Health Care

The Affordable Care Act replacement plan championed by President Trump would hurt low-income people in rural areas that voted heavily for the Republican last fall, according to an NPR analysis of data on proposed subsidy changes from the Kaiser Family Foundation.

For years, Republicans in Congress have promised to repeal and replace the Affordable Care Act, claiming that its requirement for nearly everyone to buy insurance or pay a fine is burdensome and costly, and it doesn't give people enough flexibility to get the coverage they need.

A new report finds that the Republican bill to repeal and replace the Affordable Care Act would reduce the federal deficit by $337 billion over a decade but would also leave 24 million more Americans uninsured during that same period.

On Monday, as GOP leaders tried to rally Republican lawmakers to support their health care proposal, the non-partisan Congressional Budget Office released a report showing that the plan would lead to an estimated 14 million fewer people with health insurance by next year.

Bonita Johnson suffers with the lung disease, chronic obstructive pulmonary disease, or COPD.

Twice she went to the hospital emergency room because she had trouble breathing, the last time about a year ago. That ER was in Monroe County Hospital in Forsyth.

Trump, Democrats Look For Common Ground On Drug Prices

Mar 8, 2017

For years, congressional Democrats have tried to pass legislation to allow Medicare to negotiate prescription drug prices for millions of beneficiaries.

Now, they believe they have a not-so-secret weapon: President Donald J. Trump.

We tracked the action on Capitol Hill Wednesday as two House committees — Ways and Means, and Energy and Commerce, reviewed and amended the American Health Care Act. (It's the GOP plan to replace The Affordable Care Act.) Check in with us Thursday for more on the health law overhaul, including a live Tweetchat answering questions about the overhaul proposal, #ACAchat, from 12-1 pm ET.

House Speaker Paul Ryan from Wisconsin has been complaining about the Affordable Care Act (aka Obamacare) for so long that his list of grievances sounds like a refrain of some pop song.

"Obamacare is collapsing," he said on Feb. 28. "The Democrats got too far ahead on their ideology and they gave us a system where government runs health care. They gave us a system where costs went up, not down. They gave us a system where choices went away. They gave us a system where people lost the plans they liked, they chose."

speaker.gov

As lawmakers continue to pour over the Republican plan to overhaul the Affordable Care Act, also known as Obamacare, members of Georgia’s congressional delegation have started to respond.

U.S. Rep. Frank Pallone, a Democrat from New Jersey, has been trying to get a look at the Republicans' bill to repeal and replace the Affordable Care Act, also known as Obamacare.

He's the top-ranking Democrat on the House Energy and Commerce Committee, which will have to approve the bill before the whole House can vote on it.

But as of Thursday afternoon, Pallone still couldn't get his hands on a copy.

No matter where you stand on the political spectrum, health care under the Affordable Care Act is going to change in the next few years. The Republican-led Congress has vowed to "repeal and replace" the health law known as Obamacare.

That has left many people anxious and confused about what will happen and when. So NPR's Morning Edition asked listeners to post questions on Twitter and Facebook, and we will be answering some of them here and on the radio in the weeks ahead.

Drug companies could be forgiven if they're confused about whether President Trump thinks the government should get involved in negotiating the price of prescription drugs for Medicare patients.

Just a few days before Trump was sworn in, he said the pharmaceutical industry was "getting away with murder" in the way it prices medicine, and he promised to take the industry on. It was a promise he'd made repeatedly on the campaign trail.

Suddenly, people are more in favor of the Affordable Care Act than are against it. For the first time, more people believe Obamacare is a good idea than think it is a bad idea, as a recent NBC News/Wall Street Journal poll showed.

Through years of acrimony over the relative merits of Obamacare, one kind of health insurance has remained steady, widespread and relatively affordable: Employer-sponsored plans.

Job-based medical plans still cover more Americans than any other type, typically with greater benefits and lower out-of-pocket expense. Recent cost increases for this sort of coverage have been a tiny fraction of those for Obamacare plans for individuals.

