JS: Wisconsin has been a leader in covering its residents with high-quality health care and providing community supports so people with disabilities and frail elders can stay in their homes and communities and out of costly facilities.Walker is desperate to shed insurance coverage while at the same time keeping Wisconsin's past reputation fresh in the mind of voters. It's a con pure and simple:
Wisconsin stands to lose $13 billion in federal funding for Medicaid, CHIP and financial assistance for marketplace coverage — resulting in thousands losing coverage and access to services.
Actually, tens of thousands would lose coverage.
And since Walker is perfectly fine accepting a waiver for covering essential services, a choice that may be included in the final version of TrumpCare, Wisconsin's exemplary reputation for insurance coverage disappears. But you would never know it if Walker is allowed to keep bragging about our past. He will repeat forever....:
...Wisconsin has been a leader in providing access to health care and long-term supports, ending wait lists and keeping people out of costly facilities.
In reality, Walker wants to deep-six our sterling reputation, for something more ideologically pure:
The House bill also does not offer an adequate path for covering the 2.5 million Wisconsinites with a pre-existing condition, allowing states to opt out of current requirements. Without ACA protections, they could be denied coverage, charged unaffordable prices for insurance and have annual and lifetime limits for coverage. If essential benefits aren’t required, insurance won’t be required to cover prescription drugs, hospitalization, outpatient services, mental health services, substance abuse disorder treatment, autism therapy and other “essentials." Significantly higher cost for less coverage is a bad deal for consumers.Walker's praise and deception (Paul Ryan too) over Wisconsin's failed high risk pool experiment is icing on the cake:
The bill’s proposal to bring back high risk insurance pools is not the solution. Wisconsin’s high risk pool had the second-highest per-capita participation among 35 states. But it was too costly for most people: serving only 21,000 at a time when 500,000 Wisconsinites were uninsured. Putting everyone with high costs into one plan doesn’t work.Elephant in the Room-All Payer Solution: We know what will work, but won't pull the trigger for purely ideological reasons. The following problems simply go away with an all payer system (Note: Trump's budget plan does nothing about skyrocketing prescription drug prices. He probably just forgot):
A report from The State Health Care Cost Containment Commission, identifies nine drivers of healthcare costs including:Repeat after me: "24 million people will lose Insurance: One more thing. Have you noticed how the Democrats once again dropped the ball ripping the GOP's replacement plan by forgetting to mention the CBO report estimating 24 million people losing their insurance. Anyone? I can't remember the last time I heard them bring it up.
1. Physician, facility and drug costs. Data from the Organization for Economic Cooperation and Development consistently show costs for U.S. physicians, hospitals, facilities and drugs are the highest in the world.
2. High administrative expenses. The morass of health insurers and billing processes costs the U.S. health care system billions in wasted costs every year.
3. Fragmented and uncoordinated care. Because care providers often treat the same patient with little consultation, unnecessary care, errors and dissatisfaction proliferates.