On Health Care, a Promise, Not a Threat

McConnell warns GOP senators they may end up having to work with the Democrats. They should.

The failure so far of Senate Republicans to agree on a health-care bill provides an opening. Whatever happens the next few days, moderates and centrists on both sides can and should rise, name themselves, and start storming through.
.. The party is undergoing a populist realignment, with party donors, think-tankers and ideologues seeing things more or less one way, and the Trump base, including many Democrats, seeing them another.
.. He has impulses and sentiments but is not, as the French used to say, a serious man.

.. Many Republican senators see that the American people are not in the mood for tax cuts to the comfortable and coverage limits on the distressed. Democratic senators, on the other hand, are increasingly aware that ObamaCare is not viable, and in some respects is on the verge of collapse.This gives both parties motives to join together and make things better.

.. Republicans believe they must repeal ObamaCare because they’ve long promised to do so. Keeping promises, especially in our untrusting political climate, is a good thing. But polling suggests America isn’t eager that promise be wholly kept

.. Republican Shelley Moore Capito of West Virginia said on Fox News Wednesday night: “I’m ready to roll up my sleeves and work with the Democrats.” Republican Ron Johnson of Wisconsin says it’s a ‘mistake’ to attempt a partisan fix. Democrat Joe Manchin, also of West Virginia, says he’s “ready” for a bipartisan effort. The New York Times reports senators from both parties met privately weeks ago to discuss core issues. Mr. Manchin was there along with Democrats Joe Donnelly of Indiana and Heidi Heitkamp of North Dakota. Among the Republicans were Sens. Capito and Collins, Bill Cassidy of Louisiana and Lindsey Graham of South Carolina.

.. Every president until Barack Obama knew this. He bullied through ObamaCare with no Republican support, and he did it devilishly, too, in that he created a bill so deal-laden, so intricate, so embedding-of-its-tentacles into the insurance and health systems, that it would be almost impossible to undo. He was maximalist.

.. Here is a thing that would help: a little humility from the Democrats, and a little humanity.

.. ObamaCare has big flaws—always did. It was an imperfect piece of legislation and it’s done some things my party said wouldn’t happen, such as lost coverage and hiked deductibles.

.. The Democratic Party made this mess. It’s on them to help dig out of it. If they show some humility, Republicans would look pretty poor in not responding with their own olive branch.

.. When it’s over, use whatever words you want: “We forced Democrats to admit the bill was flawed and dying.” “We forced Republicans to back down.”

Trump Mocks Mika Brzezinski; Says She Was ‘Bleeding Badly From a Face-Lift’

The president described Ms. Brzezinski as “low I.Q. Crazy Mika” and claimed in a series of Twitter posts that she had been “bleeding badly from a face-lift” during a social gathering at Mr. Trump’s resort in Florida around New Year’s Eve. The White House did not explain what had prompted the outburst, but a spokeswoman said Ms. Brzezinski deserved a rebuke because of her show’s harsh stance on Mr. Trump.

.. “My first reaction was that this just has to stop, and I was disheartened because I had hoped the personal, ad hominem attacks had been left behind, that we were past that,” Senator Susan Collins, a moderate Republican from Maine who is a crucial holdout on the effort to repeal the Affordable Care Act, said in an interview.

“I don’t think it directly affects the negotiation on the health care bill, but it is undignified — it’s beneath a president of the United States and just so contrary to the way we expect a president to act,” she said. “People may say things during a campaign, but it’s different when you become a public servant. I don’t see it as undermining his ability to negotiate legislation, necessarily, but I see it as embarrassing to our country.”

.. Sarah Huckabee Sanders, urged the news media to move on, arguing during the daily White House briefing that Mr. Trump was “fighting fire with fire” by attacking a longtime critic.

Ms. Brzezinski had called the president “a liar” and suggested he was “mentally ill,” added Ms. Sanders, who defended Mr. Trump’s tweets as appropriate for a president.

.. “As the first lady has stated publicly in the past, when her husband gets attacked, he will punch back 10 times harder,” Mrs. Trump’s spokeswoman wrote in a statement, referring to the first lady’s remarks during the campaign.

.. Mr. Trump’s oldest friends say it is difficult for him to distinguish between large and small slights — or to recognize that his office comes with the expectation that he moderate his behavior.

And his fiercest, most savage responses have almost always been to what he has seen on television.

.. After lashing out at Mr. Scarborough and Ms. Brzezinski at one point last summer, Mr. Trump told an adviser, “It felt good.”

.. reporters interrupted Ms. Sanders’s defense of the president to ask how she felt about them as a woman and a mother.

She responded that she had only “one perfect role model”: God.

“None of us are perfect,” she said.

Donald Trump’s Craven Republican Enablers

Authoritarian leaders in foreign countries seize and maintain power this way. And, despite his bungling start, this is the project that Donald Trump appears to have embarked upon. Since the end of January, he has appointed one of his closest political allies, Jeff Sessions, to run the Justice Department; fired an acting Attorney General, Sally Yates, who had warned the White House that the national-security adviser was compromised; and axed forty-six U.S. Attorneys, one of whom, Preet Bharara, had jurisdiction over Trump’s business empire. Now the head of the F.B.I., James Comey, has been ousted, at a time when the agency is conducting an investigation into possible collusion between Trump’s election campaign and the Russian government.

