Goodman: 1.5M Floridians could lose coverage, but Obamacare foes forge on

July 25, 2017

The healthcare replacement bill that Senate Republicans are intent on pushing toward a vote this week, despite being declared dead a few days ago for lack of support within their own party, would mean the loss of health coverage for almost 1.5 million Floridians.

 

And if the GOP succeeds in repealing Obamacare without enacting a replacement, that number of newly uninsured Floridians would rise to about 2.3 million. So say estimates from the Urban Institute.

 

Those figures match up with Congressional Budget Office analyses showing that, nationwide, the Senate bill would strip coverage for 22 million Americans by 2026; 32 million, if the Affordable Care Act is repealed with no replacement.

No wonder the Republicans’ bumbling efforts to fulfill their most fervid promise of the Obama years are going so badly. The Senate replacement bill is so unpopular that only 12 percent of voters in key Trump countiesthink it’s a good idea, an NBC/Wall Street Journal poll shows.

 

 

 

Yet Gov. Rick Scott still sees political gold in attacking Obamacare tooth and claw. The Senate 2018 hopeful said in  Boca Raton this week, “I think you’ve got to understand Obamacare’s been a disaster. It’s caused health care prices to skyrocket.”

 

As if the problem of soaring healthcare costs didn’t exist before the ACA went into effect five years ago.

And Florida’s Republican U.S. senator, Marco Rubio, was ready last week to vote to repeal Obamacare without replacement, saying the health care law “has been bad for our country” — until that notion collapsed for lack of votes within a single day.

 

Rubio has hardly bathed himself in courage in this debate. Claiming to be undecided for weeks, he has refused to hold face-to-face town halls because, he said, activists will “heckle and scream at me.” And it appears he won’t meet with constituents who want to see the present law improved instead of voted or sabotaged into extinction.

 

Florida Voices for Health, a coalition of about 25 advocacy groups for expanded access to healthcare, has repeatedly sought to meet with Rubio, spokeswoman Louisa McQueeney told the Palm Beach Post Editorial Board. They’ve visited all his offices around the state. “The staff is very, very nice,” McQueeney said. “They take our materials. And then it just goes into a black hole.”

 

So Voices for Health proposed a “tele press conference call” and offered to give him written questions in advance. No response.

 

They sent Rubio a letter on July 10, asking that he commit to making sure that no Floridians lose coverage, that there are no cuts or caps to Medicaid and that no one is denied health insurance because of a pre-existing condition. They say he hasn’t answered.

 

The foes of the Affordable Care Act have done all they could over the past five years to badmouth the law. Scott, like other hardline Republican governors, refused to take advantage of the chance to expand Medicaid. Nevertheless, almost 1.5 million Floridians bought policies on Obamacare’s healthcare.gov marketplace — many of whom were going without insurance before.

 

Even if the Senate bills fail again this week, President Trump could fulfill his predictions of Obamacare’s death spiral by withholding the money to subsidize insurance companies to help sign up low-income customers. Just the uncertainty of future funding has caused some carriers to drop out of marketplaces.

 

And depending on what the Senate comes up with, Medicaid could be in for diminishment, either through cuts or caps or a restructuring to block grants. That’s a cloud over 4 million Floridians, including one half of the state’s children and 60 percent of seniors in nursing homes.

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