{"id":133408,"date":"2017-05-06T09:26:50","date_gmt":"2017-05-06T15:26:50","guid":{"rendered":"http:\/\/hill-kleerup.org\/blog\/2017\/05\/06\/pre-aca-pre-existing-conditions.html"},"modified":"2017-05-06T09:26:50","modified_gmt":"2017-05-06T15:26:50","slug":"pre-aca-pre-existing-conditions","status":"publish","type":"post","link":"https:\/\/hill-kleerup.org\/blog\/2017\/05\/06\/pre-aca-pre-existing-conditions.html","title":{"rendered":"Pre-ACA Pre-Existing Conditions"},"content":{"rendered":"<p>The AHCA doesn&#39;t actually define (or limit) pre-existing conditions that states can opt out of. The list below was gleaned from lists of pre-existing conditions used <i>before<\/i> the ACA was passed to exclude folk from getting insurance, shuffling them into a (limited space, high-premium) high risk pool, jacking up premiums out of the affordable range, placing arbitrary caps on annual care, etc.<\/p>\n<p>Up to a quarter to a third of the non-elderly population can be tagged with one of these.<\/p>\n<p>Now, nothing in the AHCA says that states <i>must<\/i> allow insurance companies to  treat folk with pre-existing conditions as profit centers or pariahs, only that they <i>can.<\/i> And some almost certainly <i>will<\/i> (under the GOP banner of FREEDOM! and the like). <\/p>\n<p>And, as, <span class=\"proflinkWrapper\"><span class=\"proflinkPrefix\">+<\/span><a class=\"proflink\" href=\"https:\/\/plus.google.com\/108631503120169701251\" oid=\"108631503120169701251\">John E. Bredehoft<\/a><\/span> notes[1], employers, too, will be under significant economic and shareholder pressure to reduce insurance costs by throwing these folk under the bus. And as the Brookings Institution has analyzed the AHCA[2], <i>any<\/i> states dropping this protection (FREEDOM!) means that employees in <i>all<\/i> states are suddenly at risk.<\/p>\n<p>But, hey, the GOP House is raising beers and congratulating themselves for finally getting something passed. Just remember that in a year in a half.<\/p>\n<p>&#8212;&#8212;<\/p>\n<p>[1] <a href=\"https:\/\/plus.google.com\/u\/0\/+JohnEBredehoft\/posts\/JscPBC5Vfxi\" class=\"ot-anchor\">https:\/\/plus.google.com\/u\/0\/+JohnEBredehoft\/posts\/JscPBC5Vfxi<\/a><br \/>[2] <a href=\"https:\/\/www.brookings.edu\/2017\/05\/02\/allowing-states-to-define-essential-health-benefits-could-weaken-aca-protections-against-catastrophic-costs-for-people-with-employer-coverage-nationwide\/\" class=\"ot-anchor\">https:\/\/www.brookings.edu\/2017\/05\/02\/allowing-states-to-define-essential-health-benefits-could-weaken-aca-protections-against-catastrophic-costs-for-people-with-employer-coverage-nationwide\/<\/a><\/p>\n<p><span class=\"sm2wpreshared\">Originally shared by <a href='https:\/\/plus.google.com\/101083456815352083930'>+Marla Caldwell<\/a>:<\/span><\/p>\n<blockquote>\n<p><b>Here&#39;s a list of &quot;declinable conditions&quot; from an insurance company<\/b> prior to the ACA. It serves as an approximation of what conditions or situations may cause people to be declined for coverage under the AHCA, if it becomes law. <\/p>\n<p>According to health think tank the Kaiser Family Foundation, between one quarter (1\/4) and one third (1\/3) of the non-elderly residents of each state have declinable conditions&sup1;. Also according to the KFF, about 52 million Americans have such conditions&sup2;. <b>The number commonly suggested today as those who may be losing insurance was 24 million. That may be a gross underestimate.