Category: PBPC Blog posts

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Trump is Wrong: the AHCA Will Make Health Insurance Unaffordable for Those with Pre-Existing Conditions

  By Health Care, PA Budget and Policy Center, PBPC Blog posts

President Tump discovered not too long ago that Health Care is hard. So it’s no wonder he doesn’t always get things right. He said on CBS’s “Face the Nation” Sunday, “Pre-existing conditions are in the bill. And I mandate it. I said, ‘Has to be.’” Wrong. In the last day, two respected organizations, Consumers Union and AARP, confirmed what we said two weeks ago:  the AHCA will make it impossible for many people — if not most people — with pre-existing conditions to afford health insurance if their state opts out of the ACA rules that guarantee people with pre-existing are offered insurance at the same rates as those without them. A million people in Pennsylvania are threatened if, as seems likely, the Republican-dominated General Assembly were to vote to make Pennsylvania one of those states. The Republican plan calls for high risk pools to cover people with pre-existing conditions. But… Continue reading

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hy Representative Thompson Should Vote No on the Health Care Bill

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

Rep. Glenn Thompson’s Background, Consequences for Constituents Are Reasons to Vote “No” on GOP Health Care Bill Given his personal history in human services, and the demographic makeup of the 5thCongressional district, Congressman Glenn Thompson has long been an advocate for older Pennsylvanians – not just seniors but those in the 55 to 65 age bracket as well. And that must make the upcoming vote on the Republican replacement of the ACA so difficult. As a loyal Republican, Thompson has reason to support it. But the bill is, in many ways, terrible for older Pennsylvanians, including many of his constituents in the 5th district. So the concerns of his district and his own history very much point in the other direction. The threat to seniors and near-seniors come from a number of directions. To begin with the threat to seniors: the per-capita cap  Medicaid expenditures will cost Pennsylvania $18 billion… Continue reading

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The New Version of the GOP Health Care Bill Is Even Worse Than the Last One

  By ACA, PA Budget and Policy Center, PBPC Blog posts, Pennsylvania, US

Marc Stier | 04/26/2017 Blog Having failed to enact a plan that would lead 24 million Americans and 1.1 million in PA to lose health insurance, the House Republicans have returned with a new amendment, proposed by Representative Tom MacArthur (R-NJ), which would lead to larger losses.   Though this new proposal is being touted as a compromise between moderate and far-right Republicans, in reality, it is a surrender to the demands of those on the right who have repeatedly rejected the notion that the risks of illness should be shared by all of us, young and old, healthy and sick. The new proposal would place the burden of health care on those who, because of their age or medical condition, find that burden most difficult to bear: It allows states to opt-out of the rule that prohibits insurance companies from charging people with pre-existing medical conditions more. It allows states… Continue reading

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Health Care Again

  By Health Care, PA Budget and Policy Center, PBPC Blog posts

Originally published at Third and State April 21, 2017.  News reports indicate that, as many of us had feared, the Republicans in Congress and President Trump have not given up on their effort on health care, not only to repeal and replace the ACA but to institute a per capita cap on Medicaid spending. The new plan, as we will explain in a moment, is even worse than the last one. But before we get to the details, we need to stop and ask, “why are we here again?” Knowing the answer to that question is critical to understanding what the Republicans propose. Why Health Care: Avoiding the Loser Label There are basically two reasons the Republicans are seeking a mulligan on health care. The first is that Trump and the Republicans promised to repeal the ACA and don’t want to look like losers to their hard-core, right-wing voters and… Continue reading

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The (Wholly Inadequate) GOP Budget Proposal (HB 218)

  By PA Budget and Policy Center, PBPC Blog posts, Pennsylvania Budget

The House Republican Budget proposal for 2017-18 is deeply problematic in six respects. First, the proposal does not close the state’s budget deficit, but leaves a gap of close to $800 million. Most of the revenue ideas presented by the House Republican Caucus to fill that gap are similar to the one-time revenues and fund transfers that have failed to fix our structural deficit in the past. The Republicans do not seem to be considering any proposal to increase recurring revenues by fixing our upside-down tax system. Second, the House Republican budget widens, rather than closes, the state’s investment deficit, especially in education, environmental protection, human services, and community and economic development: Education: It proposes $50 million less for Pre-K education and Head Start than the Governor’s budget, as well as eliminates the $8.5 million safe school initiative. Environmental Protection: It proposes $9 million less than the Governor’s budget for… Continue reading

