Americans’ Top Four Healthcare Asks: Does the AHCA Deliver?

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. By listening to consumers – citizens – together we can share the burden and create something sustainable.

Kristin Masoud

VP, Client Services at C Space Health

With contributions from Prabha Kannan, Bethany Klaene, and Mallory Salerno.

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. On March 6, the Republicans released their replacement for the Affordable Care Act, presenting a different view for the way forward with healthcare.

Did Republicans listen to what Americans asked for when it comes to healthcare? Does the American Health Care Act deliver on the “Big Four” of what Americans want? Let’s take a look.

  1. Don’t deny coverage for those with pre-existing conditions
    • “I feel parts of Obamacare are good – not being able to deny pre-existing conditions primarily.” –Somewhat conservative, 48
    • YES, BUT – Pre-existing conditions are covered…unless you go more than two months without health insurance.
  2. Don’t issue a fine/penalty if someone doesn’t get health insurance.
    • “Do not tax Americans with a penalty if they couldn’t get coverage. It should be their choice whether or not to get coverage and using gross income as how much a person can pay is totally unfair.” –Somewhat liberal, 34
    • YES, BUT –There is no direct fine or penalty for not having health insurance – but there is a 30% surcharge on premiums if you go more than 63 days without health insurance.
  3. Keep premiums and drug costs affordably low for all.
    • “[We needSomething more up to standards, something actually affordable, not just premiums but all out of pocket expenses.” –Somewhat conservative, 30
    • YES AND NO. The AHCA eliminates the need to provide standard plans and the ability to offer “skinnier,” less benefit-rich plans that will be less expensive for younger, healthier people. But it also allows insurance plans to charge their oldest enrollees up to five times as much as younger enrollees (up from 3x under the current law). Tax credits replace subsidies, on a sliding scale that increases with age, but do not replace the current subsidy value.
  4. Any replacement plan should be available immediately, without a lapse in coverage.
    • “There needs to be a solution on day 1 after it is repealed. This is coming from someone that hates Obamacare. The worst thing that can happen is if you repeal and don’t replace. The damage has already been done to most Americans and there is no going back. The best you can do is try to ease the burden that has been dumped on the majority of Americans.” –Somewhat conservative, 34
    • TO BE DETERMINED. The Republicans hope for approval by mid-April, 2017 – but time will tell. Conservative Republicans, House Democrats, and interest groups such as the AARP are already taking stands against the AHCA – a detailed debate lies ahead.

There’s so much more to it, but these are the “Big Four” we heard when it comes to Americans and healthcare. There are fewer than 35 weeks until 2018 open enrollment. Overhauling our healthcare system is not an easy task and there will be many tradeoffs and concessions along the way. By listening to consumers – citizens – together we can share the burden and create something sustainable: a system that delivers on American’s expectations, while reducing unnecessary pain points and restrictions for companies that operate in this space.

All data for this piece from C Space sponsored research conducted in C Space’s HATCH community from January 20-30, 2017.

You may be interested in:

Generation Wealth

Generation Wealth Looking back at the ostentatious tribes of the early 2000s   By Lauren Greenfield, Director of Award Winning Ad Campaign “Like a Girl”, anthropologist and writerLAUREN GREENFIELD/INSTITUTE Xue Qiwen, 43, in her Shanghai apar​tment, decorated...

The Renaissance of “Me”

The Renaissance of “Me” By Franco Bonadio, Managing Partner, Human TruthsBill Alberti, Managing Partner, Human TruthsMachiko Wilson, Associate ConsultantBy default, we tend to look at one thing as “better than” another. It doesn’t really matter what it is. You can...

Introducing the Express Arena

Introducing the Express Arena By Jessica DeVlieger, Global CEOA surprising new behavioral trend has been observed in the UK; British people - a nation famously obsessed with class - are starting to hide their privilege.In January 2020, Sam Friedman, a sociologist at...

Rebuilding Women’s Health from the Patient Up

Reimagining Women’s HealthThe world of women’s healthcare is primed for disruption, at least if you’re talking to the women who comprise the market of this $10B*+ industry – and we are. In this report, we reimagine women’s healthcare with everyday women leading the...

From push to pull

From push to pull Jessica DeVlieger, Global CEOHow do you move your brand from push to pull?You communicate at eye-level.You speak to people’s souls.You act more human.You become more relevant.Push marketing has been stuck in controversy for some time. Consumers'...

Mary Barra, Chair and CEO, General Motors: On The Road to an All-Electric Future

Mary Barra, Chair and CEO, General Motors: On The Road to an All-Electric FutureSubscribe to the Outside In podcast: At the beginning of 2021, Mary Barra, Chair and CEO at General Motors, set an ambitious goal for the legendary automaker: end tailpipe emissions from...

John Kotter, Harvard Business School: The Principles, Practices, and Science of Change

John Kotter, Harvard Business School: The Principles, Practices, and Science of ChangeSubscribe to the Outside In podcast: Change is hard. And it never stops. The volatility, speed, and uncertainty that comes with change has been increasing exponentially over the past...

Pam Lifford, President, Global Brands & Experiences, Warner Bros.: Fans and the Power of Listening

Pam Lifford, President, Global Brands & Experiences, Warner Bros.: Fans and the Power of Listening Subscribe to the Outside In podcast: Harry Potter. Batman. Looney Tunes. Game of Thrones. Each of these iconic franchises has shaped popular culture for years....

Reshma Saujani: Fighting for Gender Parity and a ‘Marshall Plan for Moms’

Reshma Saujani: Fighting for Gender Parity and a ‘Marshall Plan for Moms’Subscribe to the Outside In podcast: Reshma Saujani founded Girls Who Code in 2012, with a mission to close the gender gap in computer science and educate and prepare girls for careers in the...

Franklin Leonard: The Black List That’s Changing Hollywood

Franklin Leonard: The Black List That’s Changing HollywoodSubscribe to the Outside In podcast: Before “Argo,” “Juno,” “Slumdog Millionaire,” and “The King’s Speech” became some of the most successful films in Hollywood (and subsequently went on to win Oscars), they...