<\/b> <\/p>\n<p>&sup1;<a href=\"http:\/\/kff.org\/health-reform\/issue-brief\/pre-existing-conditions-and-medical-underwriting-in-the-individual-insurance-market-prior-to-the-aca\/\" class=\"ot-anchor\">http:\/\/kff.org\/health-reform\/issue-brief\/pre-existing-conditions-and-medical-underwriting-in-the-individual-insurance-market-prior-to-the-aca\/<\/a><\/p>\n<p>&sup2;<a href=\"http:\/\/kff.org\/health-reform\/press-release\/an-estimated-52-million-adults-have-pre-existing-conditions-that-would-make-them-uninsurable-pre-obamacare\/\" class=\"ot-anchor\">http:\/\/kff.org\/health-reform\/press-release\/an-estimated-52-million-adults-have-pre-existing-conditions-that-would-make-them-uninsurable-pre-obamacare\/<\/a><\/p><\/blockquote>\n<div style='text-align:center'><a href='https:\/\/plus.google.com\/photos\/116291916575572624665\/albums\/6416516211472564401\/6416516212872403090'><img src='https:\/\/lh3.googleusercontent.com\/-Ytnl-KZ4p1k\/WQwLf9vLWJI\/AAAAAAAAlcI\/KQKk_dCCOlIY533nMx_dmyvJWRARlVNJACJoC\/17%2B-%2B1?imgmax=660' style='max-width:650px;' \/><\/a><\/div>\n<div style='text-align:center'>\n<a href='https:\/\/plus.google.com\/photos\/116291916575572624665\/albums\/6416516211472564401\/6416516209721961394' style='width:50px;height:50px;display:inline-block;background-size:cover;background-image:url(https:\/\/lh3.googleusercontent.com\/-jWTwwkxpV6c\/WQwLfyADa7I\/AAAAAAAAlcI\/yDFyQJ0kZ0QpcE4zfAIy-OlSzpddUJ-tACJoC\/17%2B-%2B2?imgmax=300);'><\/a>\u00a0\n<\/div>\n<p><\/p>\n<p><a href='https:\/\/plus.google.com\/photos\/116291916575572624665\/albums\/6416516211472564401?authkey=CLGWl46h5PffNw'>In Album 5\/5\/17<\/a><\/p>\n<p><span style='font-size:small;'><a href='https:\/\/plus.google.com\/+DaveHill47\/posts\/CAcmHUB9Um7'>View on Google+<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The AHCA doesn&#39;t actually define (or limit) pre-existing conditions that states can opt out of. The list below was gleaned from lists of pre-existing conditions used before the ACA was passed to exclude folk from getting insurance, shuffling them into a (limited space, high-premium) high risk pool, jacking up premiums out of the affordable range, &hellip; <a href=\"https:\/\/hill-kleerup.org\/blog\/2017\/05\/06\/pre-aca-pre-existing-conditions.html\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Pre-ACA Pre-Existing Conditions&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":133409,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[106],"tags":[],"class_list":["post-133408","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plusposts"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2017\/05\/17+-+1imgmax=660.jpg","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":133151,"url":"https:\/\/hill-kleerup.org\/blog\/2017\/03\/24\/does-the-ahca-defeat-signal-that-the-health-insurance-debate-is-settled.html","url_meta":{"origin":133408,"position":0},"title":"Does the AHCA defeat signal that the Health Insurance debate is settled?","author":"***Dave","date":"Fri 24-Mar-17 11:42pm","format":false,"excerpt":"Or, put another way, has the Overton Window[1] on public discourse around how health care is made accessible in this country solidly moved further to the \"left\" than it was a decade ago? While there are certainly hard-core folk in Congress who balk at the very idea of the federal\u2026","rel":"","context":"In &quot;~PlusPosts&quot;","block_context":{"text":"~PlusPosts","link":"https:\/\/hill-kleerup.org\/blog\/category\/blogging\/plusposts"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2017\/03\/obamacare-cartoon-2-a5B15D.jpgimgmax%3D660.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":133394,"url":"https:\/\/hill-kleerup.org\/blog\/2017\/05\/03\/the-republicans-throw-money-at-the-ahca-pre-existing-condition-problem.html","url_meta":{"origin":133408,"position":1},"title":"The Republicans throw money at the AHCA pre-existing condition problem","author":"***Dave","date":"Wed 3-May-17 12:43pm","format":false,"excerpt":"No, really, this is what the \"Big Amendment\" that will flip a couple of anti-AHCA GOP Reps over to the pro- side is all about. They're quite aware that the AHCA lets states opt out of whatever the heck they want, including pre-existing condition provisions, if they claim that it\u2026","rel":"","context":"In &quot;~PlusPosts&quot;","block_context":{"text":"~PlusPosts","link":"https:\/\/hill-kleerup.org\/blog\/category\/blogging\/plusposts"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":133395,"url":"https:\/\/hill-kleerup.org\/blog\/2017\/05\/03\/the-ahca-affects-not-just-individual-buyers-but-employee-health-plans-too.html","url_meta":{"origin":133408,"position":2},"title":"The