The bill has been released for public viewing, after being kept secret in the House basement for several days. Read it here.
I haven’t read the full bill yet, that’ll take a day or two and a lot of drinks, but what I’ve seen so far looks like it’s a real shit sandwich. Instead of the mandate, they’re going to let insurers charge you extra if you have lapsed health insurance coverage. That isn’t going to work. The individual insurance market is going to death spiral because of the other half of the equation — health insurance subsidies are no longer going to be tied to income and the actual cost of healthcare, they’re going to be a fixed amount based on age, and the fixed amount is stupidly small. The average family plan on the current Obamacare exchanges is over $12,000 per year and the average individual plan is over $4700 per year. The fixed amount that is proposed is is $2,000 for a 27 year old and $4,000 for a 60 year old. I.e., well below the premiums, placing health insurance well out of reach for poorer people.
Add in the Medicaid expansion repeal, and you have the Republican health plan for everybody who isn’t part of the top 15%: Don’t get sick, and if you do, die quickly. Note: My income places me in the top 15%, but if I get sick and can’t work, the Medicaid expansion keeps me alive. Otherwise I die. And I don’t much like dying. :(.
– Badtux the Healthcare Penguin