Regarding the article “ GOP leaders unveil new ACA replacement plan, divisions remain” (ModernHealthcare.com, Feb. 17), it appears that Republicans would dismantle a successful Medicaid expansion, shift costs from those profiting from expanded coverage to those receiving high-value employer health coverage, and resort to high-risk pools to serve individuals with serious pre-existing conditions. We've been here before.
For seven years, the GOP has failed to offer a serious and substantive health reform alternative—unless a reduction in coverage and economic shock are its objectives. It is clear few in Congress ever read the Affordable Care Act. The ACA incorporates both the high-deductible health plan/HSA model and the state alternative plan option, which the GOP promotes ... but neither is sufficient to provide assurance of affordable quality care and coverage.
Legislative language on a GOP plan has long been absent, since an assessment of fiscal and coverage impacts by the Congressional Budget Office would prove devastating.