Trump’s claim that he ‘saved’ pre-ex conditions ‘part fantasy, part delusion’

jgarden

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Trump's claim that he ‘saved’ pre-ex conditions ‘part fantasy, part delusion’

The "good news" is that Donald J Trump wants to be known as the "healthcare" President - if you and your family plan on living forever, never requiring medical care, then he is your man!!

The "bad news" is that even after 3 years in office and 2 failed attempts, other than dismantling Obamacare, this President remains clueles
s when it comes to providing a credible alternative!
 
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Fantine

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Maybe he is hoping to drive immigrants back into Mexico (or other home countries.) We did know a 25 year old undocumented immigrant who needed a kidney transplant. He would go to the emergency room and the ER doctor would tell him, "You're not sick enough for dialysis yet. Eat and drink this and come back..." He returned to Mexico because Mexico has universal health care. It saved his life.

Lots of immigrants, even citizens, go back to their home countries when they retire. They can live better on Social Security (which they EARNED through their contributions) and don't have to worry about all the coverage gaps in Medicare--because their countries have universal health care.
 
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visionary

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The Barbarian

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Polling from the Kaiser Family Foundation suggests that such protections, which prohibit individual insurance plans from charging people more based on their medical history, are a top priority for Americans and among the most popular provisions of the Affordable Care Act. (KHN is an editorially independent program of the foundation.)
...
We asked White House staff to point us to the policies or proposals on which Trump’s statement was based. They declined to provide specifics but reiterated the president’s assertion.
...
But the White House’s policy trajectory does exactly the opposite. The DOJ’s stance, which reflects a policy in place at the same moment the president made this claim, would eliminate the only law guaranteeing that people with preexisting conditions both receive health coverage and do not have to pay more for it.


And on the regulatory front, the administration has advanced a health insurance option that is not required to include these protections.
...

Furthermore, the administration has not put forth any plan that might keep those guarantees in place.


This statement is not accurate and makes a claim in direct opposition to what’s actually happening. We rate it False.
Trump’s Talk On Preexisting Conditions Doesn’t Match His Administration’s Actions
 
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miamited

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The Pre-existing Condition Insurance Plan (PCIP) is a form of health insurance coverage offered to uninsured Americans who have been unable to obtain coverage because of a pre-existing condition. Jan 4 2019

Hi visionary,

You do know, don't you, that the PCIP is a part of the ACA as formalized and made into law during the Obama administration. So far, there has been no discussion of any PCIP continuing on if the ACA is overturned.

The Affordable Care Act created the Pre-Existing Condition Insurance Plan (PCIP) to make health insurance available to those that have been denied coverage by private insurance companies because of a pre-existing condition. PCIP runs until 2014.May 9, 2013.

The PCIP was a stop gap measure put in place to provide the uninsurable relief until the ACA kicked in. The Pre-existing Condition Insurance Plan is a form of health insurance coverage offered to uninsured Americans who have been unable to obtain coverage because of a pre-existing condition. It will provide coverage to as many as 350,000 people and fill the gap until the Affordable Care Act goes into effect in 2014.

As I've said from the beginning. I'm happy to look over any plan to offer the American people better health insurance options. But that isn't to just rescind the ACA. Another plan of some sort must be put in place or else we revert back to exactly what we had before the ACA. Hospitals receiving an over abundance of uninsured patients because they are forced to see them whether they can pay for their medical care or not. People who once are determined to have some ongoing illness, classified then as someone with a 'pre-existing condition' and, therefore, not insurable. For me, that's an unacceptable method of taking care of the sick, injured and diseased of our 330 million people. So, I'm happy to look over and consider another plan and I'd hope that one day someone could come up with a better solution to the problem, but so far, no other plan has been offered. It's just been..."Let's go back to the way things were".

There are very, very few countries in the world that treat their citizens with such little regard for their health as the United States of America. Where people can live afraid to seek needed medical care because they can't afford it, until often it's too late.

God bless,
In Christ, ted
 
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miamited

Ted
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Hi visionary,

That link explains exactly how pre-existing conditions are handled under the current ACA law. Those policies that it is explaining about under 'Marketplace plans' are how policies under the ACA requirements have to be sold. If the ACA is repealed, all of those requirements go away. If the ACA is repealed there is no Marketplace plan. The whole concept of a Marketplace, is a concept and requirement of the law as applied under the ACA. There were no 'Marketplace plans', as this article discusses, prior to the ACA. In fact, the very reason that there was the PCIP, which your previous link discusses, is because the ACA, knowing that it wasn't going to go in effect immediately, made provisions that as of the passage of the bill, there would not be the refusal of medical insurance on the grounds of pre-existing conditions because of the PCIP requirement of the new ACA law.

Before the legislature voted to approve the ACA, there was no Marketplace or subsidized insurance. All of that exists today because there is the ACA.

