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Paul Ryan

ashoup
In Capitol Hill, News

Good Riddance to the Least Successful, Most Anti-Health Care Speaker in American History

Washington, D.C. – This afternoon, Speaker Paul Ryan will give his farewell address at the Library of Congress. Brad Woodhouse, executive director of Protect Our Care, issued the following statement in response:

“Paul Ryan sat around a keg in college and dreamed of slashing Medicaid, tried to end Medicare as we know it as a Budget chairman, and tried to rip health care away from 23 million people by repealing the Affordable Care Act as Speaker of the House. As he leaves Washington, voters and legislatures across the country are expanding Medicaid; the public overwhelmingly rejected Ryan’s vouchers to upend Medicare, with the discussion today about how to strengthen and expand the program rather than end it; and despite his best efforts to repeal health care, kick tens of millions of people off of their coverage and end protections for those with pre-existing conditions, the ACA is more popular than ever, repeal went down in flames, and the Ryan-led effort to upend the American health care system swept his party from power in the House. There is no finer karma. Paul Ryan is perhaps the most anti-health care Speaker in American history – fortunately for the American people he was also the least successful and least competent. Good riddance.”

ashoup
In News

Kudlow Confirms: Republicans Intent On Dismantling Medicare

For weeks, Republicans have been misleading the American public — the truth is they have been trying to cut Medicare for years. Today, Larry Kudlow, Director of the National Economic Council, confirmed that they still have their sights set on Americans’ care. Asked when programs like Social Security and Medicare will be looked at for reforms, Kudlow replied, “Everyone will look at that — probably next year.”

Here are some ways they’ve already tried to undermine the program:

  1. Paul Ryan on Medicare: “It’s the biggest entitlement we’ve got to reform.” Paul Ryan, December 6, 2017: “We’re going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit…Frankly, it’s the health care entitlements that are the big drivers of our debt, so we spend more time on the health care entitlements…In- think the president is understanding that choice and competition works everywhere in health care, especially in Medicare…This has been my big thing for many, many years. I think it’s the biggest entitlement we’ve got to reform.”
  2. President Trump and Congressional Republicans are targeting Medicare and Medicaid to pay for tax cuts for the wealthiest. Last December, President Trump signed a $1.5 trillion tax bill that disproportionately benefits the wealthy. How do Republicans plan on paying for it? Speaker Ryan’s answer is clear: “Frankly, it’s the health care entitlements that are the big drivers of our debt.” In an attempt to pay for these tax cuts, in April, House Republicans passed a budget amendment that would slash Medicare funding by $537 billion over the next decade.
  3. Congressional Republicans proposed these cuts after passing a budget resolution last year that cut Medicare by $473 billion. The 2018 budget resolution passed by Republicans in December 2017 cut Medicare by $473 billion.
  4. As the cost of drugs skyrocket, President Trump and his Republican allies in Congress will not allow Medicare to negotiate for better prescription drug prices. Under current law, the Secretary of the Department of Health and Human Services (HHS) is explicitly prohibited from negotiating directly with drug manufacturers on behalf of Medicare Part D enrollees. Although it would decrease both federal spending and beneficiaries’ out-of-pocket costs for prescription drugs, a policy allowing the federal government to negotiate drug prices for Medicare beneficiaries was noticeably absent from President Trump’s recent prescription drug announcement.  
  5. Congressional Republicans have repeatedly attempted to transform Medicare into a voucher program, which experts warn would lead to the “demise” of the program. Speaker Ryan has spoken about turning Medicare into a voucher system, and in Fall 2017, the Centers for Medicare and Medicaid services filed a Request for Information concerning a shift in a “new direction” for Medicare, which Senate Democrats worried might entail a voucher system. Experts warn, and Republicans including Newt Gingrich acknowledge, that such a shift would lead to the demise of traditional Medicare as premiums increase.
  6. Congressional Republicans repealed several components of the ACA designed to help keep Medicare’s costs down, effectively driving up costs for the program. By repealing the requirement that most people have insurance, Congressional Republicans knowingly voted for a measure expected to increase the number of uninsured. The 2018 Medicare Trustees Report predicts that this increase will increase the share of subsidies paid to hospitals via Medicare. Similarly, by repealing the Independent Payment Advisory Board, Congressional Republicans took away a mechanism that slowed Medicare cost growth.
ashoup
In News

Paul Ryan Spreads Lies To Save Face After Working To Dismantle Medicare For Years

Yesterday, Speaker Paul Ryan claimed that Republicans support Medicare. On the topic of health care and entitlement reform, Ryan said: “I think they want to see that we have Medicare on a path to solvency.”

