• 65 percent of GOP respondents disapprove of the Affordable Care Act’s requirement to have health insurance, from 51 percent in September.
  • Disapproval of the mandate increased from 49 percent to 54 percent among all respondents, largely because of sentiment among GOP voters.

Congress is headed for a showdown on whether to insert several pressing health measures in year-end bills, reviving partisan fights that threaten to derail Republicans’ goal to close out the year with a raft of legislative successes.

The looming health-care issues include funding for a children’s health program, the possible delay of certain taxes by the Affordable Care Act and the fate of a bipartisan plan to bolster fragile insurance markets.

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Nearly 2.8 million people signed up for ObamaCare plans during the first 25 days of open enrollment, but the rate of sign-ups has slowed, the Trump administration announced.

The fourth week resulted in just over 504,000 people selecting plans, compared with just under 800,000 people during the third week.

That number was also down from the 876,788 who signed up during week two, and the 601,462 who signed up during the first week of open enrollment.

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Legislation from the duo at the helm of the Senate health panel would do little to improve the number of uninsured individuals if the mandate created by the 2010 health law is repealed, according to the Congressional Budget Office.

A repeal of the mandate — which requires individuals to purchase insurance or pay a yearly fine — is currently included in the GOP bill to overhaul the U.S. tax code.

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On today’s show Josiah will be talking with Grace Marie Turner who is the President of The Galen Institute. She is an expert on public policy related to healthcare. She is an advocate for free market ideas to drive change in the healthcare system and facilitates think tanks across the country.

During this episode you’ll hear:

  • An inside look on the last year of healthcare debate and where she feels we are going moving into 2018.
  • Free market ideas she feels can realistically be legislated in the current political environment.
  • Her opinions on how our current President will use the regulatory agencies in the future to effect reforms, which either congress passes or does not pass.
  • The most important thing for congress to get right about healthcare in the next set of reforms.
  • What she believes the next 5-10 years of health policy look like.

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The Senate this week is expected to vote on a tax bill that includes a controversial provision to repeal Obamacare’s tax penalty on the uninsured. Democrats and some conservative policy analysts fret that if Congress scuttles the so-called individual mandate, insurance premiums will rise.

The reverse may be closer to the truth: Premiums for Obamacare policies next year will be so high that millions will be exempt from the tax penalty whether Congress repeals it or not. Even the skimpiest coverage now costs so much that many uninsured people with six-figure incomes will be exempt.

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Public sentiment over Obamacare’s individual mandate, which requires everyone to buy insurance, is divided, a new poll finds.

Nearly 40 percent of respondents in a poll from the left-leaning think tank Urban Institute want the mandate repealed, while another 29.6 percent think it should be kept. About 30 percent of respondents were undecided about its fate.

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Sen. Lisa Murkowski says she supports GOP efforts to repeal the Affordable Care Act’s individual mandate, the Alaska Republican wrote in an op-ed for a local newspaper Tuesday.

“I have always supported the freedom to choose,” Murkowski wrote in her op-ed for the Daily News-Miner, an Alaska newspaper. “I believe that the federal government should not force anyone to buy something they do not wish to buy, in order to avoid being taxed.”

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The feature of Obamacare that is least liked by the public is the individual mandate. Under current law, people are required to have health insurance. If they don’t, they can be fined. For example, if you are not insured by an employer plan or a government program (such a Medicaid) you are legally required to buy insurance in the individual market. The type of insurance that is sold there is highly regulated and it probably costs twice as much as it should – or more.

Both the New York Times and the Washington Post ran articles last Friday on how unattractive these policies are in some parts of the country. In Charlottesville, Virginia, for example, a family of four can pay $30,000 a year for coverage with a $14,400 deductible. That’s more than the family pays for its mortgage for insurance coverage that may not pay a single medical bill.

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The Affordable Care Act (ACA) set substantial new federal requirements for health insurance plans and the insurers that provide them. These requirements significantly altered the way insurance is regulated, which was traditionally left to the states. The ACA included in Section 1332 the option for states to apply for a waiver from many of these regulations. However, the myriad stipulations tied to these 1332 State Innovation Waivers limit states’ ability to regain control of their own insurance regulations. Further, states have no guarantee they will be granted a waiver, even if they meet all of the ACA’s requirements for obtaining one.

In response to these issues, two Senate committees have introduced (or at least drafted) legislation that would solve many of the problems that states have had obtaining 1332 waivers. In addition to easing some standards and shortening timeframes for decisions, the bills also provide a standard path for states to gain these waivers in certain circumstances.

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