Yes, the list of preconditions that states may adopt to limit health care coverage astonish in their cruelty. That’s covered (and fact checked), as is the reverse Robin Hood jujitsu that should not surprise us from an Administration whose only principle is endless expansion of profit. Covered less is the AHCA’s devastating impact on the Medicaid system. So here are a few pretty good analyses of how block-granting Medicaid might work. Research!
Indeed, AHCA curbs spending, which sounds great to small government folks. But it does so by simply not paying for health care for people who need it most–low income people with disabilities and chronic conditions. People with health problems and an inability to pay for care on their own. Gutting Medicaid will blow up emergency room costs as well as indirect costs in the criminal justice system, special education, welfare, and other places that people with no health care end up.
AHCA’s Medicaid provisions will set up a tiered society in which health care is a privilege reserved for those who can pay for it. Health care austerity will cost our society in ways comparable to climate change: pervasive, universal, tune-outable for the less vulnerable and willfully ignorant, and devastating for the rest of us.