President Donald Trump laid out a vision for the Affordable Care Act (ACA) on Tuesday that appeared to back away from earlier pledges to guarantee insurance coverage for people with pre-existing conditions and leaned on tax credits to ensure Americans can afford their premiums.
"People hate it, but now they see that the end is coming, and they're saying, 'Oh, maybe we love it, '" Trump said.
He also did not address an element of the legislation that has become a major sticking point: whether the tax credits would be refundable. Trump's remarks could give that idea a crucial boost, at a time when GOP fractures on the healthcare law are deepening.
Secondly, we should help Americans purchase their own coverage, through the use of tax credits and expanded Health Savings Accounts -- but it must be the plan they want, not the plan forced on them by the Government.
"We have come up with a solution that's really, really I think very good", Trump said at a meeting of the nation's governors at the White House. While Republicans have had seven years to come up with an Obamacare replacement, there hasn't been any movement since Trump took office. Rather, lowering the cost of health insurance is the best way to make health insurance affordable for everyone.
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"Action is not a choice, it's a necessity", said Trump, "so I'm calling on all Democrats and Republicans in Congress to work with us to save Americans from this imploding Obamacare disaster".
Unmarried Illinoisans under 26 would not be affected by the provision's repeal, however, because Illinois is one of at least 31 states that allowed young adults to remain on their parents' health insurance before the ACA was implemented, according to the National Conference of State Legislatures.
He said there's "no appetite" in either the House or Senate for premium support, changing Medicare so it pays for private insurance rather than directly insuring a senior.
First, he wants people with pre-existing conditions to maintain coverage.
Many lawmakers say Trump's speech hasn't changed that or brought them much closer together.
But perhaps the most critical aspect on the Republicans plan for a repeal and replacement of the ACA focuses on the expansion of Medicaid, which under Obamacare, covered more than 3.7 million Californians through Medi-Cal, including more than 95-thousand low-income residents in Kern County.