The Lack of Affordable Healthcare in the US

I realize this is a lot to read, but for those in the US, you should be aware of what is taking place.

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So as some of you have been following, the GOP controlled Congress has released their repeal and replacement of the Affordable Care Act (Obamacare).
The Congressional Budget Office was the much awaited report on how this would impact the US both fiscally and its effects on the current healthcare system.
In fact, the person chosen to head up the office was a pick of Paul Ryan and Tom Price the Secretary of Health and Human Services.
Unfortunately for the GOP this plan is absolutely a pile of garbage.
It raises prices on the most vulnerable in our society, the elderly, the disabled, the poor, many of whom are children.
Yet somehow, we can find the money to build a southern border wall and give a 10% increase to our military which already spends more than the next 12 countries combined.
The plan also defunds Planned Parenthood, which gets an annual reimbursement of around $400 million worth of women’s healthcare and contraception - no monies of which are used for abortions.
The plan axes mental health, which also axes drug and alcohol treatment - both of which are huge problems and already underfunded in our society.
32 of 33 “developed nations” provide some form of Universal healthcare, the United States being the lone holdout.
Maternity leave? Ha!!
Nope...nada....some countries even have paid maternity leave...here the woman likely just gets fired for being pregnant and taking time off to give birth.

The CBO predicts that in 2026, 7 million fewer people would receive employer-based insurance, either because their employers would choose to stop offering insurance or because the employees would opt out because the new law, unlike the ACA, doesn’t require everyone to be insured or pay a penalty.

Many of these people, including the young and healthy, would buy insurance on the individual market, in part using age-based tax credits provided by the proposed law, called the American Health Care Act (the AHCA).

All those people dropping off the employer insurance rolls actually makes the individual market–part of what the Obamacare tried to fix–look better in 2026.

The CBO indicates that’s a mirage.
The CBO says 2 million fewer people would be buying individual insurance compared to current law in 2026.

That’s in part because the 7 million people not getting insurance through their employers are buying individual insurance.

If they weren’t switching from employer insurance to individual insurance, the individual market would be down 9 million people.

Instead, those 7 million young, healthy people who would have been covered by their employers are using a federal tax break to help buy insurance.

“It’s probably not a good use of public dollars,” says Matthew Fiedler, a fellow at the Brookings Institution.

Meanwhile, the CBO forecasts that even more people would be booted from Medicaid, the federal program for giving the poor health insurance that is run largely at the state level.

CBO estimates that 14 million fewer people will receive Medicaid in 2026 under the AHCA, compared the ACA.

Five million of those people will be because states that have not opted for Obamacare’s Medicaid expansion now never will.

Nine million people in states that have expanded Medicaid coverage will lose it.

In total, the CBO estimates that 24 million fewer Americans will be covered in 2026 under the AHCA (Trumpcare?) than would have been covered under the ACA (Obamacare).

The losses start sooner than that.
The CBO says that in 2018, 14 million more people would be uninsured under the AHCA, compared to the ACA.

The CBO also says that for older people, premiums could go up a lot–and that they’ll drop for younger people because of regulatory changes the AHCA aims to make.

Under the ACA (Obamacare), a 64-year-old with $26,500 in annual income would have paid $1,700 in 2026–a $15,300 premium offset by a $13,600 subsidy.

Under AHCA, that 64-year-old would pay $14,600, or 55% of their income.
Their premium, CBO forecasts, would be $19,500, and they would only receive a $4,900 tax credit.
Certainly sounds worse.

For a 21-year-old making $26,500, the cost under the ACA of a plan would be $1,700.
(That’s a $5,100 premium minus a $3,400 subsidy.)

Under AHCA, that 21-year-old pays $1,450–a $3,900 plan with a $2,450 tax credit.
That’s a pretty good deal.

So for all those who really need the healthcare - they will not have this supposed “choice” we keep hearing Republicans spouting, because you have to be able to afford it first.
If you can’t afford to buy something, i.e. healthcare, then you have no “choice” but to sit there and die.
So now we will be back to the same issues we had before with overcrowded waiting rooms full of uninsured and underinsured people.

There’s a good argument for making insurance for younger people cheaper than it is.
Insurers like Aetna and UnitedHealthcare have been exiting the ACA insurance exchanges because they are getting too many older, sicker customers and not enough young, healthy ones.

