HEALTH COACH - House Vote on the GOP health care bill Thursday, the majority leader Kevin McCarthy says that he will pass: Shots

HEALTH COACH -

 House Vote on the GOP health care bill Thursday, the majority leader Kevin McCarthy says that he will pass: Shots  









House Majority Leader Kevin McCarthy attended the House of Commons on Wednesday, saying he had the votes needed to pass the GOP health care bill on Thursday.



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 House Majority Leader Kevin McCarthy, seen going to the House of Commons on Wednesday, said he has the votes needed to pass the GOP health care bill on Thursday. 


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  Updated at 7:15 p. Ex.  
 
 Republicans of the House hand over their health care bill for a vote on Thursday. The US health care law was withdrawn from Parliament just a few minutes before an expected vote in March, which was perceived as a major failure of the Republicans on a key campaign pledge. 
 
 House Majority Leader Kevin McCarthy said on Wednesday night they were confident of having enough votes to vote the bill under his last form Thursday afternoon, midday. 
 
 As they tried to garner enough support for their health care bill to pass, Republican lawmakers continue to add money pots to the proposal to pay The costs of people with high medical costs. Cash would be highly likely for "high risk pools", which pay the patients' fees so that insurance companies do not have to. 
 
 AHCA is the latest in a long series of attempts to transform the health care system. Those who have spent include Medicare, then Medicaid, then Obamacare. Now we move on to Trumpcare, or whatever it may be labeled, which seems to turn into another great federal program to pay bills for people suffering from costly illnesses. 

 













 House Speaker Paul Ryan pleaded in favor of high-risk pools during the television show Charlie Rose   in January. 
 
 "As far as taxpayers are concerned, I think, intensify and concentrate, thanks to pools of risks that subsidize the care of people with catastrophic diseases, these losses should not be covered by everyone [buying insurance] and we are stabilizing their plans, "Ryan said. 
 
 The original version of the House of Commons bill, called the American Health Care Act, includes a "Stability Fund for the Patient and the State" with $ 100 billion over 10 years. States to help defray the health costs of their citizens or reduce their premiums. 
 
 Subsequent amendments added an additional $ 30 billion to create a high-risk "invisible" federal pool, with money to reimburse insurers who cover patients with expensive diseases and pay for Prenatal care and childbirth. 
 
 And on Tuesday night, Representative Fred Upton, R-Mich., Proposed adding an additional $ 8 billion over five years to ensure that sick people benefit from 39 And adequate coverage through high-risk pools. 
 
 "We believe that the $ 8 billion over the five years will more than cover those who could be affected," Upton said Wednesday after a meeting at the White House. "And as a result, [it] keeps our commitment to those who in fact would otherwise be denied due to pre-existing diseases." 
 
 Ryan says that the purpose of the Republican bill is to offer more and cheaper choices of health insurance. By separating those who have costly medical conditions, the remaining clients for individual insurance could buy policies stripped away with fewer benefits at a lower price. 
 
 Several states have tried high-risk pools in the past, but they were generally underfunded, leaving millions without access to adequate health care. Legislators hope that by putting the weight and money of the federal government behind them, they can function better. 
 
 The federal government is already in the business. It pays for the health care of more than 40 percent of the population, through Medicare, Medicaid, Army and Veterans Affairs, according to the Census Bureau. 
 
 Medicare is basically a giant group of high risk. The program, which pays for health care for people over 65, was created in 1965 because this population could not get affordable private health insurance precisely because its health costs were too high. 
 
 Last year, the federal government spent about $ 591 billion on health insurance, according to the Kaiser Family Foundation. 
 
 Medicaid, which covers the poor or disabled, is essentially another high-risk group, paid with about $ 550 billion in taxes in 2016. 
 
 And then there To the Veterans Health Care Administration, which pays the care of many people who have served in the army. 
 
 Covering people that commercial insurance left behind was also the goal of the Affordable Care Act. 
 
 The law was designed to ensure that individuals in the personal insurance market who have pre - existing medical conditions, often excluded from traditional insurance schemes, could obtain coverage. Obamacare tries to achieve this by demanding that everyone, sick and healthy, buy insurance so that costs are spread across a large population. 
 
 This has led to higher premiums for many young and healthy people because they subsidize those who are older and older, and also because they have to buy a Insurance with a generous menu of benefits prescribed by the government. 
 
 The Republican plan aims to reduce these premiums by getting rid of the Obamacare rules requiring policies to offer a wide range of benefits, including prescription coverage and maternity care; Limit the amount of more businesses that can charge elderly people; And oblige insurers to charge the same price for people with existing medical conditions. 
 
 But many Republican congressional members, including Upton, no longer want to see those with more medical needs once again extinguished from the system. 
 
 "We are talking about a way to fund a social goal that was created by the Affordable Care Act," says Joe Antos, a resident student of the American Institute of Conservative Enterprises . "I do not think the Republicans want to come back on this. They agree that we have turned this corner." 
 
 Antos says the big difference between what is being contemplated by House Republicans this week and health insurance or other government health programs are that pools or high-risk subsidies would be Most likely managed by private health insurers, which have incentives to save money and be effective. 
 
 Zack Cooper, Professor of Politics and Health Economics at Yale, agrees. 
 
 "Once you have decided to cover everyone, you are in the process of discussing the origin of money," he said. "The ACA makes me subsidize. High risk pools just do this through taxation. 
 
 Until now, the House 's GOP bill does not require states to create high - risk pools, but some of the money is specifically attributed to This end. These pools could be separate state insurance programs similar to the traditional Medicare or Medicaid systems or "invisible" where individuals purchase their insurance in the ordinary market but the government pays the expenses of people Considered high risk. 
 
 Maine has an invisible risk group where insurance companies must hand over to the state 90% Of the premium paid by any person who considers a high risk. This prevents companies from abusing high-risk status, says Antos, as insurers would forego income from patients who do not have high medical costs. 
 
 After Maine established its high-risk pool, premiums for 20-year-olds declined by an average of $ 5,000 per year, and 60-year-olds saw their costs decline About $ 7,000. At the same time, enrollment in private insurance has increased, according to a study conducted by  Health Affairs . 
 
 The Republican bill does not provide for a system similar to that of Maine. And the flexibility in the bill, coupled with the limitations of the money available, could be a problem, says Linda Blumberg, a member of the Left Urban Institute. As much as the pot of money is limited. 
 
 "We are going to provide X dollars, so let's let the states discover the benefits they can get for these people for the money we provide," says Blumberg. 
 
 Emily Gee, a health economist at the Democratic Center for American Progress, says the Republican proposal requires about $ 20 billion more annually to adequately pay for the costs of high-risk patients. 
 
 And that is a real risk, says Yale Cooper. 
 
 The government has carried out a review of the creation of programs to help needy people but do not adequately fund them to ensure that they offer quality services, he said. This is a common complaint about Medicaid, where lawmakers frequently point out that it does not pay enough doctors. 
 
 "It tries to keep people away," says Cooper. "Fear is once you take them out of the books, you forget them."