After the Congressional Budget Office released its assessment of the American Health Care Act predicting an increase of 24 million Americans without health insurance by 2026, there was an interesting response from Senate Republicans. They suggested certain changes to the bill which, they said, would increase the chances of it being approved by the Senate. First, they want to see lower insurance costs for the poorer, older Americans and second an increase in funding for states with higher populations of hard to insure people.
The Governors of most all of the states, including Republican Governors voiced their anxiety about dealing with the bill’s proposed roll back on Medicaid expansion which would leave the poor with fewer dollars.
Because the bill is being pushed towards votes so quickly, what is obviously missing is a reasoned, articulated and fulsome analyses of the various components of the law, explained in plain english and supported through real data as well as anecdotal examples. The reason this type of communication is so important is that Congress, healthcare and insurance communities and the public at large must come to know this law. This means that thoughtful modeling and clear explanations are key. It has not happened.