Insurance works by transferring risk (and costs) from people who don’t need healthcare to those who do.
But a 64-year-old who has to pay half their income to buy health insurance is simply going to not buy health insurance.

Paul Ryan’s only saving grace -
The AHCA does save money, the CBO says.
It will reduce the amount the government spends by $1.2 trillion over 10 years, the CBO says.

Most of this ($900 billion over 10 years) is eaten by the repeal of taxes that were included in the ACA.
The bill would save $337 billion between 2017 and 2026, or about .8% of federal expenditures over that time.

Republicans are arguing that the CBO’s projections are wrong.
Fair enough.

The agency is not omniscient, and has gotten things wrong before.
But they’d have to be wrong by an awful lot to fulfill anyone’s campaign promises.

Tom Price, the new Secretary for Health and Human Services, said: "I firmly believe that nobody will be worse off financially in the process that we're going through,”

D. Trump has promised throughout his campaign that we would see a plan that was much more affordable (this plan is not), that patient protections would not be removed (this removes them), that he would not cut Medicaid, Medicare, or Social Security. This plan does exactly two of those things.

Here is what Donald Trump has promised with his plan -

1. At an American Airlines Center in Dallas last year, Mr. Trump said, "Obamacare. We're going to repeal it, we're going to replace it, get something great. Repeal it, replace it, get something great!"


2. During his June 2015 presidential announcement speech, Mr. Trump said, "But Obamacare kicks in in 2016. Really big league. It is going to be amazingly destructive. Doctors are quitting. I have a friend who's a doctor, and he said to me the other day, 'Donald, I never saw anything like it. I have more accountants than I have nurses.' It's a disaster. My patients are beside themselves. They had a plan that was good. They have no plan now."

3. In September 2014, Mr. Trump tweeted, "I'm not against vaccinations for your children, I'm against them in one massive dose. Spread them out over a period of time & autism will drop!"

4. Mr. Trump told The Hill the federal government should not play a huge role in healthcare regulation. He said, "The only way the government should be involved, they have to make sure those companies are financially strong, so that if they have catastrophic events or they have a miscalculation, they have plenty of money. Other than that, it's private."

5. In a 1999 interview with Larry King Live, Mr. Trump took a different stance, saying, "If you can't take care of your sick in the country, forget it, it's all over. I mean, it's no good. So I'm very liberal when it comes to healthcare. I believe in universal healthcare. I believe in whatever it takes to make people well and better."

6. In an interview on "60 Minutes," Scott Pelley asked Mr. Trump about his plans to fix the healthcare system.

"There's many different ways, by the way. Everybody's got to be covered. This is an un-Republican thing for me to say because a lot of times they say, 'No, no, the lower 25 percent that can't afford private'… I am going to take care of everybody. I don't care if it costs me votes or not. Everybody's going to be taken care of much better than they're taken care of now."

7. When Mr. Pelley asked Mr. Trump how his health law would care for the uninsured, Mr. Trump said, "the government's gonna pay for it. But we're going to save so much money on the other side. But for the most it's going to be a private plan and people are going to be able to go out and negotiate great plans with lots of different competition with lots of competitors with great companies and they can have their doctors, they can have plans, they can have everything."

8. At a Republican rally in New Hampshire in February, Mr. Trump said negotiating with pharmaceutical companies could reap huge savings, according to Fortune.

The candidate said, "Because the drug companies have an unbelievable lobby. And these guys that run for office, that are on my left and right and plenty of others, they're all taken care of by the drug companies. And they're never going to put out competitive bidding. So I said to myself wow, let me do some numbers. If we competitively bid, drugs in the United States, we can save as much as $300 billion a year."

HHS Tom Price -
“We strongly support the plan,” Health and Human Services Secretary Tom Price said on NBC’s Meet the Press, adding it would bring coverage to more people without raising costs. “I firmly believe nobody will be worse off financially in the process that we’re going through.”

In a feisty exchange with Sen. Bernie Sanders at his confirmation hearing on Wednesday, HHS nominee Rep. Tom Price said he hadn’t had “extensive discussions” with Trump on issues like Medicaid and Medicare but he expected they’d remain in place.

Liars.

The proposed changes mean a lot for consumers - particularly low-income families and seniors.

First, we would see a rollback in coverage for low-income families.
What didn't get as much attention as the 22 percent average premium increase this Open Enrollment season was the fact that a large portion of shoppers wouldn't be hit quite that hard thanks to subsidies and expanded Medicaid coverage offered by the government in an attempt to make health insurance more affordable.

