the process will lead to devastating results for millions of Americans who won’t know to speak up until after the damage is done.
.. potentially bringing lifetime limits back to employer-sponsored coverage, which could mean a death sentence for some chronically ill patients who exhaust their insurance benefits.
.. Senate Republicans do not appear to be focused on carefully crafting policy that reflects a more conservative, free market attempt at achieving President Donald Trump’s goals of covering every American at lower cost... They’re focused on passing something, by whatever means necessary... “There were hundreds of hearings and markups that lasted days — or in the case of the Senate Health, Education, Labor and Pensions Committee, months,” Rovner recalls in her piece... the bill had been amended to allow states to opt out of the requirement to charge people with preexisting conditions the same prices as healthy enrollees, a move that will almost certainly price some patients out of coverage... The White House has decided to deal with an unpopular bill by refusing to acknowledge the parts of it that the public doesn’t like. When asked in interviews about the expected loss in coverage or cuts to Medicaid, administration officials simply act as if they don’t exist.
How the Republican Coward Caucus is about to sell out its own constituents — in secret
a repeal bill so monumental in its cruelty that they feel they have no choice but to draft it in secret, not let the public know what it does, hold not a single hearing or committee markup, slip it in a brown paper package to the Congressional Budget Office, then push it through to a vote before the July 4th recess before the inevitable backlash gets too loud.
“We aren’t stupid,” one GOP Senate aide told Caitlin Owens — they know what would happen if they made their bill public.
.. Today, we learned that in a break with longstanding precedent, “Senate officials are cracking down on media access, informing reporters on Tuesday that they will no longer be allowed to film or record audio of interviews in the Senate side hallways of the Capitol without special permission.” Everyone assumes that it’s so those senators can avoid having to appear on camera being asked uncomfortable questions about a bill that is as likely to be as popular as Ebola.
.. This is how a party acts when it is ashamed of what it is about to do to the American people. Yet all it would take to stop this abomination is for three Republicans to stand up to their party’s leaders and say, “No — I won’t do this to my constituents.” With only a 52-48 majority in the Senate, that would kill the bill. But right now, it’s looking as though this Coward Caucus is going to be unable to muster the necessary courage.
.. Take Shelley Moore Capito of West Virginia, a state where over 175,000 people have gotten insurance thanks to the Medicaid expansion... Last week The Hill reported that Capito now supports eliminating the expansion after all — just doing it over seven years instead of the three years that the House bill required...Or how about Ohio’s Rob Portman? In his state, 700,000 people gained insurance as a result of the Medicaid expansion... They’d pay for the slower elimination of the expansion by cutting money out of the existing program, so they could get rid of all of the ACA’s tax increases.. — over half of Medicaid dollars go to the elderly and disabled... That means that they aren’t just undoing the ACA; they’re making things substantially worse for tens of millions of America’s most vulnerable citizens than they were even before the ACA passed... And they’re hoping they can do all this before anyone realizes what they’re up to, making this an act of both unconscionable heartlessness and epic cowardice. Their efforts to hide what they’re doing show that they are still capable of feeling some measure of shame. But it might not be enough to stop them.
Why Paul Ryan needs Donald Trump so badly
This proposal was crafted trying to thread a needle between two competing corners of the House GOP Conference: the far-right blockade and a much larger, less vocal crowd from states where their governors accepted the expanded Medicaid provision in the 2010 ACA.
Some Freedom Caucus folks have been strenuously opposed to the proposed tax credits for purchasing insurance, saying it’s a new form of entitlement, and many want to more quickly phase out the Medicaid expansion.
.. If Trump ever fully leans into this legislation, giving it the full-forced endorsement that he’s proven capable of on other issues, Ryan and House GOP leaders believe that the conservative opposition will dissolve quickly.
.. not once but twice he said he wouldn’t sign any bill that “didn’t take care of our people.”
.. Some politicians let bygones be bygones if they win ([Chuck] Schumer is very much like this; he wins, there’s no grudge held, it’s water under the bridge). Trump strikes me as someone who holds grudges, but I’m not certain.
.. But if this disintegrates, if there’s no repeal of Obamacare, it’s bad, very bad, for both men – and what it does to their relationship for the next few years.
.. most House Republicans are more afraid of not approving a bill to repeal Obamacare, any bill to repeal Obamacare, regardless of its fate in the Senate, than to simply do nothing.
.. The way the districts are drawn, the way the funding mechanisms of campaigns now work, the activism of the two bases of the parties – it all pushes members to the extreme. They now act almost entirely at the behest of their base rather than what they believe is the right thing for the country.
.. McConnell has to come up with his own bill that will tilt more friendly to the [Rob]Portman/[Shelley Moore] Capito crowd, which might upset Ted Cruz and Mike Lee but I’m still not certain that in the end Cruz is willing to be the guy who blocks Donald Trump’s first big initiative... I think the two worst character traits in today’s Congress are fear and contentment... You just have to be willing to work hard, willing to go home as much as possible to explain yourself and to run a really disciplined, well-funded campaign if you get a primary. Folks like Lamar Alexander, Lindsey Graham, Tom Cole, Jack Reed, Frank Pallone — these are are all people who’ve done more than their fair share of bipartisan deals in the Senate and House. Some have faced down tough primary elections.They’re all still here.
.. The “contentment” character trait is that too many lawmakers are content with what they have: a tiny fiefdom. They’d rather not rock the boat because that means they might have to work really hard to win re-election.
.. The biggest change that I’ve seen over those years is the shrinking number of leaders on Capitol Hill; not the actual elected leaders, but the men and women in the rank-and-file who commanded the policy brigade and through the sheer force of their character made themselves players. They weren’t afraid and they weren’t content.
C.B.O Report Leaves Trump in a Political Log Jam on Health Care
“If there was ever a war on seniors, this bill is it,” Schumer said. “It spends more on tax cuts for health-insurance companies and the wealthy than on tax credits to help the middle class.
.. To begin with, the reason the additional measures that Spicer mentioned aren’t included in Ryan’s current proposal is that they would require sixty votes in the Senate to pass.
.. Jim Jordan, the Ohio representative who heads the Freedom Caucus
.. Jordan added that he and his colleagues would offer a series of amendments to the legislation when it comes to the House floor, next week. These are likely to include things like moving up the dismantling of the A.C.A.’s Medicaid expansion from 2020 to 2018, which would only further increase the number of uninsured.
.. If he sticks with the current bill, Trump would be tied to a proposal that would do great harm to many of his supporters and make a mockery of his claims to be a populist.
.. The Trump Administration could, for example, push to take some of this money and make the tax credits in the bill more generous, especially for lower-income people, or preserve at least part of the Medicaid expansion.
.. If the White House preserved some of the taxes imposed by the A.C.A., which fell on people earning more than a quarter of a million dollars a year, it would have even more leeway to come up with a less damaging proposal.
.. Chris Ruddy, the founder of the conservative news site Newsmax, wrote in a piece published Tuesday that it’s time for Trump to “ditch the Freedom Caucus and the handful of Senate Republicans who want a complete repeal of Obamacare. They don’t agree with universal coverage and will never be placated.”