affordable care act

Ask people in Canada what they make of U.S. health care, and the answer typically falls between bewilderment and outrage.

Canada, after all, prides itself on a health system that guarantees government insurance for everyone. And many Canadians find it baffling that there's anybody in the United States who can't afford a visit to the doctor.

ALEX SANZ / AP PHOTO

On this edition of "Political Rewind," how did voter data end up being erased from state computers even as a lawsuit challenging the integrity of Georgia elections was underway? It’s a story that could haunt top candidates in next year’s statewide elections. Also, President Trump speaks out about the opioid crisis. Did he make it clear he’s ready to commit the resources necessary to make an impact? It matters in Georgia, where the crisis looms large. Plus, Obamacare rates are out for 2018, and Georgians will pay more than people in many other states.

Panelists:

Updated at 2:50 p.m. ET

President Trump declared a public health emergency to deal with the opioid epidemic Thursday, freeing up some resources for treatment. More than 140 Americans die every day from an opioid overdose, according to the Centers for Disease Control and Prevention.

"We are currently dealing with the worst drug crisis in American history," Trump said, adding, "it's just been so long in the making. Addressing it will require all of our effort."

"We can be the generation that ends the opioid epidemic," he said.

It was the Friday before a Monday deadline, and federal health officials in Washington, D.C., were working feverishly with their counterparts in Oklahoma to finalize the details of a new state reinsurance program.

President Trump signed an executive order Thursday that is intended to provide more options for people shopping for health insurance. The president invoked his power of the pen after repeated Republican efforts to repeal the Affordable Care Act, also known as Obamacare, have failed.

"The competition will be staggering," Trump said. "Insurance companies will be fighting to get every single person signed up. And you will be, hopefully, negotiating, negotiating, negotiating. And you will get such low prices for such great care."

Republicans' complex health care calculations are coming down to simple math.

Senate Majority Leader Mitch McConnell needs 50 of the chamber's 52 Republicans to vote for a bill that aims to repeal most of the Affordable Care Act and drastically reshape the Medicaid system. McConnell's office is planning to bring the bill up for a vote next week.

With Republican efforts to "repeal and replace" the Affordable Care Act stalled, tentative bipartisan initiatives are in the works to stabilize the fragile individual insurance market that serves roughly 17 million Americans.

Updated 10 a.m. ET

Escalating tension between Capitol Hill and the White House is threatening the GOP's legislative agenda and testing the bonds of party unity under the Trump administration.

Updated 4:31 pm August 16: On Wednesday, the White House said it would continue what's known as cost-sharing reduction payments to insurers for another month, buying President Trump some time to decide whether he'll continue the payments long-term or cut them off altogether.

The announcement came a day after the Congressional Budget Office released an analysis that found that ending the payments would increase the deficit by $194 billion over 10 years.

Senate Republicans don't appear to be too worried about President Trump's latest round of threats.

Updated 4:21 p.m. ET Aug. 1

Sen. Lamar Alexander, R-Tenn., and Sen. Patty Murray, D-Wash., announced today that the Senate Health, Education, Labor and Pensions committee will hold bipartisan hearings on ways to stabilize the Affordable Care Act marketplaces for 2018.

The hearings will start the week of Sept. 4. Their aim is to act by Sept. 27, when insurers must sign contracts to sell individual insurance plans on HealthCare.gov for 2018.

The Senate Health Care Vote, Simplified

Jul 24, 2017

The Senate is expected to vote Tuesday on whether to advance health care legislation to the Senate floor. That would open up debate on an Obamacare repeal and/or replacement plan.

The importance of the vote was highlighted by Sen. John McCain's decision to return to Washington to take part. He announced last week that he had been diagnosed with brain cancer.

President Trump says he wants to let the Affordable Care Act, or Obamacare, fail. He’s repeated the threat over and over in news conferences and on Twitter.

But NPR’s Alison Kodjak (@alikodjakNPR) reports that the health care law isn’t collapsing on its own: The president and his team are actively undermining the Affordable Care Act markets.

Updated at 2:54 p.m. ET

After the Senate's attempt to replace the Affordable Care Act collapsed Monday, Republican leaders immediately began talking about repealing the health care law in hopes of coming up with a replacement later.

But by midafternoon Tuesday, Senate Majority Leader Mitch McConnell's plan to hold a vote on a repeal-only bill had faltered, too.

This week, as senators have decamped from Washington for the Fourth of July recess, the future of the Senate's Affordable Care Act replacement plan — and by extension, Medicaid — remains uncertain.

Last week, a jury awarded a Pennsylvania man $620,000 for pain and suffering in a medical malpractice lawsuit he filed against a surgeon who mistakenly removed his healthy testicle, leaving the painful, atrophied one intact.