Now this plan will gut Medicaid...those most vulnerable amongst us.
And Medicare will but cut as well.

Approximately 15.7 million people have enrolled in Medicaid and CHIP since the October 2013 expansion.
Repealing Obamacare would cause an estimated 22 million people to become uninsured – including many consumers who are covered through the Medicaid expansion.

Eight million children are covered by CHIP, so if that program expires (which it is currently set to do at the end of September 2017) as part of Medicaid's rollback, that leaves even more people uninsured.

If Medicare requires premium payments and for senior consumers to buy private insurance, that, along with other potential changes like changing age banding requirements from a 3-to-1 ratio to a 5-to-1 ratio (which serves as a rate cap for what insurers can charge older consumers) means that some seniors will end up with wildly different, and potentially more expensive, healthcare options.

It's not far-fetched to predict a scenario where many seniors - facing a more expensive and confusing array of private health insurance options - just throw up their hands and forego coverage.

Changes to both programs go outside of just consumers.
Medicaid cuts would affect insurers in the Medicaid managed care market, not to mention "hospitals, drug companies, medical equipment manufacturers, doctors and other health-care providers.”

If Medicare becomes another insurance marketplace, that could be a boon for insurers offering Medicare Advantage plans who would stand to gain many more customers.

The purpose of Obamacare was to offer healthcare protection.
Though it's been mired in compromise and controversy, it's achieved this goal, or is at least well on its way.

Changes to Medicaid and Medicare, and the subsequent results those changes will have on the health insurance system, threaten to roll back those protections for the people who need them most.

Higher cost for coverage and a more convoluted system may not be what Republican lawmakers are trying to impose, but it's what their proposed changes may result in if they go forward.

They have had eight years to create a plan that is better than the ACA and THIS pile of crap is what they hand the American people after countless debates and attempts to defund the ACA.

If we are judged by how we treat our most vulnerable citizens then we are in a sad state indeed.

Not to mention the tax breaks this plan gives to the very rich...
Today, the Congressional Budget Office answered those questions, releasing its official scoring of the American Health Care Act, and the results are not pretty.

An $883 billion tax cut, $274 billion of it going to the richest 2%.
$880 billion stripped from Medicaid.
And 24 million fewer insured individuals over the next ten years.
Added to the already uninsured.

Ten years from today, if President Trump and the Republicans have their way, there would be 24 million more Americans without health insurance, a total of 58 million Americans living in this country ten years from now will not have health coverage.

This is UnAmerican and is flat out morally wrong,
especially for the 9th richest nation in the world.

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Please feel free to contribute or debate, just don’t be jerks okay?

 

Donald J. Trump‏
Verified account @realDonaldTrump

I was the first & only potential GOP candidate to state there will be no cuts to Social Security, Medicare & Medicaid. Huckabee copied me.

 

Nothing says “pro-life” like bankrupting the elderly, disabled, and poor (8 million children)....you know, just like Jesus would do.

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Republicans Picked the CBO Chief.
Now They’re Attacking the Office Over Obamacare.
https://www.bloomberg.com/politics/...us-fire-on-cbo-over-dire-health-care-estimate​

 

As for Faux News...
Never mind that people will die...we’ll save money and give the rich tax breaks!
Yea!!

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How can they justify cutting people off of Medicaid while giving huge tax breaks to people who financially don’t need them?
It almost sounds like they want revenge for having to pay for the poor.

One Certainty of G.O.P. Health Plan: Tax Cuts for the Wealthy

https://www.nytimes.com/2017/03/15/us/politics/obamacare-repeal-tax-cuts.html?_r=0​

"The Congressional Budget Office analysis of the Republican plan released this week revealed the full scope of the windfall that the legislation would bring.

It offers billions of dollars’ worth of tax cuts to health insurers, pharmaceutical companies, investors and even tanning salon operators.
The cuts amount to nearly $1 trillion over a decade.

The beneficiaries would be the richest Americans who for years have complained that the Affordable Care Act unfairly burdened them with the responsibility of subsidizing insurance for the poor.”

 

Five Things to Know About the GOPHealth Care Plan’s Score
by MAGGIE FOX​

The Congressional Budget Office has issued its report on the new Republican health care plan — and it's bad news for the GOP.

The nonpartisan CBO is considered the gold standard for judging the impact of new bills, even if it's not perfect.

