Wexton

Jennifer Wexton

Last week, the Trump administration asked the courts to strike down the Affordable Care Act in its entirety. Andy Slavitt, former acting administrator of the Centers for Medicare and Medicaid Services, characterized this action as a “neutron bomb.” Perhaps that’s hyperbole, but it won’t feel that way to the millions of Americans who would find themselves either without health insurance or without the critical protections that the ACA provides should the administration’s wish be granted. For so many of us, health insurance can be the difference between life and death, or bankruptcy and financial stability.

The Affordable Care Act, while imperfect, brought coverage to over 20 million Americans who were previously uninsured. The ACA ensures that you can’t be denied coverage for a pre-existing condition, whether it’s asthma, a previous pregnancy, or cancer. It requires insurance companies to cover essential health benefits -- services like maternity care and hospitalization. It also provides coverage to millions of the most vulnerable in our society thanks to Medicaid expansion -- including up to 400,000 Virginians.

All of these benefits will disappear if the Trump administration succeeds in eliminating the ACA. Repealing the ACA would cause up to 21 million Americans to lose their health insurance. It would cut nearly $874 million in Medicaid spending for opioid addiction treatment, and would jeopardize coverage for the 133 million Americans who live with a pre-existing condition.

In 2017, Republicans in Congress passed a tax bill that repealed the individual mandate of the ACA. That decision -- to prioritize irresponsibly outsized tax cuts over health care for millions of Americans -- is the rationale the administration is using to bring the ACA to court today.

But Republicans no longer control both chambers of Congress. In the historic 2018 election, Democrats placed health care at the top of our agenda, and we are delivering on our promise to make care more accessible and affordable. On day one, we authorized the general counsel of the House of Representatives to enter the legal battle over the ACA on the side of the American people.

Just last week, House Democrats introduced a bill I cosponsored, the Protecting Pre-Existing Conditions & Making Health Care More Affordable Act. This bill will lower health insurance premiums, crack down on short term junk health insurance plans, strengthen protections for people with pre-existing conditions, and reverse the Trump administration’s health care sabotage. The new majority is taking action to improve our health care system, not tear it apart.

That’s the contrast between an administration that is working overtime to gut the ACA while providing no alternative for the tens of millions who would lose health insurance and a Democratic House majority that is proposing smart, pragmatic health care policies that will lower costs and expand coverage. I came to Congress to find solutions that tackle our biggest challenges, and the Protecting Pre-Existing Conditions & Making Health Care More Affordable Act will do exactly that.

_______________

Jennifer Wexton (D) represents Virginia's 10th District in the U.S. House of Representatives.

(50) comments

amerigirl

LetSanityPrevail Anyone who knows anything about Medicare for All also knows that it is a buy-in if you are not old enough to get Medicare, just like people know that only part of Medicare is free. If you want extra parts you pay for those. You would have to have your head in the sand to think otherwise. There is no free lunch and the Dems have been very open about that, no dishonesty.
Your statement about doctors not taking Medicare is wrong. It was true up until 2016 but that number has been cut in half in just 1 year and is declining
If you want more coverage by buying supplements then you can buy them, it is not mandatory. Just as adding extra insurance like eye or dental or raising your cap is now. How would it limit medical options? Or procedure options? How can you make those statements when there are so many plans out there that are under consideration? When, if it becomes everyone being on the plan it will raise taxes, but you still will be paying less, much less, than you would for private insurance. Medicare pay 2% to admin costs, only one sixth of what a traditional company pays. The more cost cuts the less you pay. If Medicare is the only place drug companies can sell to they couldn’t keep charging outrageous prices. There would be a price war between drug companies. All companies deny certain procedures, not just Medicare. At least with Medicare you would know ahead of time instead of fighting with your insurance company about why they won’t pay a bill. And there is no annual limit on Medicare like traditional companies that might cap you at $1,000,000 a year. A catastrophic illness or accident could take you to that limit quickly and you would have no coverage after that, unless you have Medicare, Medicaid or are on Obamacare.

