AHCA (American Health Care Act)

Congress is Working on a new health care law, the AHCA

Health insurance in the US is complicated; life insurance is much simpler.  While most countries of the world have moved to a single-payer health system where everyone gets health services, the US continues to have insurance companies.  It seems to be a fact of life, and one that the poor must struggle against in order to get health care.

The Obama administration created the PPACA (Patient Protection and Affordable Care Act). Under PPACA, the less you earn, the more affordable insurance becomes.  It is a concept that seem to be working here.  But if you do not want health insurance, you have to pay a fee; this is part of how the PPACA is paid for.  This has created controversy.
 
The current US congress is trying to replace the PPACA with the AHCA. The first try in Congress failed, but senate Republicans keep trying to come up with something that will work.  Traditional Republican ideas, like Vouchers, are also going to be exclusionary and will not help poor people in any kind of comprehensive fashion.
 
What would be ideal is to simply expand Medicare to everyone.  A simple model, it could help all poor people, and then on top of Medicare you could have private insurance policies for those with money who want higher levels of care.  This may be the best answer in the long term for the US - if Congress would ever get brave enough to do it.

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