RF# 6: SMALL EMPLOYERS SAID ACA WAS PUTTING THEM OUT OF BUSINESS.
Small businesses under 50 employees are NOT REQUIRED to provide health insurance. However their employees can get affordable health insurance thru the ACA website.*24
For under 50 employees, including self-employed:  Starting and Managing Small Business Health Care: https://www.sba.gov/managing-business/small-business-health-care

                                                  OUR HEALTHCARE IS UNDER ATTACK:
                                                        THE AFFORDABLE CARE ACT,
                                                              MEDICARE, and CHIP


SAY ‘NO’ TO AN ACA REPEAL! Express your voice: CALL or WRITE all of your REPRESENTATIVES.
“Only 20% of Americans Support Health Law Repeal Without Replacement Plan”*1 – Kaiser Health News 2017 Jan 7.
Due to the PATIENT PROTECTION AND AFFORDABLE CARE ACT (also known as: ACA or Obamacare), Medicare and CHIP, Pennsylvania’s uninsured rate dropped to 5.2% from 13.8% just 4 years ago*2 - one of the lowest in the U.S.
Nationwide, the ACA dropped the uninsured rate among nonelderly adults from 20.4% in 2013 to 12.8% in 2015, a 37% decline in uninsured rate.*3

RF# 1: ACA CAUSED MY HEALTH INSURANCE PREMIUMS TO GO UP
Prior to the ACA, health insurance premiums have been rising for years. Commonwealth Fund concluded: “Employer Health Insurance Premiums Increased 62% 2003 to 2011; Employees' Share of Health Insurance Costs Rose 74%, Deductibles More Than Doubled” before the ACA began.*4
Although this year premiums on average increased 22%, it is “still lower in 2016 than individual market premiums were in 2013” and much lower than without ACA in effect.*5 Furthermore, the ACA federal subsidies will pay for 85% of those increases.*6
Initially, a higher % of sick people enrolled than healthy people, which cost insurances companies more than predicted. The current increases are balancing out the losses. However, more healthy people are now enrolling, which will help flatten the future increases. *7
U.S. will save $2.6 trillion in next 5 years due to a “widespread slowdown in health spending growth’ as a result of the ACA.*8
A major cost cutter was the ACA established the Accountable Care Organizations – “groups that help hospitals and doctors work together in ways that cut down on mistakes and keep patients healthy.”*9
Previously released for hospitals without checking if they understand their follow-up instructions or if the medications are correct in name or dosages. Now, a trained exit healthcare professional (ex: RN, pharmacists, physician assistant) reviews the medications, and follow-up instructions with each patient  to help prevent drugs mix-ups, as well as compliance to reduce readmissions.*10
Previously there was no accountability for frequent readmissions of patients. Now electronic records must be written and hospitals are held accountable for readmissions on patients within 30 days.*11
Prior to ACA uninsured patients went to the ER for colds to heart attacks. This caused hospitals to increase costs for insured patients to avoid hospitals going bankrupt.*12 

RF# 7: ACA WAS AN ATTACK ON THE MIDDLE AND WORKING CLASS
Much of the white working class depend on the ACA subsidy to afford health insurance. Many former factory workers or minors no longer had health insurance before the ACA. They depend on it, even though the majority voted for Trump. Of the 625,000 enrolled in ACA in PA, 300,000 are from rural areas.*25 Now they’re panicking.
ACA provided protections previously not available to coal miners for Black Lung disease, even though the majority voted for Trump.*26 Now they’re panicking.
The ACA has kept their local rural hospitals economically healthy, while offering better healthcare to patients. However, almost 700 hospitals in rural PA are at risk of going bankrupt, if ACA is repealed.*25
12 months after states approved of Medicaid expansion of the ACA, emergency departments had a 47% decrease treating uninsured patients, Also an increase of almost 126% in Medicaid visits.*27
 The ACA allowed wider range of approved hospitals, which were closer to home decreasing “travel time” to 

the ER saving lives. According to Shawn Gremminger, director of legislative affairs for America's Essential Hospitals, "If Congress insists on repealing the ACA without a replacement, we must restore cuts made to the safety net to ensure essential hospitals can continue caring for vulnerable patients and underserved communities."*27

