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GOP/Trump Sabotage of Affordable Care Act Raises Premiums for South Dakotans

Kristi Noem, Mike Rounds, John Thune, and Donald Trump failed to repeal the Affordable Care Act, but they have worked together to sabotage this effective policy. Their repeal of the requirement that individuals carry health insurance plus a pending rule change that would allow crappy non-ACA-compliant short-term plans to fill in for long-term coverage will cost South Dakotans on the ACA marketplace $1,452 in higher premium costs:

Center for American Progress, analysis of Trump/GOP ACA marketplace sabotage, 2018.05.18.
Center for American Progress, analysis of Trump/GOP ACA marketplace sabotage, 2018.05.18.

Thanks to Noem, Rounds, Thune, and Trump, South Dakotans are losing money and good health coverage. Noem, Rounds, Thune, and Trump have offered no plan to restore affordable health insurance policies for the folks losing out under their heedless anti-Obama tear through the effective policies of the preceding Administration.

55 Comments

  1. Jason

    The total repeal of Obamacare would reduce premiums.

  2. Loren

    Sure, Jason, let’s go back to the good ol’ days of pre-existing conditions, life time caps, tens of millions uninsured, ERs for medical service, junk policies… Ah, the “good ol’ days”! You seem great with the criticism and very short on answers.

  3. owen reitzel

    Jason-You’re wrong but what would happen in the meantime even if you’re right?
    I’ve been using the ACA since December. Due to preexisting conditions this is not only the only affordable insurance I can get, it’s the ONLY insurance I can get.
    When it comes to the ACA I know what I’m talking about.
    If the ACA is repealed what am I supposed to do for insurance until rates go down? Go bankrupt?
    Don’t think prices will go down though.

  4. Porter Lansing

    Finish the sentence, Jason. It actually reads, “The total repeal of Obamacare would reduce premiums if everyone in USA is allowed to buy into Medicare.”

  5. jerry

    The accomplishment of the ACA/Obamacare was that it has made insurance coverage affordable for lower income individuals and families. That was its original intent and for that, a success! The corporate republican could quickly see that suddenly all Americans could see that government (them) actually could work for all citizens benefit. Couldn’t have that and so now we have seen their intent on eliminating the ACA/Obamacare.

    Problems for them though is that the this law was worked on for a year of more to make it so that republicans could not undo it without problems. Now we are looking at the problems. Higher prices for those who do not get subsidies. Damn it, how could that have happened? Simple, republicans cannot govern so they screwed up the formula that would have made the plans even more affordable for those that did not qualify for a subsidy. Sucks to vote republican and realize they chumped you.

  6. Porter Lansing

    Exactly right, Jerry. The success of Obamacare is helping people who couldn’t afford or had pre-existing conditions obtain affordable health insurance. The ancillary benefit was rewriting insurance policies so that the buyers, who paid their premiums faithfully, wouldn’t end up in medical bankruptcy court because of their policy’s failure to cover serious illness.

  7. jerry

    Conservative communism makes the cost of something as simple as health insurance cost more than a house could cost in some rural areas that will see these tremendous rate increases. I am thinking that for $30,000.00 to $40,000.00 a year would even buy you pretty good digs in Minneapolis or some other large city. In the meantime, this same bunch is so tone deaf they do not hear or see the disruption they are causing on main street in South Dakota. How ya gonna buy replacement stuff for your broken down things if you do not have the capital to do so because insurance brokers like Rounds have stolen your cash.

  8. As Loren notes, the total repeal of the ACA would reduce premiums for millions of Americans to zero, since insurance companies would yank their policies and refuse them coverage due to pre-existing conditions.

  9. John Kennedy Claussen, Sr.

    Jason, the “total repeal of Obamacare would” mean the return of the pre-condition clause. Do you really want that?

