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The Trump administration’s project to undermine the Affordable Care Act insurance exchanges is now complete. Its latest rule will allow employers to funnel tax-exempt cash to employees to buy health plans.
Workers could use the cash—comparable to the vouchers once proposed for Medicare—to buy plans that meet ACA standards. Or, they could use a separate account to buy short-term or limited-benefit plans, which include ones that discriminate against people with pre-existing conditions.
Today in America, we have more than 27 million people without any health insurance. Millions more who have employer-based insurance are being fleeced by skyrocketing premiums and prescription drug prices, and they are often thrown off those private plans when they change or lose jobs.
This is great for the 64 health care CEOs who were paid $1.7 billion in 2017. But this is an economic and medical emergency for millions of Americans. The good news is that we have a very straightforward solution that draws from our own country’s past success: We can guarantee health care as a right to all by expanding Medicare, the most popular and successful program in American history.
The gloomy Guses at the CMS think nothing can stop the upward march of healthcare spending. Why do they presume every strategy for controlling costs will fail?
Their pessimistic view was contained in the latest 10-year projection by the economists in the Office of the Actuary, who predicted healthcare spending will reach 19.4% of gross domestic product in 2027, up from 17.9% in 2017. Growth in actual dollars will average 5.5% over the next decade and exceed nominal economic growth by nearly a full percentage point.