The truth is that Paul Ryan and the Republican Party have attempted to gut Medicare every chance they could:

  1. Paul Ryan, December 2017: “It’s the biggest entitlement we’ve got to reform.” Ryan said: “We’re going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit…Frankly, it’s the health care entitlements that are the big drivers of our debt, so we spend more time on the health care entitlements…In- think the president is understanding that choice and competition works everywhere in health care, especially in Medicare…This has been my big thing for many, many years. I think it’s the biggest entitlement we’ve got to reform.”
  2. Paul Ryan is targeting Medicare and Medicaid to pay for tax cuts for the wealthiest. Last December, President Trump signed a $1.5 trillion tax bill that disproportionately benefits the wealthy. How do Republicans plan on paying for it? Speaker Ryan’s answer is clear: “Frankly, it’s the health care entitlements that are the big drivers of our debt.” In an attempt to pay for these tax cuts, in April, House Republicans passed a budget amendment that would slash Medicare funding by $537 billion over the next decade.
  3. Ryan proposed these cuts after passing a budget resolution last year that cut Medicare by $473 billion. The 2018 budget resolution passed by Republicans in December 2017 cut Medicare by $473 billion.
  4. Ryan has called to transform Medicare into a voucher program, which experts warn would lead to the “demise” of the program. Speaker Ryan has spoken about turning Medicare into a voucher system, and in Fall 2017, the Centers for Medicare and Medicaid services filed a Request for Information concerning a shift in a “new direction” for Medicare, which Senate Democrats worried might entail a voucher system. Experts warn, and Republicans including Newt Gingrich acknowledge, that such a shift would lead to the demise of traditional Medicare as premiums increase.
  5. Led by Ryan, Congressional Republicans repealed several components of the ACA designed to help keep Medicare’s costs down, effectively driving up costs for the program. By repealing the requirement that most people have insurance, Congressional Republicans knowingly voted for a measure expected to increase the number of uninsured. The 2018 Medicare Trustees Report predicts that this increase will increase the share of subsidies paid to hospitals via Medicare. Similarly, by repealing the Independent Payment Advisory Board, Congressional Republicans took away a mechanism that slowed Medicare cost growth.
  6. A report published by the Medicare Trustees finds that the program is worse-off financially because of Paul Ryan and Congressional Republicans’ actions. In the 2018 Medicare Trustees Report, trustees found that actions taken by President Trump and Congressional Republicans actually push make Medicare less financially stable. The Trustees point to the elimination of the Independent Payment Advisory Board (IPAB), which had been developed to extend the solvency of Medicare and slow cost growth. Without the IPAB, there is no mechanism to achieve those ends. Similarly, Republican tax cuts will reduce income for Medicare. In conjunction, both actions damage the financial stability of Medicare.
ashoup
In News, Capitol Hill

Paul Ryan Latest Republican to Call for Return to Health Care Repeal

Last night, Paul Ryan became the latest Republican to call for a return to full health repeal:

Paul Ryan: Good reforms mean that we can better fulfill the mission of these important programs, health and retirement security, without bankrupting the country. And that’s why the kind of reforms we’ve been talking about I think are so necessary.

Jeff Mayers: Ok, but that would depend upon – I mean, the Senate didn’t even agree with you. That would depend on having broader control of Congress than you’ve had.

Ryan: We failed to pass our budget, our entitlement reform bill on health care by one vote in the Senate, that’s correct.

Mayers: So I guess what are the prospects of reigning that in, because –

Ryan: I think the election will have to determine that because, based upon our vote count in the Senate. We keep the House majority in the house, which I think we will, and then you have to have enough of a majority in the Senate to be able to pass heath care reform.

Mayers: But do people in Janesville, do people in Wisconsin – is that what they want? Do they really want their benefits taken away or curtailed?

Ryan: Did I say that?

Mayers: No, I know, but do they –

Ryan: I think they want to see an end to double-digit premium increases. I think they want to see that we have Medicare on a path to solvency. I don’t think they want to see 200 million people get added to Medicare to accelerate its bankruptcy, which is what a lot of people are running for, like Tammy and others. I think if you take a look at our proposals, they would have lowered health care premiums, it would have still protected pre-existing conditions, it would’ve done more to give people more choices.

As a reminder, the so-called American Health Care Act would have:

  • Raised Premiums By Double Digits. ​The nonpartisan Congressional Budget Office found that a key part of the American Health Care Act, repealing the requirement that most people have health insurance and was enacted as part of the GOP tax bill, will premiums 10 percent next year.
  • Imposed An Age Tax – Older Americans Would Have Paid Nearly $12,000 More. ​The American Health Care Act would have imposed what the AARP calls an “age tax” on older Americans by cutting the amount of assistance older people receive and by allowing insurers to charge people over 50 fives times more. Nationally, out-of-pocket costs for older people could have increased by as much as $11,917 by 2026.
  • Increased Premiums for People With Pre-Existing Conditions by Up to $150,000. ​The American Health Care Act would have allowed states to eliminate community rating, meaning insurers would be able to charge people with pre-existing conditions more. This surcharge could have been in the tens of thousands of dollars and even six figures: up to $4,270 for asthma, $17,060 for pregnancy, $26,180 for rheumatoid arthritis and $140,510 for metastatic cancer.
  • 23 Million Americans Would Have Lost Coverage. ​By 2026, 23 million U.S. residents would have lost coverage under this bill.
ashoup
In Capitol Hill, News

COVERAGE ROUNDUP: A Year Later, Americans Remember House Republican Vote to Repeal Our Health Care

