The Medicaid expansion...expanded?
I have a post up at healthinsurance.org that mulls over this forecast from Reed Abelson's article about ACA replacement:
The Trump administration and Congress “are not going to pull out the rug from people,” said Dr. J. Mario Molina, the chief executive of Molina Healthcare, a for-profit insurer. He predicted that the earliest the law could be repealed was 2018, and that it would be replaced with something like a modified version of Medicaid, the government insurance for poor people. “The debate is not around the what, but around the how,” he said.
It's not surprising that the CEO of a Medicaid managed care company would anticipate Medicaid managed care for all who need it. For Trump, it would have the benefit of simplicity. But it would also require commitment, follow-through, and bucking Republican hatred of Medicaid, so we'd have to put it in the "highly unlikely" box.
But I think it would be worth doing. And a suitable "modified version of Medicaid" already exists - as explained in the post, which I hope you'll read.