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(Image via NBC News)

Republicans are planning to “repeal and replace” Obamacare as President-Elect Donald Trump promised voters throughout his campaign. But if Obamacare were repealed, how would that impact Asian Americans and Pacific Islanders? Reappropriate explores this question:

It turns out that if Republicans are successful in passing legislation to dismantle Obamacare, approximately 1 in 15 Asian Americans and Pacific Islanders would lose their healthcare coverage, and millions more would love access to mental health care, reproductive health care, and a vast array of preventative care.

As outlined in this post by writer Charles Gaba (who has been specifically tracking public health care policy since 2013), the Affordable Care Act enables uninsured Americans to receive healthcare coverage by the following four mechanisms:

Creation of Public ACA Exchanges: Americans shop for and directly purchase their health insurance through newly-created Public ACA Exchanges (or, Health Insurance Marketplace). These exchanges lower health insurance premiums so that they are affordable for those who do not receive health insurance from their employers.

Expansion of Medicaid / CHIP: In 38 states, state governments have accepted federal ACA funds to expand pre-existing Medicaid / Children’s Health Insurance Program (CHIP) so that more low-income families and children can access healthcare services under the program.

Young Adult Provision: A popular feature of the Affordable Care Act is its provision allowing young Americans aged 19-25 years old to remain on their parents’ insurance programs. Prior to the passage of Obamacare, young Americans were frequently dropped from their parents’ health insurance plans after they turned 18 years old.

Basic Health Program (BHP) in Minnesota and New York: Obamacare allows states to create a separate healthcare coverage program specifically to provide affordable healthcare options for low-income Americans who earn just enough income to no longer qualify for Medicaid, but who do not earn enough to purchase healthcare through the ACA Health Insurance Marketplace. So far, two states – Minnesota and New York – have created a state BHP.

Using some back-of-the-envelope math, Gaba estimates that a full repeal of Obamacare would result in ~23 million Americans losing their health care coverage.

But what would be the effect of full repeal of Obamacare on AAPIs?

In this post, I show that an estimated 1.2 million Asian Americans and Pacific islanders – or, 1 in 15 of all AAPI – will lose healthcare coverage if Obamacare is repealed.

To read the rest of the article, go to Reappropriate: ~1 in 15 Asian Americans & Pacific Islanders Will Lose Healthcare with Obamacare Repeal

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