editorial21

After the election, Trump said he’d like to maintain key components of the heath care law that he once called a “disaster.”

With a Republican-controlled White House and Congress it’s possible that legislation to repeal the Affordable Care Act could be introduced as early as next year.

But the vow by Trump and House Speaker Paul Ryan to repeal and replace the health care law could and should be thwarted if it is to reflect the will of the American people.

According to a new poll, only about 1 in 4 people in the United States want Trump to entirely repeal the health care law that extended coverage to millions.

The nonpartisan Kaiser Family Foundation released a post-election survey last week that found there is a shift in views among some Republican foes of the health care law.

According to the poll, while 52 percent of Republicans say they want the law completely repealed, that share is down from 69 percent just last month before the election. More Republicans now say they want the law “scaled back” under Trump and the Republican-controlled Congress, with that share more than doubling from 11 percent before the Nov. 8 election to 24 percent after.

Kaiser CEO Drew Altman said the foundation’s polling experts aren’t quite sure what to make of that finding.

It’s not difficult to understand.

Repealing the Affordable Care Act was a good soundbite on the campaign trail. But the closer repealing the law becomes a reality, a more pragmatic view is beginning to emerge.

Despite its critics, polls show that the Affordable Care Act has provisions with support across party lines including:

Allowing young adults to stay on a parent’s insurance until age 26.

No copayments for many preventive services.

Closing the Medicare prescription drug coverage gap known as the “doughnut hole.”

Financial help for low- and moderate-income people to pay their insurance premiums.

A state option to expand Medicaid to cover more low-income adults.

Barring insurance companies from denying coverage because of a person’s medical history.

Increased Medicare payroll taxes for upper-income earners.

While Republicans have vowed to repeal the law, they don’t offer a real alternative.

Despite a shaky start, more people are signing up for the program. HealthCare.gov sign-ups are running a little higher than last year — 2.1 million through Nov. 26 as compared with about 2 million last year. The markets need an influx of younger, healthier consumers to help keep premiums in check.

The Affordable Care Act needs to be reformed and not repealed. Under the ACA more than 10 million people are currently covered through HealthCare.gov and state markets that offer subsidized private insurance. An additional estimated 9 million low-income people are covered by Medicaid in states that expanded the program.

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