put more pressure on them to address things, like the medicaid cuts which a number of senators are been very vocal about. i don t know how vocal they will be or if they will go to mcconnell, maybe a combination of both, and some of the other concerning parts of the house bill so this is just a reminder to people of how devastating this is. i don t think it s going to be a major factor in terms of moving people who are on one side or the other. mary katherine? i think it s important to keep in mind it s not 23 million people losing the health insurance they have. many people despite a mandate have opted out under obamacare over many years despite the fact that cbo stayed would solve all the problems and didn t. the other number that s important is cbo predicting premiums would drop 20% in markets that waived some obamacare mandates and that s the part, essential health benefits if you allow people to have flexibility about what goes into the plans then perhaps you can get lower numb
analysis of the beill. that report tells us how the legislation actually affects how many people go without health insurance. now today the republicans have the report card from the cbo, and it doesn t look like an a. under the gop health care plan, 23 million more people would lose their health coverage over the next decade if the house gop plan becomes law. 23 million. it also says that the macarthur amendment, which allows states to waive out of protected people with pre-existing conditions and provide essential health benefits would destabilize the health care markets for those in non-group plans in one sixth of the country. senator tammy baldwin is a democrat from wisconsin and u.s. congressman tim ryan is a democrat from ohio. both represent states that voted for donald trump over hillary clinton. senator, what do you make of the fact of this vote, this new cbo report just how today that 23 million people will basically be dropped from health care coverage if the senate does wh
that means people who rely on coverage for asthma and a lot of things that are covered by the essential benefits package could be lost, so we may not know the political impact of that right away, but we could certainly know it in the next couple of years. young people, yes, young people would be helped here, but young people are not the people who need health care the most in terms of relying on it for sickness and disability. that s older. but the problem is the young people are the people you need in the system to make the system work. we re actively chasing them out of the system with the premium rises and deductible rises and nobody is suggesting that all the essential health benefits would go away immediately. that is waiver process that you would go through in various states and i would imagine that based on many states that many states will do and then people will lose and that s the problem. we ll have you back when we ve all had time to actually read the cbo report.
so i think some of these issues will need to be sorted out, particularly in the senate side where they are very sensitive to the effect, not just on an individual district but on an entire state. what the is going to be the effect for the entire state population in places where maybe they do get rid of essential health benefits and that s something very popular. people in that state want or need them or believe that it s important to have them. i don t believe these issues will be just as easy as saying let s get rid of this mandate and prices will go down. i think you ll have a lot of pushback. and jen, there are winners and losers in all of these plans and any politician, whether obama or paul ryan, they try to pretend there s no losers, only winners, but older americans having their premiums go um, that s politically difficult than younger americans because older americans vote more than younger americans. that s right, and the essential benefits package is not cost-free to just
vote on the floor and walking off, one of the other things that was done was it says it will lower premiums. giving states flexibility with regard to different imagine dates would in fact lower premiums and i think that s important to both sides of the equation. we can protect people with pre-existing conditions. but you have the issue, how do you help beam a small business, that have seen it escalate. let me read from the report. they address this issue. although premiums would decline on average, in states that chose to narrow the scope of their essential health benefits, some people enrolled in nongroup insurance. the special pool would experience substantial increase in what they would spend on health care. people living in states modifying the essential benefits no longer included what experience substantial increases in out of pocket expense on