Los Angeles Times

Young, fit — for now

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Re “GOP health plan defies logic,” Column, March 14

The linchpin of our health insurance dilemma is the mandate. With everyone “in the pool,” the risk is spread around.

House Speaker Paul Ryan (R-Wis.) and President Trump say their proposal to replace the Affordable Care Act offers more choice. What they neglect to tell the American public is that unless you are careful, you will buy a cheaper policy until suddenly you need coverage for something you didn’t buy.

Health is fleeting, even for the young. The reason we buy health insurance is to be prepared for the unknown. What good is insurance if it does not prevent you from declaring bankruptcy or losing your home? Trumpcare is a cruel joke, and the president needs to realize that nobody is laughing. Diane Welch Cypress

As an emergency physician, I get nearly apoplectic when supporters of repealing the Affordable Care Act glibly pronounce that all those people who will lose insurance are still going to be covered after all.

The refrain goes something like this: “They can always go to the ER — they’re covered there.”

Really? The uninsured have no coverage at any ER. While the law requires that everyone presenting to an ER must be seen and stabilized, it makes no provision for hospitals or doctors to be paid for that care.

Similarly, when did episodic care in an ER ever replace regular care by a general practition­er? Jonathan Lawrence, MD

San Juan Capistrano

I love columnist David Lazarus, but he missed a very important aspect of the GOP healthcare legislatio­n.

I think that Republican­s do believe in personal freedom in some instances and that they are ideologica­lly opposed to the Affordable Care Act’s individual insurance mandate. But much more important to them is the tax cut that their plan will be giving to the rich.

They seem not to care if people lose their coverage. After all, these individual­s probably were not covered before the Affordable Care Act was enacted in 2010, and the rich were doing just fine. If they can cut taxes for wealthy donors, they have a greater chance to stay in office.

This is not the ethical or moral choice, but it is logical. Stephanie McIntyre

Simi Valley

 ?? J. Scott Applewhite Associated Press ?? THE FATE of House Speaker Paul Ryan’s proposal to replace the Affordable Care Act is uncertain.
J. Scott Applewhite Associated Press THE FATE of House Speaker Paul Ryan’s proposal to replace the Affordable Care Act is uncertain.

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