indianz.com your internet resource indianz.com on facebook indianz.com on twitter indianz.com on Google+ indianz.com on soundcloud
phone: 202 630 8439
Sovereignty and E-Commerce:  Innovating and Reshaping the  Borders of Indian Country - Arizona State University Third Annual Tribal Government E-Commerce CLE Conference
Advertise on Indianz.Com
Home > News > Headlines
Print   Subscribe
Mark Trahant: Republicans roll dice with Obamacare replacement

Filed Under: Health | Opinion | Politics
More on: aca, donald trump, ihcia, mark trahant, republicans
     
   

A section from the American Health Care Act, the Republican replacement for the Affordable Care Act.

Three things you need to know about the House’s Powerball Health Care Plan
By Mark Trahant
Trahant Reports
TrahantReports.Com

There’s a bad joke that goes like this: What’s your plan to pay for the high cost of health care? No worries. I’ll win the Powerball.

Except the new Republican plan to repeal and replace the Affordable Care Act ends that option (and somehow takes it seriously). There are detailed instructions to prevent lottery winners from getting Medicaid coverage. That probably fixes a huge problem that we never heard about before.

It’s funny that the House Repeal and Replace plan (The American Health Care Act) includes several pages on that non-problem while the draft doesn’t even get around to mentioning the Indian Health Care Improvement Act.

But don’t get too worked up about this miss. Here are the three things you need to know about the House plan.

First: This plan is an urgent call for American Indians and Alaska Natives to sign up for Medicaid, children’s health insurance, or the Exchange Plans. This plan makes it clear that there is time to sign up as an act of defiance and that adds new money to the Indian health system.

Second: There will be fewer people covered under the House plan. We won’t know the numbers until it’s scored by the Congressional Budget Office. But it’s clear fewer people will be covered. And to top it off the plan will cost older Americans more. A lot more. Insurance companies would be allowed to charge older people five times as much as young people. (And to make that more odd: Older people are a GOP constituency.) There is no requirement that people carry insurance, but if there is a lapse in coverage, the cost goes up.

Third: The politics are a lot like President Trump’s election plan. Tick off everybody. Create chaos and hope there are enough votes left to win. I don’t think so. Conservatives already don’t like the provision to include tax credits. And state governments aren’t happy with a punt on Medicaid expansion (keep it until 2020 and then cut the heck out of program). And to top it off, the White House comment is at best only mild support. This plan is politically dead. A plan that looks so much like Obamacare is going to be really difficult to sell as change. It keeps, for example, the essential health benefits package, including family planning and maternity benefits.

Yet at the same time it ends funding for Planned Parenthood. That means two very different constituent groups will be opposed. Finally the tax credits are complicated and unfair. They are based mostly on age. So someone under 30 gets a credit of $2,000 while someone who’s 60 or older could get $4,000. Once again that’s contradictory logic. Take from old people. Then give something back. Good politics? We shall see.

I just don’t see how this plan — or anything like it — gets out of the House of Representatives. Let alone become the law. So don’t get too excited. You’re better off buying a Powerball ticket.

Mark Trahant is the Charles R. Johnson Endowed Professor of Journalism at the University of North Dakota. He is an independent journalist and a member of the Shoshone-Bannock Tribes. To read more of his regular #NativeVote16 updates, follow trahantreports.com On Facebook: TrahantReports On Twitter: @TrahantReports


Copyright © Indianz.Com
More headlines...
Stay Connected:
On Facebook

On Twitter

On Google+

On SoundCloud
Local Links:
Federal Register | Indian Gaming | Jobs & Notices | In The Hoop | Message Board
Latest News:
Supreme Court hands defeat to tribal interests in sovereignty case (4/25)
Matthew Fletcher: 'Gamesmanship' brings defeat in Supreme Court (4/25)
Supreme Court relists petition in Gun Lake Tribe gaming land case (4/25)
Southwestern Indian Polytechnic Institute team wins NASA prize (4/25)
Former top Bureau of Indian Affairs official joins Washington firm (4/25)
Native Sun News Today: Groups fight uranium mining in Black Hills (4/25)
Cronkite News: Budget deadline falls on Donald Trump's 100th day (4/25)
Mary Annette Pember: Indian Child Welfare Act heals our families (4/25)
André Cramblit: Tribes must make language survival a top priority (4/25)
Pojoaque Pueblo loses big decision in gaming dispute with state (4/24)
Supreme Court takes no action on long-running tribal land case (4/24)
Yakama Nation landowners see $68M in Cobell buy-back offers (4/24)
Tim Giago: Sovereignty at risk with Donald Trump in White House (4/24)
Mark Trahant: Donald Trump & Republicans can't seem to govern (4/24)
Native Sun News Today: Chickasaw citizen donates prom dresses (4/24)
Steve Russell: The BEST advertisement for education in America (4/24)
Arlana Bennett: Picking cans with my father became our tradition (4/24)
Terese Mailhot: Maybe some people should be able to play Indian (4/24)
Charles Kader: Tribal communities still face threats to their lands (4/24)
3rd suspect sought in connection with death of elderly Native man (4/24)
Mashantucket Tribe expresses interest in growing industrial hemp (4/24)
Shutdown of federal government looms ahead of April 28 deadline (4/24)
Confederate monuments start coming down as Jackson stays put (4/24)
Blackfeet Nation citizens approve historic water rights settlement (4/21)
Native Sun News Today: Cheyenne River Sioux woman still walking (4/21)
James Giago Davies: Our future is not bleak but bright with promise (4/21)
Rosalyn LaPier: Tradition blends with science in tribal communities (4/21)
Simon Moya-Smith: Media continues to peddle in Indian stereotypes (4/21)
Steven Newcomb: Bill in California dehumanizes indigenous peoples (4/21)
American Indian Library Association battles Trump's big budget cut (4/21)
Navajo Nation citizen faces death penalty for murder of tribal officer (4/21)
Meskwaki Tribe diversifies economy with barbecue sauces and more (4/21)
Aquinnah Wampanoag Tribe must keep fighting despite gaming win (4/21)
Native Sun News Today: Body of missing Cheyenne River man found (4/20)
Ivan Star Comes Out: True tribal histories are concealed in America (4/20)
Steve Russell: Thoughts about sovereignty and tribal governments (4/20)
Dwanna Robertson: Dispelling a common myth about tribal gaming (4/20)
Whiteclay liquor stores ordered to shut down after losing licenses (4/20)
Cherokee Nation blames pharmaceutical industry for opioid crisis (4/20)
Eastern Cherokee citizens back chief amid call for impeachment (4/20)
North Carolina woman punished for abducting Cherokee children (4/20)
Ramapough Lenape Nation denied permit for anti-pipeline camp (4/20)
Ho-Chunk Nation remains confident as rival tribe sues over casino (4/20)
Nottawaseppi Huron Band invests casino funds in unique project (4/20)
Pechanga Band reaches midway point of $285M casino expansion (4/20)
More data needed to address human trafficking in Indian Country (4/19)
more headlines...

Home | Arts & Entertainment | Business | Canada | Cobell Lawsuit | Education | Environment | Federal Recognition | Federal Register | Forum | Health | Humor | Indian Gaming | Indian Trust | Jack Abramoff Scandal | Jobs & Notices | Law | National | News | Opinion | Politics | Sports | Technology | World

Indianz.Com Terms of Service | Indianz.Com Privacy Policy
About Indianz.Com | Advertise on Indianz.Com

Indianz.Com is a product of Noble Savage Media, LLC and Ho-Chunk, Inc.