THREAD: For those who still don’t understand how important the #ACA #TexasFoldEm case is (along #StopKavanaugh), here’s a simple timeline of the ACA’s 3-Legged Stool:
1/ Here’s how the #ACA’s 3-Legged Stool was *supposed* to work when the law was passed. The blue leg includes the patient protections. The red leg is the part everyone hated but which served an important purpose. The green leg is the financial help for people to pay for it.
2/ This is what it ACTUALLY ended up looking like: There were two main problems. The financial assistance was cut off at 400% FPL income (& wasn’t generous enough), and the mandate penalty wasn’t strong enough to be fully effective. Both were EASILY fixable.
3/ The GOP-held Congress refused to help fix these problems, allowing them to fester, along w/other issues…some via flaws in the original law, others via deliberate undermining efforts. Then, last year, Trump killed off CSR reimbursement payments.
4/ The CSR cut-off was *mostly* mitigated by a clever workaround called #SilverLoading. This solved the issue for subsidized enrollees & in many cases IMPROVED their situation. However, it also meant that many UNSUBSIDIZED enrollees were even WORSE off.
5/ Then, last December, the GOP passed the $1.5 TRILLION DEFICIT tax bill…which included repealing the federal #ACA individual mandate penalty, effectively cutting off the red leg.
6/ Starting in 2019, this will lead to the world’s most expensive shim: The feds will have to spend BILLIONS MORE in tax credits to cover the additional subsidies needed to make up for the rate hikes needed to account for adverse selection due to the mandate being repealed.
7/ For *subsidized* enrollees, the mandate being repealed shouldn’t make much of a difference since subsidies will also increase to match. HOWEVER, for UNSUBSIDIZED enrollees, their problems are about to get even WORSE due to premiums increasing even MORE because of it.
8/ Then, in February, a bunch of GOP attorneys general demonstrated the ultimate in chutzpah by filing the #TexasFoldEm lawsuit. This is LITERALLY their argument, which Trump’s own DoJ is actually SIDING with:
9/ I’m quite serious: Their entire argument is that BECAUSE they cut off the red leg, that means they get to off the blue leg as well, and while they’re at it, they also get to cut off the green leg.
10/ IF they win their case and IF that ruling is upheld by SCOTUS, this is what it’ll look like.

Oral arguments to happen the first week of September…the same time as the Kavanaugh hearings.
11/ In fact, now that I think of it, even the SEAT of the stool would be gone, as there would no longer be any minimum network adequacy requirement (which isn’t robust enough as it stands).
12/ This video is a real-life example of EXACTLY what I’m talking about:

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More from @charles_gaba

Aug 27, 2018
⚠️ GRAPHICS-HEAVY THREAD: Next week, the #TexasFoldEm lawsuit brought by 20 Republican Attorneys General against the #ACA goes to court. The Trump Administration is refusing to defend against it even though it EVERY legal expert says it’s a pile of steaming garbage. 1/
2/ If the #TexasFoldEm plaintiffs succeed, federal protections for those w/#PreExistingConditions would be gone. Not just on the individual market…people w/EMPLOYER coverage would be at risk as well, especially since most people are out of a job at least once in their lives.
3/ Here’s a reminder of the idiotic “argument” the #TexasFoldEm plaintiffs are using:
1. SCOTUS ruled the #ACA mandate is only Constitutional because it’s a tax.
2. The GOP repealed the mandate tax.
3. Therefore, they get to repeal the rest of the #ACA as well.
Really. That’s it.
Read 67 tweets
Aug 13, 2018
THREAD FOR EVERYONE OVER 40 YEARS OLD:

Do you remember “Harry & Louise”?

Here’s a reminder. Watch both commercials, but especially the second one. There’s a LOT going on here:

2/ First of all, notice how in 1993, “community rating” (i.e., not being allowed to charge people more based on their health status) was considered a HORRIBLE thing.
3/ Cut to 2018: 8 yrs after the Affordable Care Act was signed into law, 89% of the public thinks it’s important NOT to charge people more for their health insurance based on their health status. EIGHTY-NINE PERCENT. This is the real legacy of the #ACA.

kff.org/health-costs/p…
Read 19 tweets
Aug 10, 2018
ATTENTION MICHIGAN RESIDENTS: I’m trying to track down the Twitter handles for the following 2018 Democratic nominees; please help if you can, thanks!

HD001: Tenisha Yancey
HD003: Wendell Byrd
HD004: Isaac Robinson
HD005: Cynthia A. Johnson
HD006: Tyrone Carter
HD012: Alex Garza
HD013: Frank Liberati
HD014: Cara Clemente
HD016: Kevin Coleman
HD022: John Chirkun
HD024: Laura Winn
HD025: Nate Shannon
HD028: Lori M. Stone
HD030: John P. Spica
HD031: William J. Sowerby
HD032: Paul Manley
HD036: Robert Murphy
HD045: Kyle Cooper
HD048: Sheryl Y. Kennedy
HD049: John D. Cherry
(yes, THAT John Cherry…he doesn’t seem to be on Twitter?)
HD050: Tim Sneller
HD051: David E. Lossing
HD054: Ronnie D. Peterson
HD056: Ernie Whiteside
HD057: Amber Pedersen
HD058: Tamara C. Barnes
HD059: Dennis B. Smith
HD063: Jennifer Aniano
Read 5 tweets
Aug 10, 2018
THREAD: Yeah, I have insomnia, so here’s some wonky info re. single payer, M4A and the Michigan Gubernatorial primary. 1/
2/ Now that the #MIGov primary is over, since the most contentious debate between El-Sayed and Whitmer (besides 'dark money') was about single-payer healthcare, let's get a few things straight:
3/ 1. "Single Payer" refers to any healthcare system where the gov’t is the payment source for healthcare providers (doctors/hospitals/drug cos/etc).
Read 44 tweets
Aug 8, 2018
🚨🚨🚨
GRAPHICS-HEAVY THREAD WARNING!
How Much More Will #ACASabotage Cost Unsubsidized Enrollees in YOUR Congressional District???
1/ Last year, I posted state-by-state infographics which broke out the estimated number of Americans who would lose healthcare coverage if each of the various #ACA repeal bills form the GOP were to become law.
2/ At first I used my own estimates, but then @EmilyG_DC and her colleagues from the Center for American Progress (@amprog) stepped up and started compiling their own projections. Their methodology was different but our estimates were generally in the same range.
Read 67 tweets
Aug 5, 2018
Annnnd they’re finally being completely honest: They’re not Americans anymore.
For anyone wondering, here’s where this came from: facebook.com/photo.php?fbid…
Read 7 tweets

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