It's the last day to sign up for health insurance under the Affordable Care Act.

And at Whitman-Walker Health, a community health center near downtown Washington, D.C., people have been streaming in looking for help choosing an insurance plan.

Katie Nicol is a senior manager who oversees the five so-called navigators whose sole job is to help people sign up for insurance coverage.

Republicans have a plan to replace Obamacare. In fact, they have several.

What they don't have is consensus on which one will guide the party's effort to reshape an insurance system that provides coverage for some 20 million Americans.

More people have health insurance than ever before, but many still struggle to pay for care.

A recently released report says medical debt is the No. 1 reason consumers reported being contacted by a collection agency. If efforts to overhaul the Affordable Care Act result in more people losing their coverage, those numbers could rise.

At the Pulmonary Rehabilitation Clinic in Scarbro, W.Va., oxygen tubes dangle from the noses of three miners slowly pedaling on stationary bikes. All of these men have black lung — a disease caused by breathing in coal dust. Over time, the dust coats the lungs and causes them to harden. Hard lungs don't easily expand and contract, and that makes it difficult to breathe.

If you think that you wouldn't be touched by a Republican overhaul of Obamacare because you get health insurance through your job at a big company, think again.

Several of the law's provisions apply to plans offered by large employers, too (with some exceptions for plans that were in place before the law passed in March 2010).

It was all business at a conference room in the Macon Centerplex. Six staffers from the Insure Georgia program sat behind laptop computers. They are Affordable Care Act navigators, working to sign up people for insurance under the federal exchange during this one-day event.

Americans continue to be divided along partisan lines over Obamacare, with an overwhelming percentage of Democrats favoring it and an equal share of Republicans having unfavorable views, according to a newly released Kaiser Family Foundation poll.

But when it comes to an actual gutting of Obamacare, there's doesn't appear to be a lot of support.

Some women have been worried that they will lose insurance coverage for contraception under the Trump administration, but coverage for other women's health benefits could also be at risk.

Georgia Rep. Tom Price has been a fierce critic of the Affordable Care Act and a leading advocate of repealing and replacing the 2010 health care law.

Rep. Tom Price, a Georgia Republican, is President-elect Donald Trump's pick for Secretary of Health and Human Services. He is currently chairman of the powerful House Budget Committee.

Price, an orthopedic surgeon for nearly 20 years before coming to Congress, has represented the northern Atlanta suburbs in the House of Representatives since 2005.

President-elect Donald Trump and House Speaker Paul Ryan agree that repealing the Affordable Care Act and replacing it with some other health insurance system is a top priority.

But they disagree on whether overhauling Medicare should be part of that plan. Medicare is the government-run health system for people age 65 and older and the disabled.

Trump said little about Medicare during his campaign, other than to promise that he wouldn't cut it.

Ryan, on the other hand, has Medicare in his sights.

Donald Trump and Republicans in Congress are vowing to repeal and replace the Affordable Care Act, the signature health care overhaul of President Obama.

Trump has offered a few ideas of where he'd like to see a health care overhaul go, such as a greater reliance on health savings accounts, but he hasn't provided a detailed proposal.

Copyright 2017 NPR. To see more, visit http://www.npr.org/.

STEVE INSKEEP, HOST:

Let's follow up on one of this election season's biggest talking points.

(SOUNDBITE OF ARCHIVED RECORDING)

DONALD TRUMP: We will be able to immediately repeal and replace Obamacare.

(CHEERING)

As customers this week begin shopping for 2017 health insurance on HealthCare.gov and state exchanges, which is a better buy, overall: a bronze plan, or silver? And will the IRS go after taxpayers next year who don't repay the subsidies they got — but didn't ultimately qualify for — in 2016? Here are the answers to some recent questions from readers.

Health and Human Services Secretary Sylvia Burwell has her work cut out for her.

She has to convince millions of people who get their health insurance through the Affordable Care Act exchanges or who have no coverage at all that they should go online and shop for a good deal.

Copyright 2016 NPR. To see more, visit http://www.npr.org/.

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