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[Obamacare repeal]: Senate AHCA rewrite - kill Medicaid to fund tax cuts for the rich

So It GoesSo It Goes We keep moving...Registered User regular
edited June 2017 in Debate and/or Discourse
Luckily the first line of the last OP still works:


This thread is about the Republican's stated goal of repealing Obamacare, and replacing it with an as to be yet written plan.


Here's the latest:

https://www.theatlantic.com/politics/archive/2017/04/republican-health-care-proposal-white-house-ahca/523746/
President Trump desperately wants a deal on health care, and he wants the House to pass it next week before his first 100 days in the White House are out.

That much is clear from the reports of a tentative agreement between the leader of the conservative House Freedom Caucus, Representative Mark Meadows of North Carolina, and a co-chairman of the moderate Tuesday Group, Representative Tom MacArthur of New Jersey, to break a stalemate over the GOP’s American Health Care Act.

What’s also clear, however, is that the House Republican leadership—the lawmakers that both call and count the votes in Congress—shares neither the optimism nor the urgency of the White House. Speaker Paul Ryan said after a speech in London on Wednesday that Republicans were putting “the finishing touches” on a new proposal, after the party stumbled badly last month on its initial attempt to repeal and replace the Affordable Care Act. But on Thursday, a senior GOP congressional aide dampened expectations for the bill, which a senior White House official told The Washington Post could receive a House vote as soon as the middle of next week.

“The question is whether it can get 216 votes in the House and the answer isn’t clear at this time,” the aide wrote me in an email. “There is no legislative text and therefore no agreement to do a whip count on.”


These mixed signals are the latest example of the yawning expectations gap between Trump and Ryan over what Congress can achieve on the vexing question of health care. Reluctant to acknowledge defeat, the president has repeatedly insisted over the last several weeks that an agreement is close at hand, that the differences separating the hardliners in the Freedom Caucus from the more pragmatic and electorally vulnerable moderates are bridgeable. “It’s evolving,” the president said Thursday during a press conference, in which he denied there was ever “a give-up” on the issue. (His top aides had told House Republicans that Trump would move on from health care if they didn’t pass the bill last month.) “The plan gets better and better and better, and it’s gotten really, really good, and a lot of people are liking it a lot,” Trump said. “We have a good chance of getting it soon.”

But while Ryan has made a public show of confidence, his office has been much more skeptical about the prospects for reviving the AHCA, having seen first-hand how narrow the path is for writing a policy that can win the votes of conservatives without sacrificing the support of Republicans closer to the political center. Conservative activists also sense that the speaker is fearful of being burned again on a bill for which he expended significant political capital and lost.

The basic dynamics haven’t changed: Members of the Freedom Caucus want to repeal more of Obamacare’s insurance mandates than the AHCA initially scrapped. They argue that doing so is central to the GOP’s long-standing promise of a complete repeal and that the requirements that insurance companies cover certain essential health benefits and accept even the sickest customers are driving up premiums for millions of Americans. Moderates, however, are leery of breaking another pledge Republicans have made repeatedly—that they would not do away with Obamacare’s popular protections for people with preexisting conditions.

As reported by The Huffington Post and Politico, the agreement Meadows and MacArthur have struck would deal with the mandates by letting the states opt out of many of them, so long as they demonstrated that an alternative policy would seek to lower premium costs and expand insurance coverage. In theory, the compromise would let conservatives declare they have weakened Obamacare’s mandates and given states more power over health-care policy. And moderates hailing from Democratic states could assure their constituents that, in all likelihood, they would not lose the protections they currently have because their governors or legislatures would not opt out of the federal mandates.

But the proposal faces any number of pitfalls, both practically and politically.


Rules:

Let's keep this thread to discussing the repeal/replace efforts going on now and in the future, and try not to relitigate Obamacare's Constitutionality itself if we can help it.
Stay on topic!

So It Goes on
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Posts

  • monikermoniker Registered User regular
    SiG semper tyrannis

    They're supposedly going to introduce it Tuesday and vote on it Wednesday. Plus also do a CR on Thursday. ...I find that doubtful. It's not like people aren't going to read it between now and the Senate vote (which, again, most of their idiocy violates Reconciliation) and now you're on record supporting this crap.

  • MuddBuddMuddBudd Registered User regular
    moniker wrote: »
    SiG semper tyrannis

    They're supposedly going to introduce it Tuesday and vote on it Wednesday. Plus also do a CR on Thursday. ...I find that doubtful. It's not like people aren't going to read it between now and the Senate vote (which, again, most of their idiocy violates Reconciliation) and now you're on record supporting this crap.

