See, the repugnican scum is biding their time before they try to finish their damneable job of robbing all Americans (except themselves)of much needed healthcare. You see they want us to go back to making a choice between buying FOOD or THE MEDICINES WE NEED TO LIVE! How evil and selfish can any group of people be to even feel justified in doing this?!!? At first I thought they were doing this because they hated a black man being President. But if you go back and read up on it they stopped Bill Clinton for doing this, and when he tried again all of a sudden his marital indiscretions became front page news fodder from right wing trashmongers like the washington post (which by God's grace I will shut down one day) instead of focusing on the real issue. So those of you out there who think the repugnicans are representing the 'white man's ' issues be advised; they simply don't want Americans Black, white, Red, or Yellow to have access to affordable healthcare. They want us to struggle trying to take care of ourselves, while they sit back and enjoy the tax money they've taken from us, smoke their cigars, enjoy limo service to breakfast lunch and dinner, got the the doctor if they need to or send their kids to the doctor if they need to, raise their pay every year and enjoy a menagerie of different benefits and perks that come with their office, AT OUR EXPENSE! THAT'S OUR TAX DOLLARS THEY'RE SPENDING! Now whoever is behind the repugnican party insisting on pushing this issue, we need to know who they are and start nationwide boycotts and stop their ability to make money and peddle influence in this country. The Affordable Healthcare Act was a gift from God for many many many of us who struggled to pay their healthcare bills and pay their regular bills (lights, gas, and water, rent, carnotes, car insurance, and BUY FOOD). It is an evil evil satanic person who doesn't care if people die because they can't get the healthcare they need and WE CAN ALL BLAME THE repugnicans for tha. the repugnicans are the ones to blame, as well as the corporations and money circles who support them. Those of you out there who know who they are put those bastards out on front street so we can start boycotts, and any other means necessary to run these bastards out of this country!!! Put the word out on them so they don't go somewhere else and do to them what they're trying to do to us! KILL US!!!!
Hope You Don't Expect The Senate GOP To Be Transparent About Obamacare Repeal
Senate
Republicans have spent the last 10 days or so promising not to tackle
health care in the same hurried, irresponsible way that their House
counterparts did. “We are not under any deadlines,” Sen. John Cornyn (R-Texas) said last week, “so we are going to take our time.”
They
have also suggested they have little interest in drafting something
that looks like the American Health Care Act ― the wildly unpopular
House bill that would roll back many of the Affordable Care Act’s most
important insurance regulations and deprive something like 24 million
people of coverage. “We’re starting over from a clean sheet of paper
here,” Sen. Bob Corker (R-Tenn.) promised.
All of that is probably true ― and less meaningful than it sounds at first blush.
It’s
possible to write a bill in a slower, more deliberative manner than the
House did without allowing the kind lengthy, open public debate that
legislation of such magnitude would seem to require. It’s also possible
to pass less disruptive, less extreme legislation that would
nevertheless take away insurance from many millions of people, causing
widespread hardship.
In fact, from the looks of things, this is precisely what Senate Republican leaders are trying to do.
GOP leaders are trying to shield their legislation from scrutiny
The
big boast Senate Republicans are making is that they won’t vote on
legislation before the Congressional Budget Office has a chance to
analyze it. That’s what House Republicans did when they voted on their
bill last week, less than 24 hours after making amendments that had
potential to affect insurance coverage and the federal budget in fairly
significant ways.
“Y’all, I’m still waiting to see if it’s a boy or a girl,” Sen. Lindsey Graham
(R-S.C.) quipped afterward. “Any bill that has been posted less than 24
hours, going to be debated three or four hours, not scored? Needs to be
viewed with suspicion.”
But voting without a CBO score was merely one way in which the House rushed its debate.
House
leaders wrote legislation privately and then pushed it through the two
committees of jurisdiction with markup sessions that lasted just one day
each. Leaders had to pull the bill from the House floor at the last
minute, because it lacked enough support to pass, but their response was
to return to private negotiations, hash out the additional amendments,
and then proceed quickly with the final vote.