LetsBreal

You are living in a dreamworld. From medicaleconomicsdotcom:


"In the mid 2000s, through Medicare’s Sustained Growth Rate (SGR) formula, they were paying about 34% of the physician’s usual and customary fee. Today, they pay about 29% of that fee. They cannot cut down any more.

I am in private practice as an internist in primary care. I employ 1.5 full-time equivalent employees. I see patients in my office who have private insurance, nursing home patients, disability examinations, I contract with LHI to see patients for the Army and Coast Guard and I am medical director of a local hospice.

In real dollars, I need to bring in about $130 per patient visit to stay open. I track metrics on everything. My average Medicare payment is $61.70 per patient per visit. As a result, I have eliminated Medicare-only patients. Rather, I see Medicare patients who have a supplement plan, or a Medicare replacement plan. This adds an additional $25 per visit. This is still not enough.

I have significant overhead: payroll, taxes, internet, telephone bills, electricity, medical supplies, computer technology, malpractice premiums, etc. Income has to exceed expenditures, otherwise, I close my doors and put my employees out of work.

Kevin P Rosteing, MD MSMI
Green Bay, Wisconsin "

amerigirl

BS, this is how Medicare actually pays for a doctor like that who does not accept Medicare patients: Nonparticipating providers may choose to accept assignment, and therefore receive reimbursement directly from Medicare, on a claim-by-claim basis. For all assignments that a nonparticipating provider accepts, Medicare reimbursement is 5% less than what participating providers receive. For services for which nonparticipating providers do not accept assignment, the limiting charge is 115% of the nonparticipating fee schedule amount. In the 2019 calculator, the "Without Sequestration/MIPS" amount with the 50% MPPR applied is the maximum amount the nonparticipating provider can collect from the beneficiary.
So, either this guy was really overcharging or he didn’t fill out the paper work correctly. Since Medicare is the largest insurance in the US they can cut better deals.

LetsBreal

How about everyone just turn over their entire pay check to you and you can spend the entire GDP as you see fit! It's a joke, but you are a little control freak.

swampfiller

your arguments are not 100% correct. I had to retire early because of disability. I wanted to keep my issuance from work, but it was not allowed. I was forced into Medicare if I wanted any medical insurance. Fortunately I could afford supplemental insurance. Some costs went down but most went up, especially Medicare rates, and many doctors won't take MEDICARE; and supplemental insurance rates have doubled. Most of us call it ObamaCare, because we get fewer choices, pay more, and we keep getting screwed.

LetSanityPrevail

swampfiller, I experienced the same when I went on Medicare. My doctor of 25 years would not take Medicare so if I wanted to continue with him it would be fully out of pocket as supplemental insurance will not pay if Medicare does not pay.

amerigirl

Workhard, the name calling is so third grade! Sounds just like trumps stupid remarks like “little rocket man” Did you forget that Obama was pulling us out of a recession from Dec. 2007 until June of 2009 during that 10 year time span you are talking about? And as usual your figures are wrong Obama added $8.588 trillion over his 8 years even with the great recession. Trump plans to add $5.088 trillion to the debt in his first term. That's a 30 percent increase from the $20.245 trillion debt at the end of Obama's last budget for FY 2017. At least Obama had years where he only raised it by billions not trillions, and managed to get a bill passed that created affordable insurance for millions.
You know exactly what I mean by trump running things he thinks only he is smart enough (love to see his school transcript he paid to hide) to do any job. Ha Ha, he can’t even keep people in positions, hasn’t even filled all the embassies. He can’t get his job done. Of course, he has not said he wanted to be king, but he loves him some autocrats, Putin, Kim, Duterte. Remember “I find China, frankly, in many ways to be far more honorable than Cryin’ Chuck and Nancy. I really do” (1/10/19) Yes he said “honorable” I don’t need civics; you need current events. He doesn’t want smarter border laws, that is what the dems wanted. He wanted an archaic wall.

