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House healthcare vote today.


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Decent editorial on CNBC...

 

Trump and the GOP should face it: There's only one option left to fix health care

 

 

Now that the American Health Care Act has been yanked, after GOP leadership failed to rustle up enough votes to get it passed, it is clear that an Obamacare fix cannot be negotiated with hard-line Republican conservatives.

 

But there is another option for getting a bill passed. President Trump and the Congressional Republican leadership would have a much easier time working with the Democrats—with whom they have more in common.

After almost two months of collaborative effort by the House Republican leadership and the Trump administration, it is now crystal clear that the ideological differences between hard-right conservatives and most Republicans, are so wide, a deal cannot be done that accommodates them.

President Trump and the House leadership crafted an Obamacare repeal and replace bill that would have continued advanceable tax credits for individuals buying their insurance in the marketplace. They also crafted a bill that at least would have provided a "soft landing" for those now covered in the Obamacare Medicaid expansion.

But the hard-right Republicans who scuttled this bill, including most in the Freedom Caucus, don't want to continue the health-care entitlements. They don't want Medicaid to cover anyone but the poorest and most disabled for even one more day. They certainly don't want any able-bodied people who could be working getting any such entitlements. And, they don't want any premium credit entitlements to help lower and middle-income people to buy health insurance.

At best, they would agree to make health-insurance purchases tax deductible—something that would help those in higher tax brackets but do little or nothing for those who are in the lowest brackets or pay no income taxes.

With a Republican House majority of only 21 votes, these hard line conservatives can scuttle any bill—and for these reasons they have scuttled this one.

The terrain in the Senate is really no different. With a two-seat majority, at least three Republican Senators generally share the views of these hard-right House conservatives—Ted Cruz of Texas, Rand Paul of Kentucky, and Mike Lee of Utah.

Even if the Republican leadership gave these far-right Republicans what they want, the moderate Republicans would likely rebel and such a massive rollback of Obamacare would throw millions off their coverage, could well lead to a huge 2018 election defeat.

Now, the president has threatened to skip fixing Obamacare and let it fail. He will get his wish. The Obamacare insurance exchanges are simply unsustainable in their present form. With only 40 percent of the subsidy eligible signing up after three years, the risk pool is nowhere near the goal of getting 75 percent to sign up to assure enough healthy people are paying into the program to cover the costs of the sick.

Health insurers that I have talked to are already working on their contingency plans for 2018 should Obamacare not be repaired. Things are so unsustainable that the shrinking number of health insurance companies left in the Obamacare market are giving serious thought to whether or not they will even participate, and if they do just how much higher — and they will have to be much higher — to set the rates.

The short-term Medicaid outlook is better in the wake of this failure. Without a new bill, the program will continue and will be fully funded. In fact, the Trump administration has already signaled it will be open to giving the states much more flexibility in how they can efficiently run their Medicaid programs — albeit without the more far reaching reforms the scuttled bill would have created.

All of this takes us to the Democrats.

Trump and the Republican leadership have said that everyone should at least have access to health insurance. The Democrats generally agree.

Trump and the Republican leadership have said that we should keep the pre-existing condition reforms and kids should be able to stay on their parent's plans until age-26. The Democrats agree.

Trump and the Republican leadership believe that there should be advanceable tax credits — premium subsidies — available to those in the lower and middle-income categories. The Democrats generally agree.

Trump and the Republican leadership believe that, while continuing to protect consumers, the insurance-market rules need to be made more efficient so that the insurance companies can have the vibrant market they need to offer consumers the insurance products they want. The Democrats generally agree.

The hard-right conservatives, on the other hand, disagree with almost every one of these things. For example, they demanded that most of Obamacare's Title 1— that includes the consumer protections — had to go.

I don't mean to gloss over the very significant differences that remain between Democrats and the Republican leadership. But as a place to start a conversation, the defeat of the Republican health care bill at the hands of the most conservative House members, makes it clear the Democrats have more fundamental agreements with the Republican leadership than the Freedom Caucus ever did.

The only way to get to a solution here is for President Trump and the Republican leadership to recognize who their real potential partners are.

In the end, the only way to a sustainable solution to health-insurance reform is one that has bipartisan support. Without that, the Democrats will just reverse anything the Republicans do once they are inevitably back in power.

I don't know about you, but I am sick and tired of the seven-year long partisan bickering over health insurance. The only solution to that is a bipartisan solution.

 

http://www.cnbc.com/2017/03/24/trump-and-the-gop-should-face-it-theres-only-one-option-left-to-fix-health-care-commentary.html

Good read.
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Ryan's an evil little twat( would knife Trump in the back if he thought he could get away with it) I'm glad this POS plan was pulled. He needs to resign no serious change will happen with him at the helm, he is owned by his donors shut out his own party and got the Pres. to do his pleading for him. Bad move by Trump also but unlike Monkey I put this on Ryan he needs gone and quickly.

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Like the article said.... You just gotta let it collapse to force the Dems hand. Not good for the American people though.

What hand are they going to force? You have to provide subsidies, you have to either have a mandate or go back to the old way of doing things which is how you got ObamaCare in the first place and now it is all these years later and things are progressively worse. I really don't see where the Rs have to turn. This is the only plan they have ever had.

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Its OK he is this worthless and such a failure.  He really cant do anything for 4 years other than golf and tweet and meet the PAtriots a few times.  a few minor things here and there.  Dont pile on the hate.  this is best case scenario. If he actually did any winning in his first 100 days it would be pretty scary.

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Muslim ban Twice overturned.  Who's worried about all the bad Muslims that have poured into the country?

 

Wilbur Ross! The "Money Laundering Secretary of Commerce".

 

GOPers need to hide in their safe spaces with whiteys only.

 

I'm not scared of color

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He needs to be impeached

 

It has to happen

 

Imagine if he had inherited a recession like Obama did, we would all be fucked.

 

But lucky for him, obama handed him a good economy and did all the work

Great post!

 

At least 3 dirty republicans are colluding with each other to obstruct justice and the House Intel Committe's investigation into the Russian White House. This is bad!

 

The 3 dirties are Donald Trump, his errand boys, Devin Nunes and Paul Ryan. There are others but these 3 are making look obvious!

 

Spread the word.

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Not into politics, my company pays most my Health Insurance but one thing the WHOLE HEALTHCARE SYSTEM needs to be DELETED and OBSOLETE. A month ago, I got severe food poisoning from eating some bad scallops. I Had to go to the ER was there less than 2 hours 3800 dollars just for some IV's and some tests they gave me some medicine was charged about 100 bucks which I got the next day @ the Pharmacy for 2.86, WTF? I ended up paying 546 after my insurance covered the rest. Will Trump last 4 years.I say no way and says he has Health Issues and Pence steps in. Trump probably says to himself WTF I get myself into. He has been in office a little over 2 months. At least all the Dems supported Obama not only the Dems hate Trump a lot of Republicans hate Trump..

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