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A2   UP FRONT
                 Friday 28 September 2018

            Trump health chief: Premiums to drop for popular ACA plan



            By    RICARDO     ALONSO-                                                                                           In  previous  election  years,
            ZALDIVAR                                                                                                            health law premiums have
             Associated Press                                                                                                   provided plenty of material
            WASHINGTON  (AP)  —  Pre-                                                                                           for Republican attack ads.
            miums  for  a  popular  type                                                                                        That  issue  has  been  taken
            of  "silver"  health  plan  un-                                                                                     away  this  year  by  market
            der  the  Affordable  Care                                                                                          stability.  Instead  the  de-
            Act  will  edge  downward                                                                                           bate has shifted to Demo-
            next  year  in  most  states,                                                                                       cratic  charges  that  the
            the  Trump  administration's                                                                                        Trump  administration  and
            health  chief  announced                                                                                            Republicans want to under-
            Thursday.                                                                                                           mine the ACA's protections
            Health  and  Human  Servic-                                                                                         for people with pre-existing
            es Secretary Alex Azar said                                                                                         health conditions.
            premiums  for  a  so-called                                                                                         Azar's speech also took aim
            "benchmark" silver plan will                                                                                        at the "Medicare for All" na-
            drop by 2 percent in the 39                                                                                         tional  health  plan  sought
            states served by the federal                                                                                        by  Sen.  Bernie  Sanders,
            HealthCare.gov website.                                                                                             saying  it  would  undermine
            The  number  of  market-                                                                                            access for seniors and pile
            place  insurers  will  grow  for                                                                                    huge costs on taxpayers.
            the first time since 2015, he                                                                                       The  Trump  administration
            added.                       In this Sept. 12, 2018, file photo, Health & Human Services Secretary Alex Azar speaks during an   is  stepping  up  its  criticism
            Azar's numbers were in line   interview with The Associated Press in New York.                                      of  the  Vermont  senator's
            with  a  broader  indepen-                                                                         Associated Press  plan  as  many  Democratic
            dent  analysis  earlier  this                                                                                       candidates in the midterm
            month  by  Avalere  Health  tage  the  Affordable  Care  among  insurance  plans  which triggered sharp 2018  elections voice support for
            and  The  Associated  Press,  Act  has  proven  better  at  that  don't  comply  with  premium  increases.  Also,  his vision of a government-
            which    found   premiums  managing it than the presi-    health law rules.            Trump  and  congressional  run health care system.
            and markets stabilizing na-  dent  who  wrote  the  law,"  The earlier AP analysis had  Republicans spent much of  "The  main  thrust  of  'Medi-
            tionwide. But his claim that  Azar bragged in his speech  found that average premi-    last year in a fruitless quest  care for All' is giving you a
            the  Trump  administration  to a health policy group in  ums across all types of plans  to  repeal  "Obamacare,"  new government plan and
            deserves credit for "Obam-   Nashville.  Azar  cited  regu-  under  the  Obama  health  with  the  president  repeat-  taking  away  your  other
            acare's"   turnabout   was  latory  actions  to  improve  law  will  rise  3.3  percent,  edly pronouncing it "dead."  choices," Azar said.
            quickly challenged.          the  inner  workings  of  the  with  12  states  seeing  de-  "The  premium  stability  on  As  proposed,  the  Sanders
            "The  president  who  was  ACA marketplaces and in-       clines. That study crunched  tap for 2019 is primarily be-  plan would cover all Ameri-
            supposedly  trying  to  sabo-  crease  consumer  choice  data  from  47  states  and  cause insurers overshot with  cans.
                                                                      Washington,    D.C.,   with  their premium increases for  Taxes  on  individuals  and
                                                                      publicly  available  informa-  this year, reacting to an en-  employers  would  replace
                                                                      tion on proposed and final  vironment  of  tremendous  premiums, deductibles and
                                                                      rates for 2019.              uncertainty," Levitt said.   copays,  and  the  govern-
                                                                      Reacting  to  Azar's  claims,  Under  the  design  of  the  ment  would  set  payment
                                                                      Larry  Levitt  of  the  nonpar-  ACA,  premium  increases  rates for hospitals and doc-
                                                                      tisan Kaiser Family Founda-  automatically  boost  tax-   tors.
                                                                      tion said it's likely that pre-  payer-provided   subsidies  Sanders says his approach
                                                                      miums for 2019 would have  to consumers. Big premium  would  uphold  quality  and
                                                                      gone down even more but  increases last year allowed  gradually bring costs under
                                                                      for other administration ac-  many  insurers  to  return  to  control,  but  studies  show
                                                                      tions  last  year  that  roiled  profitability   as   subsidies  it  would  translate  to  a  his-
                                                                      the markets.                 flowed from federal coffers.  toric expansion of the fed-
                                                                      Those  included  President  The average total premium  eral  government's  role  in
                                                                      Donald Trump's abrupt can-   for  an  individual  covered  health  care.  Critics  doubt
                                                                      cellation of a major stream  under the health law is now  promised savings could be
                                                                      of  payments  to  insurers  —  close to $600 a month.     delivered.q

                                                                      House judiciary panel subpoenas


                                                                      memos kept by McCabe at FBI



                                                                      WASHINGTON  (AP)  —  The  communications  of  for-        tion the committee is jointly
                                                                      Republican-led       House  mer Trump campaign aide  carrying out with the House
                                                                      Judiciary  Committee  on  Carter Page. And the sub-       Government Oversight and
                                                                      Thursday  subpoenaed  the  poena came the same day  Reform Committee.
                                                                      Justice   Department    for  the  co-founder  of  an  op-  The memos have taken on
                                                                      memos  written  by  former  position  research  firm  that  new  relevance  following
                                                                      FBI acting director Andrew  hired a former British spy to  news  reports  that  Rosen-
                                                                      McCabe.  The  committee  investigate  President  Don-     stein  discussed  secretly  re-
                                                                      is  also  demanding  docu-   ald  Trump's  potential  Rus-  cording  Trump  and  invok-
                                                                      ments  related  to  the  FBI's  sia  ties  declined  a  private  ing  the  25th  Amendment
                                                                      application  to  monitor  the  interview  for  an  investiga-  to remove the president.q
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