The Senate bill fails to repeal ObamaCare’s major provisions. Its purported repeal and reform provisions, particularly those tied to Medicaid, are phony. Indeed, the bill would actually expand ObamaCare in significant respects.
Let’s start with what it will do to the cost, quality and stability of private health insurance.
ObamaCare’s “community rating” price controls are causing premiums to rise, coverage to get worse for the sick and insurance markets to collapse across the country. The Senate bill would modify those government price controls somewhat, allowing insurers to charge 64‐year‐olds five times what they charge 18‐year‐olds (as opposed to three times, under current law).
But these price controls would continue to make a mess of markets and cause insurers to flee. The bill would also preserve other ObamaCare mandates and regulations that contribute to higher premiums.
On top of that, the Senate bill wouldn’t even repeal the parts of ObamaCare Republicans claim it would. On paper, it would repeal ObamaCare’s expansion of Medicaid — but not until 2024.
There will be three federal election cycles, three new Congresses and potentially a brand new president between now and then. It is almost certain Democrats will control at least one of those Congresses, and could then rescind this “repeal” as if it never happened.