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A Teachable Moment in the PLCB Debate

  By PA Budget and Policy Center, PBPC Blog posts, PLCB

Those of us who have been parents or teachers often talk about “teachable moments.” Teachable moments occur when something problematic happens from which we can learn some important lesson. The bills being considered today to privatize the operations of the Pennsylvania Liquor Control Board (PLCB) give us teachable moments — moments that might help people understand why we cannot simply privatize the Pennsylvania Liquor Control Board without the state losing $300-400 million per year in General Fund Revenues. HB 991 would create new franchise liquor stores for every 6,000 residents in a county with a minimum of 15 per county. That would create as many as 2,000 new liquor stores — far more than the 601 state stores already in place. The bill has a provision that is quite peculiar, but ultimately very revealing: it requires the PLCB to sell wine and spirit products to franchise stores for the same price… Continue reading

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Essential Benefits Are… Essential

  By Health Care, PBPC Blog posts

The ACA repeal effort failed in the House on Thursday. But it will be voted on today. And the bill keeps getting worse and worse — and that one particular way in which it got worse today may ultimately kill it, even if it passes the House today. A recent report by the Center for Budget and Policy Priorities, points to some of the ways the bill that emerged on Thursday morning deepens cuts to health care: “The updated version makes additional changes to Medicaid that are even more damaging overall, including giving states the options to: convert their Medicaid programs into block grants; impose onerous work requirements on adult beneficiaries who are not elderly, disabled, or pregnant; and freeze enrollment in the ACA’s Medicaid expansion starting in 2020. These provisions would likely add to the millions of people who would have Medicaid coverage under the ACA but would become uninsured under… Continue reading

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Viruses, Health Care, and Communal Provision

  By COVID-19, Health Care, PBPC Blog posts

Originally published by KRC-PBPC here. A few years ago, I wrote a piece that explained why health care has to be provided communally. I showed that without extensive communal provision through both direct investment and the subsidy of insurance that pays for medical care, we would have far fewer well-trained doctors, far fewer major medical centers, far less knowledge about and treatment for all but the most common illnesses, and most people with pre-existing conditions—that is pretty much all of us sixty years or older and many of us far younger—would not have affordable insurance for those conditions. We are now seeing one more reason why health care must be provided communally and why everyone must have not only health insurance but protection against the economic ravages of unemployment and underemployment. When we are fighting an infectious disease like COVID-19, one that spreads rapidly and is acutely dangerous, it is absolutely critical… Continue reading

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New Report Confirms Assumptions About PA Coverage Losses Under GOP Health Care Plan

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

A new study from the Center for America Progress estimates that 970,000 fewer Pennsylvanians will have health insurance if the GOP health care plan is adopted by Congress. The study also provides detailed estimates for how many fewer people will be covered by Congressional district for each kind of health insurance (traditional Medicaid, Medicaid expansion, marketplace, and employer-based insurance.) The CAP estimates are broadly similar to those we at PBPC have put forward. However, we believe that the CAP study underestimates the number of Pennsylvanians who will lose insurance under the Medicaid expansion by 2026. The CBO estimates that only 5% of Americans will still have insurance under the Medicaid Expansion by 2026. That estimate, applied to Pennsylvania, would mean that only 35,000 people will remain on the Medicaid Expansion by 2026 in our state, while the new CAP study assumes that 450,000 will still have insurance under the program.… Continue reading

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Analysis of Effects of House GOP Health Care Plan on Pennsylvania

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

The following is an analysis of how the recently-released House GOP proposal, the “American Health Care Act,” would affect Pennsylvanians: The health care legislation introduced by the House Republicans late yesterday is a devastating and dishonest attack on not only the Affordable Care Act, but on the Medicaid program. When fully implemented, it will have horrible consequences not only for the health of low- and moderate- income Pennsylvanians, but on long-term care for all but our wealthiest senior citizens. We will be providing a thorough analysis of the legislation soon. But our preliminary analysis suggests that when the program is fully implemented, around 1 million low- and moderate- income Pennsylvanians will lose health insurance; the state budget will lose at least $2.5 to $3 billion in funding; at least 60,000 Pennsylvanians will lose their jobs, and over 4,000 Pennsylvanians per year will die prematurely. Some key points: The bill would… Continue reading