What We Just Learned About the Impact of 'Trumpcare' on the Uninsured

The U.S. government's Congressional Budget Office (CBO) released a report Monday on the impact the GOP replacement for the Affordable Care Act (ACA) would have on the public, including the uninsured.


Here's what the CBO concluded"

  • About 14 million Americans stand to lose health insurance coverage in 2018, largely due to the repeal of the ACA's individual mandate, which requires every citizen to have health insurance or incur a penalty.
  • The Republican proposal, called the American Health Care Act (AHCA), would reduce the federal deficit by about $337 billion from 2017 to 2026.
  • Those savings will come primarily from rollbacks in Medicaid coverage — health care for the poorest people in the country — which was expanded under the ACA. Other savings come from eliminating subsidies to bring down the cost of health insurance to the consumer.
  • The total number of uninsured Americans would gradually climb after Medicaid rollbacks take effect in 2020.
  • By 2026, "an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law," the report stated.
  • The CBO acknowledged that its estimates are not definitive given the difficulty of predicting how "federal agencies, states, insurers, employers, individuals, doctors, hospitals, and other affected parties would respond to the changes made by the legislation."

How the White House has spun the CBO report ahead of its release.

During a briefing with reporters on Monday, White House Press Secretary Sean Spicer cast doubts on the accuracy of CBO reports, arguing that its evaluation of the ACA was not fully accurate.

"All I’m suggesting to you is very clearly that the numbers that they did the last time they did health care were off by more than 50 percent when it came to the number of people insured," Spicer said. "That’s not my interpretation. That’s a fact." 

It's unclear from where Spicer got the 50 percent figure. Budget experts have, in fact, said the CBO report on the ACA were "reasonably accurate," Talking Points Memo reported

You can read the full report here