We have a moral obligation to make health care affordable for all

But writing legislation that can pass with only Republican votes has proven agonizing.

In addition, the AHCA penalty, which is based on a plan's premium, would likely have a greater impact on older people, whose premiums can be higher, and on those with lower incomes, says Sara Collins, a vice president at the Commonwealth Fund, who authored an analysis of the impact of the penalties.

"It's taking from the poor to confer benefits on the rich".

As a business owner, I understand cost considerations.

As the health care debate moves to the U.S. Senate, many small business owners hope these leaders will take a vastly different approach than their House colleagues.

On Tuesday, President Trump's budget proposal will be released. The only acceptable plan will be one that expands, not reduces, health care.

Efforts to derail the Affordable Care Act and replace it with the American Health Care Act threatens to reverse years of steady job gains in Ohio's health care sector and put the broader statewide economy at risk.

"The essential health benefits made insurance coverage really meaningful", said Karen Pollitz, a senior health policy fellow at the Henry J. Kaiser Family Foundation.

Locally, health care jobs have grown to account for 19 percent of all private-sector employment in Montgomery County, which is one of only 10 OH counties where at least one in six private sector employees works in health care, according to the Policy Matters, a left-leaning think-tank with offices in Columbus and Cleveland.

In a telephone briefing with reporters Monday morning, White House budget director Mick Mulvaney didn't mention Medicaid or other social insurance programs that Trump might target for funding cuts. If this is the case, why couldn't an uninsured person simply go to the front desk at the hospital and ask for treatment, which by law can't be denied, such as, "I'm here for my annual physical, or for a screening colonoscopy?" He added that he isn't comfortable telling a taxpayer it's worth spending money "on a long list of social programs".

The nonpartisan Congressional Budget Office said an earlier version of the bill projected the AHCA slashes $880 billion from Medicaid over the next decade.

While the legislation also would allow states to implement work requirements for Medicaid recipients, the Trump administration could do the same thing by granting states a federal waiver of Medicaid rules. Arizona's waiver request seeks numerous same changes, plus a five-year lifetime limit on program benefits.

Solomon expects Price to grant the Kentucky and Arizona waiver requests. If Florida wants a strong workforce and a growing economy, we need accessible, affordable health care.

Advocates of the replacement said it would increase insurance insurance choices and cut premiums for people who buy insurance through Obamacare exchanges.

The fate of the subsidies, known as cost sharing reduction payments, remains in flux.

  • Zachary Reyes