Save the ACA

Enough is Enough: Stop TrumpCare Once and For All


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This is it. House Vote to Repeal the Affordable Care Act is Imminent.

Republicans are aiming to hold a vote to repeal the Affordable Care Act in the next 24 hours. They’re trying to bribe as many Republicans as they can into voting for repeal, at the expense of their constituents. They are only a few votes away from what they need to take away healthcare from 24 million Americans and from cutting $800 billion from Medicaid, in order to give wealthy corporations a massive tax break.

Republicans will tell you that their most recent amendment, the Upton-Long amendment, will ensure that people with pre-existing conditions will be protected from higher premiums. This is a flat out lie.

You have stopped Trump and Ryan from repealing the ACA twice. Now it’s time to stop them one last time. If we can stop them now, we might be able to stop them for good. This is the moment. Help stop TrumpCare once and for all by calling offices and visiting district offices.

Update: Upton-Long Amendment Makes TrumpCare Even Worse for People with Pre-Existing Conditions

Republicans recently unveiled a new change to their billthe Upton-Long amendmentthat would make the impact of TrumpCare even more severe for people with pre-existing conditions. Why does it make it worse? Because it actually incentivises states to drop protections for people with pre-existing conditions. This is how it does it:

  • The ACA is complicated, but it’s complicated for a reason. It balances the needs of the sick and the healthy, and guarantees that if you have a pre-existing condition, you can’t be charged more or dropped from coverage.
  • TrumpCare dismantles the ACA and gets rid of this guarantee, making it more costly to insure sick people. This is unsustainable and states will be under immense pressure to allow insurance companies to charge people with pre-existing conditions more for their health care.
  • The Upton-Long amendment provides $8 billion for high-risk pools (for those with pre-existing conditions) but ONLY to states that drop consumer protections, like those for people with pre-existing conditions, meaning states are financially incentivized to drop those protections.

And yet, $8 billion is nowhere near the $200 billion dollars needed to adequately fund those high-risk pools (Oh and by the way, high-risk pools don’t work anyway.)

The upshot: if you have a pre-existing condition, the Upton-Long amendment will put you at greater risk of facing higher premiums, for worse coverage.

Sample Talking Points for Office Visits/Calls

  • Enough is enough. The ACA is the law of the land. I will not tolerate any more time wasted on TrumpCare, which would take away care from 24 million people and cut Medicaid by $880 billion dollars in order to give tax cuts to the wealthy, insurance companies, and other big corporations.
  • Despite what Trump says, the latest Upton amendment makes the bill even worse by encouraging states to end protections for people with pre-existing conditions, meaning people will face unaffordable premiums due to a pre-existing condition. I expect YOU [your MoC] to stand up for the tens of thousands in our district who could be charged higher premiums.
  • Trump and Congressional Republicans claim high-risk pools will protect people with pre-existing conditions. That’s not true. High-risk pools aren’t new, and they just don’t work. In the past, high-risk pools have been dramatically underfunded by the states and federal government, resulting in skimpy coverage and high prices for those who need insurance the most.
  • Historically, high risk pools have dramatically raised prices for those they’re intended to serve — the sick. High-risk pool enrollees paid premiums up to two-and-a-half times larger than those charged to healthy beneficiaries buying coverage on their own and faced deductibles as high as $25,000. Even the official healthcare.gov website points out that premiums were twice as high under a high-risk pool plan prior to the ACA.
  • It is estimated that at least $174.1 billion per year would be needed to adequately fund a national high-risk pool. There is no indication that Congressional Republicans or Trump are willing to give states that kind of money.
  • No matter how much money Republicans throw at them, there’s a fundamental problem with high-risk pools: they pull together people who are sick and require more expensive treatments. That means they will always be less efficient than the exchanges in the ACA, which put everyone on an equal playing field.
  • President Trump has stated that the new bill will reduce deductibles. In fact, the bill will raise deductibles for moderate and middle-income individuals and their families by getting rid of subsidies that help people pay out of pocket costs. I want YOU [your MoC] to do everything possible to get deductibles down, not increase them.