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Online physician consultation phentermine. For more information, please contact: Jennifer E. Jones, MD (416) 877-4359 x8493 DrJones@sjme.on.ca The new Republican health plan is a gift to the insurance companies and drug companies. Sen. John Barrasso, R-Wyo., testifies during a Senate Finance Committee confirmation hearing for his nomination to be majority leader. Barrasso opposes the Senate health plan, on left, and the House bill, on right. (Photo: J. Scott Applewhite, AP) Story Highlights The Republican bill would reduce tax credits and the number of people with health insurance It would limit Medicaid funding for states, end coverage of people with pre-existing conditions The biggest winner would be insurance companies Senators should stop pretending the Republican plan to repeal and replace Obamacare is a "clean repeal." That was a major talking point during President Trump's visit to Tennessee on Tuesday. But what does that really mean? Well, it is a bit vague. does not mean getting rid of the Affordable Care Act. It doesn't mean eliminating Medicaid. "no more" federal funding for Planned Parenthood. It means that all of the key aspects current law will ultimately remain — the ones that provide tax subsidies for buying private coverage, federal funding of their Medicaid expansion under the ACA, and regulations on pre-existing conditions. But those rules will have to be revamped for the GOP to fulfill its promise get rid of the ACA. Some of the key reforms in bill have support from medical groups, experts Phentermine tablets for sale and even Republicans. They include: TAX CREDIT SCORES THE BEST Let's start with one the major selling points of Republican plan: The tax credits in ACA are so inadequate that many states will no longer be able to expand Medicaid. That's what happens if the tax credits in GOP plan are the same as in current law. The bill's defenders argue that tax credits will be a lot more generous than the ones in current law and, therefore, that the changes won't be necessary. "The tax credits are much, much more generous than they are now in current law," GOP Rep. Leonard Lance, a New Jersey moderate, told me last week. "I see no reason they wouldn't remain adequate." That statement ignores the fact GOP plan would limit the tax credits. Under the current system, tax credits are based on income rather than age. Under the GOP bill, they would be scaled to age instead. That would mean older people get no more of a subsidy than younger people. It will also mean that many people who otherwise qualify for subsidies would continue to be uninsured. The tax Phentermine 37.5mg 30 $100.00 $3.33 $90.00 credits are based on how much premiums cost — not what services are covered. "A lot of coverage that you would have got under the ACA you would have to replace with tax credits," says Jonathan Gruber of MIT, a major figure in the ACA implementation process. If the tax credits aren't comparable with those under current law that means even more people will be uninsured. "The reason the tax credit structure doesn't work is because people don't use it when they are sick, and people don't use it when they are able to pay for it," Gruber says. "At the best case, it is just kind of a big subsidy for insurance." A more reasonable approach to the tax credits is make them based on age rather than income. That would mean the wealthy don't get large tax credits and the middle class could get smaller.

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