Health and Human Services Secretary Tom Price says the CBO numbers "defy logic" even as House Speaker Paul Ryan, who's pressed the plan forward, says it vindicates him by showing the plan cuts spending.

Here are five things to know about what the CBO said:

It would cut the deficit...
The CBO projects that the plan, if enacted, would cut the federal budget deficit by $337 billion by 2026

...because it slashes Medicaid
The plan restructures the state-federal Medicaid health plan for the low-income, disabled and elderly.
It limits what the federal government puts into the plan — to the tune of $880 billion — and would result in 14 million fewer people being covered by Medicaid.

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It would cover many fewer people
About 24 million fewer people would be covered by 2026 compared to now, the CBO estimates.
Besides the 14 million losing Medicaid coverage, the plan would also pull federal subsidies from low-income customers who buy non-group plans on the private Obamacare markets.

It would raise premiums, at first
Premiums would go up as healthy people drop out of health insurance and companies struggle to bring in enough cash to pay out on their remaining, presumably sicker, customers.

But the CBO projects premiums would be 10 percent lower by 2026.
This would be in part because companies could offer skimpier, cheaper health insurance plans — except for older people.

A 64-year-old would pay up to 25 percent more.

Bare-bones plans would come back
The GOP proposal eventually lets companies offer skimpier, cheaper health insurance plans.
These are attractive to younger, healthier people who gamble that they won't get heart disease or cancer, but can mean higher rates for older people, even if they are not sick.

The Affordable Care Act currently specifically seeks to limit these plans as much as possible because they sometimes slammed customers with sky-high deductibles and co-pays.

 

That’s exactly what it is...it’s people who hear the word “socialism” and don’t understand all that the word encompasses.
Yes, it can be a political viewpoint and can also be a way to run the show...but what it ultimately mean is that the good of Society is put first before profits.
We have many “Social” programs here in the US that many people really like and that work well for them.
There is no reason other than the greed of certain people for the US not already having universal healthcare or a public option.
The whole - “We don’t have enough money to give everyone healthcare.” is a bunch of BS, but the opposition party has done a great job of making it part of the demonization of the poor, the minorities, the disabled, even our own war vets.
“They’re bankrupting the system!” we hear...all the while the new plan the GOP presents gives huge tax breaks to the top 2%...basically at the expense of the elderly, the working poor, the working/middle class, the disabled, many will be children.
We have Rep. Jason Chaffetz saying crap like - “Maybe that person shouldn’t buy that new iPhone, maybe they should invest in their healthcare instead.”
Excuse me assclown?
How much is an iPhone...like $600 or so...yeah...with the new plan put forth, especially the elderly will see huge price increases as they implement an age stipulation. So instead of paying 5% of their fixed income coming from Social Security or whatnot...it’s not much money to live on...things are tight for most people right now already....so they will go from 5% to 55% by the CBO estimate.
That is just unaffordable, so many will go without care...many will opt not to get the medications and procedures that they need.
You will see an increase of suicides due to medical reasons, lack of affordable care - and I have seen that more than I can count on one hand personally.
Very sad.

Yep....you got it.
Until we kick the insurers out of the car, prices will continue to rise.
Hell...we don’t have to have total universal healthcare....but give the people a public option should they so choose.
WTF? Why can’t we even do that?
And yes...the US spends the MOST in the world for our healthcare...without insurance most medications are unaffordable if you were to try and pay out of pocket.
It’s a huge racket, a lot of people make a lot of money off of the sick, and the dying.
The insurers, the drug companies, the hospitals, the Doctors, medical device manufacturers, etc. continuously jack prices up up up...I’m sure you’ve seen the stories of certain drugs that have been around forever, being bought by some new company and then jacking up the prices 3000%.
After paying the most in the world (which is also the number one reason for bankruptcy here in the US - medical bills), we can’t even insure everyone, and those that are insured get crap healthcare - the US ranks at 37 in the world in terms of quality of care and patient outcomes.
So there is no real justification other then the greed of these institutions running the show.
This new bill will make it even worse...the estimate is in 10 years 58 million people in the US will have no healthcare because they can’t afford it.
It’s just as bad in my eyes as war profiteering.
58 Million is unconscionable.
Many see our social programs that do help with medical care now as too generous...and they really have no regard for all those people who will lose out here.
Not only that but they are attempting to defund Planned Parenthood, who supply $400 million worth of women’s healthcare and contraception.
No state or federal tax money goes to pay for any abortions.
We also are the only developed country to not provide any maternity leave for women.