workhardgetahead

Obama this Obama that, again, you sound like the teacher from a Charlie Brown cartoon. He loves Putin? The Russian myth has been dispelled or havemt you been paying attention?

amerigirl

No one dispelled the fact that trump adores Putin, you must be thinking that the Mueller repot cleared him just because he said so. I just downloaded the Mueller report …………… man that is far from true. You still echo what trump says even though he is a pathological liar. I would suggest that you download it also, you can see how Barr lied about the report in pages 1 and 2. Speaking of Obama, why is trump so intimidated by him?

workhardgetahead

Only in the DNC media it hadn't been dispelled.
Amerigirl, take some time off, you need it.
Oh, and Trump isnt intimidated by Obama.
Besides, We may be seeing Obama in cuffs soon. What a pretty site that would be.

LetsBreal

Obama didn't even become president until January of 2009. Youtube this: "Senator Obama calls Bush "unpatriotic" for adding trillions to debt". Obama then proceeds to do the exact same thing himself after being elected president. Please don't lecture us on how great Obama was. I haven't seen ANY democrat politician give two hoots about our country being flooded with uncontrolled immigration. All democrats care about is packing the ballot boxes to retain power.

amerigirl

No matter what the truth is you will always hate Obama. Trump is not pulling us out of a recession, he has positive growth when he took office and has continues to raise the deficit and use our tax dollars for frivolous things. Remember trump saying he would not have time to play golf like Obama did (Obama played 306 rounds over eight years averages out to a little more than 38 rounds a year, Some of them on the front lawn) but trump has played 1675:42 hours of golf in his 170 golf trips at a cost of $97,000,000 to the tax payers.

amerigirl

True Obama came into office in January of 2009 and by February 2009, Congress approved Obama's $787 billion economic stimulus It cut taxes, extended unemployment benefits, and funded public works projects.In just seven months, the American Recovery and Reinvestment Act pumped $241.9 billion into the economy. That increased growth to a robust 3.9 percent rate by early 2010. Democrats have tried repeatedly to pass an immigration reform bill but trump tries putting outrageous demands for money for his archaic wall into it and it doesn't pass. All of it is history and can be looked up.

RoundHillGuy

If you like your doctor you can keep him.

LetsBreal

Yes, and Obamacare was promised to save everyone an average of $2,500 per year in premiums. Now let's change the name to ACA because OBAMAcare has been a huge failure.

Since it stole almost One Trillion in funding from medicare, can we get the democrats to restore that funding from Obamacare, or is the money gone? I'm sure those who paid into medicare by way of FICA confiscation from their pay checks did not pay in to medicare so Obamacare could steal the funding.

LetsBreal

Obamacare was a payoff to democrat voters. It was front loaded for three years before it even took off and after it was implemented, it started having financial problems in just two years. Why is that? Well, when you have a program that charges people $200 a year for insurance but gives them $50K in benefits, everyone rushes in to take advantage of the program and that's exactly what happened. The difference that providers experienced was passed on to everyone else who has health insurance. So everyone's premiums went up.

The more government gets involved in anything, the worse it gets. Our health insurance and health care system is no exception. This government needs to get back to what it's chartered to do per the U.S. Constitution. We are almost $22 Trillion in debt today at the federal level. Given 320,000,000 in this country, that's around $67,000 for every person in the U.S. For all intents and purposes, we are broke.

Ms. Wexton, please stop selling out the next generation by promising things we can't cover. What will you demand the tax payer provide next?

amerigirl

The ACA is a massive piece of legislation and some kinks were expected. What wasn't expected was that the republicans would not allow any new legislation regarding the ACA to even be brought to the floor. The debt has nothing to do with the ACA, it is mostly due to trump who should be lowering the deficit while the economy is good.

workhardgetahead

Its horse feces legislation!!

workhardgetahead

I thought this good economy started under Obama. If that's the case why didnt he reduce the deficit? Instead he raised it 10 trillion in 8 years.

