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  • 00:00TRACK TO FAST-TRACK A REPEAL WHILE THEY COME UP WITH A REPLACEMENT. WHAT WOULD A REPLACEMENT LOOK LIKE? JONATHAN: THE PRESIDENT-ELECT HAS SAID HE WANTS TO KEEP TWO OF THE MORE SUCCESSFUL PART OF THE OBAMACARE -- FOR THE CARE ACT. JONATHAN: THE PARTICIPANTS WERE VERY SMALL. ONE ALLOWS USED - -- YOUTHS STAY ON THEIR PARENTS PLAN. THE OTHER IS THE PRE-EXISTING CONDITIONS. THE MAIN A COMPLIMENT OF OBAMACARE WAS TO GET RID OF DISCRIMINATION ON PRE-EXISTING CONDITIONS. TRUMP WOULD ONLY KEEP ONE PART OF THAT. MY WIFE IS A BREAST CANCER SURVIVOR. UNDER TRUMP'S PLAN, AN INSURER WOULD SAY THAT WE HAVE TO COVER YOUR BREAST CANCER, BUT THEY WILL CHARGE $100,000 TO DO IT. UNLESS THEY CAN ADDRESS DISCRIMINATION IN THAT, THEY WILL DEFEAT THE PURPOSE OF APPEALING OBAMACARE. VONNIE: ARE THERE CHANGES YOU WOULD MAKE TO OBAMACARE NOW? FORGETTING WHAT THE INCOMING PRESIDENT IS SAYING, ARE THERE CHANGES THAT YOU WOULD MAKE TO MAKE IT MORE PALATABLE ACROSS THE BOARD? JONATHAN: INSURANCE IS ABOUT BALANCING INFLOWS FROM THE HEALTHY AND OUTFLOWS TO THE SICK. THERE ARE MANY WAYS YOU CAN MAKE THAT BALANCE HAPPEN. ONE WAYS WITH THE INDIVIDUAL MANDATE, GET HEALTHY PEOPLE INTO THE POOL. ANOTHER WAY WAS TO HAVE REINSURANCE PAYMENTS TO INSURERS IN THE MONEY. THAT WAS JERKED OUT OF THE LAW BY REPUBLICANS. IF THAT WAS IN PLACE, INSURERS WOULD BE FINE, IT WOULD NOT EXIT. YOU CAN PUT THOSE BACK IN, RICHARD IS PROVISION STRIPPED BY REPUBLICANS AND PROVIDE INSURERS WITH FINANCIAL SUPPORT. VONNIE: YOU ARE SAYING THERE IS ANOTHER POSSIBILITY, ANOTHER WAY OF MOVING PIECES AROUND TO HAVE DIFFERENT LEGISLATION, WHICH WOULD LOOK SIMILAR BUT ALSO PLEASE REPUBLICANS. JONATHAN: THE BOTTOM LINE IS IT IS ABOUT HOW DO YOU GET MONEY TO INSURERS TO COMPENSATE THEM FOR ENSURING THE SICK. ONE WAY TO DO THIS IS SAY YOU DO NOT HAVE TO ENSURE THE SICK. THAT IS A TERRIBLE OUTCOME, BECAUSE WE GO BACK TO THE BROKEN OUTCOME WE HAD BEFORE. ANOTHER WAYS YOU HOW OBAMACARE TO CONTINUE, SAY KEEP THE HEALTHY IN THE POOL, AND WOULD COMPENSATE INSURERS. ANOTHER WAY IS TO PAY INSURERS DIRECTLY TO ABSORB THE COST OF THE SICK. VONNIE: GIVEN THAT YOU ARE CLEARLY COMING OF THE BIAS OF A CRITIQUE EXCHANGE COMPONENT, ARE THERE SIDES SEE REPUBLICANS TALKING SENSE? JONATHAN: BASICALLY NOT. HERE IS THE PROBLEM REPUBLICANS FACE. OBAMACARE WAS THE REPUBLICAN ALTERNATIVE. OBAMACARE WAS THE REPLACED DEVELOPED BY REPUBLICANS AS AN ALTERNATIVE TO THE CLINTON HEALTH CARE REFORM. THERE'S NOTHING TO THE RIGHT OF OBAMACARE THAT WORKS AS WELL AS OBAMACARE. YOU COULD REPLACE IT WITH SINGLE-PAYER, BUT THAT IS NOT HAPPENING. IF YOU WANT TO GO TO THE RIGHTS, YOU EITHER HAVE TO SPEND MORE MONEY OR COVER FEWER PEOPLE. THERE IS SIMPLY NO ALTERNATIVE THAT DOES NOT RUN INTO ONE OF THOSE PROBLEMS. VONNIE: WILL OUR POLITICIANS ALLOW IT TO HAVE BEEN THAT OVERNIGHT PEOPLE LOSE THEIR BENEFITS AND HAVE TO PAY OUT-OF-POCKET? JONATHAN: AGAIN, THREE MONTHS
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Gruber: Nothing to Right of Obamacare Works as Well

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December 30th, 2016, 4:08 PM GMT+0000

MIT Economics Professor Jonathan Gruber discusses the possible repeal of Obamacare under a Trump administration. He speaks on "Bloomberg Markets." (Source: Bloomberg)


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