While Republicans mull over these proposals, almost a dozen Senate Democrats are rallying behind legislation that aims to expand Medicare and create a single-payer health care system in America. It would be phased in over four years, and people and businesses would no longer owe premiums to insurers. Moreover, one of the GOP senators who wound up supporting skinny repeal, Rand Paul, has announced opposition to Graham-Cassidy.
With just 17 days left for Republicans to repeal the Affordable Care Act on a party-line vote, a quartet of GOP senators on Wednesday rolled out a plan to devolve federal health care spending into state-by-state block grants - legislation that South Carolina Sen.
"In July of this year, the Senate failed to garner the necessary votes in the process of moving forward with legislation to repeal and replace the ACA in a budget reconciliation bill". The latest healthcare bill proposed by Sens.
In an interview, Sanders said Tuesday his measure would likely be paid for in a progressive way. Aides said it would likely be financed by income-adjusted premiums people would pay the government, ranging from no premiums for the poorest Americans to high levies on the rich and corporations. The clock runs out on the reconciliation rules at the end of September, which means the legislators have very little time to move their bill through both chambers of Congress, finalize it, and have it on President Donald Trump's desk for approval. But it embodies a push to universal coverage that eluded Obamas 2010 law and is a tenet of the Democratic Partys liberal, activist base. No one really knows what single-payer, in the confines of the American health care system, would look like.
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"It's a massive devolution of federal money and responsibility to states, on a scale I don't think we've ever seen", said Larry Levitt, senior vice president of the Kaiser Family Foundation.
The sponsors have characterized their package, released the same day as Bernie Sanders's "Medicare for All" proposal, as the last line of defense against such radical single-payer plans.
The letters, from Jack Ende, MD, MACP, president of ACP tell the senators that, "substantial cuts to Medicaid authorized by this legislation would cause a significant increase in the number of uninsured patients and that it would undermine essential benefits provided for patients insured under current law". One of the leading industry advocates - America's Health Insurance Plans (AHIP) - does not think single-payer is the way to fix the problems with the USA health care system.
He called the health-care law "a complete nightmare for the many Americans who have been devastated by its skyrocketing healthcare premiums and deductibles and canceled or shrinking plans", assertions that most Democrats and some Republicans dispute. It will eliminate choice, undermine quality, put a chill on medical innovation, and place an even heavier burden on hardworking taxpayers.
"Whether it's called single-payer or Medicare For All, government-controlled health care can not work".