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Battlelines are being drawn between Republican senators on pre-existing conditions

The Republican congressman whose amendment was key to passing Trumpcare in the U.S. House shrugged off predictions that millions of Americans would lose their health care coverage under the legislation he helped craft.

The analysis said the House bill, the American Health Care Act, would reduce federal deficits by $119 billion over the next decade. Republican senators have consistently said since the House bill passed that they expect their version to take a far different approach to Medicaid.

Older, low-income people would be hit hardest by the changes, the CBO says, because the proposed tax credits are less generous than those in Obamacare, while insurance for those older than 50 is the most expensive. The CBO said markets for people to buy individual insurance plans could then become "unstable" in states that choose to waive the Obamacare requirements for coverage of pre-existing medical conditions and essential health benefits.

This turned out to be a shell game, where government handouts to insurance companies with a bad law like Obamacare, are going to be worse with the AHCA if the Senate goes along with it.

"The CBO says we're going to drop premiums". Good policy for the American people doesn't matter anymore, it is all about cheap political wins, and "We the People" are the victims.

"I think that's more rhetorical than reality".

"It is clear from the CBO analysis that the amended Republican health care plan is no better than the original bill", said Sean Cahill, Director of Health Policy Research at The Fenway Institute. The CBO found that it would mean lower premiums for young, healthy people in those states, but that premiums could be unaffordable for people with pre-existing conditions. But those cuts are what will drive 23 million Americans off their coverage over the same 10 years, the report, with the bulk of those losing coverage in fiscal 2018. The increase in the number of uninsured people relative to the number projected under the PPACA would reach 19 million in 2020 and 23 million in 2026. The CBO estimates that about half the population resides in states that would not request waivers, about one-third of the population resides in states that would make moderate changes to market regulations, and about one-sixth of the population resides in states that would obtain waivers.

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GOP senators are working to pass a health-care proposal, though some lawmakers have suggested they could scrap the House plan entirely.

With polls showing that only about 1 in 5 five Americans support the House bill, Republicans have many issues to resolve.

It's also important to remember that the health-care plans in the ACA and the AHCA are not necessarily comparable.

That is because some states would seek waivers from health-care market rules that would allow healthy people to segregate themselves in their own low-priced risk pool, leaving sicker people with skyrocketing costs.

The AHCA would also cut subsidies that have made it possible for millions of families to buy health insurance, dramatically raising costs for poor people and senior citizens.

Though one-sixth of the US population may not seem like a lot, it equates to about 53.5 million Americans-and some public policy experts are saying that a single state's decision to adopt a waiver could have effects across state lines, weakening protections for people across every state.

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