Researchers affiliated with the Wesleyan Media Project wrote in The Washington Post on May 5 on what “Americans will really dislike about the House ‘Trumpcare’ bill.” The article, authored by Associate Professor of Government Erika Franklin Fowler, Courtney Laermer ’17, Wesleyan Media Project Project Manager Laura Baum, and Sarah Gollust ’01, is based on data from Laermer’s senior thesis.
House Republicans voted on May 4 to repeal and replace the Affordable Care Act (ACA) with their alternative plan, the American Health Care Act (AHCA). The authors argue that this vote is likely to cause headaches for Republicans due to several unpopular changes it makes to the law. They focus, in particular, on the AHCA’s replacement for the individual mandate (unpopular itself with only 35 percent public approval) with a “continuous coverage requirement.” As they explain:
If you let your health insurance coverage lapse for more than 63 days, you would have to pay a 30 percent late-enrollment surcharge on top of the premium for the next year. (The bill passed with two amendments affecting these penalties. The widely debated MacArthur amendment lets states seek waivers to enable insurers to charge higher premiums to people with preexisting conditions who fall into this coverage gap. The late-breaking Upton amendment added Wednesday provides $8 billion in funds to offset some of these higher penalties for waiver states, but most analysts don’t think it’s enough).
The researchers surveyed nearly 1,600 Americans in mid-March during the debate over the first version of the AHCA. Here’s what they found:
As much as citizens don’t like the requirement to purchase insurance or pay a penalty to the government, our evidence suggests that they dislike the AHCA’s penalty paid to insurers even more.
In short, AHCA opponents and potential challengers to House Republicans can choose from among many lines of attack: the public is already concerned about protections for people with preexisting conditions, huge cuts to the Medicaid program, and citizens losing insurance. Highlighting the AHCA’s coverage-gap penalty could drop public support further.