I urge everyone to email or call and leave a message telling Congress to axe this farce of a bill.
It raises costs...cuts out mental health, which also cuts out drug and alcohol treatment - both already underfunded and in dire need of attention.

 

There is no excuse other than the well established insurance companies stand to lose their revenue stream.
They have armies of active lobbyists on the floors of Congress who donate huge sums of money to certain Congresspeople.

Industry Total spending lobbying -
Pharmaceuticals/Health Products $244,095,383
Hospitals/Nursing Homes $93,995,578
Health Professionals $83,640,288
Health Services/HMOs $75,543,718
Misc Health $12,309,124

But...somehow we don’t have enough money to cover those who cannot now and will not be able to afford it in the future.
It’s a farce...combined with the new budget, cuts funding for after school programs, meals on wheels for the elderly, the environmental protection agency, etc.
And somehow we also have endless amounts of money for the war machine...Trump wants to double our Naval ships when we already spend more than the next 12 superpowers in the world on our military.
He wants an extra $54 million annually.
We have approx. 22 veterans committing suicide every day...all while mental health is axed off the roles of our healthcare system...which also axes drug and alcohol treatment...so maybe we’ll just lock them up in jail instead - we are after all the most incarcerated nation in the world - which is also mostly now for-profit, clearly a conflict of interest, especially when most write in quotas the state must fulfill or pay a fine.
In other words - If you don’t keep X amount of people in prison, then the state pays fines until they fill it up.
Disgusting warping of criminal justice.

I also really like how it’s an amendment to the ACA...it’s not a separate bill like they pretend to show (Shawn Spicer).
Most of the issues that the ACA has, have not had the opportunity to be amended and fixed due to the constant barrage by the GOP to defund and destroy it.
The whole - “Obamacare is imploding on it’s own.” is a bunch of BS...it may be imploding now, but that is because certain states didn’t opt to expand Medicaid for their people...leaving them without any option but expensive insurance and rising premiums they can’t afford - it was the GOPs obstructionism that caused it to fail, and it was also them that now claim the CBO report of the ACA was wrong in it’s numbers - no, the estimates were correct, but the system was never fully implemented how it was supposed to be - so of course it never functions properly.
Also, as you have correctly pointed out many times - It didn’t include proper reigning in of prices in the medical industry.
This bill will not reign in prices either...it reigns in how much our society spends on our vulnerable citizens and poor.
Not to mention big tax breaks for the top 2% who don’t really need the tax break.


The US has more than enough money to provide basic healthcare to everyone here.
IMHO the bigger problem is that we have a huge portion of people who care about themselves and that’s it...they resent those that the GOP and similar minds paint as being a drain to the system.
Meanwhile, we give out how much every year in corporate welfare?

 

A small price to pay for lobbying Congress to keep the money flowing to them.