swampfiller

I missed this when you wrote it, forgive me. As a great American once said; you are full of turkey feathers.. Get over it.

gbay926

Can we lose the "democrat party" meme? It is the Democratic Party. I immediately dismiss any comment by a person whom types "democrat party'

LetsBreal

The democrat party pushes very undemocratic super delegates to tilt elections to whatever the party wants. The democrat party pushes ideas that are so great, they have to be mandatory and pushed down people's throats by government edict. The democrat party confiscates part of union workers dues against their will, and throws the proceeds towards democrat candidates whether they agree with them or not. The democrat party is constantly in favor of taxing one group by force (AKA theft) and giving the proceeds to another group as subsidies, grants, "cost sharing", payoffs and tax waivers; none of this government redistribution is through the legitimate constitutional functions of what this government is chartered to do. The democrat party excels at using identity politics to pit one group against another to consolidate power. The democrat party has turned out to be very undemocratic over the years.

Chris McHale

Senator Feinstein asked AG Barr today why if Congress voted for it, the President signed it and the USSC rule it constitutional, he would not enforce it. AG Barr responding by noting that the USSC stated that although ACA was un onstitutional un general, it was constitutional as a tax. AG Barr then noted that Congress removed the financial penalty of the ACA, there by removing the "tax". So if it is not a tax he believes it to be unconstitutional. He added that at no point would he enforce a law against the people of the US that he felt unconstitutional.

BobOhneiserEsq

letsanityprevail makes an important point but it needs to be expanded. The AMA is a monopoly that limits the access to medical professionals by citizens who need care. Ask yourself why does an MD really have to review the cholesterol status which came in writing from the blood test lab? Couldn't the nurse do that? The supply and demand of doctors is out of whack due to the AMA requiring doctors to do so much which is well below their real learning and capabilities which ties into tort reform.
Second - why can't insurance companies cover anyone anywhere? When I was on the school board for 8 years we had insurance coverage yet the day after I left the board I could not get the same insurance company to continue coverage at any price as they were not allowed by the state of Virginia to serve individual families. All the value of having a medical history/records lost due to bureaucracy/lobbying to protect state preferred providers. We need to stop using labels to argue about medical care and get the walls created by protectionist regulators like the AMA and State line based restrictions removed. Most nurses are far more qualified to practice medicine than they are allowed to! If anyone doubts that hospitals make a lot of money just notice how often they are being expanded locally yet they don't contribute anything to property tax. (another issue for another article)

LetSanityPrevail

Bob, I agree that the medical profession should expand its use of qualified staff such as PAs to take the burden off of MDs and that trend is occurring. Expanding insurance coverage over state lines would also be a very valuable change or allowing individuals previously covered by group plans to move it to a private plan (perhaps at an increased rate). One other aspect I would like to see is the ability for the SBA to negotiate a group plan for small business that are less than 10 employees. The combined buying power of American small businesses if combined would enable them to buy insurance for their employees at preferable rates, much like large corporations. As a previous SB owner myself, this would have been a god-send for my employees and me but was not an option.

amerigirl

Maybe something will get done now that the dems have the house. before they wouldn't even bring the things they wanted to assist the ACA being better to the floor. Their excuse was they wanted the ACA to fail even though they had no real plan.

workhardgetahead

Seriously, something will get done now since the dems have the house. Maybe if their Trump derangement Syndrome didnt blind them maybe something but they will anything not to work with Trump.

amerigirl

workhard, that's trumps problem, he thinks he shouldn't have to work with anyone. He wants to be king, you know, fire the judges, or on HHS "I'm the one running Homeland Security ... It's me!”

workhardgetahead

Technically he does run Homeland Security.
Homeland Security is under the executive branch of government and who runs the executive branch? The President. Maybe you should go back to civics. Trump never said he wanted to be King, that's you Dumbocrats making that up. He just wants smart border and immigration laws. Not open borders and unfettered immigration like you dumbocrats.

