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View Diary: Is the Affordable Care Act unaffordable? Mitch McConnell wants you to think so (95 comments)

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  •  The GOP is never right on this one. The GOP would (1+ / 0-)
    Recommended by:
    a2nite

    be for it if it was proposed by the GOP.

    •  Nope. (2+ / 0-)
      Recommended by:
      NoMoreLies, GayHillbilly

      It was proposed by the GOP, it's their counterproposal to Clintoncare. It is Romneycare. Gruber called it "the same $@#! bill".

      That's right: they're showing up at rallies carrying rifles to protest the plan they proposed.

      Freedom isn't free. Patriots pay taxes.

      by Dogs are fuzzy on Sun Apr 07, 2013 at 02:37:03 PM PDT

      [ Parent ]

      •  Republicans would not have passed Obamacare (12+ / 0-)

        I know, some here just love to say Obamacare and Romneycare are the same bill. Obama passed a Republican bill. I have heard it all before.

        In point of fact, the Republicans would not have passed this bill. And let me show you why Obamacare and Romneycare are two very different bills:

        1. Obamacare premium support and cost sharing subsidies help families with incomes up to 400% of the federal poverty line, vs. 300% FPL under Romneycare.

        2. OC bans lifetime and annual benefit caps and RC does not.

        3. OC eliminates medical underwriting and pre-existing condition exclusions for all health insurance policies. Massachusetts did this in the 1990s and so there was no need for this to be addressed in RC.

        4. OC requires health insurance companies to spend at least 80-85 cents of every premium dollar on medical costs as opposed to profits, marketing and overhead.  RC includes no such provisions.

        5. OC allows young adults to stay on their parents' health insurance policies until they reach age 26. RC allows young adults to stay on their parents' plan for up to two years after they are no longer dependent, and no older than age 25.

        6. OC requires that all health insurance policies cover preventive care services (ie: contraception) with no co-pays or other cost sharing. RC has no such protections.

        7. OC requires that all Members of Congress and their staffs can receive federal health insurance coverage via the new state health insurance exchanges. RC did not make any similar requirement on Massachusetts state legislators.

        8. OC improves Medicare for its beneficiaries by: closing the prescription drug "donut hole;" providing an annual wellness checkup with no cost sharing; lowering beneficiary premiums; and extending the life of the Hospital Insurance/Part A Trust Fund by about 8 years. RC does not address or improve Medicare at all.

        9. OC instigates a significant effort to lower the health care system's administrative costs. RC has no such provisions at all.

        10. OC instigates a series of reforms in the delivery of medical care services, including the establishment of accountable care organizations, medical homes, value-based insurance designs, penalties for excessive rates of hospital acquired infections and readmissions, and more. RC does not address delivery system improvements at all.

        11. OC establishes a series of programs and initiatives to improve public health, prevention and wellness, including the creation of the first-ever national prevention strategy. RC provides funding for some existing public health programs, though no new public health or prevention initiatives.

        12. OC requires every chain restaurant with at least 20 outlets to post on menus and menu boards the calories of every item on its menu. RC has no such public information requirement.

        13. OC includes major new funding for community health centers and the National Health Service Corps to improve the nation's supply of primary care services. RC has no such provisions.

        14. OC requires the establishment of a National Health Workforce Commission -- appointed, though blocked from convening by House Republicans. RC does not address health care workforce needs at all.

        15. OC establishes major new provisions to combat health care fraud and abuse in Medicare, Medicaid, and private insurance. RC includes no provisions addressing fraud and abuse in any sector.

        16. OC establishes new standards and a national framework to combat elder abuse, including violence, neglect, and financial exploitation. RC includes no such provisions.

        17. OC requires that drug, medical device, and medical supply companies publicly report all gifts, honoraria, and other gratuities to physicians and other licensed medical professionals. RC includes no such provisions.

        18. OC directs the Food & Drug Administration to create a pathway for the approval of so-called "bio-similars" or generic-like versions of biopharmaceutical drugs, provisions strongly supported by the pharmaceutical and biotechnology industries. RC has no such provisions.

        19. OC includes provisions to ensure that nursing patients and their families are able to obtain transparent information about the ownership and corporate responsibility of nursing homes. RC includes no such protections.

        20. OC establishes a new 10% tax on indoor tanning services, which have been linked to the explosion in serious skin cancers, especially melanomas, among young women ages 15-35. RC does not address this epidemic.

        Now, are you telling me that it is your belif that Republicans would have passed Obamacare? Really??

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