Even
those House Republicans who had time to read and study the final
language (many admitted they hadn’t) probably didn’t grasp its
implications, because those implications were still becoming apparent in
real time. Two days before the vote, for example, a Brookings Institution report showed how the bill could bring back annual and lifetime limits on benefits, even for employer policies.
You saw what the House Republicans did. When you don’t read it, you don’t know what the impact is. Sen. Patty Murray (D-Wash.)
Those
limits, which the Affordable Care Act prohibits, would be a huge deal
for that tiny portion of Americans dealing with the most severe medical
problems ― think aggressive cancer that requires chemotherapy and
surgery, or genetic disorders that require long stays in neonatal care.
By the time a Wall Street Journal
article on the subject brought the possibility to national attention,
the vote was just hours away ― too late for new information to have an
effect.
Of
course that was precisely what House Speaker Paul Ryan (R-Wis.) and his
allies were trying to accomplish ― to avoid public scrutiny, to get
legislation through the House before either the media or the public
could recognize and seize on its shortcomings. Now it looks like Senate
Republicans are intent upon doing the same thing.
Back
in March, the first time the House was set to vote on repeal, Senate
leaders indicated that they intended to bypass the two committees that
had jurisdiction. “Probably straight to the floor,” Cornyn told CNN, when asked about the plan, “Because there has already been a lot of consultations on a bicameral basis to get us here.”
Leadership
hasn’t said much about his plans since that time, and the office of
Majority Leader Mitch McConnell (R-Ky.) declined to answer HuffPost’s
inquiries about process and timetable. But on Wednesday, finance
committee chairman Orrin Hatch (R-Utah) told The Hill, “I don’t think
it’s going to go through the committees, at least from what I know about
it.”
Democrats are furious, in part because most of them were around in 2009 and 2010 when they spent more than a year
writing and debating what eventually became the Affordable Care Act.
For all of the discussion that took place behind closed doors back then,
quite a lot took place in public ― over the course of more than 130
hearings, spanning five committees, according to a Democratic tally that didn’t even include administration events like the daylong, bipartisan session at Blair House that President Barack Obama presided over personally.
“We
had 45 bipartisan hearings and roundtables,” Sen. Patty Murray
(D-Wash.), ranking Democrat on the Health, Education, Labor and Pensions
Committee, said in an interview. “Every issue and aspect of this was
discussed. People had a chance to really see the impact ― line by line,
amendment by amendment ― and know what they were actually passing.”
“You
saw what the House Republicans did,” Murray added. “When you don’t read
it, you don’t know what the impact is. And somebody who is being
impacted doesn’t have a chance to say, ‘Wait a minute, that doesn’t work
for me.’”
This isn’t just some partisan talking point. Norm Ornstein,
a respected political scientist at the American Enterprise Institute,
says, “The push and pull, give and take of an open markup can make a bad
bill, with stupid provisions, sloppy drafting, unintended consequences,
repeated mistakes from past experience, a better one.”
Earlier
this week, Murray and Sen. Ron Wyden (D-Ore.), ranking Democrat on the
finance committee, sent their GOP counterparts a letter demanding
hearings. They have not gotten a formal response, and neither did
HuffPost inquiries to those offices, except for a statement from Hatch’s
office that he “appreciates Senate Democrats’ renewed interest in
improving the nation’s healthcare system and welcomes their input and
ideas as we move through this debate.”
Most Republicans seem ready to accept some pretty big cuts
One reason the House bill is so spectacularly unpopular is the likelihood that it will leave so many millions
of Americans without health insurance. And from the very beginning of
the debate, senators have been warning, publicly and privately, that
they could not abide such dramatic losses of coverage.
Many
of those warnings focused on the American Health Care Act’s proposed
cuts to Medicaid. That includes phasing out the new funding available
through Obamacare that the states have used to expand eligibility for
the program ― effectively making it available to all people with incomes
below or just above the poverty line. Among the 32 states that have
accepted the money and expanded the program are more than a dozen with
Republican senators.
One
of them is Sen. Rob Portman (R-Ohio), who has reportedly taken the lead
on figuring out how the Senate legislation will deal with Medicaid.
