My Thoughtful Critique of Trumpcare

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Avik Roy has a request:

OK, here’s my Top 5 list:

  1. Medicaid: The Senate bill slashes spending on Medicaid in order to cut taxes on the rich. This is a cruel and unnecessary tradeoff for the richest country in the history of the world.
  2. Death Spiral: It eliminates the individual mandate; reduces subsidies for the poor; reduces benchmark plans to an actuarial value of 58 percent; and increases deductibles and copays. Whatever instability Obamacare currently has, this will make it far, far worse.
  3. Essential Health Benefits: Like the House bill, the Senate bill makes it easy for states to cut essential health benefits, which motivates insurers to offer low-end policies for the working poor that are worthless—but only if you read the fine print.
  4. More Uninsured: It will lead to tens of millions fewer people having health coverage. CBO will provide an exact number in a few days, but we already know it’s going to be big.
  5. Lifetime Caps: Guts protections against annual and lifetime caps, and because of the way the bill is written, it’s likely to do this even for employer insurance, not just for the individual market.

There’s more, like the substantial increase in premiums for older workers and the quiet kickback to insurance company CEOs. And what are the benefits? Unless you’re rich or you really, really want to cut funding for Planned Parenthood, it’s hard to see any.

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LET’S TALK ABOUT OPTIMISM FOR A CHANGE

Democracy and journalism are in crisis mode—and have been for a while. So how about doing something different?

Mother Jones did. We just merged with the Center for Investigative Reporting, bringing the radio show Reveal, the documentary film team CIR Studios, and Mother Jones together as one bigger, bolder investigative journalism nonprofit.

And this is the first time we’re asking you to support the new organization we’re building. In “Less Dreading, More Doing,” we lay it all out for you: why we merged, how we’re stronger together, why we’re optimistic about the work ahead, and why we need to raise the First $500,000 in online donations by June 22.

It won’t be easy. There are many exciting new things to share with you, but spoiler: Wiggle room in our budget is not among them. We can’t afford missing these goals. We need this to be a big one. Falling flat would be utterly devastating right now.

A First $500,000 donation of $500, $50, or $5 would mean the world to us—a signal that you believe in the power of independent investigative reporting like we do. And whether you can pitch in or not, we have a free Strengthen Journalism sticker for you so you can help us spread the word and make the most of this huge moment.

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