However, if a bill before the House of Representatives passes, the maximum he would be able to receive for such "non-economic" damages would be $250,000.

Medicaid is the government health care program for the poor.

That's the shorthand explanation. But Medicaid is so much more than that — which is why it has become the focal point of the battle in Washington to repeal and replace the Affordable Care Act, also known as Obamacare.

Updated at 8:10 pm ET

Congressional forecasters say a Senate bill that aims to repeal and replace the Affordable Care Act would leave 22 million more people uninsured by 2026.

That's only slightly fewer uninsured than a version passed by the House in May.

When it comes to health care, Americans may be having buyer's remorse.

More adults approve of the Affordable Care Act, also known as Obamacare, than the alternative health care bill passed this month by House Republicans, according to a poll published Wednesday by the Kaiser Family Foundation.

Back in January, Republicans boasted they would deliver a "repeal and replace" bill for the Affordable Care Act to President Donald Trump's desk by the end of the month.

In the interim, that bravado has faded as their efforts stalled and they found out how complicated undoing a major law can be. With summer just around the corner, and most of official Washington swept up in scandals surrounding Trump, the health overhaul delays are starting to back up the rest of the 2018 agenda.

President Trump gave a eulogy on Thursday for the Affordable Care Act, also known as Obamacare.

"Obamacare is collapsing. It's dead. It's gone," Trump said in a news conference with Colombian President Juan Manuel Santos.

"There's nothing to compare it to because we don't have health care in this country," he went on.

That left some Obamacare customers scratching their heads — figuratively — on Twitter.

President Trump has been saying in recent weeks that the Affordable Care act, or Obamacare, is "dead."

So he's threatened to cut off crucial payments to health insurance companies that help low-income customers pay day to day health care expenses.

That plan, however, may just end up bringing more people into the Affordable Care Act insurance markets.

As soon as the House approved the GOP health care bill on Thursday, Democrats were working on using it against Republicans in next year's midterm elections.

"They have this vote tattooed on them. This is a scar they carry," House Minority Leader Nancy Pelosi declared just after the American Health Care Act passed the House.

Updated at 3:45 p.m. ET

Republicans finally got their health care bill.

After seven years of repeal-and-replace rhetoric against the Affordable Care Act, two presidential campaigns waged for and against it and a recent high-profile failure, House Republicans passed their bill.

The trouble is this bill is unlikely to ever become law — at least in its current iteration.

Updated at 7:15 p.m. ET

House Republicans are bringing their health care bill back for a vote on Thursday. The American Health Care Act was pulled from the House floor just minutes before an expected vote in March, which was seen as a stark failure of Republicans on a key campaign promise.

House Majority Leader Kevin McCarthy said Wednesday evening that they are confident in having enough votes to pass the bill in its latest form early Thursday afternoon.

Updated 5 pm April 3, 2017 to include the proposed Upton amendment.

The House may yet pass its bill to repeal and replace parts of the Affordable Care Act. But Republicans' options to fulfill their seven-year effort to undo the federal health law are getting narrower by the day.

"As of now, they still don't have the votes," said Rep. Pete King (R-N.Y.) as he was leaving a meeting of GOP members Tuesday. King has been heavily lobbied by both sides.

"I also protect myself by being flexible. I never get too attached to one deal or one approach."

Those words from Donald Trump's The Art of The Deal may be giving congressional Republicans some hope this week.

That's because Congress is facing a midnight Friday deadline to pass legislation to keep the federal government fully open — or face a partial government shutdown precisely on President Trump's 100th day in office.

New data from the U.S. Census Bureau present the most detailed picture yet of the dramatic rise in the number of people covered by health insurance since the Affordable Care Act went into effect.

County-level data going back to 2010, when the law was signed, show a patchwork of people living without health insurance that ticked down slowly for the first three years under the ACA. But once the online insurance exchanges opened at the end of 2013 and Medicaid expanded, the population living without coverage dropped noticeably.

Repeal and replace is on-again, off-again, but that doesn't mean the rules affecting your insurance will stay the same in the meantime.

The Trump administration late Thursday issued a final rule aimed at stabilizing the existing health law's insurance marketplace that could have rapid, dramatic effects — perhaps as soon as early summer — on people who do not get insurance through work, and buy it on the Affordable Care Act's exchanges instead.

The Affordable Care Act's worst enemies are now in charge of the vast range of health coverage the law created. They're also discussing changes that could affect a wider net of employment-based policies and Medicare coverage for seniors.

Although Republicans failed last month in their first attempt to repeal and replace the ACA, President Donald Trump vows the effort will continue. And even if Congress does nothing, Trump has suggested he might sit by and "let Obamacare explode."

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