Last week, the House bill to repeal and replace the Affordable Care Act (ACA) emerged from the shadows into the glare of public scrutiny, and it wasn't a pretty sight. The American Health Care Act (AHCA) is a deeply disturbing plan that would shift hundreds of billions of dollars to the rich and the healthy at the expense of the poor, the sick, and the elderly.
Four years after the ACA enabled millions of Californians to gain health coverage from California's Medicaid program (Medi-Cal) and the Covered California marketplace, House Speaker Paul Ryan, with support from President Donald Trump, wants to revoke coverage and care for our most vulnerable people. In the process, he wants to dismantle the carefully constructed broad base of revenues that finance that care. The Congressional Budget Office (CBO) estimates that the Ryan bill would reduce the number of Americans with health insurance by 14 million next year, rising to 24 million in 2026.