U.S. SENATORS: http://www.senate.gov/general/contact_information/senators_cfm.cfm           
U.S. SENATORS (PA):
Senator Bob Casey (D):       (202) 224-6324 or email: http://www.casey.senate.gov/contact/
Senator Pat Toomey (R):    (202) 224-0284 or email: http://www.toomey.senate.gov/?p=contact


U.S. HOUSE OF REPRESENTATIVES (PA)

U.S. HOUSE OF REPRESENTATIVES http://www.house.gov/representatives/find/
Congressman Robert Brady                  (D-District 1)      (202) 225-4731 or email: https://brady.house.gov/contact-me
Congressman Dwight Evans                 (D-District 2)       (202) 225-4001 or email:  https://evans.house.gov/contact
Congressman Ryan Costello                 (R-District 6)       (202) 225-4315 or email: https://costello.house.gov/contact
Congressman Pat Meehan                    (R-District 7)       (202) 225-2011 or email: https://meehan.house.gov/contact
Congressman Brian Fitzpatrick           (R-District 8)       (202) 225-4276 or email: https://brianfitzpatrick.house.gov/contact
Congressman Brendon Boyle               (D-District 13)    (202) 225-6111 or email: https://boyle.house.gov/contact
Congressman Charles Dent                   (R-District 15)    (202) 225-6411 or email: https://dent.house.gov/?p=ContactForm
Congressman Lloyd Smucker                (R-District 16)    (202) 225-2411 or email: https://smucker.house.gov/contact

CONTACTS CALL OR EMAIL YOUR REPRESENTATIVES

EIGHT ACA REPUBLICAN FALSEHOODS 

RF# 2: WE DON’T WANT A MANDATE TO BUY HEALTH INSURANCE.
Sharing healthcare risks across the entire population brings down insurance costs. The MANDATE “keep[s] young, healthy people in the insurance pool [who] need [them] to help pay for older, sicker customers.
Without them, the companies would have to raise premiums, and millions more could be priced out of insurance.”*7
Since the 1800’s states began requiring people to have insurance such as car insurance.*13 This is nothing new.

RF# 3: OBAMACARE IS A JOB KILLER
Tens of 1000s of US hospitals saved from bankruptcy due to huge increases in insured patients.*14
Huge increases, needed are more doctors, nurses, medical technicians, administrative assistants, etc.*1
Repealing ACA may cause loss of 3 million jobs.*15
Unemployment dropped from 6.0% (pre-ACA) to 4.7%*16
December 2016 and marked the 75th straight month of job growth in the US.*16

RF# 5: YOU TOOK AWAY MY DOCTOR:
Each year physicians and their network team, as well as hospitals determine which health insurance providers and/or Medicare they will join; the ACA does not.*20
Their deciding factor is heavily based on the agreed amount the insurance provider will payout for each medical service and medical supplies.*20
No referral needed to visit a obstetrical or gynecological (OB-GYN) care from a specialist.*21
Since millions now have health insurance, there’s been a huge increase in patients, which initiated a large # of successful 24/7 URGENT CARE centers that are closer to home-accepting ACA-approved health insurance.*22
75% rated their care good to excellent [Harvard University - Chan School of Public Health -2016 Feb].*23

Marple Newtown Democratic Committee

RF #4: I AM BUYING MORE HEALTH INSURANCE THAN I NEED
ACA mandates 10 ESSENTIAL HEALTH BENEFITS*17 from the cheapest to the most expensive health plans. Before ACA, previous cheaper health plans did not meet basic requirements and protections of the ACA, such as:
Basic preventative care with no copays for, such as: regular (blood pressure and diabetes) and gynecological annual exams, colonoscopies, mammograms, and vaccines.*17
“Senior citizens pay less for Medicare coverage and for their prescription drugs.”*18
Elimination of the Pre-existing clause for children and adults prevented denial of coverage, plus increased premium cost.*19
No insurance coverage maximum.*19
Improved Independent living with habilitative care*17