Healthcare Reform 1.4: What's In The Latest Proposal

The Graham-Cassidy proposal, which is the Congresses last (and best) effort to reform healthcare is on life-support after John McCain's hypocritical stand and massive question marks with three other key GOP Senators. 

While I think the concept has been fairly well communicated (take the Affordable Care Act and essentially hands it to the states to tailor for their constituents), it's still helpful to have more info to ensure an informed opinion is made. Here's are the key changes with this 140-page bill:

  • Ends the federal employer and individual mandates of the ACA (states could incorporate one if desired) 

  • Block grants essentially all of the federal money spent on the ACA to states  

  • Ends all federal credits for ACA policies 

  • Ends the federal expansion of Medicaid after 2019 (states would make decisions on Medicaid with use of the block grant funds) 

  • Preexisting condition considerations for insurance would be determined at the state level  

  • Provides latitude for states to create their own exchanges and insurance marketplaces  

  • Defunds Planned Parenthood from the federal level 

  • Ends the ACA tax on investment and medical devices - keeps the "Cadillac tax" and ACA Medicare tax in place 

  • Allows for the expansion of HSA accounts  

The simplicity of this initiative from the federal level is pretty clear: most of the details are determined at the state level. 

While I don't support the retention of the "Cadillac tax" and the Medicare tax - I'm supportive of just about everything else. For longer than I can now remember, I've called for the end of the "insurance first" model. This provides a path towards that eventually by dropping the federal insurance mandates and expanding the HSA allowances. 

It also allows each state to meet the needs of their people in a way that makes the most sense for their state. I can't possibility see why that wouldn't be better than having the one-size fits all federal debacle we've experienced continuing.,

Up until now I've called the GOP plans about 50 percent less awful than Obamacare. 

This proposal is just plain about 90 percent good in my view. 

I sincerely hope it passes for the benefit of all of us - despite the likelihood that Washington politicking will likely prevail once again instead.

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