to coverage of preexisting conditions.

Once you do that, you have taken a stand in favor of government healthcare which is eventually going to produce some form of Obamacare, or single payer.

46 posted on 03/10/2017 5:00:22 AM PST by Eric Pode of Croydon
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To: Eric Pode of Croydon

The biggest problem is that almost everyone on the Republican side - including President Trump, bigly - has agreed to coverage of preexisting conditions.
Once you do that, you have taken a stand in favor of government healthcare which is eventually going to produce some form of Obamacare, or single payer

______________________

So what do we do with preexisting conditions.

Have friends who have daughter with juvenile diabetes. Her medication are ungodly expensive, she is at the mercy of drug companies and at 31 works to stay alive.


47 posted on 03/10/2017 5:02:53 AM PST by Chickensoup (Leftists today are speaking as if they plan to commence to commit genocide against conservatives.)
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To: Chickensoup
Well, if you believe that health care is a right, I suppose that anyone with a preexisting condition for which health care costs are more than say 15 percent of their net income could be allowed to go on Medicaid for treatment of that condition regardless of their total income.

This would get preexisting conditions out of the private insurance market which would be the biggest plus in getting us back to the pre-2010 status quo.

48 posted on 03/10/2017 5:09:34 AM PST by Eric Pode of Croydon
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To: Eric Pode of Croydon

I think there are just some things that can be best managed as a group. Significant preexisting conditions are one of them.

Unless perhaps for the greater good these people should suicide if they cannot manage or pay? Or we could just enforce an assisted suicide option. It would cull the herd.


49 posted on 03/10/2017 5:15:13 AM PST by Chickensoup (Leftists today are speaking as if they plan to commence to commit genocide against conservatives.)
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To: TBP

This is the last time they will have power now, the party will be destroyed.


50 posted on 03/10/2017 5:50:11 AM PST by dila813 (Voting for Trump to Punish Trumpets!)
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To: TBP

The ineptitude of the GOP is absolutely amazing. We need to circumvent/abandon the Republican Party.


51 posted on 03/10/2017 6:22:02 AM PST by Blue Collar Christian (We Arizonans need to get rid of McCain as all of us pray for Trump.)
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To: Chickensoup
things that can be best managed as a group. Significant preexisting conditions are one of them

But not under a requirement that commercial insurers cover them. Actuarial train wreck no matter how you structure it. That's why I would endorse a Medicaid option (if I must).

52 posted on 03/10/2017 9:39:57 AM PST by Eric Pode of Croydon
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To: thoughtomator

Yep, wish we could do that, because that lamebrain needs to go. He can’t figure out he is in office because we want it gone completely.


53 posted on 03/10/2017 10:38:25 AM PST by VaeVictis (~Woe to the Conquered~)
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To: TBP

Ryan needs to go.


54 posted on 03/10/2017 11:12:36 AM PST by fortheDeclaration (Pr 14:34 Righteousness exalteth a nation:but sin is a reproach to any people)
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To: Eric Pode of Croydon

It’s also why we have to fix the core structural problems of health care in general. Apologies for being too idealistic but even major preexisting conditions could be managed the way they used to be by philanthropic hospitals and private groups and even your local church/community pitching in if the cost of care and medication wasn’t 10x to 100x what it should be.

You can’t call an insurance company WHILE YOUR HOUSE IS ON FIRE and get fire insurance. I know it seems different somehow with health insurance but it is not.

I do firmly believe however that if we can fix the closed corrupt health care market we can fix costs and make this dreaded uber expensive pre-existing condition situation a very rare case instead of the norm it is today.

Most any major surgery today is completely bankrupting in cost when you look at the average yearly income of the general population. THAT is the real root problem. It has not always been like that. That is new in our lifetime.


55 posted on 03/10/2017 11:35:37 AM PST by Advil000
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To: proudpapa
Restore teh status quo ante.
56 posted on 03/10/2017 1:58:39 PM PST by TBP (0bama lies, Granny dies.)
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To: Advil000
BS. Repeal Now!

OR

Replace every lawmaker who won’t.

Or both.

57 posted on 03/10/2017 2:00:31 PM PST by TBP (0bama lies, Granny dies.)
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To: Eric Pode of Croydon

There has always been healthcare welfare. In the old days it was the City Hospitals. Bellevue for example was a welfare hospital. As welfare expanded, welfare hospitals and clinics diminished.

To have some sort of welfare and to lean on pharmaceutical companies who are ripping off consumers and taxpayers would also be key.


58 posted on 03/10/2017 2:22:21 PM PST by Chickensoup (Leftists today are speaking as if they plan to commence to commit genocide against conservatives.)
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To: kevao

Great appraisal of the situation. And it sure does suck.


59 posted on 03/10/2017 5:15:49 PM PST by quesney
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