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.

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

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