.. Mitch McConnell, the Senate Majority Leader

.. claimed, falsely, that it was not Trump but Rod Rosenstein, the Deputy Attorney General, who removed Comey. McConnell curtly dismissed calls for the appointment of an independent prosecutor to take over the Russia investigation, saying that such a move would “only serve to impede the current work being done” on Capitol Hill

.. He has long demonstrated an unwillingness to look beyond partisan concerns

.. Ryan said that he would no longer defend Trump, who was then the Republican nominee. But since Election Day those words have turned out to be empty. “The President lost patience, and I think people in the Justice Department lost confidence in Director Comey himself,” Ryan told Fox News on Wednesday evening. He also said, “It is entirely within the President’s role and authority to relieve him, and that’s what he did.”

.. After Trump won in November, they made a political deal with him. As long as he pursues their legislative agenda—gutting Obamacare and other government programs, axing regulations, cutting taxes on the wealthy—they are likely to stick with him under almost any circumstances, even as their pact gets ever more Faustian.

.. Senator Susan Collins, of Maine, issued a statement that said, “Any suggestion that today’s announcement is somehow an effort to stop the FBI’s investigation of Russia’s attempt to influence the election last fall is misplaced.”

.. Senator Lindsey Graham, of South Carolina, who has criticized Trump on other matters, said, “I believe a fresh start will serve the F.B.I. and the nation well.”

.. And he fumed that Comey was giving too much attention to the Russia probe and not enough to investigating leaks to journalists.”

.. It would be flattering Trump’s capacity for advance planning to claim that he has a blueprint for abrogating the Constitution and seizing more power. But throughout his career he has exhibited a willingness to push things as far as he can on an opportunistic basis, running roughshod over competitors, business partners, ordinary people, rules, and regulations. As the history of the high-pressure sales scam that was Trump University showed, he only backs off when he is forced to.

.. Trump’s willingness to say and do things that most people would shy away from because they are constrained by social norms, or ethics, helped carry him to where he is today. “He gets an idea in his head and just says, ‘Do it,’ “ Barbara Res, a former vice-president in the Trump Organization, told Politico’s Michael Kruse. Artie Nusbaum, one of the managers of the construction firm that built Trump Tower, said, “This is who he is. No morals, no nothing. He does what he does.” That is who the Republicans are enabling. Until they stop doing it, they will be complicit in the erosion of American democracy.

The Senate Takes Up Health Care Reform

The Senate will take up health care reform after a revised version of the American Health Care Act (AHCA) passed through the House last Thursday.

Senator Roy Blunt (R-MO), a member of Senate leadership, said that the Senate will wait for a new CBO score before preceding to a vote.

.. Mick Mulvaney, head of the Office of Management and Budget, said, “The bill that passed out of the House is most likely not going to be the bill that is put in front of the president.”

Members of the working group include Sens.

  1. Mitch McConnell,
  2. Bob Portman (R-OH),
  3. John Corynyn (R-TX),
  4. John Thune (R-SD),
  5. Mike Enzi (R-WY),
  6. Orrin Hatch (R-UT),
  7. Lamar Alexander (R-TN),
  8. Tom Cotton (R-AR),
  9. Cory Gardner (R-CO),
  10. Ted Cruz (R-TX),
  11. John Barrasso (R-WY), and
  12. Pat Toomey (R-PA).

.. The Senate working group does not feature two of the bill’s biggest critics, Senators Susan Collins (R-ME) and Bill Cassidy (R-LA).

.. The two senators joined a separate group of Republicans studying potential health care solutions including Sens.

  1. Shelley Moore Capito (R-WV),
  2. Johnny Isakson (R-GA), and
  3. Mike Rounds (R-SD)
  4. Susan Collins (R-ME)
  5. Bill Cassidy (R-LA)

.. Senators Cassidy and Collins released a separate Obamacare repeal bill, The Patient Freedom Act.

States have three options under the Cassidy-Collins plan:

  1. Retain the Affordable Care Act, allowing individuals and small businesses able to purchase insurance on state exchanges and low-income residents can receive federal subsidies to cover the cost of the program. States that expanded Medicaid can continue to provide increased Medicaid coverage.
  2. States can receive most of the federal funding, including Medicaid expansion and subsidies to create tax-free Health Savings Accounts for low-income citizens. Low-income residents can use the HSAs to purchase insurance and pay for health care.
  3. Allow states to create an alternative solution without federal assistance. States would retain the power to design and regulate insurance markets without federal intervention.

.. Senators Rand Paul (R-KY), Mike Lee (R-UT), and Ted Cruz (R-TX) were the strongest opponents of the American Health Care Act. Senator Paul crafted his own conservative plan for repealing Obamacare and worked with the Freedom Caucus to push for an even more conservative Obamacare repeal bill. The Freedom Caucus endorsed Sen. Paul’s plan.