Can a health insurance company deny me or charge me more for my pre-existing condition?
  • No. An insurance company can’t deny you, charge you more, or refuse to pay for essential health benefits because of any condition you had before your coverage started.
  • Also, Marketplace plans can't put annual or lifetime limits on your coverage.
  • Learn more about coverage for pre-existing conditions.
That 'no' only came into existence because of the ACA. Prior to the ACA the greatest complaint that sick people had was that medical insurance was being refused them because of pre-existing conditions. That Marketplace plans can't put annual or lifetime limits on coverage is a direct result of the ACA. If you repeal the ACA without another plan to supplant it, then we go back to how things were before the ACA...denial for pre-existing conditions and limit caps.

I really don't know how to make it any more clear that repeal of the ACA will bring back the same conditions of the medical insurance business that we had in 2009. That's the whole reason that there is now so much noise about what is the current legislature going to do about pre-existing conditions if the ACA is repealed. That was why Sen. John McCain could not, in good conscience, go along with his Republican party in repealing the ACA. Sen. McCain knew that others with his terminal condition, wouldn't be able to get or afford medical insurance.

The links that you have provided, both of them, are links that are based on the fact that the ACA does exist.

God bless,
In Christ, ted
 
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Isilwen

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Even though I oppose any requirement for coverage for preexisting conditions. That's like buying car insurance after you've been in an accident.

Nope, I was born an asthmatic.

This sounds to me like you're saying it's my fault that I was born with asthma and therefore insurance companies have the right to deny me coverage or make coverage so expensive that it is basically denying me coverage because I am unable to afford it.

Is this what your statement is saying?
 
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miamited

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Nope, I was born an asthmatic.

This sounds to me like you're saying it's my fault that I was born with asthma and therefore insurance companies have the right to deny me coverage or make coverage so expensive that it is basically denying me coverage because I am unable to afford it.

Is this what your statement is saying?

Hi isilwen,

Actually, I don't think he's saying that it's your fault that you were born an asthmatic. He just doesn't care if you die or suffer from the condition because you can't get or afford medical insurance. Healthy people don't understand the struggles that come about once one is determined to have a 'pre-existing' condition. If they do, then they just don't care. It's a lot like the man with a lot of coin in his pocket passing the poor beggar holding out his tin cup. the man with the money is appalled that the poor beggar is allowed to stand on his street corner or in front of his home. Their response is: "Don't these poor have somewhere else that they can huddle and die?"

God bless,
In Christ, ted
 
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miamited

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I know someone who couldn't get coverage under Obama. He suffers from Diabetes type 1. Almost died. Later when Trump care came into play, he got coverage. Penalized under Obama but taken care of by Trump.

Hi visionary,

You know, you really should try to know what you're talking about. There isn't any 'Trump' care. The U.S. healthcare system still operates under the rules of the ACA which is still in full effect, except that President Trump did sign an EO to remove the penalty mandate for those who aren't insured. Other than that singular condition, President Trump has not changed a single point of the ACA. If you know someone who couldn't get health insurance coverage during the Obama administration, but now can, they are still getting their insurance under the rules and guidelines and laws established and set forth by the ACA.

One of the reasons that many Republicans and Independents are unhappy with President Trump is that he hasn't yet been able to seriously dismantle or repeal the ACA as he promised during his campaign. Tell me, what law specifically was it that President Trump put into place that wasn't in place during President Obama's administration, that allowed your acquaintance to now be covered when they couldn't be before?

Further, it is not 'obamacare'. President Obama didn't vote for it or put any of its rules and regulations in place. All President Obama did was go to the legislature and ask them to work on some sort of comprehensive healthcare system for the American people. What came out of that was voted on by Democratic and Republican and Independent legislators and it became the ACA.

As a matter of fact, when President Trump did try to change the ACA, that's when we got his now famous line, "Who knew that health insurance could be so difficult?" He was totally unable to change the system because the majority of the American people now know that it's a better system than what we had before.

So, I'm going to call you out on that claim. What was the change that President Trump enacted that allowed your acquaintance to now be able to get medical insurance that was stopping them from getting it before his administration?

Now, depending on what state your acquaintance lives in, there could have been some state law changes to their medicaid eligibility, but it wouldn't have been because of President Trump. Some states have opted to expand their medicaid coverage, which is...ding, ding, ding... part of the ACA changes under President Obama.

God bless,
In Christ, ted
 
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visionary

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This is where Trump help this young man get coverage.

States allowed to add "work requirements" to Medicaid

Medicaid expansion with the federal government helped pay for states (that chose to) to expand Medicaid eligibility beyond families to include all low-income adults, and to raise the income threshold, so that more people would be eligible. So far, 37 states and Washington have opted to expand Medicaid.

Under Trump, if they get approval from the federal government, states can now require Medicaid beneficiaries to prove with documentation that they either work or go to school.

