The Affordable Care essentially needs a tuneup, not the overhaul Republican lawmakers are pushing, the chief of the American Medical Association told an audience of healthcare executives in Florida on March 3.
Instead of talking about outright repeal, "we have to nurse this thing along," said Dr. James Madara, executive vice president of the Chicago-based national doctors organization. "We have to find things in the ACA that are not working as well as they might, and correct those."
The Trump administration and Republicans in Congress are trying to figure out how to make good on their promise to repeal and replace the ACA, without arousing too much opposition from stakeholder groups and the public. In a first draft of the American Health Care Act, floated last night, Republicans included refundable, age-based tax credits to help people buy insurance and ended requirements that individuals have coverage. The proposal eliminates many taxes used to fund Obamacare and would wind down a Medicaid expansion over the next few years. Read the bill here.
Some Republicans have expressed surprise at how complicated health reform is and have been taken aback by a sudden outpouring of support for the law in recent days in district town hall meetings.The public at large, and doctors especially, do not want to revoke access to insurance that covered 22 million new people. "Pre-existing conditions being covered, that's in the bank now. That is a huge improvement for our country, as is being on your parents' health insurance until age 26."