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Marc Kilmer

Westerman: Health Care Loss Estimates From O’Care Repeal ‘Overinflated’

Updated: Apr 13, 2024


The Affordable Care Act (ACA) in its current form is headed for insolvency — and the estimate of 24 million Americans losing their health care is “overinflated” — according to Congressman Bruce Westerman.

Westerman spoke to constituents about the ongoing health care reform debate in Washington D.C. (and other topics) in a telephone town hall Thursday night.

Westerman said the ACA is on a “collision course for being insolvent” if changes aren’t made to the program.

Westerman said:

We’re seeing across the country where…Iowa for example…94 of the 99 counties in Iowa you can’t get an Obamacare plan because the insurance companies have pulled out. We’re seeing insurance companies pulling out of other states to provide Obamacare plans. This program is imploding on itself. What we are doing with the American Health Care Act (AHCA) is trying to put a system in place that will actually help people to get the coverage they need.

The AHCA passed the House narrowly in early May, but has stalled since then in the Senate.

Westerman also addressed possible health insurance losses if the AHCA were to ever become law.

Westerman said:

The CBO in the original score said 24 million people would lose their health care. I believe that number is overinflated. They started off using their baseline scoring which was 7 million people. They said there should be 7 million people on the system that aren’t on the system right now. Part of those 24 million that they’re saying will lose their health care are people that are being forced by the government to purchase health care with the mandates. I don’t think anyone should be forced to purchase health care. We’re trying to put a system in place that will provide people options where they’ll actually want to purchase health care. We’re putting stuff in place like risk pools to help lower the cost of insurance. Right now we’re seeing insurance companies say that the cost of premiums could go up as much as 40 percent in some places. We’ve seen an increasing cost of insurance since the Affordable Care Act has been in place. This program is broken. I believe what we’re putting in place is a much better program. It’s got some things that I would like to change in it. It’s got some things that I hope the Senate will make some changes on, but it’s far better than anything the Affordable Care Act ever offered in its current state.

Although the Congressional Budget Office (CBO) report does estimate that 24 million fewer people would purchase insurance under the AHCA than under the ACA, 14 million of that 24 million total would be composed of people who decided not to purchase insurance due to mandate penalty repeals.

CBO and [the Joint Committee on Taxation] estimate that, in 2018, 14 million more people would be uninsured under the legislation than under current law. Most of that increase would stem from repealing the penalties associated with the individual mandate. Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums.

Translation: more people will sign up for health insurance when the law forces them to sign up for health insurance. Shocking! Arkansans will find out just whether the ACA is indeed “imploding on itself” later in the summer. Health insurance companies’ rate increase requests are due July 14.

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