AHCA affects not just individual buyers, but employee health plans, too","author":"***Dave","date":"Wed 3-May-17 2:52pm","format":false,"excerpt":"Looking at the currently proposed state \"opt out\" provisions in the Republican health insurance reform, the Brookings Institution finds that it not only impacts individual insurance purchasers, but could have a significant impact on employer-provided health insurance as well, as employers and\/or health insurance companies seize on the \"least common\u2026","rel":"","context":"In &quot;~PlusPosts&quot;","block_context":{"text":"~PlusPosts","link":"https:\/\/hill-kleerup.org\/blog\/category\/blogging\/plusposts"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":133348,"url":"https:\/\/hill-kleerup.org\/blog\/2017\/04\/26\/meanwhile-back-at-the-health-insurance-reform-brouhaha.html","url_meta":{"origin":133408,"position":3},"title":"Meanwhile, back at the Health Insurance Reform brouhaha","author":"***Dave","date":"Wed 26-Apr-17 7:48am","format":false,"excerpt":"House GOP folk are floating a major amendment to the AHCA they failed to get passed a few weeks back. That bill failed in the House (or would have, if it had come up for a vote) because the ultra-conservative GOP representatives abhor any federal intervention in health insurance on\u2026","rel":"","context":"In &quot;~PlusPosts&quot;","block_context":{"text":"~PlusPosts","link":"https:\/\/hill-kleerup.org\/blog\/category\/blogging\/plusposts"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":138548,"url":"https:\/\/hill-kleerup.org\/blog\/2019\/04\/03\/the-enduring-fantasy-of-trumps-bestest-ever-beautiful-gop-health-care-plan.html","url_meta":{"origin":133408,"position":4},"title":"The Enduring Fantasy of Trump&#8217;s Bestest Ever Beautiful GOP Health Care Plan","author":"***Dave","date":"Wed 3-Apr-19 8:26pm","format":false,"excerpt":"Trump keeps magically saying he can give everyone better, cheaper, more-inclusive insurance. But he never shares the details.","rel":"","context":"In &quot;Elections 2016&quot;","block_context":{"text":"Elections 2016","link":"https:\/\/hill-kleerup.org\/blog\/category\/politics-law\/elections-2016"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2019\/04\/trump-2019-03.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2019\/04\/trump-2019-03.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2019\/04\/trump-2019-03.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/hill-kleerup.org\/blog\/wp\/wp-content\/uploads\/2019\/04\/trump-2019-03.png?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":133809,"url":"https:\/\/hill-kleerup.org\/blog\/2017\/07\/06\/winning-friends-and-influencing-legislation-ted-cruz-edition.html","url_meta":{"origin":133408,"position":5},"title":"Winning Friends and Influencing Legislation (Ted Cruz Edition)","author":"***Dave","date":"Thu 6-Jul-17 5:09pm","format":false,"excerpt":"On the surface, this looks like vintage Cruz -- throwing a monkey wrench into the proceedings so he can score points amongst his followers (doubtless with an eye on a future run at the White House). There's a reason why Cruz is notoriously unpopular in the Senate, and these kind\u2026","rel":"","context":"In &quot;~PlusPosts&quot;","block_context":{"text":"~PlusPosts","link":"https:\/\/hill-kleerup.org\/blog\/category\/blogging\/plusposts"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"_links":{"self":[{"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/posts\/133408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/comments?post=133408"}],"version-history":[{"count":0,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/posts\/133408\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/media\/133409"}],"wp:attachment":[{"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/media?parent=133408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/categories?post=133408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hill-kleerup.org\/blog\/wp-json\/wp\/v2\/tags?post=133408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}