...is that the GOP has an alternative healthcare plan. Clearly, their "plan" is to leave 10's of millions of Americans healthcare-less so that the rest can have lower healthcare rates and so that the insane profits of healthcare-related business can persist, which doesn't help anyone, even those with healthcare insurance.

Read more in this Huffington Post article.

Tags: GOP, Obamacare, Republicans, healthcare

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If they had had a realistic plan a few years back when the Affordable Care Act was up for vote the outcome may have been different. The truth is they have no answers for the millions who previously could not afford a healthcare policy. The plight of those who remain at the poverty level despite going to work faithfully everyday is not really a GOP concern. They will never admit this though.

The irony is that Obamacare is a modified Romneycare.

Ed, I wouldn't say it's that they have no answer, but it's more like their answer is, "Sucks to be you."

Their only goal ever was to disrupt. In this they have seen some success.

I just saw Mitch McConnell on TV saying that Obamacare should be repealed and the Republicans pass a bill which "fixes" it.  

How many times have they had the opportunity to pass a health care bill and sat on their bottoms and did nothing?

The Republicans have zero credibility vis a vis healthcare.  At least the Democrats have tried.  Are there problems with Obamacare?  Certainly, but overall it tries to address the problem of no health coverage for millions of people.

Here in Georgia, our wonderful governor has refused the Federal funds to expand medicaid for the poor.

Smacks of "Let them eat cake".  

Republicans don't seem to accept that large numbers of people who can't afford healthcare are there for reasons beyond their control. Ironically, their health problem itself may be what drives healthcare premium costs beyond their reach. For the rest, it's often unemployment and unemployability. These people get substandard care of the most expensive kind in the emergency room, which provides only band-aid solutions.

Does no one believe that an ounce of prevention is worth a pound of cure anymore? Put these people in an effective healthcare system now and save money further on down the road!

Obamacare stopped being obamacare when the republicans put all their energy into crushing the public option. It then became republicare, where instead of offering to give insurance to the poor, we force them to buy it.

[ObamaCare] then became republicare, where instead of offering to give insurance to the poor, we force them to buy it.

This is true, except the poorest are forced to buy it for virtually nothing. If your household income is under 138% of the FPL you qualify for Medicaid under ObamaCare.

That is, unless you're unfortunate enough to live in a State with a Republican government which is blocking the expansion to Medicaid in a futile attempt to ensure ObamaCare fails. In those states, the income threshold is between 100%-133% of the FPL, although there are restrictions galore (besides income) which determine eligibility.

The cost, up to a certain threshold, is based on your ability to pay, with the next two tiers being 250% and 400% of the FLP. These qualify for subsidies like a lower copay, reduced premiums and tax breaks.

(Click on the image to view the entire US.)

