Repeal & Replace is on the ropes again

Feb 4, 2009
35,862
17,403
136
This time they were smarter about keeping details unknown but it sounds like some details stink

http://www.cnn.com/2017/05/01/politics/republicans-continue-to-work-on-health-care/index.html
Summary is:
Trump making promises hasn't helped

I just heard a Representative from NY(?) dance around saying nobody will lose coverage because even an uninsured could enroll with a 1 year 30% surcharge as a penalty. When asked if the amount of increased billing pools would effectively price these people out of the market he stuck with insurance will be available to them.
 
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theeedude

Lifer
Feb 5, 2006
35,787
6,197
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I think if he made one change, it may pass.
Make people in high risk pools with pre-existing conditions eligible to buy into Medicaid or Medicare at no more than 20% of their income.
 
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chowderhead

Platinum Member
Dec 7, 1999
2,633
263
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I think if he made one change, it may pass.
Make people in high risk pools with pre-existing conditions eligible to buy into Medicaid or Medicare at no more than 20% of their income.

you think Republicans actually care about getting people Healthcare? It's the free market with these people. They would say it's tough you cannot afford healthcare. Go die on the street.
The Republicans are on record saying the only reason they are doing Healthcare reforms first is to get "cost savings" i.e. cuts so they can afford to give tax cuts for the billionaires. Now, I am not even sure why they are bothering since they are planning to go into deficit spending to get these tax cuts.
 
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trenchfoot

Lifer
Aug 5, 2000
15,786
8,365
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Whatever the Repubs come up with will definitely have takeaways from the middle class and the poor and a nice hefty tax giveaway to the very wealthy. The ideology of the Repub Party compels them to do things this way and they're having a huge conflict of principle vs practicality over this.

This looks bad for the Repubs and they know that given the debilitating negative aura surrounding Trump and the GOP controlled legislature at the moment, passing a bill like that is tantamount to committing political suicide.

The Dems will absolutely jump all over it and pick it apart right down to the bone, explaining how the takebacks from the working class is going to finance the nice tax cuts that the very wealthy are going to get out the deal and how the Repubs have a single minded vested interest in exclusively satisfying the demands of the very wealthy.

The Repubs don't want to pick a fight with the Dems over this because it's a sure loser if they try.

That the Repubs had/have made such a huge deal over this during the Obama years have brought this contentious matter front and center in the media, with the middle class and poor folks who are negatively affected by the restrictive policies the Repubs are forwarding in the bill being made fully aware and attentive to this issue.

The Repubs can't bury or hide the fact that the only way they can pass this bill is for them to institute enough takeaways to satisfy the most conservative members in the party. Those takeaways will directly affect a very large sector of the voting public and in fact will provide the Dems with a rallying call, a pivot point that will turn things in their favor come the 2018 mid-terms.

And I don't feel any sympathy or empathy at all for the Repubs because they literally asked for it, begged for it, demanded it.

They own this. All of it.
 
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fskimospy

Elite Member
Mar 10, 2006
87,936
55,293
136
I think if he made one change, it may pass.
Make people in high risk pools with pre-existing conditions eligible to buy into Medicaid or Medicare at no more than 20% of their income.

That sounds like a recipe for humanitarian catastrophe.

Regardless, it's hard to see why this vote matters much anyway. First, they've already gone far beyond what would be allowed in a reconciliation bill, meaning they either need to nuke the legislative filibuster too or it's a no-go. If you strip out the non-reconciliation items you're back to square 1.

Also the CBO hasn't scored this. (they seem to be desperately trying to avoid it, which is insane from a governance standpoint) It's likely when they do it will end up being even worse than the first one. People disliked the first bill because it wasn't generous enough. Making it even harsher sounds like a great way to make people hate it even more.

The thing that makes the most sense to me is a blame shifting exercise. They punt it to the Senate where the Democrats filibuster it and then Republicans are no longer to blame in their minds. It's pathetic, but it's a plan I guess.
 

trenchfoot

Lifer
Aug 5, 2000
15,786
8,365
136
That sounds like a recipe for humanitarian catastrophe.

