You can call me crazy 😜 but I have a funny feeling we may see the plan that ultimately Repeals and Replaces Obamacare and removes the federal government from healthcare once and for all. One of Barry from Kenya’s 🇰🇪 big architects is concerned that they may have the bill that not only gets 50 Republicans Senators but a handful of Democrats as well. It would also kill Crazy Bernie’s wish of Single Payer.
This bill would KILL the 4 states that receive 40% of the Obamacare funding; NY, CA, MA and MD (you don’t get much bluer than them). It also puts Democrat Senators in states that our President won that are up for reelection in 2018 in a terrible predicament. How the hell can you vote NO to additional money 💰 and your Governor having the ability to shape healthcare for the constituents in your state (article does a great job of explaining how Senator Bill Nelson from FL and Jon Tester from MT will be screwed).
Also the bill has the backing of one of the Medicaid Whores, Dean Heller from NV, the House Freedom Caucus, Senators Lee and Cruz and amazingly Lucifer himself! Our President supports the bill as well. What excites me the most is that the press is real quiet about it because they know it would be well received in Red States and states that are on the cusp of going Red (NV, CO, NM and MN). You can’t argue it and more importantly Americans would be really happy with it.
From the article linked above (added a lot of the article so that folks can get a deeper understanding of the bill)
Santorum has been working with Sens. Lindsey Graham (R-SC) and Bill Cassidy (R-LA) among others, as well as with House Freedom Caucus chairman Rep. Mark Meadows (R-NC). He has also been working with a large group of Republican governors, including Wisconsin’s Scott Walker, Arizona’s Doug Ducey, Arkansas’s Asa Hutchinson, and Mississippi’s Phil Bryant. Two of those states—Arkansas and Arizona—are Medicaid expansion states; the other two are not.
I have no question that we can get very broad support among the Republican base and frankly this will get support from a Democrat or two. The reason is because of the way that Obamacare is structured, it benefits a handful of states. There are four states in order of how well they do: Massachusetts, California, New York, and then Maryland. Those four states which comprise about 21 percent of the population of the country get close to 40 percent of the money under Obamacare.”
“What you can do is redistribute this money that has been heaped upon these four ultra blue, very wealthy states by the way, and don’t need a lot of federal support because they’re very wealthy states. Yet that’s where the money is going because Obama wrote it that way.
“It’s the best idea, it’s the most politically viable idea. It’s the only one that can still pass, and it’s the easiest one to explain because all we’re doing is draining the swamp,” he said. “We’re taking the money out of Washington and giving it to the governors in two block grants. The first block grant has been described as in both the House and the Senate bills. We basically don’t change the McConnell block grant. For Medicaid, for traditional Medicaid, pre-expansion ACA Medicaid, stays the same. The second block grant is made up of all of the money that we spend on Obamacare today. What is that? [Medicaid] expansion dollars, the tax credit dollars, the cost-sharing reduction payments, and the two special Obamacare deals for Minnesota and New York. Which is about three and a half billion bucks a year. So all of that money comes together and we put into a formula, the formula is reflective of the number of people in your low income not covered by Medicaid. It would just be low income 38 to 50 percent of poverty, we’re still jiggering with the numbers. But it will be low-income not eligible for Medicaid.”
He continued with his explanation: “That will be your denominator, the pot of money that is available. That money will be for the formula. What’s important is that there will be no individual entitlement for this money. So someone is 100 to 138 percent of poverty, so people that aren’t entitled to any money, that money that comes to the states we have to pick a number and does this make sense? The other thing is that we’re going to weight it, this formula, so it won’t just be the pure number, we’ll weight it for older people that will get a little more–they may count as 1.2 people, the lower-income which you could say would be 100 to 250 percent of poverty, it may count as 1.2 people. At the high end of the scale that may count as .75 people. Right? So weight it for older and we can’t count sick and we weight it for older and low-income Americans, and then we will weight for density because rural populations are more expensive than taking care of people in cities. Those are the kind of factors and we will do cost of living, and higher cost areas will cost more, and we will weight these in a formula that will reflect the population of the state that they are trying to take care of. So, there will be this formula. The block grants will start in 2020. New money in some states, everyone will shift out of the older Obamacare. There will be some states like California and Massachusetts that will take a substantial reduction form, what they received the previous year, but we are creating a floor so everyone will match the new formula over a seven-year period to 2026. By 2026 everyone is on the formula.”
Santorum said that his idea would also, importantly, “put a stake in the heart of single-payer health care.”
“Now that every state will have their own health care system, no way will the government be able to take it back,” Santorum said.
What’s more, with 50 separate laboratories, different states will try different ideas and eventually the best and most effective ideas will be implemented—and it will be much easier to implement healthcare reforms when managed at the state level than at the federal level.
“Let’s take a Democrat senator from a non-expansion state,” Santorum said. “His states get almost no money right now and it could get a huge amount of money and it could be designed by their own state, how are they supposed to vote no? No, I want to keep all the money in Washington so California and Massachusetts can keep it all? This plan provides real incentive to the governors. This is a block grant with no match requirement. So unlike Obamacare, where starting in 2020 all of these states are spending all of this money have to come up with 10 percent to make up the difference now. Under our plan there is no match. So, it’s just a straight block grant. Or if you’re the governor of Montana you’re an expansion state, and you’re going to get a little more money because you’re a low-cost Medicaid state and you don’t have to come up with 10 percent. Now if you’re a senator from that state and your state gets to design that program to meet the needs of your people and they have more money and you don’t have to tax your own people for the match, how do you vote no? You would think that the cost is pretty serious. You don’t vote for something that your state benefits from doing in order to keep federal control, and I’m a Republican and I love running against someone like that. Look at Bill Nelson; he’s going to have a race and Rick Scott is going to run against him and Bill Nelson is going to vote no, where now Florida gets $6 billion in tax credits and under this proposal they’ll double that number. Bill Nelson is going to have to say that it would benefit Floridians, vote against twice as much money, and design it ourselves, but I’m a no.”
Santorum added that given the broad coalition of support for an idea like this, he believes that something can and will get done—a huge win for President Trump if so.
“Lindsey Graham, Bill Cassidy, Mark Meadows, a lot of folks across the aisle, we’re working with Lee and Cruz on flexibility–that’s a big part of this, making sure the governors have flexibility, everyone is working with the parliamentarian to make sure that flexibility is a part of this,” Santorum said. “Even McCain and Dean Heller are working on this too. There is a very broad coalition, working to make this work. I have no doubt that we can get 25 Republicans [governors] or more on board, it will pass through the House and the Senate. I have no doubt about that whatsoever.”
The folks at VOX are petrified about it! They know that Obamacare will be gone even in states like NY, CA, MA and MD because those states would have to kick in large sums of money to keep Obamacare plans for their constituents.
From the article linked above:
But the plan does much more than that. The proposal would eliminate the health care law’s subsidies for private insurance and end the Medicaid expansion. The health insurance marketplaces would no longer exist as they are envisioned to continue under other Republican proposals.
Cassidy-Graham would arguably be more disruptive, not less, to the current health care system. It would let money currently spent on health insurance go toward other programs, providing no guarantee that the Affordable Care Act programs individuals rely on today would continue into the future.
Cassidy-Graham would repeal the health care law’s tax credits for middle-income Americans, the cost-sharing reduction subsides for low-income Americans, and the Medicaid expansion in 2020. This makes it a bit more radical than other Republican plans, which leave a (less generous) version of the tax credits in place.
Cassidy-Graham would make it much more expensive for states to continue Obamacare if they like it.