AMA Physicians Reject House ACA Replacement Bill

Andrew W. Gurman, MD Andrew W. Gurman, MD
President
American Medical Association
@AndyGurmanMD

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

Letter re: the AHCA being driven through the US House

#TrumpedUpCare Losers: Those Using Long-Term Care Under Medicaid

Rep. Joe Kennedy III speaking at 4:15AM this morning on the impact of the Republican’s #TrumpedUpCare bill on those who receive Medicaid benefits for #LongTermCare ….so much for Republicans NOT picking “winners and losers” … about 6.9 MILLION seniors across America who could find themselves turfed out of care when there’s no way to pay the bill for their care.

House GOP Budget Committee Just Passed Their FY2017 Budget Proposal

628The House GOP-dominated Budget Committee held 9 hour markup, with several lawmakers going hoarse and one losing her voice. Democrats offered up 29 amendments, involving immigration reform, prescription drug prices, and equal pay. Every amendment failed, including one proposed by Rep. Debbie Dingell [D, MI-12] that would have designated $457.5M in emergency funding for Flint and required Michigan to match the federal funds. The budget advanced 20-16, with Democrats voting against and all but one Republican voting for the measure. Here’s their summary:

Balances the Budget

  • Balances the budget within 10 years – without raising taxes – and puts the country on a path to paying off the national debt
  • This budget achieves $7 trillion in deficit reduction over ten years through a combination of $6.5 trillion in savings coupled with economic growth
  • Savings are higher than any previous House Budget Committee proposal and discretionary spending is below 2008 levels
  • Requires consideration of legislation this year to achieve at least $30 billion in automatic spending reductions and reforms over the near term
  • Advances budget process reforms to promote fiscal discipline, and calls for a vote on a Balanced Budget Amendment this year

Strengthens Our National Defense

  • Provides for greater security at home and strength abroad at funding levels above the president’s budget and with increased resources for training, equipment and compensation
  • Supports the bipartisan prohibition on closing the Guantanamo Bay detention facility and transfer of detainees to American soil
  • Identifies vulnerabilities in our nation’s refugee program and calls for oversight and rigorous screening
  • Calls for an improved and accountable Department of Veterans Affairs that can better deliver services and benefits to our veterans

Empowers Our Citizens & Communities

  • Promotes job creation and a healthier economy by calling for a fairer, simpler tax code, regulatory reform, expanded energy production, and a more efficient, effective and accountable government
  • Repeals all of Obamacare (Patient Protection and Affordable Care Act)
  • Endorses patient-centered health care solutions that improve access to quality, affordable care (but does absolutely nothing to assure access to insurance nor does it rein in health care costs)
  • Saves, strengthens, and secures Medicare for current and future retirees (read the Q&A carefully as to HOW they intend to do that)
  • Empowers states and local communities with the flexibility to innovate and make improvements to Medicaid, nutrition assistance, education and other programs
  • Strengthens the Disability Insurance program by putting an end to the “double-dipping” loophole that currently allows individuals to receive both unemployment insurance and disability insurance simultaneously
  • Puts an end to corporate welfare and dismantles the Department of Commerce [that would mean they intend to help balance the budget by issuing pink slips to 43,000+ employees and ending measuring services like: Bureau of Economic Analysis (BEA), Bureau of Industry and Security (BIS), U.S. Census Bureau (Census), Economic Development Admin (EDA), Economics and Statistics Admin (ESA), International Trade Admin (ITA), Minority Business Development Agency (MBDA), Natl Institute of Standards and Technology (NIST), Natl Oceanic and Atmospheric Administration (NOAA), Natl Technical Information Service (NTIS), Operation Natl Telecom & Information Admin (NTIA), and United States Patent and Trademark Office (USPTO).

Additional Resources

Planned Parenthood Facilities Raided by TX Governor’s Goons

368Anna, Victoria, Bobby, Manny, and the rest of the team

Officials from Republican Texas Governor Greg Abbott’s administration have raided Planned Parenthood health centers across the state, demanding the confidential records of women who visited the health centers, including ultrasound records.  The news is especially alarming for a state with an extensive history of criminalizing abortion.

And the raids came just three days after Gov. Abbott announced that the state will end the one remaining source of government funding for Planned Parenthood—funding to provide health care for families earning less than 19 percent of the federal poverty level, or $3,760 for a family of three.

In total, seven states have eliminated funding for Planned Parenthood since the summer despite having done nothing wrong. And the U.S. House of Representatives recently passed a special budget bill to defund Planned Parenthood that cannot be blocked in the Senate using the filibuster, which is how other bills have been stopped from attacking the organization.

MoveOn.org has put together a plan to fight back:

  • Turn up the heat on vulnerable Republican senators running for re-election next year by holding events outside their in-state offices and running powerful social media campaigns targeting them for waging a war on women.
  • Run a hard-hitting media campaign to expose the attacks on Planned Parenthood for what they are: propaganda designed to close down health clinics and ban abortion.
  • Ramp up campaigns in the next set of states where Republicans are going after Planned Parenthood funding.

We simply cannot allow anti-abortion extremists to destroy an organization that helps so many people—or to roll back women’s rights and access to health care. 

Click here to chip in and stand with Planned Parenthood.

