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    How Trumpcare affects optometry


    Putting it into context

    The CBO’s finding that 24 million people will lose health coverage under the plan over 10 years is even greater than what had been anticipated—the Brookings Institution previously projected an estimate of 15 million people.2

    While most experts agreed there would be some reduction in coverage, Republican supporters of the new plan are countering with the stance that their approach does not directly compete with the ACA’s requirement to purchase insurance.

    They have also been quick to dismiss the CBO projections, which are arguably more dire than expected, especially for populations in the plan’s economic line of fire. Key groups receiving Medicaid coverage include individuals with disabilities, children, and older adults.4   

    Medicaid cuts

    In addition, the biggest losers under the AHCA are individuals covered by Medicaid, a state and federal program which offers coverage to more than 72.5 million low-income Americans and serves as the country’s single largest source of health care.5

    While the ACA provided states with the opportunity for Medicaid expansion—31 states plus the District of Columbia chose expansion—the ACA repeal-and-replace strategy rolls Medicaid coverage back.6,7

    Key statistics that provide perspective on the importance and scope of Medicaid include:4

    • Medicaid programs covers 72 million people in the U.S.

    • 50 percent of all births in the country are paid for by Medicaid

    • Approximately a third of our country’s children are covered under Medicaid

    • Half of all long-term care in the country is covered by Medicaid

    By contrast, the AHCA:8

    • Eliminates funding that supported states’ expansion of Medicaid

    • Restructures Medicaid’s federal financing system

    • Does not provide states with flexibility to absorb funding cuts

    • Forces states accept the terms of a diminished financial deal or give up federal funds entirely


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    Optometry Times A/V