It’s All Connected – ACA, Medicaid and Medicare are All Under Threat
President Trump and Republican leaders in Congress have promised to repeal and “replace” the Affordable Care Act. They also plan to gut the Medicaid program by imposing block granting or per-capita caps. Speaker Ryan, HHS Secretary Price, and many others in Congress also want to further privatize Medicare by turning it into a voucher program.
These are not isolated threats to be analyzed and defended against individually. Rather, these efforts comprise a collective threat to the health care and coverage of millions of Americans. Drew Altman of the Kaiser Family Foundation recently noted that, if carried through, this “health policy trifecta” would “fundamentally alter the direction of the federal role in health and core elements of the social contract” in a manner that would be “likely to shift costs to individuals and states as well as reduce consumer protections–and result in a significant increase in the number of uninsured.”
Repeal of the Affordable Care Act (ACA) would eliminate health insurance coverage for over 20 million people. This would include roughly 10 million people who have Medicaid thanks to expanded coverage through the ACA. A full repeal of the ACA would also reduce the solvency of Medicare’s Part A trust fund, re-open the Part D prescription drug “donut hole” and, among other things, remove coverage for a number of preventive services (although some ACA “replacement” proposals quietly keep the Medicare savings in order to offset the costs of killing the ACA).
Gutting the Medicaid program through block-granting or imposing per-capita caps would likely impact tens of millions of low-income families through cuts to eligibility, benefits and provider payments. This would include the roughly 10 million people who have both Medicare and Medicaid (known as “dual eligibles”) for whom Medicaid can cover Medicare premiums, cost-sharing and additional benefits.
Privatizing Medicare through premium support/vouchers would replace Medicare’s promise of a defined benefit with a coupon to shop for coverage, launching the traditional Medicare program chosen by two-thirds of beneficiaries into a death spiral. Read more about Medicare "Reform" and the value of the straditional Medicare program at http://www.medicareadvocacy.org/medicare-reform.
The threats are real. And they are imminent, with some policymakers suggesting that they should all be dealt with at once. Help protect the social contract and stand up for our health care.
- ACA Repeal Bill Keeps Getting Worse – Congress Must Reject It Today March 24, 2017
- House Poised to Vote on Bill Gutting the Affordable Care Act and Medicaid, and Undermining Medicare – Act Now March 22, 2017
- The Affordable Care Act in 2017: Myths and Facts March 15, 2017
- CBO Report Confirms ACA Repeal Legislation Will Reduce Health Coverage, Care and Undermine Medicare March 15, 2017
- Statement: CBO Report Confirms ACA Repeal Legislation Will Reduce Health Coverage, Care and Undermine Medicare March 14, 2017
- Medicaid is Essential for Millions of Medicare Beneficiaries March 8, 2017
- American Health Care Act (AHCA): A Repeal and Regress Plan March 7, 2017
- 100 National Organizations Urge Congress to Reject Radical Changes to Medicaid March 3, 2017
- Health Savings Accounts and Medicare Beneficiaries March 1, 2017
- President Trump’s Address to Congress Brings No New News on Health March 1, 2017
- Back to the Future: High Risk Pools Annotated Bibliography February 22, 2017
- Repealing Medicaid Expansion Could Lead to Thousands of Deaths in the U.S. Annually February 22, 2017
- House Republicans Present Outline of Plan that Would Gut Health Coverage February 21, 2017
- The Center for Medicare Advocacy Comments on the Confirmation Hearing of Seema Verma February 17, 2017
- Affordable Care Act Replacement Proposals – Concerns and Resources February 15, 2017
- Center for Medicare Advocacy Statement on the Confirmation of Rep. Tom Price as Secretary of Health and Human Services February 10, 2017
- New Study: Uninsured Rates for Older Adults will Increase if ACA is Repealed or Medicare Eligibility Age is Raised February 1, 2017
- Opening Salvo on ACA Replacement Falls Short January 25, 2017
- HHS Nominee Price Faced Senate HELP Committee Today – Unanswered Questions Remain January 18, 2017
- Fact-Checking the Confirmation Hearing of Secretary of Health and Human Services Nominee Tom Price January 18, 2017
- Five Medicare Questions Senators Need to Ask Secretary of Health and Human Services Nominee Tom Price at Next Wednesday’s Confirmation Hearing January 13, 2017
- Advocates Warn Congress of Dangerous Consequences of ACA Repeal and Delay for Seniors and People with Disabilities January 13, 2017
- What’s at Stake In the Fight to Sustain Medicare, Medicaid and the Affordable Care Act (ACA) January 11, 2017
- Reports Highlight Devastating Effects of Repealing the Affordable Care Act and Turning Medicaid into Block Grants December 14, 2016
- Protect Our Health Care: It’s All Connected – ACA, Medicaid and Medicare are All Under Threat December 7, 2016
- Plenty of Sensible Changes to Help and Preserve Medicare November 30, 2016
- Medicare is not “Going Broke” November 30, 2016
- The Rush to Destroy Medicare as We Know It November 29, 2016
- Truth: Obamacare Helps Medicare November 16, 2016
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