Showing posts with label Affordable Care Act. Show all posts
Showing posts with label Affordable Care Act. Show all posts

Sunday, November 19, 2017

Trump tax bills have adverse impacts on most Asian Americans and Pacific Islanders


OH, WHERE TO BEGIN? The Trump tax plan is bad for the country in so many ways its difficult to list them in one posting ... but, I'll try. Bear with me, dear readers:

One of my daughters is a high school  teacher in California. Every year in August, she has to buy extra supplies for her students out of her own paycheck. Pencils, paper, etc. - because her cash-strapped school district can't afford a full-year's supply for each classroom.

On her tax form, she is allowed to deduct up to $250 for those teaching supplies even though the actual cost is way more than that. It's a small amount, but at least it's something. Under the Trump tax plan, that meager deduction will go away.

She lives just down the road from Silicon Valley. One of the high-tech giants that have made its founders billionaires, -- under the Trump tax plan  -- is allowed to deduct pencils, computer paper, markers, all those gourmet lunches we hear so much about, the yoga classes and the grand annual blowouts that the companies throw for their employees.

Doesn't seem fair, right? 


The Trump tax bill, H.R. 1, has already passed the House along party lines and the Senate is working on its own version that it will vote on Nov. 27. 

In addition, because she lives in California, my daughter would lose the deduction of California's state income tax which means a couple thousand dollars will be added to the total that the Feds could tax. This provision would impact those states with high state taxes such as New York, Washington, New Jersey, Hawaii, Illinois where almost half of the nation's Asian/Americans live.

If that's not enough, the bill rips away critical benefits that help her pay for her masters degree in math college by ending the student loan interest deduction and the Lifetime Learning Credit that helps students afford graduate school. She would be joined by the thousands of Asian/Americans who pursue advanced degrees at a rate almost twice as much as the rest of the nation as a whole.

That in a nutshell is only one example of how the tax bill being rushed and pushed through the GOP-dominated Congress before the end of the year just so the Republicans say they accomplished one major piece of legislation.

“These are just some of the ways middle class Americans are asked to pay for corporate tax cuts," said Rep. Judy Chu, D-CA, chair of the Congressional Asian Pacific American Caucus. "All in the name of trickle down economics, a theory that has been repeatedly tried and shown not to work."

She's right. It didn't work under President Ronald Reagan. It didn't work under President George W. Bush and it won't work under Trump. This is why it is important to study and learn from history. In the past that money didn't trickle down. Under that disproven theory, it provided more money for the CEOs and investors who instead of putting that extra money back into the U.S. economy by creating more jobs, squirreled it away in tax havens around the world. 

Don't believe me? Watch this MSNBC segment showing a room full of CEO's who are asked who plans to reinvest those tax savings into creating more jobs:


Greed trumps the common good. It's clear that nothing is going to "trickle down!" 

For a couple, deductions will double, but that benefit will be offset because the interest on mortgages, the biggest deduction for most middle-class families, will be eliminated.

Charitable giving will likely go down because those itemized deducations will also go down the tubes. That would spell doom to the nonprofit sector, the safety net, that provide services for the less fortunate, the undocumented, the struggling and those who need a little assistance to get over the economic or cultural hump to become a contributing member of society.

As an attack on the so-called intellectual "elite," (re: those people who didn't vote for Trump) the tax plan would tax donations to universities

Despite the flaws in H.1, the bill passed the House, 227 to 205, with 13 Republicans siding with the Democrats. The Republicans who defected mainly came from those states with high state taxes.


The Senate bill is just as devious and some may argue, even worse than the House's plan. The Senate version of the Trump tax bill includes a provision that would eliminate the individual mandate, a pillar of Obamacare. That would essentially guarantee the death of the Patient Protection and Affordable Care Act (ACA). Congress would deal a devastating blow to health care for millions of Americans, particularly communities of color. 

Under the guise of tax reform and after repeated failed attempts at repealing the ACA, the GOP is now attempting to attack our health care system through the Senate tax bill, which makes it even worse than H.R. 1. The proposed tax bill comes dangerously close to eliminating critical health and safety net programs that millions of Americans rely on and puts the burden of tax reform on low- and middle- income people by benefiting the top 1% and wealthy corporations. 

The Senate tax bill proposes to repeal the ACA’s individual mandate, which the Congressional Budget Office (CBO) estimates would cause 13 million people to lose their health insurance, a 10% increase in insurance premiums, and five million fewer people to enroll in Medicaid. In addition, the tax bill includes the potential to slash Medicare by $473 billion, cut Medicaid by over $1 trillion, and increase the federal deficit to $1.5 trillion. 

These cuts would impact many Americans, including over 850,000 Asian/Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) who have benefited from the ACA nationally. Prior to the ACA, about 20% of Asian Americans were uninsured, but after ACA implementation, the uninsured rate dropped dramatically to 8% in 2015. 

That "me, first" attitude is - well - unpatriotic.

