2 1/2 minute introduction to GOP White Paper

Satire – we usually don’t get political – Hitler upset about Trump winning

A Better Way - Republication Ideas to Improve Health Care
A Better Way – Republication Ideas to Improve Health Care

So, now what happens? Is healthcare dead?
what other plan options do we have?
will there be anything that is lower in premium?
what about preexisting?


Agent Bulletin from Covered CA 11.9.2016 4:11 PM

Covered California remains focused on open enrollment. We want to make sure consumers know their options. Health coverage options are available to consumers with financial assistance to help pay for coverage. We will be communicating these important messages to consumers during open enrollment, which goes through  January 31, 2017.

In the weeks and months ahead, Covered California looks forward to sharing our lessons to inform policy changes nationally.

Please help us reassure our consumers:

  • We are open for business and happy to help you enroll or renew.
  • Your Covered California coverage is not in jeopardy. We encourage you to renew into your existing plan or shop for a new plan that best fits you and your family. Don’t risk a financial burden in 2017 by not enrolling.
  • We understand there may be a lot of chatter in the media about the election, but here are three things you need to know:

1.     Your coverage will remain intact for 2017 and the foreseeable future.

2.  Your financial assistance (subsidies, APTC/CSR, small business tax credits) are protected under the law.

3.     The rates for 2017 will not change.

  • We are focused on what’s important right now, enrolling and renewing consumers into their Covered California plan.
  • Covered California does not rely on federal funding, it is a self-sustainable state-run exchange.
  • We will keep you informed about any changes in the future.


Throughout the campaign, President-Elect Donald Trump’s entire health message consisted of promising to repeal the Affordable Care Act.  That remains difficult with Democrats still commanding enough power in the Senate to block the 60 votes needed for a full repeal. Republicans could use fast-track budget authority to make some major changes to the law, although that could take some time. In the short term, however, Trump could use executive power to make some major changes on his own.  Learn More Must Pass Bills? CA Health Line 11.9.2016

Thoughts from InsureMeKevin.com 2.3.2016

Dave Fluker.Blog.Com 11.9.2016

Press Release 11.10.2016 from CA Dept of Insurance – 20M in CA would lose coverage without subsidies and Medi-Cal expansion to 138% of FPL

Right now, 11.15.2016 – I’m fighting the alligators in the swamp, with the major rate increases in ObamaCare – Under 65 and Medicare Open Enrollment.   Here’s the latest from California Health Line – The Daily Digest of News, Policy & Opinion.

CA Health Line
CA Health Line – Daily Digest of Health Care News

Covered California & The Health Law

What Trump’s Presidency Will Mean To A State That Embraced The Health Law

Millions of Californians’ health care is in jeopardy if Donald Trump and congressional Republicans roll back the health law that is currently shaping California’s health system.

East Bay Times: What Does Donald Trump Have In Store For California?
That would not only jeopardize the health coverage of most of the 1.4 million Californians who receive subsidized insurance plans. It could also blow a multibillion-dollar hole in California’s budget. Here’s why: California was one of the first states to expand Medicaid (called Medi-Cal in California) to low-income adults without children, a provision allowed under Obamacare. About 3.8 million low-income Californians have enrolled in the expanded program, with the feds now picking up the tab to the tune of $15 billion a year. (Artz, 11/9)

Sacramento Bee: Will Donald Trump Abolish Obamacare? The Presidential Election Raises Questions About The Future Of The Affordable Care Act And Its Impact On Consumers
Is Obamacare over? On his first day in office, President-elect Donald Trump has repeatedly vowed, he will abolish the Affordable Care Act, the contentious health care law that has been both applauded and hated across the country.But whether that will happen – or what it will mean for consumers – is one of the big question marks in the aftermath of Tuesday’s election. (Buck, 11/10)

