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Trump made at least some skeptics happy when he said that he planned to keep one of the most popular provisions of Obamacare, the guarantee of coverage for all, regardless of any preëxisting conditions.
In sum, poorer Americans would get a guarantee of coverage and, with private but federally subsidized insurance, gain better access to quality care for significant expenses than they have now with Medicaid.
Mr. Bublé's duet partner on "Something Stupid," a No. 1 hit for Frank and Nancy Sinatra, is the actress Reese Witherspoon — a guarantee of coverage by the likes of "Us Weekly".
Nationally, the situation is shaping up as a test of the welfare program that Congress created in 1996, when it ended the decades-old federal guarantee of coverage for the poor and no longer tied the amount of money spent on welfare to the number of people on the rolls.
There were, as there tend to be in Trump speeches, inaccuracies and double talk, about economic numbers and about what, exactly, he might be willing to salvage from the Affordable Care Act ("access," in some cases, rather than a guarantee of coverage).
The resulting system would indeed offer a universal guarantee of coverage at a potentially reasonable price, but in terms of access and quality of care it might well end up being more stratified — especially between the upper-middle and the lower-middle — than the system we have today.
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For people like Michael and Lisa and Jacob, the Affordable Care Act's guarantees of coverage mean security and freedom they never had before.
But states can apply for waivers from some of these requirements and, in order to save money, they frequently seek to serve fewer people or provide them with weaker guarantees of coverage.
The legislation would leave in place a set of consumer protections ― including guarantees of coverage for people with pre-existing conditions ― that are among the law's most popular provisions but also drive up premiums.
In their letter to Congress, Ms. Ignagni and Mr. Serota said that if Congress enacted an enforceable requirement for everyone to carry health insurance, "we could guarantee issue of coverage with no pre-existing condition exclusions and phase out the practice of varying premiums based on health status in the individual market".
In their letter to Congress on Tuesday, Ms. Ignagni and Mr. Serota said that if Congress enacted an enforceable requirement for everyone to carry health insurance, "we could guarantee issue of coverage with no pre-existing condition exclusions and phase out the practice of varying premiums based on health status in the individual market".
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