NEJM May 31, 2017
On May 4, the U.S. House of Representatives resurrected Republican efforts to enact major health care legislation by narrowly passing the American Health Care Act (AHCA). A growing body of analytic work, including a Congressional Budget Office (CBO) assessment delivered on May 24,1 paints a dismal picture of how the AHCA would affect the health care system. The CBO analysis shows that the legislation would reduce the number of people with insurance coverage by 23 million, while narrowing coverage or increasing its cost for millions more. The resulting budgetary savings would finance tax cuts that would accrue disproportionately to high-income families. These effects contrast starkly with President Donald Trump’s promises that health care legislation would cover more people while lowering...