By Sarah Kliff/Politico staffWith a sweeping, two-week deadline looming, the Trump Administration on Thursday released its first major policy plan for repealing and replacing Obamacare.
The White House says the bill will eliminate or reduce the number of Americans covered by the law and will preserve insurance markets for people who cannot afford it.
The law is the most popular health care law in the nation, and it is widely considered to have saved millions of lives and boosted health care costs.
But it has also caused the nation to suffer the consequences of spiraling out of control, with premiums rising faster than inflation.
And it has led to millions of Americans losing their insurance plans and causing millions of others to pay higher prices for other types of coverage.
President Donald Trump’s new health care plan would end the expansion of Medicaid, a program designed to provide health insurance to low-income Americans.
The Congressional Budget Office estimated that Trump’s plan would cause the federal government to spend an additional $4.3 trillion over 10 years to pay for the new federal health insurance programs that will be established.
Trump’s proposal is expected to add millions of new people to the federal rolls, and many Americans will see their insurance costs go up.
But even as the Trump team seeks to portray the legislation as a win for Americans, critics say it is more likely to leave millions of people without health insurance.
“There’s no doubt that it will cost more to insure the next generation of Americans,” said Michael Tanner, a professor at the University of Chicago’s Kellogg School of Management.
“If you look at the number that are insured under the ACA, that’s still more than $5,000 higher than if you just kept the ACA in place.”
But the Trump White House is trying to show it is not pushing for an increase in the number or the cost of insurance for millions of the people who are already covered.
Instead, it is touting a plan to make insurers more flexible and reduce deductibles.
And while the administration claims to be working to ensure the plan “ensures everyone has the ability to maintain coverage and continue to make premiums affordable,” the Trump proposal includes an “emergency waiver” that allows insurers to offer plans to people who have had their coverage taken away, and to people with preexisting conditions.
This is a very difficult situation to find a way around.
If the waiver were to be implemented, the cost and the quality of coverage for many of the newly insured could go up drastically, the CBO said in a recent report.
And if the waiver is enacted, the Congressional Budget office estimated that people who gained coverage through a preexistent condition would end up paying more in premiums than people who did not.
“We believe the Trumpcare plan is going to be good for the American people,” said Dan Newhouse, vice president for policy at the conservative advocacy group Club for Growth.
“But the reality is that the number is going down, premiums are going up, the quality is going up.
The American people are going to have to choose between being covered and being able to get care.”
A new White House report released Thursday suggests that millions of enrollees will be hit hardest by the plan.
According to the CBO, the estimated increase in premiums from the repeal and replacement of the ACA could result in an additional 3.2 million people losing their current coverage.
And the CBO estimated that a majority of those losses will occur in states that expanded Medicaid under the new plan, which would likely drive up premiums even further.
It’s not clear how the repeal of the law would affect the millions of low- and middle-income people who now rely on the federal program for coverage, the report said.
Republicans and Democrats in Congress are expected to hammer out a plan for health insurance subsidies for people with lower incomes.
For many people who lose coverage because of the repeal, the decision to go without insurance could prove difficult.
Many people who lost their insurance under the Obama-era law are still paying their premiums, but they may not have access to the subsidized subsidies they had been able to obtain before the repeal.
Some people who do not qualify for subsidies may be able to find other ways to afford coverage, including health savings accounts or employer-sponsored health plans.
With the CBO projecting that 3.5 million people would lose coverage if the new bill becomes law, the White House will be faced with making a tough decision.
Many people who receive subsidies may find it difficult to afford premiums and deductibles, and the White Senate is expected not to include provisions to ensure that all of those people can continue to receive the subsidies.
If that happens, the administration will be looking to insurers to decide whether or not to offer coverage, said Scott Greenberg, the vice president of health care policy at Avalere Health, a health insurance industry research firm.
Insurers will likely decide whether to offer subsidies for those with lower income or the new