Donald Trump, President of the United States, has taken steps to systematically change America’s health insurance system. He has failed on his promise to pass healthcare reform through Congress due to lack of support, mostly from the destabilization the American Health Care Act (AHCA) and Better Care Reconciliation Act (BCRA) would have caused for premium costs and uninsured rates. The morning of October 12 he signed an Executive Order undermining the Affordable Care Act (ACA) and opens the door to low-benefit insurance despite lack of Congressional support. Later that night, Trump ordered an immediate end to subsidies to insurance companies that help cover low-income Americans between 100% to 250% of the Federal Poverty Level (FPL).

Trump has repeatedly called the ACA (aka Obamacare) a “disaster” that is “failing” despite the more than 50 million uninsured in 2009 decreasing to 28 million uninsured by 2017. Since taking office the Trump administration has been

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Congress has allowed the Children’s Health Insurance Program (CHIP), which insures 9 million children in the United States, to expire. The program provided coverage for children in families making under 200% Federal Poverty Level (FPL) as well as to pregnant women. CHIP played a huge part in decreasing the rate of uninsured children from 14% in 1997 to 4.5% in 2015. By taking no action to renew the program before September 30, 2017 the U.S. Congress allowed the program to lose future funding, putting millions of American children at risk of major health complications from ordinarily treatable conditions.

CHIP covers comprehensive coverage for children, including routine check-ups, immunizations, doctor visits, prescriptions, dental and vision care, inpatient and outpatient hospital care, laboratory and x-ray services, and emergency services. The out-of-pocket costs are different depending on which state a family is living in, but they will not exceed 5% of a family’s annual income. For the

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by Richard Sagall, M.D.

Insurance is really a simple concept. But few people, and even fewer politicians, seem to understand how insurance works and why so many of the promises we hear are impossible.

Here are the basic concepts of insurance:

Number 1 – You Never Win with Insurance – You always lose with insurance. Think about what happens when you have health insurance.

Outcome 1 – You get sick, perhaps really sick, and you suffer while ill. You may experience long-term or even permanent disability from your illness. Or, in the worst case, you die. Your health insurance helps with the cost, but in any case, you suffer.

Outcome 2 – You spend a lot of money on premiums getting nothing in return. It’s true that you remain physically healthy, but, due to the high cost of health insurance, you may not be so financially healthy. So, you also suffer, just in a different way.

Number 2 – What You Really Get from Insurance – Or perhaps more accurately, what you should be getting from health insurance. What you are paying for with health insurance is a sense of comfort that you won’t

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This past Tuesday, two U.S. senators and former presidential candidates participated in a televised debate with American health care and the Affordable Care Act (ACA) as the topic. Bernie Sanders (I-VT) and Ted Cruz (R-TX) engaged in a town hall style debate primarily on whether the ACA should be repealed and what could replace it.

The healthcare law often called Obamacare has been the focus of controversy since its implementation in 2010. The Affordable Care Act was designed to lower the uninsured rate and expand insurance coverage with the ultimate goal of reducing the cost of health care. It removed barriers for many Americans with pre-existing conditions and other underserved communities’ access to health insurance. It faced strong opposition by the GOP, saying it would instead increase healthcare costs and disrupt the current insurance markets. The Republican-majority House of Representatives went so far as to vote over 60 times to repeal the law; none of the attempts were successful.

Senator Sanders’

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We are barely two weeks into 2016, and there have already been attempts to limit access to healthcare for Americans.  Last week President Obama vetoed a bill that would have repealed the Affordable Care Act (ACA, aka Obamacare) and cut all federal funding to Planned Parenthood.  The veto marks the first time a bill to repeal the Affordable Care Act has passed through Congress after more than 50 attempts. In previous blog posts, we explored how the ACA has in fact insured over 10 million people and the many services provided by Planned Parenthood to both men and women.

In the latest annual report from Planned Parenthood (2014-2015) the health impact has shown some notable declines in number of people served with cancer and/or STI screenings, likely related to the closings of Planned Parenthood clinics in Texas and other states.  Abortions still only account for 3% of Planned Parenthood’s services. In the time covered by the report, only 43% of the Planned Parenthood’s funding comes from government

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