Obamacare Replacement

Letter to U.S. Senators The Senate bill should be strengthened by at least expanding the waiver process to permit states to experiment with different approaches for incentivizing continuous coverage. First, to ensure states have the flexibility they need, the Senate should take such steps as giving them explicit authority to set and manage eligibility for their Medicaid programs through such means as asset tests, and remove restrictions Obamacare put on states’ abilities to make such decisions. Second, the Senate should establish a Medicaid “premium support” program that would enable able-bodied Medicaid beneficiaries to enroll in private health insurance plans, and thus be able to secure access to the same doctors and medical professionals as their fellow citizens. Many Medicaid enrollees cannot find a doctor to take care of them because the reimbursement rates and the regulatory system discourage physician participation in the program. Moreover, low-income, able-bodied adults cycle on and off of Medicaid as their employment and incomes fluctuate, experiencing disruption in their health care coverage. Obamacare produced unaffordable escalating premiums and higher deductibles. It also reduced access to insurers and providers. This has particularly hurt the self-employed and people who work for small businesses. The taxes imposed by Obamacare should be removed. People should not be forced to buy any specific health insurance. People should be allowed to buy health insurance across state lines. People of all ages should be allowed to buy catastrophic insurance and novel health insurance / access from doctors. Thank you for considering my comments. Thomas L. Cranmer Virginians for Quality Health Care