To satisfy critics who say the tax plan would benefit the very rich, the House decided to keep the 39.6% tax rate for millionaires' salaries and wages. That sounds good until you realize that the 1-percenters earn most of their money through investments and capital gains; income that has a lower rate that tops out at just 23.8%.


The thing Republicans fail to mention is that the tax cuts for the middle class will expire in a few years and by 2028, millions of Americans will actually be paying more taxes than they are paying now.

And here's the kicker: The tax cuts for the super wealthy will be permanent.

With all the tax cuts proposed by the GOP, where will the money come from to run the country, to modernize out infrastructure, to provide for our defense, to enforce our laws, to educate the generations to come? 
 

"It's doubly outrageous that while they're doling out extra yachts and private jets to the elite, their budgets make cuts to Medicaid, Medicare, Social Security, and public education, further lowering the standard of living for working families," said Frank Clemente, executive director of the nonpartisan Americans for Tax Fairness. "That's no tax plan, that's a tax scam."




WARNING! Angry screed coming:

The same people who take advantage of living in a free society, who depend on an educated work force, who use the country's infrastructure to move their goods around, who depend on a safe environment to allow them to do business; who want healthy and happy employees working for them by paying them decent salaries so they can afford to buy their own modest homes, who educate their children in our public schools, and who can afford health care; those same 1-percenters have the nerve to take away the tax dollars that would help pay for all that so they can fly away from the U.S. in their private corporate jets to their second or third homes in Switzerland or the Caribbean or sail around in their luxury yachts and send their kids to private schools.

The 1-percenters -- the corporate CEOs who move our jobs overseas (to save a buck for their investors) and the Wall Street traders detached from Main Street. The investors and the traders who play computer games on the real-world sweat of workers lower down on the economic ladder -- say to hell to the rest of us. In their quest to line their own wallets, they actually believe they accumulated their wealth on their own. They forget the factory workers who produce the products they sell, the farmworkers who harvest their produce or raise their livestock; the military men and women who fight their wars; the construction workers who build their offices and maintain our roads and bridges,  the medical personnel who take care of our health needs, and ...  the teachers who teach the children of their employees, who will become the educated, high-skill work force that our country needs for the 21st century. 

They don't see the middle class struggling to make the mortgage, seeking a health plan they can afford to pay for their kids' braces or fix their eyesight, or trying to save for their children's college education. They only see the bottom line - profits and losses.

What is certain, though, is that helping the middle class is not the real goal of the Trump tax plans. The so-called tax reform's real goals is cutting taxes for corporations and the super wealthy, and whatever sacrifices must be made to make the math work will be borne by the very people Republicans claim to be helping.




The thing is, with such a major piece of legislation that is going to impact us for years to come, why are the Republicans trying to rush this through? Why did they write this up behind closed doors. Shouldn't there be a proper examination with public hearings and input from economists?

Remember my daughter who had to buy school supplies for her students? She'll probably continue to do that because that's just the person she is. But, she'll have to cut her expenses elsewhere, fewer movies, fewer restaurants, and such, which, in turn, will have a ripple effect throughout the whole economy with theater workers losing their jobs, restaurants closing, food suppliers going out of business, etc. This is the reality of a trickle down economy.
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Thursday, July 27, 2017

Senators wrestle with health insurance bills.

Senators Dean Heller and Susan Collins confer on the health insurancee vote.

SENATE LEADER Mitch McConnell is throwing stuff at the wall to see what sticks. The latest attempt to undo the Affordable Care Act went down in flames Wednesday (July 26).

The three AAPI women senators voted against the Republican proposals.

For the second time in less than 24 hours, the U.S. Senate took another vote on providing healthcare for Americans. This time, it was an outright repeal of the ACA by taking away the funding. And what would replace it? Nothing. That would leave ACA participants - over 22 million - without health insurance.


The measure, known as as the Obamacare Repeal Reconciliation Act, failed 45-55, with seven Republican senators voting against it, along with all Democrats and independents in the upper chamber. 

It should be noted that Sen. John McCain, who has received criticism for voting along party lines, opposed the proposal. He was joined by GOP Sens. Lamar Alexander (Tenn.), Susan Collins (Maine), Dean Heller (Nev.), Shelley Moore Capito (W. Va.), Lisa Murkowski (Alaska) and Rob Portman (Ohio) opposed the legislation.

Heller, who drew intense criticism from his constituents when he voted to open debate on the issue, proposed an amendment to request protection of the Affordable Care Act's Medicaid expansion was defeated Wednesday evening by a 90-10 vote. Over 138,000 Nevadans would lose their health insurance if ACA is somehow watered down or eliminated.

The language in Heller's amendment asked the conference committee not to consider cutting Medicaid or shifting costs to states, but would not have imposed any binding requirements on the committee.


On Tuesday evening, the Senate voted against the Better Care Reconciliation Act, 43-57, McConnel's replacement for the ACA with nine Republicans joining the Democrats.