Associated Press: A Year After ‘Obamacare’ Vote, Democrats See Election Cudgel. “The Democratic charge on health care represents a turnaround from recent elections… [and] the failed GOP repeal effort helped turn the tables. A Wall Street Journal-NBC News poll last month showed people trust Democrats over Republicans for handling health care by 18 percentage points. A Kaiser Health Tracking Poll in February showed Obama’s law with a favorable rating from 54 percent of Americans, its highest score in more than 80 Kaiser surveys since the statute’s enactment. Marking the vote’s anniversary, progressive groups planned more than a dozen rallies Friday from California to Virginia. The liberal Save My Care was airing a 30-second television ad in Washington, D.C., showing top Republicans celebrating the House vote with Trump in the White House Rose Garden. ‘We won’t forget’ appears on a black screen after newscasters intone the bill’s impact, including letting insurers charge higher prices for people with pre-existing medical conditions.” [AP, 5/4]

Bakersfield Californian: A Year Later, Congress’ Attack On Healthcare Consumers Continues. “One year ago, May 4, 2017, is a day that should live in infamy for 14 California Representatives, including Bakersfield’s congressman Kevin McCarthy, who led the effort to shred healthcare protections for their constituents. While key parts of the Affordable Care Act, Medicaid, and other federal programs ultimately survived, it was only by a margin of a single vote in the U.S. Senate. We should never forget that these irresponsible Representatives voted for the so-called American Health Care Act and against their own constituents and that they continue attempts to undermine our health system… On this anniversary, Californians cannot forget the decisions made by their Congressmembers, or the continued attempts and administrative attacks on our health care. We must not just remember the past, but work to protect our health care into the future.” [Bakersfield Californian, 5/2]

Washington Examiner: Obamacare Allies Attack Gop To Mark Anniversary Of House Repeal Vote. “Obamacare advocacy groups and allies are trying to remind voters ahead of the November midterm elections about the one-year anniversary of the House’s passage of Obamacare repeal. Groups are planning ads, rallies, and other outreach efforts on Thursday and Friday centered around the May 4 anniversary of the House vote… Protect Our Care is holding a series of 18 to 20 events across 13 states Thursday and Friday…  The actions come as Democrats and Obamacare allies hope to hammer Republicans for their attempts to repeal Obamacare in the midterms. Protect Our Care Campaign Director Brad Woodhouse said that exit polls in several special elections that Democrats won showed healthcare as a top issue.” [Washington Examiner, 5/3]

Athens Messenger: Reflections On The American Health Care Act. “One year ago, on May 4, 2017, the House of Representatives passed the so-called ‘American Health Care Act,’ or AHCA. The health care repeal bill would have cut coverage, increased costs, and eliminated protections for tens of thousands of Ohioans. The bill also would have imposed an ‘age tax,’ letting insurers charge people over 50 times more for coverage, and put the health of one in five Americans on Medicaid — including seniors, children and people with disabilities — in jeopardy… As we remember the devastation that we narrowly escaped thanks to the Senate striking down the House’s AHCA, we must recommit ourselves to fighting for our health care, holding our representatives in Congress accountable, and, come November, voting out of office those who put partisan politics and big donors before us, their constituents.” [Athens Messenger, 5/4]

Huffington Post: For The First Time In An Election Cycle Since Obamacare’s Passage, A Majority Of The Public Now Approves Of The Health Care Law. “One year ago, President Donald Trump and House Republicans gathered in the Rose Garden for a victory ceremony. Speaker Paul Ryan (R-Wis.) had just shepherded through a bill repealing major parts of the Affordable Care Act, moving them a step closer to their promise of undoing President Barack Obama’s signature legislative achievement. ‘We don’t have to talk about this unbelievable victory — wasn’t it unbelievable? So we don’t have to say it again. But it’s going to be an unbelievable victory, actually, when we get it through the Senate,’ Trump boasted, standing in front of beaming House members… ‘We see health care as the defining issue of the 2018 midterms,’ said David Bergstein, spokesman for the Democratic Senatorial Campaign Committee. ‘The Republican health care agenda is incredibly toxic with voters of every political persuasion.’ For the first time in an election cycle since Obamacare’s passage, a majority of the public now approves of the health care law. Democrats now have a sizable advantage over the GOP on the issue, and candidates frequently bring up their support for Obamacare while meeting with voters.” [Huffington Post, 5/4]

Des Moines Register: A Year Later, Republicans’ American Health Care Act Is A Nightmare For Small Businesses. “One year ago this week, a majority of the House of Representatives, including representatives Rod Blum, David Young and Steve King, voted for and passed the so-called ‘American Health Care Act,’ or AHCA, an ACA repeal bill that would have cut coverage, increased costs and eliminated protections for more than 100,000 Iowans. They proved that they are willing to play political games with Iowa’s health care, including thousands of small businesses, farmers, entrepreneurs and the self-employed in their very own districts.” [Des Moines Register, 5/4]