"When you consider that, less than five years ago, Medicaid was expanded to nearly 15 million new working-age adults, it's fair that states want to add community engagement requirements for those with the ability to meet them. It's easier to give someone a card; it's much harder to build a ladder to help people climb their way out of poverty. But even though it is harder, it's the right thing to do." — Seema Verma, administrator of the Centers for Medicare and Medicaid Services, Washington, Sept. 27, 2018

With HealthCare.gov and the state insurance exchanges, people who gained health care coverage after the passage of the ACA — 12.7 million people — actually got their coverage by being newly able to enroll in Medicaid.

Medicaid expansion has proven to be quite popular. And in the 2018 election, three more red states — Idaho, Nebraska and Utah — voted to join in. Right now, 18 states have applied to the federal government to implement work requirements; but most such programs haven't yet gone into effect.

"The one work requirement program that's actually gone into effect is in Arkansas," says Nicholas Bagley, professor of law at the University of Michigan and a close follower of the ACA. "We now have good data indicating that tens of thousands of people were kicked off of Medicaid, not because they were ineligible under the work requirement program, but because they had trouble actually following through on the reporting requirements — dealing with websites, trying to figure out how to report hours effectively, and all the rest."
 
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This is where Trump help this young man get coverage.

States allowed to add "work requirements" to Medicaid

Medicaid expansion with the federal government helped pay for states (that chose to) to expand Medicaid eligibility beyond families to include all low-income adults, and to raise the income threshold, so that more people would be eligible. So far, 37 states and Washington have opted to expand Medicaid.

Under Trump, if they get approval from the federal government, states can now require Medicaid beneficiaries to prove with documentation that they either work or go to school.

"When you consider that, less than five years ago, Medicaid was expanded to nearly 15 million new working-age adults, it's fair that states want to add community engagement requirements for those with the ability to meet them. It's easier to give someone a card; it's much harder to build a ladder to help people climb their way out of poverty. But even though it is harder, it's the right thing to do." — Seema Verma, administrator of the Centers for Medicare and Medicaid Services, Washington, Sept. 27, 2018

With HealthCare.gov and the state insurance exchanges, people who gained health care coverage after the passage of the ACA — 12.7 million people — actually got their coverage by being newly able to enroll in Medicaid.

Medicaid expansion has proven to be quite popular. And in the 2018 election, three more red states — Idaho, Nebraska and Utah — voted to join in. Right now, 18 states have applied to the federal government to implement work requirements; but most such programs haven't yet gone into effect.

"The one work requirement program that's actually gone into effect is in Arkansas," says Nicholas Bagley, professor of law at the University of Michigan and a close follower of the ACA. "We now have good data indicating that tens of thousands of people were kicked off of Medicaid, not because they were ineligible under the work requirement program, but because they had trouble actually following through on the reporting requirements — dealing with websites, trying to figure out how to report hours effectively, and all the rest."

Hi visionary,

Yes, but you likely aren't reading that as saying what you think it is saying. The medicaid expansion has been allowed since the ACA went into effect. The state where your young man lives could have always covered him. In fact, the only thing that your article credits President Trump with doing is now giving states approval to make medicaid dependent on one's being gainfully employed. If any states take him up on that, trust me there will be a lot more people than your young man who will lose their medicaid eligibility. President Trump signed no law forcing states to expand medicaid. Some have just, as I wrote in my last paragraph in my last post to you, done it. But that provision making that possible didn't come from anything that President Trump did. It actually came from the provisions of the ACA that were enacted into law under President Obama. Sorry.

You did read the article right?

God bless,
In Christ, ted
 
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visionary

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Hi visionary,

Yes, but you likely aren't reading that as saying what you think it is saying. The medicaid expansion has been allowed since the ACA went into effect. The state where your young man lives could have always covered him. In fact, the only thing that your article credits President Trump with doing is now giving states approval to make medicaid dependent on one's being gainfully employed. If any states take him up on that, trust me there will be a lot more people than your young man who will lose their medicaid eligibility. President Trump signed no law forcing states to expand medicaid. Some have just, as I wrote in my last paragraph in my last post to you, done it. But that provision making that possible didn't come from anything that President Trump did. It actually came from the provisions of the ACA that were enacted into law under President Obama. Sorry.

You did read the article right?

God bless,
In Christ, ted
He got in because he was "work eligible".. before he made too little to buy and too much to quality.
 
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miamited

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He got in because he was "work eligible".. before he made too little to buy and too much to quality.

Hi visionary,

Well, I admit that's not a term I'm familiar with. What is 'work eligible' and what recent law or EO in the last three years has changed that parameter as regards healthcare? I tried to google 'work eligible' and the only thing to come up was how the President is trying to cut down on the food assistance program by requiring those who are able bodied and 'work eligible' to work to receive their benefits.

Thanks for your help. I do always try to stay abreast of news and information that concerns issues that I care about.

God bless,
In Christ, ted
 
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