Obamacare

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President Trump is doing his best to put a good face on defeat in his party's attempt to replace the Affordable Care Act, also known as Obamacare.

His strategy is simple: declare that the law is failing. And he is selling that message in his own distinctly Trumpian way: concocting it out of simple, bold words and then hammering that message home, over and over: Obamacare, in his words, will "explode."

Ted Eytan (Wikimedia Commons)

Americans who have benefited from the Affordable Care Act are feeling some relief at the failure of Republican efforts to repeal it, but they face new anxieties with President Donald Trump tweeting that "ObamaCare will explode."

Throughout the campaign, President Trump billed himself as a master negotiator who would make the "best deals" for the American people.

In a bid to improve the health insurance purchasing clout of small businesses, Republicans in the U.S. House of Representatives dusted off a piece of controversial legislation more than a decade old and passed it this week as part of their effort to remake the market after they throw out the Affordable Care Act.

The bill, the Small Business Health Fairness Act of 2017, had the support of 232 Republicans and 4 Democrats. It now heads to the Senate, where its fate is uncertain, experts say.

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After seven years of fervent promises to repeal and replace "Obamacare," President Donald Trump and GOP congressional leaders buckled at a moment of truth Thursday, putting off a planned showdown vote in a stinging setback for the young administration.

(Bill Clark/CQ Roll Call via Getty Images)

The GOP's long-promised legislation to repeal and replace "Obamacare" stood on the brink just hours before Republican leaders planned to put it on the House floor for a showdown vote. Short of support, GOP leaders looked to President Donald Trump to close the deal with a crucial bloc of conservatives, in the first major legislative test of his young presidency.

Republican House leaders are making last-minute changes to their health care proposal in a bid to woo more conservatives ahead of a vote scheduled for Thursday.

One of those changes would let states impose work requirements on some Medicaid recipients. A handful of states asked the Obama administration for that authority but were denied.

For years, Republicans in Congress have promised to repeal and replace the Affordable Care Act, claiming that its requirement for nearly everyone to buy insurance or pay a fine is burdensome and costly, and it doesn't give people enough flexibility to get the coverage they need.

Obamacare Pushed Nonprofit Hospitals To Do Good Beyond Their Walls. Now What?

Mar 16, 2017
Courtesy of Brigham and Women’s Hospital Public Affairs

For the past six years, Mardi Chadwick has run a violence prevention program at Boston’s Brigham and Women’s Hospital. The program’s goal is to address broader, community-based health issues and social problems that make people ill or prone to repeated injury from gunshots, stabbings or environmental causes.

The Republican health care bill would not affect Americans equally. Older, poorer people would see big reductions in coverage and cost increases, according to a report from the nonpartisan Congressional Budget Office. This first step in the GOP plan to repeal and replace the Affordable Care Act, also known as Obamacare, would also create a modest deficit reduction.

The proposed American Health Care Act targets the health provider Planned Parenthood with a set of proposed limits on Medicaid payments to the organization.

Love In The Time Of Repeal And Replace

Mar 14, 2017

"This is a first for me," says Rabbi Andy Dubin, as he sits down on a collapsible chair opposite Ann Justi and Don Boyer.

The three of them are in the compact living room of Boyer's apartment in Yonkers, N.Y., standing between the sofa, TV and writing desk. Dubin is in his socks, having shed his snow-caked boots out in the hallway.

Many people are worried about how potential changes to the federal health law might affect them. But few are as concerned as those with pre-existing health conditions.

Republicans on Sunday dismissed an upcoming Congressional Budget Office analysis widely expected to conclude that more Americans will be uninsured under a proposal to dismantle Barack Obama's health law, despite President Donald Trump's promise of universal coverage.

Darvin Bentlage says his health insurance plan used to be the same as all the other cattle farmers in Barton County, Mo.: Stay healthy until he turned 65, then get on Medicare. But when he turned 50, things did not go according to plan.

"Well, I had a couple of issues," he says.

He's putting it mildly.

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UPDATED 3/24/2017 4:45 PM

Republican leaders in the U.S. House have pulled the American Health Care Act from the floor after failing to round up enough votes within their own caucus.

Had the bill passed, Americans would have no longer been required to buy health insurance, and it would have eliminated the current subsidies that are used to bring down the cost of premiums.

NPR and dozens of member stations collected public statements from members of Congress to help the public understand where lawmakers stood on this issue.

The Republican bill to repeal and replace the Affordable Care Act would make significant changes to the U.S. health insurance system. It would unwind many of the taxes and coverage mandates of the law, also known as Obamacare. And it would gradually overhaul Medicaid.

The bill would affect incomes and health coverage for millions of Americans. Some people would be better off. Others would be worse off. The original bill could change as it makes its way through Congress, but here's an early forecast of some of the winners and losers.

"This is the chance. This is a once-in-a-lifetime opportunity," said the speaker, roving the stage with a wireless mic, gesturing at both the audience in front of him and the PowerPoint presentation behind him.

TED Talk? Late-night infomercial? Nope — it was House Speaker Paul Ryan, making a hard pitch for his health care plan after a week of loud conservative criticism.

The Republican health care overhaul working its way through the House is opposed by Democrats and by many Republican conservatives. It's none too popular with the people on the front lines of health care, either — including doctors, nurses and hospitals.

The chief medical officer of Medicaid, Dr. Andrey Ostrovsky, tweeted out his opposition on Wednesday. "Despite political messaging from others at HHS, I align with the experts ... in opposition to #AHCA," the career staffer said.

Wikimedia Commons

House Republicans scored a pre-dawn triumph Thursday in their effort to scuttle former President Barack Obama's health care overhaul, but it masked deeper problems as hospitals, doctors and consumer groups mounted intensifying opposition to the GOP health care drive.

Kaiser Family Foundation

People in their 50s and 60s could be hit with higher health insurance premiums and less financial help paying for them under a proposed replacement for the Affordable Care Act.

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We're going to start this hour by talking about the Republican proposal to replace the Affordable Care Act, or Obamacare. In a moment, we'll hear from a group that has come out against the plan, the AARP.

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Over the strong objections of key conservatives and Democrats, House Republican leaders are forging ahead with a health care plan that scraps major parts of the Obama-era overhaul.

House Speaker Paul Ryan from Wisconsin has been complaining about the Affordable Care Act (aka Obamacare) for so long that his list of grievances sounds like a refrain of some pop song.

"Obamacare is collapsing," he said on Feb. 28. "The Democrats got too far ahead on their ideology and they gave us a system where government runs health care. They gave us a system where costs went up, not down. They gave us a system where choices went away. They gave us a system where people lost the plans they liked, they chose."

It took a lot to get to this point, but Republicans have released their long-awaited health care bill. (For more on the policy, check out the NPR health team's reporting over at Shots.)

The version that was released is likely to change as the bill goes through committees, but now that it's released, here are four potential challenges President Trump and Republicans face:

1. Health care is complicated

House Republicans unveiled their long-awaited replacement plan for the Affordable Care Act Monday night. They're calling it the American Health Care Act.

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