Trumpcare Vs. Obamacare
Obama: Companies with more than 50 employees have to provide health insurance or pay a fine.
The passing of the American Health Care Act marks Trump’s first legislative victory since taking office, the BBC reports, although the bill will now need to get through the Senate.
The nonpartisan Congressional Budget Office (CBO) has not yet calculated the effects of the latest version, but a March report of an earlier draft found 52 million people would likely be left without insurance by 2026– almost double the number of those under Obamacare.
Trump: Those who are uninsured for more than 63 days must pay 30 percent more on their insurance premiums for one year.
Republicans were chafing to get rid of former President Barack Obama’s Affordable Care Act (ACA) before it even came into place in 2010. What are the differences between that bill and the Republicans’ replacement?
Number of uninsured people
There were 47 million uninsured Americans in 2010 before the introduction of Obamacare, according to Bloomberg. That number is now 28 million, The Independent says– and that number would likely remain stable if the Affordable Care Act was kept in place over the next ten years.
Democrats and other opposing voices say it will leave millions uninsured, with some predicting the bill will founder or have to be rewritten in the Senate for that reason.
Trump: Companies don’t have to provide insurance.
Penalties for the uninsured
Obama: All uninsured people pay a tax penalty.
Obama: Insurers can not deny coverage or charge more to those with pre-existing medical conditions
Trump: Starting in 2020, federal funding for Medicaid expansion will be cut.
Obama: All plans need to provide for certain health conditions or services, such as women’s health, cancer treatment, prescription drugs, counseling.
Medicaid (provides coverage to very low-income people).
Obama: Expanded insurance for poorer individuals.
What stays the same
Children are still allowed to remain on their parents’ policies until the age of 26. Insurers are also not allowed to set annual or lifetime limits on the amount they reimburse people for pregnancy and childbirth, doctors’ services, prescription drug coverage and other essential health benefits.
Trump: States can dodge granting pre-existing coverage provided they set up high-risk insurance plans for people whose conditions see them priced out by normal insurers.
Obama: Raised Medicare taxes for those earning over $250,000 and introduced a range of new taxes to pay for the ACA from medical device manufacturers, drug companies, tanning salons, high-end insurers, and investment income. The ACA also provided tax credits for low-income individuals who buy coverage on government-run marketplaces.
Trump: States can choose which benefits are mandated and which can be left out entirely.
Trump: The new bill repeals most of the Obamacare-related taxes. Tax credits are based on age and there will be no more tax credits for health-related costs not covered by insurance.