    I think one of the more amazing events in the past few months, however, concerning our South Dakota Republican leadership in Washington and health care reform, was when Senator Rounds was simultaneously working with Democrats in the Senate to shore up risk funding for private insurance companies involved in the Obamacare network, while at the same time, Rounds supported a tax cut which eliminated the Obamacare mandate. Because you cannot be a friend of Obamacare with your concern for the economic feasibility of the networks if you are also willing to gut the enforcement mechanism of Obamacare itself….. My only question is, will the real Senator Rounds please stand up and when he does, I hope he stands for something with a consistency at least….

  10. Jason

    John,

    Pre-existing can be dealt with after obamacare is repealed.

  11. Roger Cornelius

    Trump still contends that he repealed Obamacare, the next thing he’ll tell us is that he replaced it with affordable healthcare for everyone that will be “big and beautiful, believe me”.

  12. Roger Cornelius

    Pre-conditions being “dealt with after Obamacare is repealed” jeopardizes the health of millions of Americans.

  13. mike fom iowa

    Pre-existing can be dealt with after obamacare is repealed.

    Jason is practicing his stand up comedy routine sure to get rotten veggies thrown at him.

  14. John Kennedy Claussen, Sr.

    Jason, yep, “….and the check is in the mail…..”

  15. Porter Lansing

    Jason … Why haven’t Republicans repealed Obamacare? The checks from our government paying for poor people’s healthcare are still going out every month. It’s because more votes were cast for Hillary than for Trump. It’s because Republican congress people won’t vote to repeal Obamacare because their constituents don’t want them to. It’s because Obamacare is working.
    LOSERVILLE … (population – Jason) ha ha ha

  16. jerry

    Pre existing conditions were dealt with before the ACA/Obamacare…you couldn’t get insurance at all if you had them.

  17. Roger Cornelius

    jerry
    You took the words right out of my mouth.
    For decades congress has dealt with pre-existing conditions by not dealing with it.

  18. Porter Lansing

    Right, Jerry. I’ve told the story too many times but my late wife’s Blue Cross policy was “refused to be renewed due to existing conditions” after she got breast cancer. No other company would sell her a policy. Medical bankruptcy ensued.

  19. jerry

    There have been a couple if not more, former republican congressmen that now appreciate the ACA/Obamacare because of their own health conditions that allowed them to get coverage. They even were like NOem who has proudly voted against the ACA/Obamacare that have caused the massive increases in premiums. Jackley, the same way. I wonder how the wheel of chance might fall on them or their families with a serious sudden illness or a devastating accident that could make insuring them or their families impossible without the ACA/Obamacare, might change them. Even if you have loads of money, those medical bills can be $ one million bucks a month just for drugs as that youngster in Iowa found. A million a month out of the checkbook might make them feel a little more empathy for those they have screwed over the years…Then again, maybe not…The Red Wave is indoctrinated into blind hate of skin color, religion and gender. Don’t even get them started on the elderly, disabled, veterans, sick and the loathed poor.

  20. Dana P

    Sigh, Jason. When the ACA was implemented, I FINALLY had insurance coverage that was solid AND affordable. I didn’t have to buy junk policies that cost me an arm and a leg and in the long run, covered about nothing.

    For the next few years, my ACA policy continued to be affordable and damn good coverage. Then, THANKS TO THE ACA, a covered procedure/mandated by the ACA (a colonoscopy) discovered my cancer. Thank goodness I had that coverage. My monthly premiums were affordable and my deductibles were also affordable and reasonable. My “bill” is up to around $300,000 now, with all of the radiation, chemotherapy, surgeries, etc.

    Again, my out-of-pocket expenses have been affordable and I didn’t have to go into debt to save my life. The ACA saved my life, physically and financially.

    Fast forward to Jan 2017, with GOP in charge of….everything. Risk corridors were removed by GOP. Trump/GOP conducted sabotage to the markets. What happened? A-ha! Premiums are skyrocketing and will continue to do so (as Cory has noted above) My monthly premium now (which almost tripled after Trump/GOP were in charge) is now $230/month. And it is still climbing THANKS to Mr trump (who promised the best and beautiful health care prices) and his idiotic decisions. And if the GOP gets their way? Yeah, I’m now a pre-existing condition candidate. If I can even find a company that will insure me, (more than likely, GOP will cancel that option too) , my rates will be unaffordable.

