On Monday the Congressional Budget Office released its cost estimate of the Republican Senate Better Care Reconciliation Act. CBO calculated that the proposed bill would reduce the deficit by $321 billion over the next decade. That is welcome news.
Less welcome, however, was CBO’s conclusion that the Senate bill would result in an additional 15 million uninsured in 2018 due to a lack of penalties. By 2026, CBO reports 22 million more Americans would be uninsured, primarily due to lower Medicaid coverage.
No matter that the number of Americans on the Obamacare exchanges is shrinking due to higher prices and fewer companies offering coverage.
Dave Hoppe, former chief of staff to House Speaker Paul Ryan, asked me in an email, “If there are few insurance companies offering insurance through the exchanges in 10 years, how are people without insurance losing anything?”
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