Jun 02, 2017

Repealing Obamacare was one of the biggest promises of the Trump campaign during the elections. But now the elections are over. Donald J. Trump is the President-elect. It’s time for him to fulfill those promises. It’s time to act.

So what about healthcare then? Will the Affordable Care Act that President Obama fought so hard to bring be abolished, will it be replaced? What will it be replaced by? Amidst all of Trump’s bold promises and ridiculous rhetoric, it’s hard to construct a coherent plan. It’s hard to know what healthcare would look like under President Trump. But at least we can try.

Trump’s healthcare promises

We went through all of Trump’s healthcare promises on the campaign trail and attempted to construct a formal plan out of the individual claims. Based on that information, here’s what healthcare in a Trump presidency would look like:

Obamacare is gone

On the campaign trail, Trump promised that he would start by completely repealing Obamacare on the first day in the office. As a Republican supporter, that might sound tempting. And as a Democrat supporter, it’s downright terrifying. But the question is, what will that do? One of the biggest changes that repealing Obamacare will bring is that insurance companies can go back to denying coverage to people with preexisting health conditions. It will also halt or reverse the expansion of Medicaid and will, most probably, send the cost of Medicare soaring.

Insurance across state lines

Another key promise of what we might call ‘Trumpcare’ is that it will allow insurance companies to offer coverage across state lines, something that the current law does not allow. In theory, that sounds incredible. And Trump admits. According to him, as more companies are allowed to sell their products, it will drive the competition up and costs down. But will it, really? Experts think not.

“The barriers to entry are not truly regulatory, they are financial and they are network,” saysCenter for Health and Economy, this stops more insurance companies from functioning across state lines already, no matter what the government does.

The bigger picture

Depending on who you ask, you get two completely separate versions of the bigger picture. So let’s stick to what the non-partisan experts say. According to the RAND Corporation, which is considered a centrist research organization, “All of the Trump proposals decrease the number of insured, increase out-of-pocket spending for consumers enrolled in individual market plans, and raise the federal deficit compared to the ACA.”

This is a scary situation if Trump fulfills all his healthcare promises and completely repeals Obamacare. But will he? In a recent post-election interview with the Wall Street Journal, Trump said that he’s open to the possibility of amending Obamacare, rather than repealing it completely.

With his position on healthcare even more uncertain now than it was before the elections, who knows what the future might hold?

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