    Soooooo…..how does that “arithmetic” add up to getting rid of ACA will reduce premiums? The overwhelming evidence is exactly the opposite. GOP in charge. Sabotaging ACA. Rates skyrocketing. This isn’t hard.

  21. Farting: irrelevant. Many things are pollution; that doesn’t change the fact that VW broke the law.

    EPA: irrelevant. The fact that you don’t like the EPA doesn’t change the fact that VW broke the law. Even your author acknowledges that, given the prospect of Congressional hearings and punishment in 2015, “VW deserves it — if for no other reason than it scammed customers and taxpayers, and obtained an unfair advantage over competitors.”

  22. o

    More of the Pro-life, Compassionate-Conservatism that allows people do die because they do not have enough money in their pocket.

    Or maybe this is responsible budgeting – finding ways to pay for those 1% and corporate tax cuts.

  23. o

    The dumbest/worst thing the GOP did was to label the ACA “Obamacare.” By doing so, the committed themselves to a must-destroy path that had little to nothing to do with the value of the ACA. Even now that Obama is no longer president, the specter of his success has the GOP chomping to render his legacy impotent. All the “we could fix that” after we repeal is partisan rubbish: the ACA could be AWESOME, a true boon the citizens of the US, but the GOP is intent only on hanging a political failure on a past president.

  24. Debbo

    One of the most interesting and fun things about Obamacare is that it’s popularity is growing Among Republican voters. Yes indeed. They are seeing what their party is doing to destroy the health care coverage their loyal voters have come to treasure. Political types are saying GOP shredding of Obamacare will add to this November’s Blue Tsunami.

    GOP. 😒 Bwahahahahahahaha!!!!!

  25. jerry

    There was once an officer in Vietnam that remarked more or less “Sometimes you have to destroy the village to save it”. By the words and actions of NOem and Jackley along with the rest of the crooks and liars called conservative communists, they are seeking to destroy the freedom of havingthe fundamental rights that were written in our Declaration of Independence all those years ago.

    “Life, Liberty and the pursuit of Happiness” is a well-known phrase in the United States Declaration of Independence. The phrase gives three examples of the “unalienable rights” which the Declaration says have been given to all human beings by their Creator, and which governments are created to protect.”

    When government has done as this one has done, to seek to destroy “Life, liberty and the pursuit of happiness”, they have turned their back on the people for the benefit of corruption. The ACA/Obamacare has given each one of us citizens and immigrants alike, those three statements, by virtue of law. They have no replacement, they have never had a replacement, and they never will. All these crooks and liars have sought is the gold, taken from the mouth’s of citizens that is not really much different than what happened in the Death Camps of Germany and Poland 80 years ago.

    We all know what happened in Vietnam when full war was put upon those same villages that we sought to destroy to save, they kicked our ass out of there. In no uncertain terms, they whupped our arse’s. I bring up the Vietnam War because of my familiarity with getting my arse whupped and what I am seeing in this great country once again. We are having a Constitutional Crisis with the continued destruction of ACA/Obamacare as well as the lawlessness from the White House on down the line. With the continued extortion of healthcare coverage, the destruction of Medicaid, and the complete disregard for the people’s well being, while lavishing huge monetary gains on Russian, Chinese, and North Korean business interests, might be the match that may well light the fuse of what we saw in our not so distant past.

  26. “Pre-existing can be dealt with after obamacare is repealed.”
    Of course they will !! Somehow the republicans will give me back the fourteen inches of my sigmoid colon that cancer got.
    Dear sweet jeebus — Didn’t Sondheim write a song called “Send in the Trolls?”

  27. Jason has no plan to address the fundamental critique of his and Trump’s actions: weakening and repealing the Affordable Care Act raises premiums, reduces the quality of coverage, and reduces the number of people covered.

