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Harris, Trump clash over future of ObamaCare

Vice President Harris wants to put Obamacare at the forefront of her campaign's final weeks.

Abortion was a key health issue for much of the campaign, but Harris is reviving a successful 2018 strategy for Democrats by raising the Affordable Care Act.

Harris supported single-payer Medicare for All during the 2020 presidential campaign, but has now completely pivoted to supporting improvements to the status quo.

“I've absolutely supported private health care options over the past four years as vice president,” he said during a presidential debate in September, adding, “What we have to do is make health care affordable. It's about preserving and growing the law,” he added.

Harris campaign reveals policy position It includes a plan to “expand and strengthen the Affordable Care Act to make affordable health care a right, not a privilege.”

Harris wants to make the law's temporarily enhanced subsidies permanent. Millions of enrollees became dependent on this enhanced subsidy, contributing to record levels of health insurance enrollment.

The subsidies expire in 2025, and Democrats in Congress have already introduced bicameral legislation to permanently extend them, but that likely won't happen unless they take control of all three branches of government.

The Harris campaign has not provided many details about how else Harris will specifically strengthen the law, instead focusing on the danger and damage that former President Trump could inflict. There is.

They released a 43-page report condemning the Trump campaign's “plan” for the law. I placed an advertisement It features a Wisconsin farmer who suffered from brain cancer and says the ACA saved his life.

President Trump's changing tone

Early in the campaign, Mr. Trump revived his earlier claims that the law should be repealed and replaced with a better one. Senate Republicans quickly shut down any talk of bringing up repeal again even if they took control of the government.

Recently, President Trump's tone has changed somewhat. When asked by ABC's moderators during a presidential debate in September, President Trump acknowledged that there is currently no plan in place to replace Obamacare if it is repealed, but only a “concept of a plan.”

President Trump has recently criticized the law, but he has also claimed that he “saved” it from failure.

President Trump has not specified exactly how he would replace health insurance for tens of millions of Americans.

But in the absence of a comprehensive formal plan, President Trump's running mate, Sen. J.D. Vance (R-Ohio), is trying to iron out some of the details.

Vance said President Trump's health plan focuses on deregulating insurance markets to promote choice, and that there is “no one-size-fits-all approach” to putting everyone into the same insurance risk pool.

This seems reminiscent of the “high-risk pool” that House conservatives championed in 2017 when they were crafting an Obamacare replacement bill.

Critics argue that allowing states to put sick people into separate pools could undermine the insurance market and effectively eliminate the law's protections for people with pre-existing conditions.

The Affordable Care Act requires insurance companies to provide the same coverage to everyone, regardless of health status or risk.

“We want to keep those regulations in place, but we also want to make the health insurance market work a little better,” Vance said during the CBS vice presidential debate.

Insurance experts say the general idea of ​​high-risk pools is to pull more expensive sick people out of the market in order to lower premiums for healthy people in the regular market.

However, this pool was rarely successful in covering those who needed insurance most. High-risk pools in nearly every state excluded coverage for three months to a year of pre-existing conditions and charged exorbitant premiums even if they covered the person's condition.

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