Oppose the American Health Care Act (the Proposed ACA Replacement)

This is a do or die moment for the Affordable Care Act (ACA). This Thursday, March 23, exactly seven years after the ACA became law, the House of Representatives will be voting to repeal it and replace it with TrumpCare—a plan that, if passed, will lead to at least 24 million Americans losing their healthcare.

Republicans are rushing to get it through before the upcoming April recess, ignoring the normal legislative process, because they don’t want to face you, their constituents. They are moving forward even though we now know, from estimates from the nonpartisan Congressional Budget Office, that TrumpCare will lead to at least 24 million Americans losing their coverage, higher premiums for consumers, and a $600 billion tax break on the wealthy and corporations.

Members of Congress need to know that you reject TrumpCare. The bill the House will be voting on this Thursday would harm millions of Americans. It gives wealthy Americans, insurance companies, drug companies, and other corporations tax breaks. These tax cuts are paid for on the backs of poor and middle class Americans by dramatically scaling back the subsidies that low- and moderate-income families use to purchase affordable health care as well by gutting the Medicaid program.1 The changes to Medicaid financing would not only end Medicaid expansion but also jeopardize states’ long-term financing of the program and their ability to provide coverage to other populations who depend on the program—for example, children, the elderly, and the disabled.

Call your representative in the House and tell them to vote NO on TrumpCare. Tell them you oppose any plan that does not preserve the coverage gains and quality of care under the ACA. First, Do No Harm. Reject TrumpCare.

TrumpCare Details: The CBO score is in and (surprise, surprise!) TrumpCare is even worse than we feared

  • 24 million Americans would lose coverage over the next 10 years—14 million in the first year alone

  • 2 million Americans with employer-sponsored coverage would lose it by 2020; 7 million would lose it over 10 years

  • Higher premiums, higher deductibles, and more out-of-pocket costs

  • Insurance premiums would skyrocket by 20% by 2019

  • $880 billion in cuts to Medicaid funding while giving rich Americans and corporations a $592 billion tax cut

 

Sample Call Dialogue

Caller: Good morning/afternoon! Can you let me know the Congressman’s position on TrumpCare?

OPTION 1: SUPPORTS REPEALING THE ACA/ SUPPORTS TRUMPCARE

  • Staffer: Thank you for calling! Congressman Bob believes that the ACA needs to be repealed in order to provide better coverage for all Americans. The Congressman believes that the American Health Care Act will provide better coverage at lower costs for his constituents and all Americans.

    Caller: That’s terrible. According to the CBO, TrumpCare will result in 24 million Americans losing their health care over the next 10 years. It will mean higher premiums for many Americans, worse coverage options, and even millions of people with employer coverage will lose their coverage as a result of this bill. TrumpCare also cuts $880 billion in funding for Medicaid, which will result in 14 million Americans from working families losing their coverage. It does all of this in order to give a major tax cut to the wealthiest Americans, insurance companies, drug companies and other corporations like medical device companies. This is unacceptable.

    Staffer: The CBO score is wrong. It overestimated the number of people who will lose coverage. Plus it didn’t take into account regulatory changes that Secretary Tom Price will be making that will keep people from losing their coverage. Lastly, Speaker Paul Ryan will be making changes to the bill before the vote that will make it better. 

    Caller: That is not true. The CBO is a well-respected, nonpartisan office that does cost estimates of major bills to make sure that the public and Members of Congress understand the full impact of bills like TrumpCare. Republicans and Democrats alike have relied on CBO estimates for decades and so there is no reason to believe its analysis is wrong. The CBO score is clear in that millions of Americans will lose coverage because of TrumpCare.
     
    And the changes that Speaker Ryan has proposed would only make the coverage losses greater. This is unacceptable and I demand that Congressman Bob vote “no” on TrumpCare.

    Will Congressman Bob commit, publicly, to voting against TrumpCare?

    Staffer: I will certainly pass on your concerns to the Congressman.

    Caller: Please do, and please take down my contact information to let me know when the Congressman has made up his mind. I’m eager to hear what he decides.

OPTION 2: NO STATED POSITION ON TRUMPCARE

  • Staffer: Thank you for calling! Congressman Bob is still deciding on his position on the American Health Care Act.

    Caller: It is very important to me that he votes “no” on TrumpCare. According to the CBO, TrumpCare will result in 24 million Americans losing their health care over the next 10 years. It will mean higher premiums for many Americans, worse coverage options, and even millions of people with employer coverage will lose their coverage as a result of this bill. TrumpCare also cuts $880 billion in funding for Medicaid, which will result in 14 million Americans from working families losing their coverage. It does all of this in order to give a major tax cut to the wealthiest Americans, insurance companies, drug companies and other corporations like medical device companies. This is unacceptable.

    Staffer: The CBO score is wrong. It overestimated the number of people who will lose coverage. Plus it didn’t take into account regulatory changes that Secretary Tom Price will be making that will keep people from losing their coverage. Lastly, Speaker Paul Ryan will be making changes to the bill before the vote that will make it better.

    Caller: That is not true. The CBO is a well respected, nonpartisan office that does cost estimates of major bills to make sure that the public understands the full impact of bills like TrumpCare. Republicans and Democrats alike have relied on CBO estimates for decades and so there is no reason to believe its analysis is wrong. The CBO score is clear in that millions of Americans will lose coverage because of TrumpCare. Plus, the changes Speaker Ryan has proposed would only make the coverage losses greater! This is unacceptable.
     
    I want Congressman Bob to commit to voting against any bill that does not preserve the coverage, benefits, and affordability gains of the ACA.
     
    Will Congressman Bob commit, publicly, to voting against Trumpcare?
     
    Staffer: I will certainly pass on your concerns to the Congressman.
     
    Caller: Please do, and please take down my contact information to let me know when the Congressman has made up his mind. I’m eager to hear what he decides.

OPTION 3: ON RECORD DEFENDING THE ACA (OPPOSING TRUMPCARE)

  • Staffer: Thank you for calling! Congressman Bob believes that the ACA is a historic piece of legislation that needs to be preserved and protected.

    Caller: That’s great! I’m calling to say that if Congressman Bob truly believes, as I do, that it can be challenging to access affordable healthcare in this country, he should do everything he can to protect the historic gains of the Affordable Care Act. This includes doing everything in his power to prevent House Republicans from moving forward with any bill that hasn’t been scored by the CBO, or that doesn’t preserve the coverage gains of the ACA.

    Will Congressman Bob do everything he can to stop the Trump Administration and the Congress from dismantling the ACA? Will you commit, publicly, to opposing any congressional action on ANY ACA repeal bill, including TrumpCare, that does not preserve the historic coverage and affordability gains of the ACA?

    Staffer: Yes, Congressman Bob is proud of his work ensuring that Americans can access and afford the healthcare they need. He’ll do whatever he can to ensure transparency in the Congressional process and to prevent further action on any ACA bill including the American Health Care Act.
     
    Caller: Wonderful. This is extremely important to me and I will be watching closely. Thank you for your time.