  28. mike fom iowa

    Insurance companies, with Jason’s blessings, will put pre-existing conditions behind a pay wall and then charge you a fee to be rubber stamped DENIED! Gotta get those profits up, boyz.

  29. jerry

    “Cynthia Tisdale was a substitute teacher at Sante Fe High School, where she was murdered last week. She went back to work as a substitute after her husband was diagnosed with cancer and needed expensive treatments.

    America, on every single level, it is time for a gut check. Is this really who we want to be? A society where people are forced out of retirement when a loved one gets a terminal diagnosis? A society where largely unfettered access to guns regularly leads to mass murders?”

    So then, do we Americans want to go back to where this was all too common or do we want to boot shameless Red Wave party to the curb? It is up to us to either keep paying the extortion or to make change. Start with dumping the frauds and crooks wanting to go to Washington and elect Tim Bjorkman. Start with dumping the proven time after time crooks and liars that want to be governor and elect someone who can start the process of getting us out of our third world status by electing Billie Sutton. Start by dumping the insidious deniers of meaningful legislation in Pierre and elect change.

  30. jerry

    NOem and Jackley clearly do not have daughters or understand that thousands of South Dakotan’s do for their continued despicable efforts to destroy ACA/Obamacare. Me, I only have one granddaughter and am glad that she has coverage under her parents plan until she is 26. Thanks Democrats, thanks a lot for having the vision and caring that protects her and millions of other daughters and granddaughters.

    “Under the Affordable Care Act (ACA) provision allowing adult children to stay on their parents’ health insurance policy until age 26, young women with gynecological cancers were diagnosed and treated sooner, researchers say.

    Before the law, often called Obamacare, went into effect, one in three women aged 19 to 26 years had health insurance, and today more than four in five women in this age group are insured, the study team notes in Obstetrics & Gynecology.

    In a comparison of young women who would have had access to insurance coverage under the law, and slightly older women who would not have had the same access, researchers found that 3.6 percent more of the younger group had their cancers diagnosed at an early stage.

    “Each year in the U.S., several thousand young women are diagnosed with gynecological cancers, including cervical, endometrial, ovarian and vulvovaginal cancers,” the study’s authors, Drs. Anna Smith and Amanda Fader, told Reuters Health in an email.

    “We know that diagnosing and treating women in the earlier stage of disease helps them live longer and healthier, which is particularly important for young women. However, prior to the ACA, young people were more likely to be uninsured than any other group of Americans,” said Smith and Fader, both gynecologists at Johns Hopkins School of Medicine in Baltimore.” https://www.reuters.com/article/us-health-cancer-gyn-insurance/obamacare-tied-to-earlier-cancer-detection-in-young-women-idUSKCN1IJ2RJ

  31. Roger Cornelius

    As Trump tosses the ACA into chaos and still hasn’t presented his plan for his a “beautiful affordable healthcare insurance”, I’m wondering if Trump is unwittingly pushing for Medicare For All or a single payer system.

  32. o

    Roger, even if Trump stumbles into either of your two options, a hour or two sitting down with insurance companies will “straighten his position out” exactly as the NRA sit down got him back on the corporate side of gun sales when he mused about reasonable, gun-control legislation.

    Jason, would you like to chime in here with one-line about how Glorious Leader Trump looks out for the common man over the corporate elite?

  33. Jenny

    The pubs just Absolutely do not want to hear success stories of people being able to afford healthcare because of Obamacare, people like Owen and Dana P.
    They want it to be a total disaster, and want to go back to the days when 48 million people did not have health insurance.
    In MN this year, there were record numbers of people that signed up for health insurance through MN Sure and thanks to gov Dayton, tax credits are available to help with premiums.

  34. Roger Cornelius

    o
    Unfortunately you’re probably correct.

    For all his bluster Trump does have the habit of backing away from his demands. Not only has he backed away from the NRA, but he has now put a hold on his China trade war.

    In the past few days Trump has been expressing concerns about meeting with Kim Jung Un for fear of being out maneuvered and Trump coming away a loser.

