For the majority of the U.S. population, access to healthcare is about having the financial means to access the provider system, according to one expert.
“This means that people need affordable health insurance coverage,” says Rosemarie Day, president of Day Health Strategies. “Access to healthcare was greatly increased by the Affordable Care Act [ACA] by increasing the number of insured people—through insurance subsidies and other provisions, eliminating the insurance exclusion for pre-existing conditions, and eliminating lifetime caps on insurance. Without insurance coverage, most people simply can’t afford to seek medical treatments.”
With repeal and replace waiting in the wings, Day believes that the Trump administration, and Republicans in Congress, could reduce this access.
“For those that have proposed replacement options, most will not provide the same level of insurance coverage that the ACA currently does—both in terms of number of people covered and the amount of subsidies,” she says. “One exception to this appears to be the Cassidy-Collins proposal [the GOP replacement plan], but the full details on this are not yet available.
Council for Affordable Health Coverage (CAHC) President Joel White sees things a bit differently. “Obamacare’s architects promised lower costs—premiums would go down by $2,500 per family—but the savings never materialized. President Trump has said he is committed to making health coverage more affordable and more available to all Americans, and we take him at his word.”