  • Alabama: On May 18, 2013, Gov. Robert Bentley (R) reiterated his opposition to expanding Medicaid, saying the state cannot afford it. Despite Democratic lawmakers declaring expansion to be one of their top goals for 2013, they failed to advance such legislation. According to a recent poll conducted by the Joint Center for Political and Economic Studies, two-thirds of state residents support expansion.
  • Alaska: On Feb. 28, 2013, Gov. Sean Parnell (R) said that based on what he knows about the federal budget, he does not support Medicaid expansion and will not ask the state Legislature for funding or authorization to boost the program's eligibility limits. State Rep. Andy Josephson (D) in March 2013 introduced HCR 8, a resolution to compel the governor to take action on the expansion, but the resolution did not gain traction among Alaska lawmakers.
  • Florida: On May 3, 2013, the Florida Legislature ended its session without granting final approval to a compromise measure that would have authorized an expansion of Medicaid, which Gov. Rick Scott (R) supports. No further action on expansion is expected this year.
  • Georgia: Gov. Nathan Deal (R) on Jan. 16, 2013, confirmed he does not support Medicaid expansion. On March 28, 2013, both the House and Senate adjourned for the 2013 session. A bill to encourage Deal to consider expanding Medicaid died in the House in February 2013. Deal in May 2013 signed legislation creating the Joint Study Committee on Medicaid Reform, but it was "for the purposes of determining an appropriate plan for Medicaid reform," not specifically expanding the program under the ACA.
  • Idaho: Gov. Butch Otter (R) on Jan. 7, 2013, in his state-of-the-state address said Idaho would not expand Medicaid. The state House and Senate both adjourned on April 4, 2013.
  • Indiana: State and federal officials in September 2013 finalized a deal for a one-year extension to the Healthy Indiana pilot program, which serves low-income residents that do not qualify for Medicaid and resembles a health savings account. Gov. Mike Pence (R) has said that any future expansion of Medicaid would be through a plan that resembles Health Indiana, and state officials said that the extension negotiations with the federal government left the door open for such a move in the future.
  • Kansas: Gov. Sam Brownback (R) punted the decision on expanding Medicaid to state lawmakers, and the state Legislature wrapped up its session for the year on June 2, 2013, without taking action on any expansion proposals.
  • Louisiana: On Feb. 6, 2013, Gov. Bobby Jindal (R) reiterated his opposition to expanding Medicaid in Louisiana. In an op-ed for the Washington Post, Jindal argued that the expansion would cost his state $1 billion over the first 10 years. The Louisiana Senate in May 2013 rejected an amendment that would permit state voters to decide on Medicaid expansion, effectively ending any possibility for action on the issue before the Legislature recessed for the year.
  • Maine: On June 17, 2013, Gov. Paul LePage (R) vetoed a bill (LD 1066) that would have expanded the state's Medicaid program. LePage objected to the cost of expansion and also noted that previous hikes to Medicaid eligibility—which he termed "a massive increase in welfare expansion"—have not worked to reduce the number of uninsured in the state. Two days later, on June 19, 2013, House lawmakers failed to gain the two-thirds majority necessary to override the veto.
  • Mississippi: Republicans in the Legislature in June 2013 blocked plans to expand Medicaid to an additional 300,000 state residents under the ACA.
  • Montana: Republicans in the statehouse in April 2013 rejected plans to opt into the Medicaid expansion, which could have added another 70,000 state residents to the program.
  • Nebraska: In May 2013, Republicans in the Legislature filibustered the Medicaid expansion, which is also opposed by Gov. Dave Heineman (R). The expansion could have extended Medicaid coverage to up to 80,000 residents.
  • North Carolina: Gov. Pat McRory (R) on Feb. 12, 2013, announced that his state would not participate in the Medicaid expansion. McRory also signed legislation—passed in the House and Senate—confirming that the state would not participate.
  • Oklahoma: Gov. Mary Fallin (R) rejected the Medicaid expansion in November 2012 and has not proposed an alternate model for expanding insurance coverage for low-income state residents. However, some administration allies have said she has "not closed the door" on a possible, future plan to expand coverage.
  • South Carolina: On March 12, 2013, the state House Republican majority rejected an expansion of Medicaid, opting instead to allocate $80 million in state and federal funding in South Carolina's budget for a hospital incentive payment program. Gov. Nikki Haley (R) announced in July 2012 that she opposes expansion.
  • South Dakota: In an interview with the Associated Press on Oct. 25, 2013, Gov. Dennis Daugaard (R) said he is leaning against expanding Medicaid. He said he will ask the Legislature to hold off on any Medicaid expansion plans until there is more evidence on how the ACA is working nationally.
  • Tennessee: During brief remarks to reporters on Oct. 30, 2013, Gov. Bill Haslam (R) said that the state has been engaged in discussions with the federal government for a possible expansion of TennCare, the state's Medicaid program. However, those talks have slowed, and Haslam said that a decision with the government on an expansion plan is not expected before the New Year.
  • Texas: Gov. Rick Perry (R) and the Republican majority in the state Legislature have unanimously rejected the Medicaid expansion, although Democrats have introduced legislation (HB 3791) that would establish a strategy to expand Medicaid. The bill is pending in the House.
  • Virginia: In March 2013, Gov. Bob McDonnell (R) sent a letter to HHS Secretary Kathleen Sebelius stating that he and the state's General Assembly have agreed not to expand Medicaid under the ACA. The letter said that the state will not consider participating in the expansion unless there are "dramatic, verifiable cost-saving reforms of the program." However, on Nov. 5, 2013, Terry McAuliffe (D) was elected governor; he supports Medicaid expansion and could move forward a plan to expand the program in the state in 2014.
  • Wisconsin: Gov. Scott Walker (R) on Feb. 13, 2013, said Wisconsin will not participate in the ACA Medicaid expansion, but will pursue its own strategy to expand health coverage across the state. In addition, the legislature's Joint Finance Committee in June 2013 voted against the expansion.
  • Wyoming: Gov. Matthew Mead (R) in December 2012 said that he would not support Medicaid expansion in Wyoming. On January 31, 2013, the state Senate struck down a bill that would have expanded Medicaid.


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