IMF urges US to ‘protect’ gains won under Obamacare

Washington, United States | AFP | The International Monetary Fund on Thursday waded into the US health care debate, urging the Trump administration to “protect” gains achieved under President Barack Obama.

As the US Senate continues the heated debate over repealing the Affordable Care Act implemented under Trump’s predecessor, the IMF released its annual report on the US economy and warned of potential damage threatened by the proposed replacement.

“Health care policies should protect those gains in coverage that have been achieved since the financial crisis (particularly for those at the lower end of the income distribution),” the IMF staff said in its Article IV report.

Maintaining those gains will help the US economy by increasing productivity and labor force participation, they said.

“This, in turn, will strengthen growth and job creation, reduce economic insecurity associated with the lack of health coverage, and have positive effects for the medium-term fiscal position,” the report said.

The changes currently up for debate would either lead to a loss of coverage or the need for increased federal subsidies to sustain the same level of coverage.

The report said such reforms would also cause “a significant increase in costs for older and poorer individuals whereas the embedded tax relief would be mostly incident on higher income households.”

While the IMF recognized the “polarized societal views over the appropriate way forward” — which makes reaching an agreement difficult — it urged caution in the design of a healthcare reform.

“Such changes ought to be undertaken carefully” and should avoid “excluding those with limited incomes from the healthcare system,” they said.

The US authorities responded to the report by saying Obamacare is “fundamentally flawed and a new approach is required.”

– ‘Significant policy uncertainties’ –

The IMF last month released the main points of the Article IV report, including cutting the growth forecast for the US economy 2.1 percent in 2017 and 2018, down from 2.3 percent and 2.5 percent, respectively.

The downgrade came after it became clear the details of expected fiscal stimulus and tax reforms promised by the Trump administration remained unclear and the US was facing “significant policy uncertainties.”

In the full report released Thursday, the fund said “strengthening growth outcomes and ensuring a more broad-based improvement in living standards will require a transformation of the US economic model.”