Regardless, it's hard to see why this vote matters much anyway. First, they've already gone far beyond what would be allowed in a reconciliation bill, meaning they either need to nuke the legislative filibuster too or it's a no-go. If you strip out the non-reconciliation items you're back to square 1.

Also the CBO hasn't scored this. (they seem to be desperately trying to avoid it, which is insane from a governance standpoint) It's likely when they do it will end up being even worse than the first one. People disliked the first bill because it wasn't generous enough. Making it even harsher sounds like a great way to make people hate it even more.

The thing that makes the most sense to me is a blame shifting exercise. They punt it to the Senate where the Democrats filibuster it and then Republicans are no longer to blame in their minds. It's pathetic, but it's a plan I guess.

I agree with how the Repubs would hope to dump this whole miserable debacle of theirs in the Dems lap, but I also think the Senate is where the Dems could make a really good last stand battle, in which they would make a whole lot of noise, a spectacular spectacle as it were, over the inevitable tax cuts for the wealthy that the Repubs simply cannot walk away from, this while arrogantly short shrifting the very people the bill was originally meant to help.

The Dems need to make very clear in a very loud manner how they differ from the Repubs as far as which demographic's interests are being supported and protected by each party. The Repubs have absolutely no room to fake their way through this problem that they have with replacing the ACA, as they are forced to abide by their ideological principles of which we all know so well and of which they have, for this particular set of circumstances, a very telling and nakedly noticeable bias toward the wealthy and very much so against the working class.
 
Feb 4, 2009
35,862
17,403
136
.......and.......The vote today was canceled. Looks like the Freedumb Caucus is hesitant. They followed the same playbook as they did with Obama, ask for tons of poisonous changes, then back out last minute because they didn't get enough.
 

alien42

Lifer
Nov 28, 2004
12,867
3,297
136
.......and.......The vote today was canceled. Looks like the Freedumb Caucus is hesitant. They followed the same playbook as they did with Obama, ask for tons of poisonous changes, then back out last minute because they didn't get enough.

reads post, checks time stamp, whoa, it's like Groundhog Day in DC.
 

Jhhnn

IN MEMORIAM
Nov 11, 1999
62,365
14,685
136
I think if he made one change, it may pass.
Make people in high risk pools with pre-existing conditions eligible to buy into Medicaid or Medicare at no more than 20% of their income.

So, uhh, fucking fewer people harder is the answer?
 

K1052

Elite Member
Aug 21, 2003
52,616
46,286
136
Word on twitter is that Trump and the leadership have bought off a couple no votes with basically a fig leaf's worth of funding for high risk pools. Inching closer but lots of undecideds still floating. Never seen people fight so hard for something that was almost universally reviled by the public in search of fulfilling an impossible promise and the need to get a "win".

This whole thing is basically the Kobayashi Maru of legislative politics. If they pass this and, as expected, lots of sick/poor people get hosed they could loose their majority. If they don't they could get primaried and still loose their seats. In the end I guess it's truly a test of character.
 

hal2kilo

Lifer
Feb 24, 2009
26,036
12,272
136
Word on twitter is that Trump and the leadership have bought off a couple no votes with basically a fig leaf's worth of funding for high risk pools. Inching closer but lots of undecideds still floating. Never seen people fight so hard for something that was almost universally reviled by the public in search of fulfilling an impossible promise and the need to get a "win".

This whole thing is basically the Kobayashi Maru of legislative politics. If they pass this and, as expected, lots of sick/poor people get hosed they could loose their majority. If they don't they could get primaried and still loose their seats. In the end I guess it's truly a test of character.
Unless this is being done under reconciliation, it will die in the Senate.
 

fskimospy

Elite Member
Mar 10, 2006
87,936
55,293
136
Not sure, but I thought I heard someone on the news saying it was being done under reconciliation, I hope I'm wrong.

You can't change regulatory requirements through reconciliation which is why they were omitted in the original bill. From my understanding to pass it though reconciliation they would have to omit the provisions that they used to buy off the Freedom Caucus to begin with.