Tag Archives: Paul Ryan

Donald Trump’s Healthcare Plan

The amazing thing is that nobody really knows what Donald Trump’s Healthcare plan entails.

House Speaker Paul Ryan has suggested a more detailed plan called A Better Way. He suggests the following: –

Protection for Patients

His plan will ensure that no American can be rejected by a Health Insurer. This is regardless of health status.

Practical Reforms

Dependents up to the age of 26 would be able to remain on their parents’ plan. Such a reform would therefore help younger Americans to receive healthcare coverage. This would furthermore stabilize the market. The practice of imposing lifetime limits on individual coverage would be stopped.

Coverage Protection

Insurers will not be allowed to unfairly overturn any American’s healthcare protection due to the insured’s failing health.

Continuous Coverage Protection

If a person suffers a serious health episode, he or she would not be debited more than standard rates. This safeguard  thus applies to all who remain enrolled in a health insurance plan. It applies even if the individual is switching from employer based health insurance to the individual market.

Legal provision was made in 1996 that offers pre-existing condition safeguards when an insured moves from one job to another. Insurers would rate individuals each time they enrolled in a new plan. The result was a hike in premium costs for individuals and families.

The 1996 HIPAA (Health Insurance Portability and Accountability Act) encourages Americans to enrol in health insurance and remain enrolled.

Fair Premiums

A plan to ensure reasonable premiums is to fix the age-rating ratio. In Donald Trump’s Healthcare plan, premium amounts are adjusted according to an individual’s age. The cost of an older individual’s plan should not exceed five times that of the premium of a younger person.

Before 2010 most states were using this five-to-one ratio. Obamacare mandates a three-to-one ratio. This ratio is leading to insurance pools with older, sickly people. Furthermore, younger and healthier Americans are being discouraged from enrolling in the insurance market. States would be allowed to adjust this ratio according to their residents’ needs and wants. Young people would thus be encouraged to purchase and maintain health insurance.

State Innovation Grants

First proposed in 2009, this plan provides a minimum of $25 billion for State Innovation Grants. These grants may be given to States for developing effective reforms.  This makes health insurance more affordable and accessible. Certain targets must be achieved in the following areas: reduction of individual premiums, small group premiums and the number of uninsured in the State. Grants are rewarded on a sliding scale. This concept has been shown to reduce costs.

One-time Open Enrolment

This fair plan gives the uninsured person the opportunity to join the health insurance sector, regardless of their state of health. All options are available. Should an individual not enrol at this time, he/she/they may enrol at some future date.  However continuous  coverage protection will be forfeited.     Increased coverage costs will be incurred.

Protecting Life and Conscience Rights

Conscience Protectors

Doctors, nurses, hospitals and other healthcare providers are given protection from unfairness and intimidation when exercising their conscience. The Weldon Amendment approves this safeguard annually. States which victimize any individual or entity in this manner are barred from receiving federal funding.

Ensuring Taxpayer Dollars are Not Used to End Life

This provision known as the Hyde Amendment ensures that taxpayer dollars are not used to fund the cost of abortion. Obamacare broke this bipartisan agreement. Paul Ryan’s health insurance proposal would protect taxpayer dollars by abiding by the Hyde Amendment.



Repealing Obamacare

President-elect Donald Trump has repeatedly vowed to repeal and replace Obamacare.

These statements therefore suggest that big changes are in store for the health insurance marketplace and Americans who rely on it.

How soon would this new legislation come into effect? What would it look like?

Health policy analysts say that an outright repeal of Obamacare is unlikely without bipartisan agreement.

It is possible for Congress to defund Obama’s Health care plan by using budget reconciliation. This is a streamlined process for making tax and spending charges.

Obamacare could be put down by a Senate filibuster with an outright appeal. A filibuster is an obstructive tactic used in the United States Senate to prevent a measure from being brought to a vote.

The most common form of filibuster occurs when a Senator attempts to delay or entirely prevent a vote on a bill.    This is done by extending the debate on the measure. Senators may thus speak for as long as they wish  Furthermore they can choose  any topic. they choose. However, three fifths of the Senators duly chosen and sworn may therefore bring the debate to a halt by invoking cloture.

Cloture is a process in parliamentary procedure aimed at bringing a debate to a quick end.

In 2015 Republican Tom Price of Georgia sponsored a measure to cut off funding for Obamacare.

Price’s reconciliation bill would have stopped premium tax credits and cost-sharing subsidies. These elements were intended to make health insurance more affordable for low and middle income Americans. This bill would also have ended individual tax penalties for people who failed to maintain health insurance coverage.

Medicaid is currently operating in 32 states. This bill would furthermore ensure that federal funding for Medicaid expansions would be cut off.

The principle reforms by the Trump administration includes health savings accounts (HSAs). Furthermore, greater state discretion in regulating health insurance.

Paul Ryan, the House Speaker, compiled some key elements in his proposal called “A Better Way”. Ryan has suggested market-based solutions. Examples are tax credits adjusted for age. This will thus assist people in buying health insurance in the individual market.

Although details of Trump’s healthcare plan remain sketchy, the major GOP proposals have a few features in common:-

1. Using health savings accounts

2. Creating high-risk insurance pools

3. Selling health insurance across state lines