The Hill: Say It With Me: Democrats Are The Party Of Health Care. “From looking at the polling, special election outcomes and national sentiment, the answer should be clear to all of us: Democrats are the party of health care… There has been a sea change for ObamaCare in America. Today, the law is favored by 49 percent of Americans and opposed by 41 percent in the Real Clear Politics average. According to Gallup, 56 percent now believe health care is the government’s responsibility, while only 42 percent think it’s not. A Washington Post-Kaiser Family Foundation poll even found that 51 percent support single-payer coverage, while 43 percent oppose it… This sentiment takes on special importance because Friday is the one-year anniversary of the Republicans voting to repeal ObamaCare. So when they say ‘MAGA!’ to you, simply reply ‘Health care!’ to them.” [The Hill, 5/3]

East Central Minnesota Sun This Week: “I Will Be Forever Grateful That The Senate Failed To Pass A Bill.” “May 4 is the one-year anniversary of the day the Republican majority in the House of Representatives, including Rep. Jason Lewis, voted to repeal the Affordable Care Act. If this bill would have passed Congress, people we know would have lost their coverage through the repeal of the Medicaid expansion. Many people, especially seniors, would have been faced with the uncertainty of premium increases. I will be forever grateful that the Senate failed to pass a bill later in the summer.” [Sun This Week, 5/3]

New York Times: On Anniversary Of House Obamacare Repeal, Democrats Look To Extract A Price. “All told, the House bill would have increased the number of people without health insurance by 14 million this year and by 23 million in 2026, the Congressional Budget Office estimated… Beyond the House repeal bill, Democrats have also developed a broader argument that Republicans have inflicted damage on health insurance markets, partly because of actions taken by the Trump administration to undermine the Affordable Care Act. Just this week, they gained an assist from an unlikely figure: Tom Price, Mr. Trump’s former secretary of health and human services, who said that ending the requirement that most people have coverage, known as the individual mandate, would increase costs for people buying insurance. Helping the Democrats, polls have shown that the Affordable Care Act has gained in popularity since the 2016 elections. In an NBC News/Wall Street Journal poll conducted last month, Democrats had an 18-percentage-point edge when people were asked which party they thought would do a better job dealing with health care.” [NYT, 5/2]

Albany Times Union: Ad Campaign Targets Faso, Stefanik & Tenney. “On the anniversary of Congress’ passage of the American Health Care Act, which would have repealed key parts of the Affordable Care Act, the labor union 1199SEIU is launching a radio and print ad campaign to remind local voters of that three New York representatives who supported that version of the bill. The union, in a statement, said that the goal of the campaign is to remind voters of that efforts to sabotage healthcare and Medicaid are still ‘a very real threat.’” [Times Union, 5/4]

USA Today: Democratic Candidates Running On Health Care After GOP Attempts To Repeal Obamacare. “Friday marks the year anniversary of House Republicans’ vote to repeal and replace the Affordable Care Act.  It was the first vote of a months-long effort from congressional Republicans to get rid of the law. It ultimately failed in the Senate, but it left many Republicans on record voting to remove millions of Americans from the rolls of the insured — and Democrats are hammering them for it. After years of playing defense on health care, Democratic candidates have made it a top issue this election cycle. They are pledging to fix the flaws in Obamacare while targeting Republican attempts to “sabotage” it and take coverage away. And grassroots organizations that protested Republican efforts are keeping up the pressure with events planned around the anniversary. ‘This is going to be a continuing conversation throughout the election,’ said Sen. Chris Van Hollen, of Maryland, chairman of the Democratic Senatorial Campaign Committee. ‘I’m seeing this as an issue in every state.’” [USA Today, 5/2]

New Jersey Globe: New Kim Video Hits MacArthur On Health Care Vote. “Democratic congressional candidate Andy Kim is using the one-year anniversary of Rep. Tom MacArthur’s move to repeal Obamacare to launch a new web video ad that slams the GOP congressman for introducing legislation ‘that tried to take away health care for millions of Americans.’ In ‘Holding MacArthur Accountable,’ Kim points to the birth of his son as the moment he decided to run. ‘Last year, the doctor told me and my wife that our baby boy might not be able to make it. We had to prepare ourselves for the fact that he might have a problem that would affect him for the rest of his life,’ Kim says in the ad. ‘I remember turning to my wife and telling her that if our family gets through this, if our baby is born healthy, that I will do whatever I humanely can to hold Tom MacArthur accountable for what he did. That’s why I’m running for Congress.’” [New Jersey Globe, 5/4]

Roll Call: Liberal Groups Release Polls Showing Health Care Could Hurt GOP Incumbents. “A sizable percentage of voters surveyed said they were less likely to support Republican incumbents who voted for the GOP health care bill. More voters surveyed in the districts also approved of the health care law than disapproved. ‘It has been one year since House Republicans proudly voted for health care repeal, and it is clear that their constituents have neither forgotten nor forgiven them,’ Tim Hogan, a spokesman for Health Care Voter, said in a statement.” [Roll Call, 5/4]

ashoup
In Stories, Administration, News

Today, Americans Remember House Republicans’ Inexcusable Repeal Vote

Washington, D.C. – One year ago today, 217 House Republicans voted to repeal the Affordable Care Act. The so-called “American Health Care Act” would have cut coverage, increased costs, and eliminated protections for millions of Americans. On the vote’s one-year anniversary, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“One year ago today, Congressional Republicans voted to repeal the Affordable Care Act. They voted to kick 23 million Americans off of their health insurance, raise premiums by double-digits for every American, and jeopardize the health care of millions of women. They voted to once again allow insurance companies to discriminate against those with pre-existing conditions, cut coverage off by applying arbitrary lifetime caps, and refuse coverage for maternity care and substance abuse treatment. They voted to implement a $12,000 ‘age tax’ on seniors, take away a crucial lifeline for rural hospitals, and cut Medicaid by $1 trillion, a crippling blow to a program that insures 77 million Americans. And they did it all to give a $600 billion tax break to the wealthy and insurance and drug companies.

