Friday, June 16, 2017

The Medicaid Dismemberment Act

Over at, I've made a case that the AHCA is not simply -- or even primarily -- an ACA repeal bill. It's a Medicaid dismemberment bill.  That goes for the Senate variant in progress as well.  Furthermore:
The degree of damage to be wrought by the legislation's various spending reductions is almost the inverse of where media emphasis falls;
and finally
the damage Republicans will likely do to the individual market is dwarfed by the damage they will certainly do (if they pass anything) to Medicaid. Thus all the high drama over medical underwriting and EHBs continues to serve as a smokescreen for Medicaid's dismemberment.
I rank the bill's three primary means of doing violence to existing parts of our healthcare system. Hope you'll take a look. 

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