On Thursday, McConnel will try again to give tax breaks to millionaires and billionaires by offering up the so-called "skinny repeal," which would do away with some aspects of the ACA such as the individual mandate and the rule that requires companies with more than 50 employees to provide health insurance. 

There are some in the Senate who believe this more modest reduction would have a better chance for passage. However, if Heller remains steadfast in his opposition against any Medicaid reduction, and he votes with moderates Murkowski and Collins, the three no votes would be enough to stop any efforts to weaken or do away with the ACA.  

“We are better than this as a country, and the American people deserve more from us as their representatives," said California's Sen. Kamala Harris. "This vote to consider a bill that kicks more than 20 million people off of their health care is utterly shameful, but we cannot throw up our hands when it is time to roll up our sleeves." 


Sen. Tammy Duckworth of Chicago urged people to continue calling their senators. "Now more than ever, the American people must keep speaking out and making their voices heard," she said. "And Senate Republicans must listen – to their constituents and to the most vulnerable among us like the members of the disability community who have been here day after day literally fighting for their lives. Then, I hope we can leave this partisan process behind and pursue the honest-to-goodness fixes to the Affordable Care Act that both parties can support to improve our nation’s healthcare system.”

"Any proposal Senate Republicans come up with will kick millions off of their health care and hurt the sickest, oldest and poorest in our communities," said Sen. Mazie Hirono, D- Hawaii.  She returned to the Senate floor to vote against the Republican proposals after she underwent surgery to remove a cancerous tumor last week.


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ATTN NEVADA RESIDENTS: Keep calling or emailing Sen. Heller to register your opposition against the Republican plans to eliminate or weaken the Affordable Care Act.
Email him at: https://www.heller.senate.gov/public/index.cfm/contact-form
Call him at his district offices: 702-388-6605 in Las Vegas; or 775-686-5770 in Reno; or Washington DC, 202-224-6244.


Thursday, January 12, 2017

How the AAPI community will be impacted if Republicans eliminate the Affordable Care Act


ASAM NEWS

THE AFFORDABLE CARE ACT was pitched as a moonshot by President Obama in 2009. Since the official institution of the Patient Protection and Affordable Care Act (ACA) in 2010, many previously marginalized groups in healthcare have received access to health care insurance. Now, President-elect Donald Trump heads for office this January 20, after campaigning for a starkly opposite vision. 

The ACA - sometimes referred to as Obamacare - appears to be the first of several Democratic-instituted programs Trump will repeal. So what does this mean for Asian/Americans and Pacific Islanders?

A lot is at stake. According to the U.S. Census Bureau, between the years 2008 to 2014, Asians represented the highest rate of enrollment in health insurance purchases. The CDC National Health Survey shows comparable trends. Between 2013 and 2015, the percentage of Asian/Americans who were non-insured decreased from 16.1 percent to 8.8 percent; almost halving the percentage of uninsured. These drastic numerical changes coincide ACA’s enactment.

According to statistics provided by the White House in 2014, 1 in 4 Korean/Americans and 1 in 5 Vietnamese/Americans lacked insurance. The US Department of Healthcare and Human Services cites that Asian/Americans are an unlikely group to be screened for cancer. For example, in 2010, Asian/American women were the least likely population to have had a Pap smear. Furthermore, Asian/Americans and Pacific Islanders ranging from 19 to 24 in age were 1.6 times more likely to have Hepatitis B than non-Hispanic Whites.

When seeking healthcare, Asian Americans face issues comparable to many immigrants and lower-income patients. The lack of comprehension, fear of the system and the inaccessibility of hospitals are all barriers to entry for these populations. 

Asians, in particular, face another edge of the “model minority” sword: the population ranks among the fastest-growing populations in poverty since the Great Recession. Moreover, because Asian/Americans typically either work for or run small private businesses, health benefits are rare.

Theresa Lau, author of an opinion article on NBC news recalls 15-mile drives and waiting hours to see a community health specialist for her care. With non-English speaking parents who worked long hours for limited income, a doctor’s visit was atypical and difficult. Lau’s dismay at the potential repeal of the ACA reflects an opinion many may share. Since the ACA’s implementation in 2010, around 20 million new patients have been insured.

The outlook for continuation of the ACA looks to be grim. Trump has already nominated Seema Verma as the Administrator of the Centers for Medicare and Medicaid Services and Tom Price as Health and Human Services Secretary.

Verma is known as a staunch Republican. Her work with Indiana Governor Mitch Daniels advocated for low-income patients to compensate for their insurance by volunteering, and contributing to a health payment account. Price is known for drafting an alternate, GOP rendition of the ACA, the Empowering Patients First Act or EPFA. The alternative proposes offers tax credits so patients may purchase insurance through the private market. Together, the decisions of Trump, Verma, and Price will change the health landscape of millions of Americans, marginalized and not.
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