San Diego Union-Tribune: What Does Trump’s Vow To Kill Obamacare Mean For Open Enrollment? 
Now that Trump has won the election, that promise takes on a more direct meaning for more than 10 million Americans currently receiving their health coverage from a plan they purchased through a state or federal health insurance exchange. More than 1.3 million Californians — an estimated 123,910 of them in San Diego County — have until Jan. 31, 2017 to decide if they want to stick with their current plans or fine a different options that suit them better. Already anxiety-producing because some plans have posted double-digit premium increases for 2017, Obamacare’s fourth open enrollment suddenly has a new dimension: Current enrollees must decide how to interpret Trump’s vow to undo the Affordable Care Act. (Sisson, 11/9)

California Healthline: California Faces Major Reversal If Trump, Congress Scrap Health Law
California has a lot to lose if President-elect Donald Trump and the Republican-led Congress fulfill their campaign pledge to repeal Obamacare. The Golden State fully embraced the Affordable Care Act by expanding Medicaid coverage for the poor and creating its own health insurance exchange for about 1.4 million enrollees. Supporters held California up as proof the health law could work as intended. (Terhune, 11/9)

Trump Likely To Target Vulnerable Pillars Of Health Law, But Portions May Be Here To Stay

Republican leaders say they are going to “hit the ground running” to start dismantling what they can of the Affordable Care Act. But after six years, there are aspects of the law now baked into the industry that won’t be easy to upend.

The New York Times: Obama Calls For Unity, But Signature Acts Remain In Jeopardy
The White House acknowledged that Mr. Obama’s signature legislation, the Affordable Care Act, was in genuine jeopardy. Mr. Trump has vowed to repeal it as one of his first acts in office, and a Republican-controlled Congress will prod him to do so. Josh Earnest, the White House press secretary, said Mr. Obama would lobby Mr. Trump to keep it in place — an effort that suggests Mr. Obama believes that Mr. Trump can be persuaded on certain issues. (Landler and Davis, 11/9)

Kaiser Health News: Obamacare ‘Replacement’ Might Look Familiar
The Affordable Care Act transformed the medical system, expanding coverage to millions, injecting billions in tax revenue, changing insurance rules and launching ambitious experiments in quality and efficiency. Less of that might disappear under President-elect Donald Trump’s pledge to “repeal and replace Obamacare” than many believe, say policy analysts. Republicans promising change might not quickly admit it, but in some respects Obamacare’s replacement may look something like the original. (Hancock and Luthra, 11/9)

The Wall Street Journal: Donald Trump’s Pledge To Repeal Health Law Carries Risks
After six years, the health overhaul is largely implemented. The fourth open-enrollment period is currently under way and due to conclude Jan. 31. Many conservative health policy experts haven’t hid their disdain for Mr. Trump’s campaign, leaving open the question of who would provide the technical support for a dismantling effort. In particular, Mr. Trump’s repeal could face opposition from Republicans in states that expanded Medicaid, the federal-state health coverage for low-income people, and industry groups that heavily profit from the law. (Armour and Radnofsky, 11/9)

The Wall Street Journal: Donald Trump And GOP Lawmakers Turn To Health-Law Overhaul
Without 60 votes in the Senate to get around procedural hurdles, Republicans couldn’t repeal the whole law in one shot but could take out pillars of it using a budget maneuver that requires only a simple majority. One target would be subsidies that blunt the cost of premiums for people who get coverage on the health law’s exchanges, said Timothy Jost, a professor at Washington and Lee University School of Law. Without a transition plan, 85% of exchange consumers who get subsidies would face the full cost of their premiums, prompting a major drop-off in participation. The employer mandate that requires many companies with 50 or more full-time workers to provide health insurance also would likely go. (Armour and Radnofsky, 11/9)

Politico: Obamacare Defenders Vow ‘Total War’
Shell-shocked Democrats on Capitol Hill are preparing to make a fight for Obamacare their top priority in the opening days of the Trump administration, with leading advocacy groups ready to wage “total war” to defend President Barack Obama’s universal health care program and his domestic policy legacy. “We’ve got the battle of our lifetime ahead of us,” Ron Pollack, executive director of advocacy group Families USA, said the day after Donald Trump was elected on a pledge to repeal the Affordable Care Act, which now the law that covers 22 million people. “We’re going to have a huge number of organizations from all across the country that will participate in this effort.” (Haberkorn and Demko, 11/10)

