The unlikely epicenter of Obamacare lies in a solidly Republican working-class town just 10 miles outside the Miami stomping grounds of Jeb Bush and Marco Rubio.
The city of Hialeah — a Cuban-American neighborhood of Spanish speakers that is blanketed with Obamacare advertisements — enrolled more people under the Affordable Care Act than anywhere else in the country.
Tom Price, the chairman of the House Budget Committee, is the latest Republican to unveil a conservative health-care plan to replace Obamacare. It’s a good plan, although it could be made better — and it helps to clarify some of the trade-offs involved in health policy.
Price’s plan would give people tax credits to buy health insurance. The credits would be based on age but not on income. Everyone between 35 and 50 would get $2,100 a year, for example. Both the Affordable Care Act and some other conservative health-care bills, such as the one proposed by Senator Orrin Hatch and colleagues, instead phase out tax credits with income. The credits could be used to buy insurance in a much less regulated market than Obamacare creates: No longer would insurance policies have to cover a federally approved list of essential health benefits, for example.
The plan has already elicited some reasonable criticism over the choices Price made. If you offer the same tax credit regardless of income, you send money to people who don’t need it. On the other hand, you relieve the administrative difficulty and unpredictability of an income-based credit. A lot of people don’t know how much help they can count on from Obamacare; they would have more certainty with Price’s plan.
Several high-profile Republican governors are building pressure on Congress to come up with a plan if the Supreme Court decides to void subsidies for millions of people in their states.
Florida Gov. Rick Scott and Wisconsin Gov. Scott Walker both said Tuesday they are opposed to any kind of state-level fix to restore ObamaCare subsidies in case the administration loses in court.
“I think it has to be a federal fix,” Scott told reporters at the event he hosted Tuesday for GOP presidential candidates, according to The Washington Post.
The Supreme Court could decide this month that the financial help 6.4 million Americans receive to cover their health insurance costs are illegal — sending premium costs skyrocketing as much as 650 percent in states with some of the poorest residents.
The case, King v. Burwell, would affect people in the 36 different states that use Healthcare.gov as their marketplace. But the pain won’t be felt equally, according to a new graphic from the Kaiser Family Foundation, a health-care nonprofit with a wealth of data. The real losers in a ruling against Obamacare: the states that have the most people enrolled under the law and where incomes are low.
If Republicans get their way at the Supreme Court this month and wipe out Obamacare premium subsidies for millions of Americans, the ensuing damage to their party in 2016 swing states could be poignant.
A state-by-state analysis by the Kaiser Family Foundation found that about 6.4 million Americans in 34 states that use the federal marketplace would lose a total of $1.7 trillion monthly tax credit dollars—an average of $272 per person—and face a net premium increase of 287 percent.
Monday marked the start of a special session called to pass Florida’s budget. Right on cue, the heavily hospital-connected State Senate is pushing Obamacare’s Medicaid expansion again. With a slightly modified version now rebranded as FHIX 2.0 (or Florida Health Insurance Affordability Exchange Program), the Florida Senate is pushing against a resolute House and a Governor that has all but threatened a veto.