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The Senate Republicans’ latest attempt to repeal the Affordable Care Act – dubbed the “skinny repeal” – would destabilize the individual market and drive up costs, while paving the way for full repeal. If this proposal – which is more aptly named “repeal and run lite” – passes, Senate Republicans will send the House Freedom Caucus a blank check to make deep cuts to Medicaid, give generous tax breaks for the wealthy, and eliminate consumer protections for pre-existing conditions. No matter how you slice it, a “skinny repeal” is a fake bill that still pulls the rug out from under millions of Americans.
Even by itself, the Senate’s “skinny repeal” has devastating consequences. It would allow younger, healthier individuals to exit the market, driving costs up high for older, sicker people. Furthermore, at least 15 million people would lose insurance while many more will face premium spikes of 20 percent or more. As people lose their coverage, hospitals will have to bear an additional $14 billion in uncompensated costs in 2026 alone, further burdening already vulnerable hospitals.
In 2026, more than 100,000 people in New Mexico and 135,000 in Nevada will be uninsured. West Virginians will see their premiums go up by $1,000. Hospitals will bear $526 million more in uncompensated costs in Pennsylvania in 2026 and $505 million more in Ohio.
More troubling, these numbers understate the devastating consequences of a “skinny repeal” if the bill continues forward with a blank check to House Republicans. A “skinny repeal” is just another backdoor way for Republicans make health care unaffordable for people who need it the most.
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