  35. o

    Jerry, on the gun question: given that the genie is out of the bottle, is ANY candidate willing to say that we need to reduce the number of guns in the US from current levels – DRASTICALLY reduce the number from current levels. Bump stocks, silencers, magazine capacity, assault (verses regular deadly) — all skirt the core issue of too many guns in our country.

  36. jerry

    o, after reading this, there is only one one answer: “LAS VEGAS — Police documents about the deadliest mass shooting in modern U.S. history included reports from at least two people who said a person they believed to be the gunman ranted in the days prior to last October’s Las Vegas Strip attack about the federal government and gun control.

    The claims by those people and others could not be verified because the names of all witnesses were blacked out in the 1,200 pages of police reports and accounts that the Las Vegas Metropolitan Police Department made public Wednesday after losing court battles to keep them secret.” Clearly this mass murder was a right wing terrorist that also had mental issues. Right wing and mental issues are a bad combination by themselves, when you add gun powder, then it is chaos.

    Not only ANY Candidate representing the Democratic Party, but all as this “The right to bear arms is an important part of our heritage subject to reasonable restrictions.” https://www.sddp.org/wordpress/wp-content/uploads/2011/02/2016-South-Dakota-Democratic-Party-Platform.pdf

    Now if you look under healthcare, you then get the idea of what Democrats view on addressing mental health, like what we have seen all around the country with the shootings and death. BTW, a feller in Rapid City just plead insanity for the random AR15 shooting into a car full of people not so long ago. Lucky there were no deaths in that deal. Healthcare is critical for catching some of these problems before they turn out to be massacres.

  37. jerry

    Daugaard is gonna be using Preparation H by the hand full trying to figure a way to release the extortion numbers without anyone knowing, so you know his bowels are in an uproar. Poor boy caused most of the problems by his hatred of the poor, the disabled, the veterans, the elderly and the real targets, women. The Division of Insurance is gonna look at the requests and say, looks good to us, so it shall be. Get your checkbooks ready and whatever thing you feel you can sell off, because the Red Wave is at it again.

  38. o

    Jerry, “restrictions” imply slowing the flood of weapons from where we are now. Where we are now is untenable for any real discussion of public safety. Is ANY candidate willing to say that given the gross overabundance of weaponry in the US, guns need to be taken out of the hands of people who now have them?

    The most recent school shooting in TX was facilitated through the shooter’s access to his father’s legally owned guns. He decided to shoot up a school, and guns were READILY available for him to do so.

  39. o

    Roger, Trump is the only one who could have not seen the North Korea play: get the US to agree to a summit; then NK makes a HUGE unilateral announcement to reduce their nuclear threat right before the summit; then NK backs out after the US shows bad faith/takes provocative action — thereby placing the failure of dealing with the nuclear threat firmly at the feet of the US.

  40. Roger Cornelius

    o
    There is definitely something going on with the North Korea summit, today the White House said that if the summit doesn’t happen it will be Kim Jung Un’s fault.

  41. mike fom iowa

    Drumpf is always going to be the loser because he actually believes the lies he tells himself about being smarter than his lawyers and generals and negotiators. He is in a class by himself of clueless, self delusional morons.

    His Plan B for Iran claims to be the hardest sanctions ever imposed, but he will not get the same unity from the UN because Russia will veto stricter sanctions.

  42. Daniel Buresh

    Quit beating around the bush. Jason wants to go back to how things were so that people will die before his tax dollars help keep them alive. He belongs to the fringe GOP who believe that help should be voluntary. This way, they can judge others and determine who has been deemed worthy of their help. Allowing less than desirables to die in the gutter is exactly what they want.

  43. jerry

    The ACA/Obamacare is working to provide healthcare for those Americans who could not get it in the past because of health issues and the financial costs.

    “WASHINGTON — Call it the political equivalent of a death-defying escape: former President Barack Obama’s health care law pulled in nearly 11.8 million customers for 2018, despite the Republican campaign to erase it from the books.

