Here Is What Happens After the Trump MAGA-GOP Majorities of the House of Representatives and Senate of the US Congress Defund, without Renewal Before Expiration of Their Renewal Deadline Date, the Federal Subsidies of the Affordable Care Act (Federal Subsidies to Medical [and Health] Care Insurance Companies and HMOs (Health Maintenance Provider Organizations, e.g., hospitals, clinics))
Middle, modest and low income folks, households and small-business self-employed persons will incur crushing medical debt and endlessly mounting medical debt that will result in medical-debt liens and foreclosures on their homes and court judgments and related seizures of or garnishments on their other valuable distrainable assets for collection of their medical debt as well as often result in their personal bankruptcies, again, like before the ACA, as pregnancy, childbirth, pediatrics, sickness, injury, accidents, incapacitation, post-maturation physical decline, and often elder mental and physical decline and infirmity, with ageing, and unexpected and unavoidable biological catastrophes, as from epidemics and random and seasonal sicknesses and natural disasters, strike universally and constantly. At the same time, the out-of-pocket-paid premiums, deductibles and co-payments for a medical insurance policy that they may secure would drastically increase. Medical and health insurance companies will also again legally be able to and will reject applicants for their insurance policies who have expensive-care or chronic preexisting ill-health conditions and disenroll those with policies with them who incur expensive-care and chronic ill-health conditions. Under Trumpian maganomics, it is a return to the stock-market maximal monetization and maximization of profits of the medical and health insurance industry and such companies and investor value and equity (stock-share trade and company market-value appreciation) and earnings returns on their investments in medical and health insurance companies.
Scrapping of the ACA by eliminating its federal subsidies, which are US taxpayer money paid to the US federal government by the US taxpayer citizenry and residents, to medical/health insurance companies and HMOs that because of these subsidies make medical insurance available to all US citizens regardless of their preexisting, long-term and chronic ill-health conditions and the severity or gravity of them and that make out-of-pocket payments for their insurance policies and medical services affordable writ large for the economic under and middle classes and self-employed businesspersons, will -- in addition to harming these classes of people, numbering in many millions, financially and in securing for themselves and their families competent, trustworthy and adequate medical care for their medical and health problems and concerns -- have devastating economic and survival fall-out effects on the medical service provider community and network in general nationally that has been serving them.
GOP proposed placation substitute medical savings accounts for former medical insurance ACA enrollees or users, who reportedly number 20-million US citizens, with a direct to them pittance in federal contribution disbursements of $6,000.00 total in a year per ACA-program household to cover its/their year's required pre-policy out-of-pocket deductible in total amount expenditures for medical services before allowing their access to subsequent direct medical insurance policy qualifying outlays, subject to approval by the medical/health insurance company, per condition and treatment type, with co-payments for them, by ACA-related households for the year, would do nothing to defray the large majority portion of medical treatment service bills for serious medical conditions, such as is so common, gun-shooting wounds, hospitalization, etc., resulting from them, inflicted in schools, at work, home, shopping venues and houses of worship, and many other conditions no less terrible in magnitude.
Probably, there will be a reimbursement requirement and tax penalty for the medical/health-insurance client-direct federal distribution money not going into a medical savings account and not paying for medical bill deductibles and expenses or even for not securing a current medical/health insurance policy, making it so that this program also will be terminated altogether within a year or two as a result of its large scale abuse, by lots of financially strapped ACA-related folks needing and using the money to pay their other, and constant, emergency and priority expenses. The MAGA GOP understand/s and anticipate/s this slippery-slope temptation for misuse and abuse of this replacement program of theirs for the traditional ACA program, which when it occurs will give them justification and political license to blame its clientele for its corruption and failure and terminate it, after having terminated the traditional ACA program that they have always wanted to terminate. They get rid of both and all of it this way.
Click on the following link to access an expert yet short and simple primer, with an audio-video, on the Affordable Care Act and its financial and tax aspects: https://insuredandmore.com/how-much-does-obamacare-cost-taxpayers-per-year
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