As Trump voters demanded, back to pre-ACA healthcare

A Minnesota plan may be the look of healthcare in a post Obamacare world: Restricted coverage, exclusions, rising insurance costs—the old status quo, but worse.


MONTGOMERY VILLAGE, Md., February 7, 2017 — Even in our current reality of “alternative facts,” the threats to our health and financial survival should worry us. A partial list smuggled out by a Minnesota legislator shows what the new Republicans have in mind to replace the Affordable Care Act (ACA, Obama care) in Minnesota.

A bill passed by the Minnesota House exempts many items from mandatory coverage. Exempted items include:

  • Child birth;
  • Psychological services;
  • Cancer treatment;
  • Prostate cancer screening;
  • Emergency services;
  • Chemical dependency/alcoholism;
  • Ambulatory medical/surgical services;
  • Lyme disease;
  • And over 60 more.

The idea behind these exclusions is that those who can afford it can pick a plan with all the services that are excluded, for a very high premium. Those who can’t will pick a plan with most or all the exclusions for a very low premium. This, in the mind of the sponsors, is freedom.

Ronald Wilson Reagan and Choosing Freedom Over Tyranny

Since the user would select the services to include, the issue of “pre-conditions” appears to be moot. If you want your cancer, bi-polar disorder, or any other condition to be covered, you will pay for it, dearly.

With no required coverage, the market would supposedly function better and insurance prices would go down and stay down due to competition. We would go back to something very much like pre-ACA.

We all remember those times. Families went broke when a member was diagnosed with cancer or a chronic disease. That the “free market” solution to health care did not work is a matter of record; now we are going back to it.

Some of the exclusions appear to go against the often-voiced preferences even of Republicans. For example, exempting child birth, prenatal and postnatal services would give a pregnant woman even more reasons to get an abortion. Even if Republicans are successful at outlawing abortion or limiting it drastically, this choice would probably be less expensive than bringing the pregnancy to term.

Mental health problems can strike without warning. With the onset of mental illness, one of the first symptoms is denial, compounded by ignorance. The situation is not much better now, but this exclusion could leave mentally ill people on the streets.

This blue print, as it appears to be, will take us back to our former system of health care on steroids. Young people who believe themselves immortal will chose a bare bones program or none at all. Families in financial distress would do the same, a perfect recipe for ruined lives when major illness strikes.

Insurance companies might still insure people with existing illnesses, but at a very high price. The competition that Republicans hope for would not come into play in these cases.

Unless future legislation includes coverage under a family plan for those under 26, this will also be denied. It is possible that insurers would cover someone until they are 26 in a family plan, but they most likely would increase premiums.

Mario Salazar, the 21st Century Pacifist, is watching amazed as Trump conservatives destroy the middle class and the middle class acquiesces. He is in Twitter (@chibcharus), Google+, LinkedIn and Facebook (Mario Salazar).

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