Rep. Cheri Bustos delivering the message from House Democrats regarding the GOP’s American Health Care Act, the AHCA, which should more aptly be titled the “BBBA,” the Big Breaks for Billionaires Act. They hear us and they’re ready to stand up for the values that unite us and fight to get real results for hardworking families.
|Andrew W. Gurman, MD
American Medical Association
The American Health Care Act (AHCA), released by Congress this week, is intended to repeal and replace the Affordable Care Act (ACA). But as introduced, it does not align with the health reform objectives that the AMA set forth in January to protect patients. While the ACA is imperfect, the current version of the AHCA is not legislation we can support.
The replacement bill, as written, would reverse the coverage gains achieved under the ACA, causing many Americans to lose the health care coverage they have come to depend upon.
In a letter sent today to leaders of the House committees that will mark up the AHCA, AMA CEO and Executive Vice President James L. Madara, MD, wrote that the proposed changes to Medicaid would limit states’ ability to respond to changes in service demands and threaten coverage for people with low incomes. Dr. Madara also noted that the proposed changes in tax credits and subsidies to help patients purchase private health insurance coverage are expected to result in fewer Americans with insurance coverage.
It is unclear the exact impact this bill will have on the number of insured Americans, and review by the nonpartisan Congressional Budget Office is still pending. The ratings and analytics firm S&P Global Ratings has already estimated that as many as 10 million Americans could lose coverage if this bill becomes law, saying that between 2 million and 4 million people could lose the insurance they purchased in the individual health exchanges under the ACA, and between 4 million and 6 million could lose their coverage under Medicaid.
That just won’t do.
We all know that our health system is highly complex, but our core commitment to the patients most in need should be straightforward. As the AMA has previously stated, members of Congress must keep top of mind the potentially life-altering impact their policy decisions will have.
We physicians often see patients at their most vulnerable, from the first time they set eyes on a newborn child to the last time they squeeze a dying loved one’s hand. We don’t want to see any of our patients, now insured, exposed to the financial and medical uncertainties that would come with losing that coverage.
That is, above all, why physicians must be involved in this debate.
Editor’s note: In the coming weeks, a series of AMA Wire® articles will explore policies that form the basis of the AMA’s advocacy on health reform. Read parts one (“Protecting insurance gains is priority No. 1”) and two (“No going back on key market protections”).
Reprinted with permission and as Published by the American Medical Association on AMA Wire at: https://wire.ama-assn.org/ama-news/physicians-reject-house-aca-replacement-bill
“You are now responsible for the actions that Ryan Zinke will take as Secretary of the Interior,” reads a letter aimed at 16 Democrats and Independent Sen. Angus King of Maine. “I plan to hold you accountable.”
Ryan Zinke, a now former Congressman from Montana, has just been confirmed to lead the Department of Interior. He has a lifetime record of voting against the environment 96% of the time. His confirmation jeopardizes the future of our public lands, and the people, wildlife, and economies that depend on them.
Zinke’s answers to questions during the confirmation process provide insight into how he envisions the Department of Interior will manage millions of acres of federal lands and the natural resources under and on our wild places. When asked if humans have contributed to climate change, he questioned whether we are the driving force. When asked about protecting public lands, he refused to commit to keeping dirty fuels in the ground. He even said that the recent designation of Bears Ears National Monument in Utah, lands that are sacred to five Native American tribes with ancestral and spiritual ties to these lands, was one of the “pending problems we need to address quickly.”
Our public lands allow us to experience the majesty of the great outdoors, learn about our country’s history, and honor those whose cultural history dates back millennia. It’s now become imperative that we step up and fight so that future generations can enjoy these places, too.
- Ryan Zinke’s Environmental Scorecard, League of Conservation Voters.
- Ryan Zinke is one step closer to becoming interior secretary Washington Post. 1/31/2017.
- Interior nominee: President has power to amend, maybe remove, monument designation Salt Lake Tribune. 1/17/2017.
Read the article at the Washington Post …. HERE