What's weird is the GOP talking points (including Ryan and McConnell on various talk shows etc) since Trump's election have been that the ACA is shit because 1) premiums are too high (definitely true for some middle income people); 2) deductibles are too high (definitely true in some cases); because 3) there are too many things insurance is mandated to cover and 4) not enough incentive for healthy people to buy in. (And this doesn't even address the majority of people that got covered under the ACA, the poor...just the smaller higher income segment). The only thing they consistently praised about Obamacare was keeping young people on parents' plans, and making sure pre-existing conditions didn't exclude people from buying insurance.
So then they present this absolute SHIT SHOW of a bill that 1) decreases subsidies to buy insurance, resulting in higher percentage of premiums having to be paid out of pocket (OPPOSITE of what people want); 2) allows states to drop 'standard of care' requirements for the plans offered, which effectively will allow insurance companies to sell shittier plans with higher deductibles (MAYBE people want this because they think it will mean much cheaper insurance, but I'm skeptical); which then 3) opens the door for insurance companies to be allowed to sell insurance to people with pre-existing conditions THAT DOES NOT COVER THEIR PRE-EXISTING CONDITION. Sure, Mr. Cancer Survivor, this law dictates I must offer you some sort of insurance plan...so I'm offering you a plan that does not cover chemotherapy. Pay up. And finally, 4) this bill includes ZERO provision that incentivizes buy-in from healthy people, which means they are setting up a bill prone to immediate death spiral.
And of course, this doesn't even address the bulk of the people newly covered under Medicaid, who will be gradually kicked off their coverage over time.
And for the icing on the cake, they are ALSO gutting the funding for Medicaid that was present BEFORE the ACA expansion, so they can spread the pain over even MORE of the poor, elderly, and disabled.
So, the richest 400 families in the U.S. will get a tax cut equivalent to the cost of health care for the poor in FOUR STATES.
I cannot wrap my head it. I am seriously starting to think Paul Ryan (who has actually been quoted describing how he used to be the guy in the corner at fraternity keggers, talking about his dreams of ending Medicaid funding) is an honest to god sociopath.