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Looks like Republicans have TWICE the votes they need to kill it (in either chamber) Joel Send a noteboard - 14/03/2017 01:50:35 PM

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So it looks like tonight the house republicans have revealed a new bill to repeal and replace Obamacare.

Personally I'm of the mind that there really isn't any good option with health care just options that suck for different reasons but looking at the rising cost of insurance it seems apparent to me that Obama care was sucking a little more than most.

How do we all feel about this new bill? Has anyone taken the time yet to read and understand what exactly is being proposed?

I'd love to hear thoughts both on the new bill and your thoughts on the best bet for managing health care policy in general


More ominously, its Republican House and Senate foes oppose it for "opposing" REASONS: The 29 Republicans in the Houses self-proclaimed Freedom Caucus hate it because they want to simply repeal and NOT replace, while four Senate Republicans sent Ryan a letter stating refusal to vote for any bill that ends the Medicaid expansion after 2020. That is, 12% of the House GOP rejects the bill for doing too MUCH, while 8% of the Senate GOP rejects it for doing too LITTLE. That leaves Ryan (at least) 10 House and 3 Senate votes short of the bare majority he needs (presuming Pence broke any tie in its favor; OTOH, Sen. Rand Paul (R-KY) also opposes the bill for the same reason the Freedom Caucus does.)

McConnell did his part last week with the rare move of rushing (as much as the Senate CAN "rush" to place the House bill on the Senate docket for a vote before the Congressional Budget Office (which Republicans have controlled since 2010) could release the bad news about how many people would lose insurance if it passes, but, alas, that news came yesterday: The CBO says that if the bill passes 14 million Americans will immediately lose their insurance, and another 10 million within a decade. As usual, Trumps White House was quick to dispute that number: Trumps own internal analysis says 26 million people would lose their insurance under Ryan/Trumpcare.

Hence Political Wires Quote of the Day:

The CBO estimate that millions of Americans could lose their health insurance coverage if the House bill were to become law is cause for alarm. It should prompt the House to slow down and reconsider certain provisions of the bill.— Sen. Susan Collins (R-ME), quoted by the Bangor Daily News.

It is increasingly clear Collins sees herself playing the role Maine Senator Margaret Chase Smith played to Sen. Joe McCarthy (i.e. publicly repudiating a vicious ruthless demagogue to save her party and country, in that order.) Regardless, that brings the total to SIX Republican senators who cannot stomach Ryancare.

Now, relying on the Senates budget reconciliation process to pass Ryancare with no opportunity to filibuster also lets the Senate amend it any and all ways 51 senators desire, but with the Freedom Caucus already rejecting the current bill, it is hard to imagine how a more "activist" or "socialist" Senate revision could change their minds. In counterpoint to Sen. Collins et al, Breitbart quotes Sarah Palin calling Ryancare "RINOcare" and "socialized medicine," pledging President Trump will "fix it." The problem with the second part of that "logic" is that just last week Trump told a White House Tea Party meeting that his "backup plan" is to let Obamneycare fail and blame Democrats.

Though Ryan laughed it off when a reporter asked last week, a growing number of journalists and analysts have noted that Ryancares plan to end healthcare subsidies for Trump voters while slashing taxes is little more than redistributing wealth from the poor to the rich. Trump may not have to worry about that until 2020, but Senators Dean Heller and Jeff Flake, along with 239 House Republicans, must worry about 2018, when they face midterm elections that have historically been brutal for the party of even wildly popular presidents like FDR and Reagan.

So I will delay in depth analysis of Ryancare until/unless it actually looks likely EITHER chamber of Congress (much less both) will pass it. Republican Congressmen are running scared, in many cases literally running AWAY from angry constituents. The people who gave us the Tea Party can dismiss that as "paid protesters," but not even they believe some mysterious Dem billionaire is paying thousands of people in 435 congressional districts (i.e. half a million people) to show up for hours, daily, for months, wrathfully demanding their representatives REPRESENT them.

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This message last edited by Joel on 14/03/2017 at 01:50:58 PM
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Obama care repeal and replace - 07/03/2017 12:33:18 AM 792 Views
The new House version looks fine..... - 07/03/2017 03:12:55 AM 549 Views
They do expand health saving accounts *NM* - 07/03/2017 11:27:50 AM 265 Views
The "accross state lines" buzz is a farce. Do YOU want a PCP that is 800 miles away? *NM* - 07/03/2017 09:18:57 PM 304 Views
That isn't what it means at all. - 08/03/2017 03:21:27 AM 553 Views
But physician networks are local - 09/03/2017 04:25:33 PM 547 Views
Of course they are. - 09/03/2017 04:52:31 PM 455 Views
And your insurance premium would be WAY higher than it currently is with a native MA company. - 10/03/2017 02:21:21 PM 490 Views
The risk can be spread across networks, as it is today. - 10/03/2017 02:33:38 PM 558 Views
It only looks that way from the outside. - 10/03/2017 04:24:25 PM 510 Views
One breakdown - 07/03/2017 10:25:12 AM 649 Views
My head is going to blow up from reading all this news - 07/03/2017 09:16:22 PM 688 Views
From the little I understand... - 07/03/2017 10:13:01 PM 564 Views
They can make it work and will just rasie rates - 08/03/2017 03:52:50 PM 502 Views
That's the point though, isn't it? - 08/03/2017 04:35:56 PM 530 Views
but it was the young that made it work and they are already opting out - 10/03/2017 02:56:50 PM 475 Views
it wasn't a bone - 10/03/2017 02:30:00 PM 595 Views
The problem withthat argument is it ignore human nature - 10/03/2017 03:18:06 PM 567 Views
I'm not ignoring it, I am illustrating it. - 10/03/2017 04:39:45 PM 506 Views
You know what I would propose? - 08/03/2017 03:06:27 PM 572 Views
decoupling health insurance from employment eliminates an existing subsidy - 08/03/2017 03:25:27 PM 511 Views
So what? - 08/03/2017 03:53:29 PM 517 Views
I wasn't raising it as a show-stopper, because obviously it isn't one. - 08/03/2017 04:17:47 PM 539 Views
As a self-employed individual, I have little sympathy for extending employer-based care - 09/03/2017 03:41:59 AM 523 Views
And it has caused the wage level to stagnate since then. - 10/03/2017 02:35:12 PM 537 Views
It is was of the many broken parts of our health care system - 10/03/2017 03:20:19 PM 526 Views
Looks good to me - 08/03/2017 03:58:48 PM 519 Views
This would solve a lot of the problems with cost and access. - 08/03/2017 04:11:15 PM 560 Views
Some serious problems - 09/03/2017 04:49:35 PM 565 Views
How do we elect you Tom? This is really good stuff. *NM* - 09/03/2017 05:25:56 PM 310 Views
Looks like Republicans have TWICE the votes they need to kill it (in either chamber) - 14/03/2017 01:50:35 PM 1297 Views
As to healthcare itself, how are there no good options? - 14/03/2017 01:59:17 PM 522 Views
I'm glad you asked... - 14/03/2017 02:36:40 PM 538 Views

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