Should Trump repeal all of Obamacare?
As someone who believes in healthcare for all Americans, even I know the Affordable Care Act (ACA) falls short. It turns out the ACA isn't so affordable. But there are a couple of popular aspects of the ACA (aka Obamacare) that will make it exceedingly difficult for Congress or President-elect Donald Trump to repeal the law entirely. Some aspects will have to stay and if you're not careful, your replacement plan will put you right back where you started: with Obamacare.
Further reading: How will the Trump Administration change healthcare?
What about the parts people like?
Obamacare is easy to dislike. It didn't transform healthcare or lower costs. The plan essentially just gave more people Medicaid, which was never the right answer. Medicaid is state/federal insurance for the poor that reimburses facilities and doctors so badly in many places that it's difficult to find a doctor who accepts it. Sure, you can blame “money-grubbing doctors,” but if any business doesn't bring in enough money to cover costs, that's a problem. And doctors aren't as rich as many people think.
But Obamacare did two things that were well received. First, the law allowed young adults to stay on their parents’ insurance until the age of 26. Who wouldn't like that? Second, it made it illegal for an insurance company to deny coverage based on a pre-existing condition. All very noble. There's only one problem. Those are very expensive mandates for insurance companies.
Obviously, I'm not losing sleep over the insurance companies' well-being but there is a very real economic impact of allowing everyone to get coverage, regardless of a pre-existing condition. Keep in mind that not only can you not be denied coverage, but the insurance company can't charge you more for that coverage. That means it costs more to cover a sick person with a pre-existing condition than what they will pay in insurance premiums. Therefore, the money to cover that person comes from other, healthier folks.