“In the face of pleas from constituents with serious medical conditions, advocacy from Americans whose lives have been saved by the ACA, and polls that showed the public opposed the bill by a 3-1 margin, House Republicans voted to kick 23 million Americans from their health care and then went to the White House to celebrate.

“A year later, we haven’t forgotten. In races across the country, from a Pennsylvania Congressional district Donald Trump won by twenty points to a Wisconsin state Senate seat Republicans had held since the turn of the century, health care has been cited as a top issue, carrying Democrats to victory. Dozens of House Republicans, including Speaker Paul Ryan, have announced their retirement. And Americans have made clear their frustration with Republicans’ war on our care will continue: rallies will take place today from coast to coast, voters of all political stripes are rejecting GOP repeal proposals, and candidates for federal, state, and local offices spurred to run because of last year’s vote are saying loud and clear: we won’t forget.”

PROTECT OUR CARE COMMEMORATES THE ANNIVERSARY:

  • Retire Repeal Website. Protect Our Care today is launching a microsite, Retire Repeal – We Won’t Forget, to honor the House Republicans who voted to take health care away from their constituents and resigned or announced their retirement well before the end of their term.

  • Events. Protect Our Care and partner groups will host over twenty events across the country,  reminding GOP elected officials who supported repeal that voters will continue holding them accountable for their actions.

 

 

 

ashoup
In Stories, Administration, News

Republicans Knew Premiums Would Go Up When They Sabotaged Your Health Care, But They Did It Anyway

For the past year and a half, Republicans have waged a non-stop war against the Affordable Care Act. Throughout 2017, Republicans tried time after time to repeal the Affordable Care Act, slashed funding for outreach, ended cost-sharing reduction payments that helped low income Americans afford health care, and passed a tax bill that the Congressional Budget Office predicts will strip health care from 13 million Americans and raise premiums by double digits.  

Throughout their many layers of sabotage, Republicans have played ignorant, trying to cover up the fact that their votes will send Americans’ premiums skyrocketing. Just this morning, former HHS Secretary Tom Price called out Republicans’ lies, saying that the tax bill’s repeal of the individual mandate “will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently, that drives up the cost for other folks within that market.”

Just one month after voting for a tax bill that the CBO projected would raise insurance premiums by double digits, Sen. Ted Cruz acted as though he had wanted to lower premiums the whole time: “I think lowering premiums is a win-win for everybody…The number one reason people despise Obamacare is that premiums have skyrocketed.” As much as Republicans try to distance themselves from it, the fact of the matter is clear: they knew they were voting to raise premiums, and they chose to do it anyway.

EACH STEP OF THE WAY, EXPERTS WARNED THAT SABOTAGE WOULD DRIVE PREMIUMS UP

The Trump Administration Deliberately Tried To Reduce Enrollment Of Healthy Individuals By Halting Outreach, Despite Commonly Understood Consequence That This Would Increase Premiums.

  • January 2017: In “Transparent Effort To Damage Stability Of Health Insurance Marketplace,” President Trump Abruptly Halts Open Enrollment Ads. In the final week of open enrollment, President Trump ended ads that let people know they could sign up for the Affordable Care Act. As Politico notes, “The last five days of the open enrollment season are seen as critical because many individuals procrastinate and then join a last-minute sign-up surge. That’s particularly true for younger and healthier customers who are crucial to making insurance markets work.”
  • February 2017: Analysis Shows Trump’s Cuts To Outreach Prevent Nearly 500,000 People From Getting Coverage. Following Trump’s initial cuts to outreach, it was estimated that Trump’s cuts blocked nearly 500,000 people from getting coverage. When fewer healthy people are able to purchase care, experts agree that premiums increase.
  • August 2017: Trump Administration Cuts Aca Advertising Budget By 90 Percent, Despite Evidence That It Will Cause Premiums To Increase. [Vox, 8/31/17]
  • Because The Administration Still Refuses To Adequately Fund Outreach, Insurance Commissioners Warn That Premiums Will Continue To Increase. Peter Lee, the head of California’s ACA Marketplace wrote in a letter to HHS that premiums would go up because of the Administration’s failure to properly fund outreach: “The reality is clear: If the federal government maintains the current cuts in marketing and outreach, premiums will be higher than necessary, consumers will be hurt as a result and taxpayers will pay the price by supporting higher [than] necessary subsidies. This does not need to happen and can easily be avoided…Drops in new enrollment are a formula for a worse risk mix and higher premiums.” [Letter to HHS, 4/25/18]