Planned Parenthood is under an all-out assault. But our fighting back has made a huge difference, including helping stop bills to defund Planned Parenthood in the U.S. Senate. Specifically:

  • I recently traveled to Washington, D.C., where I met in person with Senators Elizabeth Warren and Harry Reid to bring them 1.2 million signatures from MoveOn members and key partners supporting Planned Parenthood.
  • We flooded Senate offices with 10,000 phone calls.
  • We ran ads highlighting how Planned Parenthood has helped individual MoveOn members.
  • We partnered with Planned Parenthood to organize 138 rallies and other visibility events across the country on #PinkOut Day last month.
  • And, on the state level, we supported numerous MoveOn members in leading petition campaigns and other organizing to stop their states from defunding Planned Parenthood.

Now, we need to show that attacking Planned Parenthood is a political loser and will cause vulnerable Republicans running for re-election next year to lose support among women. We know this strategy can work because Planned Parenthood is enormously popular. And we’ve used this strategy before and won: The Republican War on Women is a big reason why Todd Akin and Mitt Romney lost their elections in 2012.

Related Posts:

New Speaker, Same Old Policies

— by CAP Action War Room

Paul Ryan’s Record Indicates We’re In For The Same Broken GOP Policies

Ryan06
Speaker of the House — Paul Ryan (R-WI)

After much chaos and dysfunction, the House of Representatives elected Representative Paul Ryan from Wisconsin to be Speaker of the House. The Republicans have lauded their new Speaker as their “thought leader” who creates the “blueprints” for policies: he was Mitt Romney’s running mate in 2012 and chairman of the Ways and Means Committee. Much of the GOP rhetoric around Ryan’s run for speaker has suggested that he will usher in a new era of moderate, pragmatic, and effective leadership that will be both good for the economy and the American people. Though we hope Ryan can bring sanity to this House of GOP crazies and stop them from holding the government hostage time and again, we’re not holding our breath for a “new day in the House of Representatives.”

Despite GOP rhetoric, the reality of Paul Ryan’s record, including his signature 2014 budget, suggests that his Speakership will be full of the same old, out of touch, extreme Republican policies that undermine working families to help the rich get richer—policies that voters already rejected in the 2012 election. Here are a few reminders of Ryan’s record:

  • Bad for low-income families. Ryan tried to paint himself as an anti-poverty crusader, by embarking on poverty tour in 2014 and releasing a report documenting his concerns about poverty. But in reality, Ryan creates policies that cut programs that are vital for working families and blames poverty on personal failures, claiming that it is the result of a “culture problem.” The bulk of the Ryan Budget’s spending cuts—69 percent—come from gutting programs that serve low-income people. And after his 2014 poverty tour, he proposed slashing $125 billion from the
    (SNAP), also known a food stamps, over the next 10 years, and converting it to a flat-funded block grant. He also proposed cuts to Medicaid, a critical program that provides health care to 70 million Americans, including low-income children, seniors, and people with disabilities. And of course, Ryan wants to repeal the Affordable Care Act, which has provided health insurance for 17.6 million people.
  • Bad for seniors. In his 2014 budget, Ryan abandoned the pledge Republicans made to protect anyone age 55 or older from Medicare cuts and instead advocated for forcing seniors to pay more by radically altering Medicare. He also supports turning Medicare into a voucher system, which would increase premiums for traditional Medicare by 50 percent, according to the CBO. Ryan has also attacked one of the other pillars of economic security for seniors: Social Security. Despite the fact that Social Security survivor benefits made it possible for him to pay for his college tuition, Ryan’s 2010 budget cut benefits and privatized a substantial portion of the program, instead of lifting the Social Security payroll tax cap so that the rich pay their fair share of payroll taxes.
  • Bad for women. Ryan’s dismal record on women’s issues has earned him a 0 percent score from Planned Parenthood on women’s issues. He has voted numerous times to defund Planned Parenthood and is a leading advocate for personhood bills. And though Paul Ryan used his power to guarantee time with his family despite his Speaker duties, he refuses to support legislation, such as guaranteed paid sick and paid family leave, to help others have this right. Unlike Paul Ryan, no one else has federally guaranteed paid time off for illness, holidays, vacation, or the arrival of a new child. Women usually still most feel the burden of this lack of paid leave. More than 40 percent of mothers have cut back on work to care for family. And as new research shows that boosting women’s earnings helps slow the growth of inequality, it is apparent that Paul Ryan’s extremism hurts not only women, but also the economy.
  • Bad for the economy. Ryan’s budgets and rhetoric tout the same failed trickle-down economic theories that have only helped the rich get even richer but leave middle class and working families behind. His budget proposed giving millionaires a tax cut of at least $200,000. And analyses indicate, there is no way to implement Ryan’s tax cuts for millionaires in a deficit-neutral way without raising taxes on the middle class. Ryan also advocates for austerity measures that have never worked and would hurt the economy. And yet, his budget advocates for enormous cuts to investments in education, science, and other programs that benefit the middle class.

BOTTOM LINE: Though we’d like to hope that Paul Ryan’s new title will cause him to reevaluate his policies and support legislation that will actually help working families, his record of damaging polices creates huge warning signs. If Paul Ryan’s reign as speaker is anything like his record, we’re in for another period of GOP extremism that hurts families, seniors, women, and the economy. But now that the chaos has cleared, Republicans in the House of Representatives should take this opportunity under new leadership to pass policies that support working families, rather than the wealthy few.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.  ‘Like’ CAP Action on Facebook and ‘follow’ us on Twitter