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    ‘Willful neglect’ of Obamacare is unsafe and unacceptable

    In my younger days as a newspaper reporter, my beat was a busy city with a historic district. Every month, there was a new developer who wanted to demolish an old building, but couldn’t do so because of the structure’s location within the district. So, more times than not, the developer simply let the building deteriorate to the point that it crumbled to the ground or became otherwise unsafe due to lack of attention, leaving the developer free to rebuild.


    Further reading: 8 ways to combat politics in the exam room


    The term was “willful neglect,” a tool that delighted developers and rankled citizens who had no recourse.

    President Donald Trump is trying to let Obamacare disintegrate through a similar mechanism. He is willing to turn his back and walk away from insurance subsidies, promoting open enrollment and other means to simply watch the foundation crumble.

    But unlike the historic structures, Obamacare encompasses millions of Americans who will suffer, as well as their physicians, when access to care ends. His actions—or lack thereof—will cause rates to skyrocket for those who rely on marketplace plans for care. Current payer participants in the marketplace have already been fleeing, and the president’s pledge to let “Obamacare implode” surely won’t improve the situation.


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    The president already signed an executive order in January, to “minimize the unwarranted economic and regulatory burdens” of the Affordable Care Act, taking aim at the individual mandate (allowing more to claim exemptions) and instead gave states more leeway to claim harm due to the act (via Medicaid programs).

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    • [email protected]
      Unless you support expanded government by executive order - a dangerous precedent at best - Pres. Trump, as Chief Executive Officer, does not have the authority to increase support to insurance providers or Medicaid subsidies. And, Congress has shown its unwillingness to modify or replace Obamacare. Its future was based on increasing government support to insurers and patients. Were it to fail, the Obama Administration believed Americans would vote-in Single-Payer/Government-provided healthcare and the outlawing of private healthcare insurance. However, by electing Pres. Trump, Americans demonstrated that they did not want either outcome , something the Obama Administration did not count on. Obamacare's future, therefore, is cast in concrete.
    • [email protected]
      Even without Trump the way obamacare was devised it is a constantly sinking ship that needs to be bailed out with every increasing buckets of cash. Hence the ever increasing premiums no matter what Trump did or does. How can you fix something that is so fatally flawed as obamacare. Everything from taxing insurers on the number of subscribers instead of net income to diminishing physician networks to the need for more and more laws to stop the leaks (like outlawed balanced billing) to...is beyond repair. Your premise that millions of Americans who will suffer, as well as their physicians, when access to care ends is false. Obamacare restricts access to care and constantly needs to guarantee every increasing revenue streams to insurance companies hence the EPO creation, outlawed balance billing, increasing appeals for denied coverage.... The sooner we go back to the drawing board the better.
    • [email protected]
      Obamacare is a statist, central economic plan which depends on political cronyism at the expense of freedom and choice. It must be repealed and a market based system with minimal government subsidy and no more rent seeking arrangements...which is what you are favoring...implemented. However Trump gets there is fine with us.

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