Months Before The Trump Administration Ended Payments That Helped Lower Income Americans Afford Insurance, The CBO Warned That Doing So Would Raise Premiums By 20 Percent. President Trump Ended Them Anyway:

  • August 2017: CBO Warns That Premiums Will Increase By 20 Percent If Cost-Sharing Reduction Payments Are Terminated. “If President Trump follows through on his threat to stop paying billions of dollars of subsidies critical to insurance plans under the Affordable Care Act, insurance premiums for certain plans would rise by 20 percent next year, according to a new analysis by the nonpartisan Congressional Budget Office.” [Washington Post, 8/15/17]
  • October 2017: Trump Administration Decides To Halt Cost-Sharing Reduction Payments. Despite the CBO’s warning that ending cost-sharing reduction payments (CSRs) would cause premiums to rise by 20%, the Trump Administration decided to do so anyways. [Washington Post, 10/13/17]
  • After The Fact, Insurance Commissioners Did Exactly What The Cbo Said Would Happen — They Raised Premiums. Jessica Altman, Pennsylvania Insurance Commissioner: “This is not the situation I hoped we would be in, but due to President Trump’s refusal to make cost-sharing reduction payments for 2018 and Congress’s inaction to appropriate funds, it is the reality that state regulators must face and the reason rate increases will be higher than they should be across the country.” [CNN Money, 10/17/17]
  • Now, Research Confirms That Ending CSRs Caused Premiums To Jump, And Is Expected To Do So Again In 2019. RWJ’s interviews with ten insurance companies found that the loss of cost-sharing reduction plan reimbursements drove premium increases in 2018 ranging from 10 to 20 percent. [Robert Wood Johnson Foundation and Urban Institute, 3/19/18]

Republicans Knew That Repealing The Requirement That Most People Have Insurance Would Drive Up Premiums, And Rushed To Do So Without Public Comment:

  • November 2017: Congressional Budget Office (CBO) Estimates That Repealing The Individual Mandate Will Push Premiums Up By 10 Percent Annually. Last fall, the nonpartisan Congressional Budget Office released numbers that repealing the requirement that most people have insurance would increase premiums by roughly 10 percent each year for the next decade. [Congressional Budget Office, November 2017]
  • November 2017: Sen. Susan Collins Acknowledges That Repealing Individual Mandate Would Raise Premiums. “‘One of the major concerns I had was the impact on premiums of repealing the individual mandate,’ [Collins] said Tuesday, referring to government estimates that repealing the mandate would raise insurance premiums by at least 10 percent as healthier consumers leave the market.” [Talking Points Memo, 11/29/17]
  • December 2017: Republican Senate Hurries To Pass Final Gop Tax Bill, Which Repeals Individual Mandate Despite Cbo Analysis That It Will Drive Premiums Up, In The Dark Of The Night And Without Public Hearings. Senate Republicans were determined to stop discussion on their tax bill from ever seeing the light of day. In December, they passed their tax bill in a matter of weeks, without hearing any public hearings. The process was so rushed that entire pagers were crossed out of the final version of the bill, and amendments were handwritten and barely legible.

After Sen. Collins Exchanged Her Vote On The Tax Bill For A Promise To Pass ACA Stabilization, Republicans Sabotage Bipartisan Efforts To Pass Bill That Would Help Control Premium Hikes:

  • December 2017: To Counteract The Increase In Premiums That Would Follow Repealing The Individual Mandate, Sen. Susan Collins Exchanges Tax Bill Vote For Aca Stabilization Bill. Sen. In exchange for her vote on the GOP tax bill, Majority Leader Mitch McConnell, President Trump, and Vice President Trump committed to passing a health care stabilization measure. [Washington Post, 12/15/17]
  • March 2018: After Pushing The Stabilization Vote Into The Next Year, Republicans Refused To Vote On Stabilization Unless Democrats Agreed To A List Of Deal Breaking Demands. In the middle of bipartisan negotiations on stabilization, the White House released its list of demands, including: Expanding the Hyde abortion language, codifying the Administration’s Short-Term proposal into law that undermine protections for people with pre-existing conditions, expanding Health Savings Accounts (HSAs) that is essentially another tax cut for the wealthy, mposing an age tax on older Americans by letting insurers charge people over 50 five times more than younger people. [White House Document, obtained by Politico, 3/8/18]
  • March 2018: There Is No Vote On Stabilization. [New York Magazine, 3/26/18]

Ignoring Warnings From Health Insurers, Trump Administration Proposes Changes To Short-Term Health Plans That Would Drive Up Premiums For Americans In Individual Marketplace:

