New York Times, June 23, 2017
Reed Abelson


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President Trump and the Republicans have promised that their plan to overhaul the federal health care law will make medical coverage much more affordable.

Premiums and deductibles will be “much lower,” Mr. Trump tweeted in April. He also assured Americans that the plan to replace the Affordable Care Act would protect people with potentially expensive medical conditions.

As Senate Republicans unveiled their draft legislation this week, they reiterated the goal of making it easier and cheaper for consumers to buy coverage than under the current law.

“This plan will improve the affordability of health insurance,” the Senate majority leader, Mitch McConnell of Kentucky, wrote in an opinion piece on Friday.


But millions of Americans will pay more for an insurance policy that comes with a much steeper deductible under the new Senate plan, according to some health economists and insurance experts. It could also make it much harder to find a comprehensive plan covering various conditions ranging from heart disease to depression that would not be prohibitively expensive.

“This is going to be a very unstable market” where only the very sickest people resort to buying coverage on the federal exchanges at much higher prices, said Paul B. Ginsburg, a health economist and the director of the Center for Health Policy at the Brookings Institution. [...]

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