Trump has just put a hole into Obama's signature legislation, The Affordable Care Act commonly known as Obama Care. It is ironic that the home of the Obama library in Jackson Park is in sight of U 505 the German submarine at the Museum of Science and Industry at the Northern end of Jackson Park. Such a symbolic image for the torpedoing of Obama Care. The swamp of insurance company lobbyist has poured millions of gallons of Chum (dollars) to feed the Congressional GOP sharks led by Representatives John Boehner and now Paul Ryan and Senator Mitch McConnell will see it all wasted. Mitch isn't doing a good job in finding fish to fill the holes of the insurance company commercial fishing boats. He lost a huge amount of chum in the special election Alabama GOP Senate primary. And this week the move of twitter, liberal company, to first ban has been forced to show an add for Tennessee GOP senate candidate Marsha Blackburn to replace Corker. She point blank is anti abortion. The Twitter boost to her campaign will likely put her in the Senate.
The executive order Trump signed in the Roosevelt Room Oct. 12, 2017 at 11:15AM in effect breaks the monopoly of states to regulate health care and gives all self insured citizens, 28 million an option to purchase group insurance called "Association Health Plans." The Senate rules Mitch McConnell and Chuck Schumer used to prevent an effective repeal of Obama Care will not prevent them from attacking the executive action.
The present Obama Care requirement for pre-existing condition will remain but with the plans extending across state lines and even for the whole country, they will be exempt from some of the Obamacare and State regulations. With such purchasing power the insurance companies will have to compete for their business and one would expect prices to drop.
Now low paid individual can create an association and demand a policy the fits their income and good health care. This will put pressure on the insurance industry to lower the cost of all policies.
The bureaucrats in Washington will be tasked with writing the regulations for this executive action. This is the fly in the soap. They will drag their feet and sabotash it where ever they can. If they have their way we will have to live with Obama Care until at least November of 2018. And they will put loop holes to maintain insurance company profits. The insurance companies will also drag their feet. Why would they want to end the gravy train? So do not expect to see any plans until after the election, thus in 2019.
But this will happen if we, all 65% of the population that wanted Obama Care repealed and want lower cost and better health care does nothing. So what can we do?
Create those Associations to purchase health care. Then use the association as a lobbyist to pressure the House and Senate to pressure the regulators. Demand that the people see drafts of any regulation very early. And demand they move quickly. Give them the date not let them give us a date. The insurance companies will see the pressure placed on the regulators that they normally control and respond to our advantage. We have to hold the regulators feet to the fire and tell the insurance companies they are next in line.
Why should we do this is simple. We will get better health care for less money out of our pockets.
Even if your on welfare you can create an association. You can use the bargaining of the other associations to demand equal treatment.
Finally you will have access to doctors presently blocked by the low payment amounts of the system. And it may happen that the government will actually spend less because the market is setting the cost not a committee of doctors serving their own association members. It is not accident that health cost increase faster then inflation. The government is the biggest purchaser of health care.
VA and Medicare can also organize into association to bargain for themselves. These government monopolies are full of graft and corruption. We can do a better job because we can switch to another association or create a new association if one become inefficient and does not perform.
We are not alone, that is the key for any self insured or person receiving government monopoly controlled insurance.