House Speaker Paul Ryan's plan to replace the Affordable Care Act is not the place to start, because millions of people will lose their healthcare coverage, Obamacare architect Dr. Zeke Emanuel said Friday.
"Even his own economists, analyzing his plan, suggest that 4 million people will lose coverage," Emanuel told MSNBC's "Morning Joe" program. "He's going to cost-shift a lot of money to pay for healthcare to the states who already don't have care."
Emanuel said people who cannot afford to buy insurance through their states' exchanges should have another vehicle, "an insurance pool at the national level if you want to buy insurance."
"There has to be some organized way for them to buy insurance," he said. "And I don't think they have a plan yet that works because they don't like the mandate and you need a mandate if you're going to get people coverage in this country."
However, he continued, most healthcare policy experts are conservatives who "think we can't have a system that doesn't work with some way of getting people insurance and getting everyone in the system."
Otherwise, though, there will still be cost-shifting, and businesses will be hit hard when people lose their insurance, because they'll still seek medical care, Emanuel continued.
"Those costs get transferred to the people who are paying," said Emanuel. "One of the secrets is Obamacare has been good for business. It's capped healthcare inflation and their premiums much lower."
Business leaders won't "say it in public," said Emanuel, but "that's absolutely true ... premiums have been stable under the last five years than under President [George W.] Bush."
Meanwhile, insurers have opted to drop out of the exchanges for several reasons, said Emanuel, but also, Republicans took away some of the protections for the insurers entering a new market, making it harder for them.
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