  • July 2017: In Letter To HHS, America’s Health Insurance Plans Warns That Allowing Short-Term Plans To Offer Coverage For More Than Three Months At A Time Will Drive Up Premiums. “A blanket extension of the permitted length of short term policies will draw lower risk people out of the individual market single risk pool and drive up premium costs for consumers.” [America’s Health Insurance Plans Letter To HHHS, 7/12/17]
  • October 2017: President Trump Signs Executive Order That Expands Access To Short-Term Health Plans. President Trump’s executive order allows short-term plans to last for 12 months and be renewable, a notable change from the previous rule, which limited these plans to three months and prevented them from being renewed. [The Atlantic, 10/12/17]
  • February 2018: Administration Releases Fact Sheet On Short-Term Rule That Would Allow Insurers To Sell Year-Long Plans. [Centers for Medicare & Medicaid Services, 2/20/18]
  • March 2018: Nonpartisan Urban Institute Says Premiums Will Increase By Nearly 20 Percent. Confirming what experts had warned of, the Urban Institute calculated that increasing the availability of short-term health plans, when combined with the repeal of the individual mandate, would lead premiums to increase by an average of 18.3 percent in 2019. [Urban Institute, March 2019]
  • March 2018: AARP Analysis Projects Short-Term Plans Will Cause Older Americans’ Premiums To Increase By 16.6 Percent. As a result of President Trump and his Republican allies’ pushing junk insurance plans, AARP expects premiums for older Americans buying marketplace health coverage to increase by an average of 16.6 percent in 2019.  [AARP, 3/21/18]

Each Of The Administration’s Decisions Is Designed Drive People Off Of Health Care And Increase Premiums:

  • Katherine Hempstead, health insurance expert at Robert Wood Johnson Foundation: Anything That Undermines The ACA-Compliant Risk Pool Is Bad For Premiums.  “Anything that undermines the ACA-compliant risk pool is bad for premiums in the ACA market…Every exit ramp makes that market more expensive and less competitive than it otherwise would be.” [Modern Healthcare, 4/26/18]

NOW, THE CONSENSUS IS IN: REPUBLICANS KNOWINGLY DROVE UP PREMIUMS

Vox: Republican Sabotage To Blame For Premium Hikes. “The Trump administration’s multifaceted crusade against the health care law — slashing outreach budgets and pulling the law’s cost-sharing reduction payments to insurers — were already to blame for a 20 percent premium hike this year. Then Congress repealed the individual mandate in their tax bill, a huge political victory given the GOP’s vehement opposition to the mandate but one that insurers have said would drive up premiums even more next year.” [Vox, 4/25/18]

Washington Post: “The Pottery Barn Rule Comes To Mind: You Break It, You Own It.” “This is not ‘letting’ Obamacare fail. Many nonpartisan experts believe that these active measures are likely to undermine the pillars of the 2010 law and hasten the collapse of the marketplaces. The Pottery Barn rule comes to mind: You break it, you own it. Yes, the plate you just shattered had some cracks in it. But if you dropped it on the ground, the store is going to blame you.” [Washington Post, 10/13/17]

The American People Agree: President Trump And Congressional Republicans Are Playing Politics With People’s Health Care. A poll conducted last September found that 61 percent of voters believed President Trump was “trying to make the Affordable Care Act fail,” and 64 percent of voters said Trump is “playing politics with people’s health care.” The poll also found that the American people seriously disapprove of how Republicans in Congress are treating health care: 80 percent of voters disapprove while only 20 percent approve. [Garin Poll, 9/5/17]

RECENT HEADLINES PAINT A TELLING PICTURE

EVEN REPUBLICANS ADMIT THEY’RE TO BLAME

Sen. Lamar Alexander: “Rates Will Go Up…They’re Going To Blame Every One Of Us, And They Should.” On the topic of failing to pass a stabilization bill, Sen. Alexander said: “Rates will go up. The individual market will probably collapse…There will be 11 million people who are between jobs, who are self-employed, who are working, who literally cannot afford insurance, and they’re not going to be very happy. And they’re going to blame every one of us, and they should.” [Vox, 4/25/18]

Lindsey Graham: Republicans “Own The Outcome” On Health Care. “Sen. Graham told Breitbart News, ‘In October, premiums are going up. Obamacare cannot be fixed. It’s going to continue to collapse, and then, we own the outcome. By repealing the individual mandate, which is a step forward in the eyes of the public, we own the issue. We have a responsibility to do something about the collapsing Obamacare system. I believe that we’re going to get blamed more than Democrats because we stopped trying to repeal Obamacare, and to suggest that we don’t own it is just simply politically naive.’ Graham continued, ‘It can hurt us in 2018. It can hurt by our base feeling like we betrayed them. It can hurt us from people suffering from Obamacare, like we don’t have a solution. It will energize Democrats. It can undercut everything we did on the tax cut side.'” [Breitbart, 2/6/18]

