Thursday, June 23, 2016

A Shameless Deception in Paul Ryan’s Obamacare Replacement Plan [feedly]

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A Shameless Deception in Paul Ryan's Obamacare Replacement Plan
// Economist's View

Republicans sabotage government programs, then complain they don't work:

A shameless deception in Paul Ryan's Obamacare replacement plan, by By Stephen Stromberg: ... Paul Ryan (R-Wis.) released an Obamacare replacement plan on Wednesday that, among other things, complains that the ACA leaves people out. ... Then it blames the gap on "Obamacare's poor design and incentives."

This is an outrageous distortion. The coverage gap ... is the direct result of anti-Obamacare hysteria in Ryan's party.

After the ACA passed, the Supreme Court ruled that the Medicaid expansion must be optional for states. The terms were so good for state leaders — the federal government promised to pay nearly the whole cost to cover lots of vulnerable people — it seemed inconceivable that any of them would refuse to expand Medicaid... But this thinking did not account for the anti-Obamacare tantrum... Nineteen states have refused to expand Medicaid in rote Republican opposition to the ACA. ...

Republicans ... could have simply expanded Medicaid in their states... Or Republicans in Congress could have agreed to extend eligibility for marketplace subsidies downward, solving this gross and unnecessary inequity without requiring the states to do a thing. ...

Republicans chose not only to create the gap, but also to keep it in place. Their continued inaction hurts low-income people in those 19 states. And Ryan has the nerve to complain about it — even to use it as evidence that the ACA is fatally flawed. ...

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