Trumpcare 2.0 is shaping up to be much, much worse than the Republicans’ terrible first bill
The first version of Trumpcare may have been a dumpster fire of a bill, but the new effort being pushed by President Donald Trump and conservative Republicans could be much worse: It won’t even guarantee accessible coverage for Americans with pre-existing medical conditions.
A proposed revival of Trump’s repeal-and-replace bill for Obamacare began to formulate between Trump and the conservative House Freedom Caucus on Monday, according to The New York Times. One of its main terms is that it would allow states to decide for themselves whether or not to require insurers to cover essential health benefits. In addition, it could jettison a rule that prohibits insurance companies from charging different prices to individuals who are the same age.
If these two changes were passed into law, there would be two important consequences. First, by eliminating essential health benefits like emergency services and chronic disease management, it would make it so that patients able to afford insurance may still not receive services that they require. In addition, although insurers will still be barred from denying coverage to people with pre-existing conditions, the loss of community rating — which requires companies to charge the same rate everyone of a certain age group — could increase premiums for individuals who have had previous problems in their medical histories.
In other words, someone with a terminal illness may receive an insurance plan that won’t allow them to afford the treatment they require to survive, and someone with a preexisting condition could still be priced out of insurance that they need.
Rep. Mark Meadows of North Carolina, the chairman of the Freedom Caucus, has said that that his members might be interested in the new bill. This could help it overcome one of the main hurdles that impeded the first Trumpcare bill’s progress, namely the staunch opposition it faced from the right. Its next challenge will be winning over moderate Republicans.