The Washington Post: Obamacare’s Future In Critical Condition After Trump’s Victory
“The clock is ticking, because Republicans appear to be saying health care is going to be the first item on their list with repeal of the ACA being the banner for that,” said Ron Pollack, Families USA’s executive director for three decades. “This will be the most intense fight I remember. . . . One should never underestimate an extraordinary backlash that occurs when people have something that they really value and it is taken away.” (Goldstein, 11/9)

With Trump As President, Path Toward Dismantling Health Law Clears

Although to actually repeal the law, Republicans would need Democratic votes in the Senate — which is unlikely to happen — they could tear big pieces of it apart on the procedural level.

Reuters: Trump, Congress Will Be In Sync On Some Issues, But Long-Term Questions Loom
Trump and the Republican leadership in Congress agree on at least one major policy: They want to repeal Democratic President Barack Obama’s landmark healthcare law, known as Obamacare, enacted in 2010. “I would expect the very first thing a Republican Congress would do would be to repeal Obamacare,” said Republican Oklahoma Representative Tom Cole, a Ryan ally, in an interview on Monday. Such a step would shake the U.S. healthcare and insurance industries, which have broadly called for measured reforms to Obamacare, although not for its full-scale repeal. (Cornwell and Cowan, 11/9)

Politico Pro: Trump Victory Puts Obamacare Dismantling Within Reach
Donald Trump’s ascension to the White House puts President Barack Obama’s Affordable Care Act — and health insurance for some 20 million Americans — in grave peril. Ever since the law passed in 2010, Republicans have campaigned on a pledge to repeal Obama’s signature domestic policy achievement. Trump’s victory gives them their first opportunity to do so. (Haberkorn, 11/9)

Modern Healthcare: Trump Upset Will Force Healthcare Leaders To Rethink The Future
Republican Donald Trump’s shocking victory Tuesday will force a major shift in the healthcare industry’s thinking about its future. Combined with the GOP’s retention of control of the Senate and the House, a Trump presidency enables conservatives to repeal or roll back the Affordable Care Act and implement at least some of the proposals outlined in the GOP party platform and the recent House Republican leadership white paper on healthcare. (Meyer, 11/9)

Meanwhile, Politico looks at who may be the next HHS secretary —

Politico Pro: Meet Trump’s Cabinet-In-Waiting
For Health and Human Services secretary, among the names receiving buzz: Florida Gov. Rick Scott, former House Speaker Newt Gingrich and Ben Carson, former GOP presidential candidate. Carson has received the most attention lately for HHS, even from Trump himself. (Cook and Restuccia, 11/9)

California Healthline Original Stories

California Faces Major Reversal If Trump, Congress Scrap Health Law

Uninsured Californians could more than double to 7.5 million if Affordable Care Act is repealed. (Chad Terhune, 11/9)

California’s Torn Reaction To Obamacare’s Potential Demise

Interviews around the state yield varied responses to the prospect that a Trump administration will dismantle Obamacare. Many people are stunned and scared; others welcome repeal. (Anna Gorman and Ana B. Ibarra, 11/9)

Repealing The Affordable Care Act Could Be More Complicated Than It Looks

Republicans will likely chip away at the ACA piecemeal and say they will try to provide a soft exit. (Julie Rovner, 11/9)

Obamacare ‘Replacement’ Might Look Familiar

Republicans want to jettison the health law, but some features are already hardwired into the system. (Jay Hancock and Shefali Luthra, 11/9)



A Better Way.Gov

White Paper with our comments & Annotations 

Will Trump’s plan include those with Pre Existing Conditions?

Even before ObamaCare we had Mr. Mip and it’s still going.

Related pages in  Challenges to ObamaCare Section



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