    An Associated Press count found that nationwide enrollment was about 3 percent lower than last year. California, with more than 1.5 million sign-ups, was the last state to report, announcing its numbers on Wednesday.”

    Health insurance premiums for those whose earnings are high enough to not warrant a subsidy, will be paying about $100.00 more dollars a month for the same coverage as last year. So a family of 4 will be paying nearly $5,000.00 a year more for their health coverage than they did last year. NOem says that was her intent with the 60 many votes she made to increase health insurance premiums. Jackley says that not only did he support NOem’s votes on this, NOem supported him on this kangaroo count antics to kill Medicaid that cost the state a billion with a B.
    This really is the middle fingered salute of the Red Wave that these two speak of.

  44. leslie

    Total Jason busy distraction on this thread:

    “The total repeal of Obamacare would reduce premiums. And;

    Krebs, last night however is all over getting rid of the ACA and oddly SDPB prefaced her remarks today saying “…as the GOP continues to take the ACA apart…”. There is no way we can allow inexperienced Krebs into the US House nor self-serving Kristi as governor to continue ruining health care for the 90%, [regardless of Corey’s crush:) Former republican, still loves Krebs…I worry….]

  45. leslie

    “The total repeal of Obamacare would reduce premiums.” jason

  46. leslie

    oh and there’s this brilliance: “Pre-existing can be dealt with after obamacare is repealed.”

    stupidest comment since trump’s last tweet. (“Funny to watch the Democrats criticize Trade Deals being negotiated”)

    note btw that trump followed McConnell’s unconstitutional Mar. 2016 block of Merrick Garland, in Nov. 2017 blocking 3 of 7 needed “appointment[s] of new appeals judges until the system is reformed to Trump’s satisfaction.
    With cases backing up in the WTO dispute system, the organization is close to running out of the number of judges it needs to keep hearing appeals.” https://www.reuters.com/article/us-usa-trade-wto/u-s-blocks-work-on-wto-ministerial-statement-ahead-of-meeting-idUSKBN1DM2I4

  47. jerry

    Registered Nurses, or RN’s so Jason can keep up, are paid the least in South Dakota. So with the premium increases coming real quick like, we cannot blame our providers in the nursing field.

  48. Jason

    How many MRI’s @ $2,000 does it take to pay for the machine?

  49. jerry

    4 goes inta 8 twice, divided by 2 equals 1. One

  50. Jason

    It takes about 200 mri’s at $2,000 to pay for the machine.

  51. jerry

    Nope, you are incorrect, it takes one or 1 to pay for the machine

  52. Dicta

    “Pre-existing can be dealt with after Obamacare is repealed.”

    I see you trollin
    I hatin
    I knowin that ya
    tryna sh!tpoastin dirty

  53. jerry

    I think one of the real reasons republicans want to destroy the ACA/Obamacare is so when their neighbors get cancer or a serious health condition, they can go to the auction and pick through their stuff. Maybe get a good deal on that cultivator (who uses those anymore) they have been coveting just in case. As the sick person goes through the chili feed fundraiser and the silent auctions, then the big one happens. An absolute auction usually works the best. That is the only reason I can think of, Buzzard’s roost.

  54. leslie

    jerry ‘I’ve gotta feelin’ the inside track of the kochs/billionaires long term attempt to shed corporate responsibility is for every person who doesn’t have substance will die early for lack of affordable health care while subsidies for the 1% continue to advance. Citizens United defeat may be our best protection.

    have u seen these?: https://slate.com/business/2018/05/forget-the-atlantics-9-9-percent-the-1-percent-are-still-the-problem.html

    …or the “ken burns” civil war and Vietnam critique-type argument (https://www.theatlantic.com/magazine/archive/2018/06/the-birth-of-a-new-american-aristocracy/559130/

  55. leslie

    $300-$2000 MRI pricings thru out RC depending on who u are, may demonstrate one aspect of the ACA. The consumer can’t easily shop and the hospitals v. surgicenters use stealth to charge the highest prices. I have heard those who can least afford get the highest charge.

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