Nearly every day at a hospital there are reminders of how crucial decent maternity care is. When maternal risk factors like sexually transmitted infections, gestational diabetes , pregnancy-induced hypertension , placental abnormalities, domestic violence and substance abuse aren’t identified, catastrophic outcomes may follow, including long-term disability and death.
Notably, while Medicare has all of the consumer protections the public has come to expect from the ACA (guaranteed coverage, ban on preexisting condition exclusions, and so forth), it does not have an individual mandate per se. Part A is funded by a mandatory payroll tax, which essentially makes participation in it obligatory.
In 2022, the cost of this tax break would roughly equal the bill’s savings from cutting tax credits and subsidies that help low- and moderate-income families in 20 states and the District of Columbia combined afford quality coverage and care (see chart).
Pursuing that approach, Mr. Walker said, would …