Something like 700,000
of his constituents got insurance through the Medicaid expansion, and
the program has become a critical source of financing for opioid treatment, as well as for community clinics
that provide basic medical care to the poor. Ohio’s Medicaid expansion
also has a vocal, influential champion in Gov. John Kasich (R-Ohio), one
of about a half-dozen Republican governors who have lobbied hard to keep the expansion in place.
But Portman told reporters on Wednesday that he was looking for a “soft landing” on Medicaid and that he supported ending expansion funding eventually. A key letter
on Medicaid he and three other Republican senators wrote during the
early stages of House debate was careful to talk about “stability for
individuals currently enrolled in the program” ― which suggests they are
open to a proposal that tapers off funding slowly, and lets people who
qualify under the expansion hold onto Medicaid until their enrollment
lapses.
That’s
actually what the House bill already does. The Medicaid population
would still drop sharply in the first three years, CBO predicts, because
low-income people tend to have volatile incomes
and lose eligibility quickly. Senate Republicans might have some other
ideas for stretching out the transition ― they have said very little
publicly ― but it appears to be a matter of when, not whether, the
expansion population loses its coverage.
“Clearly the House has done some important work,” Sen. Roger Wicker
(R-Miss.) said this week. “I think we’d like to take the Medicaid
provision and engineer a softer landing and eventually get to the same
place”
The House bill wouldn’t simply roll back the Medicaid expansion. It would also introduce a “per capita cap” that would reduce the program’s funding over time. Sen. Shelley Moore Capito
(R-W.V.), who joined the Portman letter and whose home state is
particularly dependent on Medicaid, left a meeting two days ago saying
that the Senate was open to per capita caps ― a tell-tale sign that the
cap, or something like it, could end up in final legislation.
And
then there are the implications that repeal could have for people
purchasing coverage on their own, either directly from insurers or
through healthcare.gov and state-run insurance exchanges. Senate
Republicans have said the House bill would punish older consumers too
much, by allowing insurers to charge near-retirement seniors up to five
times what they charge younger consumers ― and, simultaneously, by
rearranging the Affordable Care Act’s financial aid so that it doesn’t
provide extra help to people with high insurance costs.
But
they haven’t made the same fuss about the way the House bill also
shifts assistance away from lower-income consumers, which is a big
reason why so many people would lose coverage. And key members like Hatch
seem committed both to cutting as much spending as possible ― and
rescinding the Affordable Care Act’s taxes, including hefty levies on
corporations and the wealthiest American households. The net result is
likely to be large losses of insurance coverage, even if they are not as
large as the losses in the House bill.
Senate politics are tricky enough that public pressure matters
GOP
leaders face some big obstacles as they try to craft a bill that can
pass, and most likely those obstacles are bigger than the ones that
stood in the way of Ryan and his allies earlier this year.
In
the Senate, Republicans need 50 votes to pass legislation, assuming
Vice President Mike Pence would break a tie, and they have only 52
seats. Already two of their members, Sens. Bill Cassidy
(R-La.) and Susan Collins (R-Maine), have called explicitly to preserve
or even expand the Affordable Care Act’s expansion of insurance
coverage. Sen. Dean Heller (R-Nev.), who is among those who have been
most openly critical of the House bill, faces a difficult re-election
fight in a Democratic state.
Put
those together with the likes of Capito, Portman and Sen. Lisa
Murkowski (R-Alaska), and their strong feelings about protecting the Medicaid
expansion population, and it’s easy to see how the Senate could end up
with a bill that’s less extreme than the House version ― or maybe no
bill at all.
But
even Cassidy and Collins have left themselves wiggle room, which means
they could end up supporting a bill in exchange for minor modifications,
just as so-called moderates in the House did. And they will be fighting
ultra-conservatives like Sens. Ted Cruz (R-Texas), Mike Lee (R-Utah)
and Rand Paul (R-Ky.), whose idea of “compromise” is a bill that looks like the House bill or is maybe even more extreme.
The
deciding factor could be public reaction, but the public can’t react to
a bill unless it gets a good look at it. It appears Republican leaders
are trying not to let that happen.
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