Posted by: Audrey Erbes | May 28, 2017

Scoring on AHCA 2.0 and Status of California Single Payer System Legislation

 

Results of Congressional Budget Committee Scoring on AHCA 2.0

The Congressional Budget Committee issued the scoring of the revised Republican American Health Care Bill 2.0 passed by the House on May 4. Until the completion of the scoring, the House couldn’t send their version to the Senate as the scoring was required first so all that rush was unnecessary.

 

Trumpcare means higher premiums and deductibles, especially for the elderly and those already sick. It puts a new age tax on people over 50 and means 23 million people will lose their healthcare coverage while giving billions in tax cuts for the wealthiest Americans. It would leave 14 million more people uninsured next year than under the Affordable Care Act and 23 million more by 2026.

 

The new estimate concludes an extreme rise in insurance costs in many states for those who are sick or have pre-existing conditions while premiums would fall for the young and healthy. The Senate plans to rewrite the House approved bill but even Mitch McConnell, the majority leader is uncertain of the chances of finding a majority to repeal and replace the Affordable Care Act.

 

The new health bill saves the government billions but only $119 versus the original $337 billion in the first version defeated in March. The lowered savings was necessary for the moderate Republicans to approve the bill. It’s clear this new House bill has major cost savings to pay for lowered taxes for the wealthy but not sufficient coverage for all. This is not surprising since Republicans have always wanted reduced health care costs, not increased coverage. They have been using empty promise of more freedom of choice for patients to try to cover up their real intent.  Yes, there will be access to health care harking back to former health care system prior to the Affordable Care Act but at a very cruel price for lower income citizens. Latter seem to get this as demonstrated in town hall meetings where they share their understanding of the terrible consequences of Trumpcare. Source: https://www.nytimes.com/interactive/2017/05/24/us/cbo-score-ahca-amendments.html?_r=1

 

A comparison of the amended bill with key components of the Affordable Care Act shows repeal of  the individual mandate, employer mandate and out-of-pocket subsidies along with changes in original essential health benefits, Medicaid expansion, premium subsidies. Coverage of dependents till 26 is the only part left intact.  See graphic in article at https://www.nytimes.com/interactive/2017/03/20/us/changes-to-republican-health-plan.html?_r=0

 

The stark difference of cost between Obamacare and Trumpcare for a 21 year old and 64 year old with same income of $26,500 tells the story very plainly. The older worker would pay $13,600 vs. $1,250 in states with some regulation changes while the difference would be $16,100 vs. $1,750 in states with no regulation changes.

 

Single Payer System Considered in California

California state legislators are evaluating a single payer system for California but concerns about the extreme cost to state taxpayers currently make it unacceptable. The costs of the insurance companies and their high paid executives go away but it would be a hard pill to swallow for taxpayers to pick up the total tab otherwise shared with premium payments, co-pays, deductibles, employers and the Federal government. There is a more detailed study underway conducted by the University of Massachusetts, Amherst, and commissioned by National Nurses United to look at the theoretical savings of a universal health care system and judge the potential success of a state going on its own expected to be released soon.

“California would have to collect roughly $200 billion in private funding to run the $400 billion program, most likely through a payroll tax that Californians would pay instead of premiums, co-pays and deductibles, according to a long-awaited Senate committee report. The $200 billion is more than the state’s entire $124 billion general fund budget, which pays for everything from K-12 education to social services.”

Governor Brown is skeptical about the taxpayers being able to pay for this plan on their own. The discussion is causing a split in California Democratic party. http://www.mercurynews.com/2017/05/27/california-democrats-wrestle-with-proposal-to-replace-private-health-insurance-with-single-payer-system/

Lt. Gov. Gavin Newsom who is frontrunner to replace Brown and working on his own universal health care plan is far more receptive.

Single Payer System Considered in California

California state legislators are evaluating a single payer system for California but concerns about the extreme cost to state taxpayers currently make it unacceptable. The costs of the insurance companies and their high paid executives go away but it would be a hard pill to swallow for taxpayers to pick up the total tab otherwise shared with premium payments, co-pays, deductibles, employers and the Federal government. There is a more detailed study underway conducted by the University of Massachusetts, Amherst, and commissioned by National Nurses United to look at the theoretical savings of a universal health care system and judge the potential success of a state going on its own expected to be released soon.

“California would have to collect roughly $200 billion in private funding to run the $400 billion program, most likely through a payroll tax that Californians would pay instead of premiums, co-pays and deductibles, according to a long-awaited Senate committee report. The $200 billion is more than the state’s entire $124 billion general fund budget, which pays for everything from K-12 education to social services.”

Governor Brown is skeptical about the taxpayers being able to pay for this plan on their own. The discussion is causing a split in California Democratic party. http://www.mercurynews.com/2017/05/27/california-democrats-wrestle-with-proposal-to-replace-private-health-insurance-with-single-payer-system/

Lt. Gov. Gavin Newsom who is frontrunner to replace Brown and working on his own universal health care plan is far more receptive.

Highlights of Bioscience Events in Bay Area Weeks of May 28 – June 10, 2017

  • Bio2Device Group, Tuesday Morning, May 30, 2017; Topic: “Emerging regulations and their impact on the medical device industry;” Speaker: Patrick Lee, Senior Director of RA/QA, Vascular Dynamics
  • PBSS, Friday, June 2, 2017; Event: Drug-Induced Liver injury (DILI): risk assessment in drug discovery and clinical development; Speakers:William Treem (J&J), Michael Rothenberg (Genentech), Weida Tong (NCTR/FDA), Yazen Alnouti (UNMC), Donna Dambach (Genentech), Cyrus Khojasteh (Genentech), Kenneth Brouwer (Qualyst), Gary Peltz (Stanford Medical)
  • Bio2Device Group, Tuesday Morning, June 6, 2017; Topic: “Why Japan should be top of an OUS growth strategy;” Speaker: David Smith, Co-Founder and Managing Director, Asia MedMarket Access/MedMarket Access LLC

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks May 28, 2017. You can download Jobs That Crossed My Desk Through May 28, 2017 as well.

Audrey

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