Rural hospitals face uncertainty with health care proposals

Aaron Bernstein  Reuters

Aaron Bernstein Reuters

That kind of apocalyptic drawing of lines in the sand is exactly why the GOP is now stuck in a rut.

A re-examination of the question could yield surprisingly bipartisan agreement.

"That's the immediate emergency", McConnell said.

Can lawmakers be any more irresponsible than that?

- Eliminate the health care program currently enjoyed by Congress (the Republicans have the votes to do this, if they have the guts to do so). Those are not simple operations, no matter what the cause or prognosis.

Congress is at an impasse on replacing the Affordable Care Act, as neither party is willing to compromise. In 2012, Kentucky hospitals provided $2.4 billion worth of "uncompensated care". But will they even be invited to the table? They also sustain local economies, providing jobs and services that people there have come to see as indispensable in some of the nation's poorest and most isolated communities. He said there's still a year and a half left in this Congress, which gives Republicans time to work on other priority issues. "We're not going to own it. I'm not going to own it", Trump said.

LISA MURKOWSKI: Republicans have to admit that some of the things in the ACA we actually liked.

"There is no clear path out of this", said Robert Laszewski, an insurance industry consultant who's critical of Obamacare.

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"Give us the power to do what we think is best", Alvarado said.

They're concerned about the law's impact on health insurance premiums and mandates that require people to pay when they don't have coverage.

And for now, despite all the confusion, the ACA stands. It meant people could stop worrying about going bankrupt if they had a healthcare crisis in their family. Many of the ACA's provisions are popular.

People who work at hundreds of rural hospitals are also watching closely. We have witnessed a great strain on the health care system with increasing chronic disease and an aging population, but this has been supported by having almost all of our citizens covered by health insurance. Such a fund would be similar to one that existed during the first three years of the ACA exchanges.

It will be a disaster.

The non-partisan Congressional Budget Office last month predicted the Better Care Reconciliation Act as initially introduced would lead to an increase in 22 million Americans who are uninsured by 2026, compared to the Affordable Care Act.

Advocacy group Roanoke Indivisible spent Tuesday afternoon speaking out against repealing the Affordable Care Act. This would be a very straightforward way to stabilize Obamacare.

DAVIS: Two of those senators who did vote for it came out today and said they would not a second time around. But it looks like he doesn't have the votes for that either. As one conservative scholar has suggested, "No one should be under the illusion you can dramatically lower the cost of insurance in Los Angeles if you buy an Arkansas policy". That, in turn, allows health plans to keep their overall premiums lower and attract healthier customers into the insurance pool.

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