In Michigan, GOP healthcare plan would hit hospitals, poor hardest, says policy expert

March 14, 2017

In Michigan, GOP healthcare plan would hit hospitals, poor hardest, says policy expert

Michigan Radio

You'll be able to buy the health care insurance plan you want. Premiums will be lower. Everyone will be covered. Access to quality, affordable care will improve.

Those promises from President Donald Trump and Republican leaders like Speaker Paul Ryan seem less likely after a report from the non-partisan Congressional Budget Office (CBO).

Dr. John Ayanian directs the Institute for Healthcare Policy and Innovation at the University of Michigan. He's also a professor of internal medicine, public health and public policy.

The CBO estimates the GOP replacement for the Affordable Care Act (ACA) will, by 2026, cause the number of uninsured Americans to grow by 24 million. And a big chunk of that increase, 14 million, would come from Medicaid enrollees, as the Republican plan cuts into the ACA's Medicaid expansion.

"This will basically reverse all the gains in coverage that we've achieved since 2014 when Medicaid was expanded in 31 states across the country, including here in Michigan where it's known as the Healthy Michigan plan," Ayanian said. "And then the coverage that people have gotten through the marketplace exchanges, the subsidized private coverage. That will also be reduced."

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