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Politico reports today that a leaked draft of the GOP's Obamacare replacement plan shows the House is not fiddling around the edges but moving toward full repeal and replacement of the law.

"We told them we were going to repeal it and replace it with a market-centered, patient-centered plan that actually brings back affordable health insurance", he said. About 51 percent of independents Kaiser polled were anxious they'd lose health insurance, compared with 70 percent of Democrats and 17 percent of Republicans.

The plan would cut funding to Planned Parenthood, setting up a major battle in the Senate.

"Flexibility is necessary to improve Medicaid program performance, but states also need adequate funding within a new financing structure to effectively manage the Medicaid program", the draft plan said.

Most of us pay handsomely for our health care at work, so the prospect of the uninsured skating over to the emergency room on the taxpayers' dime shouldn't sit well with anyone. States can choose to continue covering these enrollees if they so choose. Shifts tax subsidies to block grants based on age: Instead of tax subsidies based on income, as in the ACA, the House GOP plan would give every American a chunk of money to purchase insurance based on their age. A person under 30 would receive a tax credit of $2,000, while someone over 60 would receive double that amount.

-Leaves decision about mandatory or essential benefits to the states. The proposal includes language allowing insurers to offer grandfathered plans to permit people to keep their current plans.

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Interestingly, even among Republicans, fewer than a third (31 percent) favor an immediate repeal, while 48 percent support simultaneous repeal and replacement, and 16 percent don't want the law repealed at all.

Individually, the states can not effectively contain costs by regulating prices. "Because we did not expand Medicaid and so it's going to be a real priority for me to make sure that we have a good solution so that the states that didn't expand Medicaid aren't in a position where we're hurt by that". Currently Medicaid is an entitlement program that is paid out to anyone who qualifies. Gala Fernandez attended one Wednesday night held by Republican Representative Leonard Lance at Raritan Valley Community College in Branchburg, New Jersey.

Former House Speaker John Boehner threw a wet blanket on the repeal and replace effort, saying that Republicans will likely fix the flaws in the legislation and build a conservative box around it at a conference hosted by the Healthcare Information and Management Systems Society in Florida.

The third is the so-called Cassidy-Collins plan put forward by a group of Republican senators including Bill Cassidy and Susan Collins.

Nineteen states refused to participate in the ACA Medicaid expansion, because many legislators are philosophically opposed to government mandates or are concerned the federal government will eventually reduce support for the program and leave their states in untenable fiscal positions.


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