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Actelion Pharmaceuticals US $120,000
Rotech Healthcare $120,000
Royal DSM NV $120,000
RTI Biologics $120,000
Temp Time Inc $120,000
United Natural Products Alliance $120,000
Zogenix Inc $120,000
Zydus Pharmaceuticals $120,000
Vertos Medical $110,000
Leading BioSciences $110,000
PharMEDium Services $110,000
Permobil Inc $105,000
Nanobiosym Inc $100,000
Juno Therapeutics $100,000
Intersystems Corp $100,000
Amphastar Pharmaceuticals $100,000
Collegium Pharmaceutical $100,000
DermaTran Health Solutions $100,000
Edge Therapeutics Inc $100,000
doTERRA International $100,000
Ferring Pharmaceuticals $98,000
iWalk Inc $95,000
Bicon Dental Implants $92,500
Biovest International $90,000
Amplifon USA $90,000
Acorda Therapeutics $90,000
Accuray Inc $90,000
Coqui RadioPharmaceuticals $90,000
Chimerix $90,000
Iroko Pharmaceuticals $90,000
Heartware Inc $90,000
Northwest Biotherapeutics $90,000
Medical Compression Systems $90,000
Penumbra Inc $90,000
Orthosensor Inc $90,000
Medical Information Working Group $80,000
Gary & Mary West Health Institute $80,000
Integra LifeSciences $80,000
Life Technologies Corp $80,000
Luminex Corp $80,000
Masimo Corp $80,000
Massachusetts Biotechnology Council $80,000
Cerus Corp $80,000
Calspan-Univ of Buffalo Research Center $80,000
Fagron NV $80,000
EO2 Concepts $80,000
Aduro BioTech $80,000
Akers Biosciences $80,000
VisionCare Ophthalmic Technologies $80,000
Turing Pharmaceuticals $80,000
Prothena Biosciences $80,000
Academy of Radiology Research $70,800
American Assn of Homeopathic Pharmacists $70,000
Colgate-Palmolive Co $70,000
Vifor Pharma $70,000
Wockhardt USA $70,000
IntegenX $66,000
Philadelphia Health & Education Corp $60,115
Henry Schein Inc $60,000
Magellan Diagnostics $60,000
Intl Partnership for Microbicides $60,000
Coldchain Technology Services $60,000
C-Path Institute $60,000
Derma Sciences $60,000
Dental Trade Alliance $60,000
American Herbal Products Assn $60,000
Analogic Corp $60,000
Amber Pharmacy $60,000
Arteriocyte Inc $60,000
Zynerba Pharmaceuticals $60,000
Serepta Therapeutics $50,000
Pharmaceutical Printed Literature Assn $50,000
OPKO Health $50,000
Dynavax Technologies $45,000
Cipla Ltd $45,000
ZAG Group $45,000
Truven Health Analytics $40,000
United States Medical Supply $40,000
Telecare Global $40,000
CRISPR Therapeutics $40,000
Food Allergy Research & Education $40,000
Fujirebio Diagnostics Inc $40,000
Amicus Therapeutics $40,000
Banner Life Sciences $40,000
Breathe Technologies $40,000
Amarin Corp $40,000
Orasure Technologies $40,000
Prolong Pharmaceuticals $40,000
Ohio Willow Wood $40,000
Natl Assn Public Health Stat & Info Syst $40,000
Lauridsen Group $40,000
Globus Medical $40,000
Healthcare Nutrition Council $40,000
Hearing Industries Assn $40,000
Research Corporation Technologies $36,000
Natl Cltn of Pharmaceutical Distributors $35,000
Biolytical Laboratories $31,980
GW Pharma $30,000
Bioscrip Inc $25,000
CCS Medical $25,000
Trident USA Health Services $22,500
Zoll Medical $20,000
ResMed Inc $20,000
Gordian Medical Inc $20,000
Intl Assn Med Equip Remark & Servicers $20,000
Ipsen Biopharmaceuticals $20,000
Neuralstem $20,000
National Disease Research Interchange $20,000
Par Pharmaceutical $20,000
Medicago $14,000
Genomic Health Inc $10,000
Onconova Therapeutics $10,000
Natl Assn Adv of Orthotics & Prosthetics $10,000
EP Technologies $10,000
Athena ISG/GTXtreme $10,000
Antares Pharma $10,000
VGM Group $10,000
Coalition to Advance Dietary Supplements $8,000
GeoVax Labs $5,000
Lannett Co $0
Katena Products $0
MediGLIDER Corp $0
Merit Medical Systems $0
Mobile Medical International Corp $0
Osiris Therapeutics $0
Panflu $0
PDP Holdings $0
Promedtek Inc $0
PillGuard Medication Delivery Systems $0
Pharma & Biopharma Outsourcing Assn $0
Clasado Ltd $0
Eckert & Ziegler Radiation & Medical $0
American Society for Microbiology $0
Adamas Pharmaceuticals $0
VJ Technologies $0
Westport Pharmaceuticals $0
SAB Biotherapeutics $0

 

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U.S. Senator Elizabeth Warren
March 15 at 4:07pm ·

What kind of health care bill has as its central feature ripping insurance away from tens of millions of American citizens?
Who thinks the central problem in America is that middle class families have too much health care coverage and that the richest people in America need the government to hand them more money?

There's no other way to say it: this bill is just part of a Republican plan to help the rich get richer and kick dirt in everyone else's face.

Consider what this bill will do to families and to communities struggling with the opioid crisis.
Ask any family trying to get treatment for a loved one who is addicted to drugs: We already have an opioid treatment gap.

Gutting the ACA is like shoving a stick of dynamite in the treatment gap and lighting the fuse.
If the Republicans get their way, people will lose access to recovery services.

People will die.

Now is the time to stop this cruel bill in its tracks, before it hurts real people.
Now is the time to speak out about the importance of the ACA and Medicaid to you and your family.