Rep. Charlie Dent: Republicans “Own” Health Care Now. “Rep. Charlie Dent (R-Pa.) argued Friday that President Trump was ‘ill-advised’ to end key ObamaCare payments, warning that the GOP now ‘owns’ whatever happens to ObamaCare. ‘I think the president is ill-advised to take this course of action because … we, the Republican Party, will own this,’ Dent, a key House moderate who is retiring from Congress at the end of his term, said on CNN. Asked about Trump’s previous comments blaming problems with ObamaCare on former President Barack Obama, Dent pointed out that Republicans currently control the White House and have majorities in both chambers of Congress. ‘Barack Obama is a former president. President Trump is the president and he’s a Republican, and we control the Congress,’ Dent said. ‘So we own the system now. We’re going to have to figure out a way to stabilize this situation … This is on us.'” [The Hill, 10/13/17]

ashoup
In Capitol Hill, Administration, News

Republicans Must Finally Confront Trump’s Disastrous Handling of Opioid Crisis

Inaction + Funding Cuts = Sabotage

Washington, DC – After former Congressman Patrick Kennedy, a member of President Trump’s Opioid Commission, said this Administration’s “efforts to address the epidemic are tantamount to reshuffling chairs on the Titanic,” and other leading advocates spoke out against the Administration’s nonresponse, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“With members of Trump’s own commission decrying the President’s non-response to the raging opioid epidemic, Republicans must finally face up to this Administration’s failure to confront the nation’s most urgent health care crisis. Despite his campaign-trail promises, Trump has done worse than nothing: his attacks on the Affordable Care Act, Medicaid, and the Office of National Drug Control Policy are actively sabotaging Americans’ access to addiction treatment. Enough is enough: Congressional Republicans need to end their partisan war on health care, stand up against President Trump’s sabotage, and put their money where their mouths are on the opioid epidemic – or else admit that they are making this crisis worse.”

Opioid commission member: Our work is a ‘sham’

CNN // Wayne Drash and Nadia Kounang // January 23, 2018

The Republican-led Congress has turned the work of the president’s opioid commission into a “charade” and a “sham,” a member of the panel told CNN. “Everyone is willing to tolerate the intolerable — and not do anything about it,” said former Democratic Rep. Patrick Kennedy, who was one of six members appointed to the bipartisan commission in March. “I’m as cynical as I’ve ever been about this stuff.”

Trump has had a year to confront the opioid epidemic. He’s done almost nothing.

Vox // German Lopez //  Jan 23, 2018, 8:00am

If you listen to President Donald Trump’s words about the opioid epidemic, he seems to understand it’s an emergency. He declared it as one late in 2017. And he has repeatedly promised, as president and on the campaign trail, that he will do something about it — that he would “spend the money,” and that “the number of drug users and the addicted will start to tumble downward over a period of years.” If you look at Trump’s actions, well, it’s a very different story. There has been no move by Trump’s administration to actually spend more money on the opioid crisis. Key positions in the administration remain unfilled, even without nominees in the case of the White House’s drug czar office and the Drug Enforcement Administration (DEA). And although Trump’s emergency declaration was renewed last week, it has led to essentially no action since it was first signed — no significant new resources, no major new initiatives.

ashoup
In Administration, Capitol Hill, Stories, News

The Plot Against Americans: Bombshell Report Reveals Trump Admin’s Master Strategy to Rip Apart Our Health Care System

WASHINGTON, DC – After Politico released a late-night bombshell report revealing that the Trump Administration left a paper trail of their plans to sabotage health care, Protect Our Care Campaign Chairman Leslie Dach released the following statement:

“President Trump left behind a smoking gun in this newly revealed document, and now Americans can see beyond a shadow of a doubt that the Republican plot to sabotage our care started on Day One of this Administration. This newly revealed document confirms what we knew all along – Republicans never had any plan to improve health care for Americans; they always intended to rip apart affordable coverage and vital insurance protections root and branch. After today, President Trump and Congressional Republicans can no longer deny the truth: from the outset, they were hell-bent on waging a spiteful war against Americans’ health care.”

ashoup
In Capitol Hill, News

Protect Our Care Statement on House Passage of GOP Tax Scam, Sneaky Health Care Repeal

In response to the House passing the GOP tax scam containing sneaky repeal, which will kick 13 million Americans off of their insurance, raise premiums double digits for millions more and slash Medicare by $25 billion, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Today, Republicans made clear their claims about expanding health care access, lowering the deficit and evening the playing field for the middle class were complete lies,” Woodhouse said. “This legislation will kick 13 million people off of their health insurance, raise premiums double digits for millions more and trigger a $25 billion cut in Medicare – all so the wealthiest and large corporations can get a tax break.

“This bill is atrocious in all aspects. It was written in a dark room without outside analysis or bipartisan input. When nonpartisan analyses found that GOP claims were severely misleading, Speaker Paul Ryan just said they were wrong. When asked to make the conference report public, Chairman Kevin Brady responded by releasing its text at 5:30 on a Friday afternoon. When experts warned about rushing the bill through, Republicans ignored them, to the point that GOP Members literally cannot name the tax brackets in the bill they voted in favor of. And all of this was done to pass a massively unpopular bill that guts health care for the middle-class and makes the one-percent even richer.

“The Republican war on health care has not gone unnoticed by the American people. Health care has dominated every Congressional recess, it’s the number one issue on the minds of voters, it powered Democrats in last month’s elections in Virginia, Maine and New Jersey and the GOP’s efforts to repeal and sabotage the law have contributed to historically-low approval ratings for President Trump and congressional Republicans. Republicans are going to get their tax scam – but at great cost to American health care and to the GOP’s own political standing.”

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