Understanding Republican Cruelty

The basics of Republican health legislation, which haven’t changed much in different iterations of Trumpcare, are easy to describe: Take health insurance away from tens of millions, make it much worse and far more expensive for millions more, and use the money thus saved to cut taxes on the wealthy.

.. Meanwhile, taxes that fall mainly on a tiny, wealthy minority would be reduced or eliminated. These cuts would be big in dollar terms, but because the rich are already so rich, the savings would make very little difference to their lives.

More than 40 percent of the Senate bill’s tax cuts would go to people with annual incomes over $1 million — but even these lucky few would see their after-tax income rise only by a barely noticeable 2 percent.

.. So it’s vast suffering — including, according to the best estimates, around 200,000 preventable deaths — imposed on many of our fellow citizens in order to give a handful of wealthy people what amounts to some extra pocket change.

.. I think there are two big drivers — actually, two big lies — behind Republican cruelty on health care and beyond.

First, the evils of the G.O.P. plan are the flip side of the virtues of Obamacare. Because Republicans spent almost the entire Obama administration railing against the imaginary horrors of the Affordable Care Act — death panels! — repealing Obamacare was bound to be their first priority.

.. Republicans, through their political opportunism and dishonesty, boxed themselves into a position that makes them seem cruel and immoral — because they are.

.. this story began with a politically convenient lie — the pretense, going all the way back to Ronald Reagan, that social safety net programs just reward lazy people who don’t want to work. And we all know which people in particular were supposed to be on the take.

.. What it does — punish the poor and working class, cut taxes on the rich — is what every major G.O.P. policy proposal does. The only difference is that this time it’s all out in the open.

.. remember this moment. For this is what modern Republicans do; this is who they are.

Health Care is Complicated. Trump’s Pitch? Not So Much.

If your only source of information was President Trump, this is what you would know about the American Health Care Act, the Republican legislation to repeal and replace Obamacare.

 Trump rarely years from a narrow set of talking points:
Obamacare is dead.  It is a disaster.
It will be great, tremendous, phenomenal.
Premiums will come down.  We will take care of every single need, but it’s not going to cost that kind of money.

McConnell’s Calculation May Be That He Still Wins by Losing

When it comes to managing Republicans’ best interests, Senator Mitch McConnell of Kentucky, the majority leader, rarely loses. So it is possible that Mr. McConnell views the potential failure of a hastily written health care bill as an eventual boon.

.. As Democrats immediately took to the Senate floor to excoriate the bill and the secretive process in which it was put together, few Republicans, even those involved in crafting it, came to defend it.

.. Four others went further. Senators

  1. Ted Cruz of Texas,
  2. Ron Johnson of Wisconsin,
  3. Mike Lee of Utah and
  4. Rand Paul of Kentucky

all said they would not vote for the bill as currently proposed.

.. Mr. McConnell and many of his aides are also eager to get to the business of changing the tax code, which they view as less difficult than health care, and have been working with the White House behind the scenes to get that effort started. For Mr. McConnell, cutting taxes is a much higher priority than health care

Senate GOP Plans Health-Care Vote Next Week

McConnell tries to keep pressure on fellow Republicans

 The push for a quick vote before the weeklong July 4 recess could backfire, however, as some conservative and centrist Republicans have expressed concern about the emerging shape of the legislation.
.. Failure to take a vote before either the July 4 recess or the longer break later in the summer also could open Republican lawmakers up to pressure from constituents either concerned about losing their health coverage or expecting Republicans to follow through on pledges to repeal the law known as Obamacare.

Some town-hall meetings during the spring, when the House was considering its legislation, saw lawmakers greeted by boisterous crowds.