It covers millions fewer.

It cuts Medicaid dramatically.

It raises premiums the most for those who need healthcare the most: the poor and aged with skimpy subsidies and 5:1 age bands.

It raises premiums, on average by $2,500 per person.

It re-creates a market with health plans that barely qualify as catastrophic with no actuarial minimums.

It slashes public health funds and ends programs like Million Hearts, Stroke prevention and Alzheimer’s research.

It leaves little incentive for insurers to keep participating in ACA exchanges to enable a “smooth transition” in 2020.

It breaks every promise Trump has made, notably:  “I am going to take care of everybody. I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now” and “You will end up with great health care for a fraction of the price.”

Its "continuous coverage" punishes people with a 30% tax, far more onerous than the Individual Mandate and so large people will not be able to afford getting back into coverage.

Its CBO score is so startling that it is being kept secret.

Its impact on coverage, public health, access and affordability will revert America to developing country levels of coverage and health outcomes. Let us all hope that Republicans go back to the drawing board and return with a proposal that preserves coverage, enables patients to keep their doctors, tackles total cost of care, and works to make premiums more affordable with age and income adjusted tax credits.

We can do so much better. And the AHCA would be a tragic step backwards.

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Author

Bob Kocher, M.D.
Partner, Venrock
Bob Kocher is a Partner at Venrock and focuses on healthcare IT and services investments. He currently serves on the Board of Jiff, Aledade... Read Bio