LetSanityPrevail

Congresswoman Wexton fails to address the real crisis in medical care costs. Congress has refused to tackle tort reform which leads physicians, hospitals, drug companies to have extremely high levels of insurance and premiums. In the case of practitioners they also practice defensive medicine ordering extensive tests not necessarily needed for diagnosis but rather to protect themselves against malpractice suits. There are some good aspects of the ACA like the prexisting conditions clause, but there is much to criticize as the law currently stands.

gbay926

When any repub proposes a health care plan that covers pre-existing conditions, those un or under employed, retirees, keeps folks out of unnecessary emergency room visits, etc., etc., I will pay attention. Until then, thanks to Rep. Wexton, Beyer, Kaine, Warner, Favola, Murphy, and all others working to make health care accessible to all. To you naysayers, tell me what your answer is

workhardgetahead

You're a liar. President has already said anything that replaces the horse faces ACA will cover pre existing conditions. PATY ATTENTION or go stand in the corner and insert you thumb in your mouth.

amerigirl

Real tactful. and they say trump followers aren't hateful. It's pay, not paty, maybe you should stand in the corner until you learn to play well with others.

swampfiller

Get ready she's coming after you.

Chris McHale

The Affordable Care Act is a political football that just keeps getting thrown around. I would prefer more action being taken against the government for developing drugs with tax payer money and then simply handing it off to big pharma to sell back to tax payers at ridiculous costs. Politicians continue to focus on insurance but do nothing to control the cost of medical care. The reason medical cost can cause bankruptcy is not because you lack insurance but because the cost of the care is outrageous.

amerigirl

They have had congressional hearing it took getting the dems into the house to finaly get something moving.I noticed the reps did nothing with all the years they had control.

swampfiller

]ust like all the years the demoncrats had to take care of the immigration problem. They rather spend their time bashing Trump. Oh I forgot; everything is Trumps fault, including the Civil War. Must be climate change. bzzzzzzyzyz Off Topic

jke

We have seen the enemy and it us! Wexton, Northam, Boysko, Tran...

gbay926

Why? Where are they wrong on healthcare?? Ad hominem attacks are stale and non-productive

amerigirl

Care to explain? Are you just ranting? I heard that the ACA is more popular than ever. maybe you want to go back to the good old days when pre-existing conditions weren't covered, dependents weren't covered until they are 26 and insurance company execs had golden parachutes crated by making us overpay.

amerigirl

[offtopic]

tolerantleft

Where's Wexton on infanticide? Where's Wexton on Lg. Gov. Fairgax alleged sex abuse? Where's Wexton on the other two racists Northam and Herring?

gbay926

Infanticide is a delusional, dog whistle. No one is proposing any such thing

amerigirl

tolerantleft is obsessed with infanticide, it's all he wants to talk about, best to ignore him.

workhardgetahead

The ACA is garbage legislation, passed by a garbage Congress and signed into law by a Garbage president.

amerigirl

Why do people love it so much?

workhardgetahead

Maybe you do but its tolerated not loved

swampfiller

They don't, you just have a case of wishful thinking.

amerigirl

Workhard Aug 23, 2018 - Obamacare is more popular with American voters than the Republican-enacted tax cuts, according to a new Fox News Poll., People want reliable, stable health care, whether its Obama care, medicare or Medicaid buy in, or medicare for all. Kaiser Family Foundation found nearly six in ten (56 percent) favor a national Medicare-for-all plan

LetSanityPrevail

The devil is in the details. Of course they want Medicare for all but they think it won’t cost them to buy in after all it will be free /sarc off/. In addition today’s Medicare recipients need supplemental insurance to cover the gaps in Medicare and are finding it harder to obtain services as Doctors are refusing to take patients on Medicare. The problem with these promises by Democrats is that they are not honest with the American people. There is no free lunch. A Medicare for all plan will require participants to pay more in taxes, will limit their medical options and will probably require supplemental insurance buy in. If you are at all familiar with Medicare you would know that certain procedures are denied as well as additional payments by those retirees who earn more than a certain limit.

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