    They're literally only giving 24 hours to read it? Damn.

    There's no plan, there's no race to be run
    The harder the rain, honey, the sweeter the sun.
  • Captain CarrotCaptain Carrot Alexandria, VARegistered User regular
    Remember when March 2010 was 'shoving it down our throats'?

  • So It GoesSo It Goes We keep moving...Registered User regular
    moniker wrote: »
    SiG semper tyrannis

    They're supposedly going to introduce it Tuesday and vote on it Wednesday. Plus also do a CR on Thursday. ...I find that doubtful. It's not like people aren't going to read it between now and the Senate vote (which, again, most of their idiocy violates Reconciliation) and now you're on record supporting this crap.

    That's a lot of writing for one weekend!

  • FencingsaxFencingsax It is difficult to get a man to understand, when his salary depends upon his not understanding GNU Terry PratchettRegistered User regular
    I think the dynamics against a bill have only hardened, personally. Too many town halls

  • archivistkitsunearchivistkitsune Registered User regular
    edited April 2017
    Yeah, this is dead on arrival. The question now, is if this cause a massive fuck up that results in a government shutdown. Would be fucking amazing if they did that since they wouldn't be able to weasel out of taking ownership for such a shutdown and it being the result of trying to get an even shittier AHCA through, which couldn't even keep all the rightwing crazies, would just make it all the worse for them.

    Plus, as I said last thread, this bill is so shitty and unpopular, that it's probably one of the few things democrats could filibuster and get props from moderate republicans for doing so. There is no win for them, even if they get this out of the house. Hell, it makes it much easier for democrats to find stuff to campaign on. If somehow passes the house and dying to the filibuster, the ads could literally write themselves.

    archivistkitsune on
  • monikermoniker Registered User regular
    And the most recent special elections have been uncomfortably close for Republicans, so it's not like Trump's political capital is expanding.

  • CouscousCouscous Registered User regular
    moniker wrote: »
    SiG semper tyrannis

    They're supposedly going to introduce it Tuesday and vote on it Wednesday. Plus also do a CR on Thursday. ...I find that doubtful. It's not like people aren't going to read it between now and the Senate vote (which, again, most of their idiocy violates Reconciliation) and now you're on record supporting this crap.

    And Trump's budget director wants Congress to put funding for the wall in the budget resolution instead of a clean continuing resolution, making that process even messier.

    This is where Trump helps cause a government shutdown out of a desperate attempt to look like he is winning on healthcare at the end of his first 100 days.

  • ArcTangentArcTangent Registered User regular
    edited April 2017
    Couscous wrote: »
    moniker wrote: »
    SiG semper tyrannis

    They're supposedly going to introduce it Tuesday and vote on it Wednesday. Plus also do a CR on Thursday. ...I find that doubtful. It's not like people aren't going to read it between now and the Senate vote (which, again, most of their idiocy violates Reconciliation) and now you're on record supporting this crap.

    And Trump's budget director wants Congress to put funding for the wall in the budget resolution instead of a clean continuing resolution, making that process even messier.

    This is where Trump helps cause a government shutdown out of a desperate attempt to look like he is winning on healthcare at the end of his first 100 days.

    It would be kind of amazing and poetic if the Republicans caused a shutdown of the Republican government because the Republicans couldn't get the Republicans to agree on anything.

    Obstruction is life.

    ArcTangent on
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  • HedgethornHedgethorn Associate Professor of Historical Hobby Horses In the Lions' DenRegistered User regular
    edited April 2017
    A government shutdown on Day 100 would be epic. Trump might just declare victory and resign. "Swamp Drained!"

    Edit: To make this post on topic, the House Ways and Means Committee was supposed to start working on tax reform next week, but they've apparently been told instead to switch gears back to health care reform again, as they've cancelled a public hearing on a Border Adjustment Tax that was scheduled for Thursday.

    Hedgethorn on
  • CouscousCouscous Registered User regular
    edited April 2017
    https://www.nytimes.com/2017/04/20/us/politics/affordable-care-act-house-republicans-trump.html
    WASHINGTON — White House officials, desperate to demonstrate progress on President Trump’s promise to repeal the Affordable Care Act, are pushing to resurrect a Republican health care bill before his 100th day in office next week.

    Some members of the president’s team have grown consumed by that deadline, worrying that appraisals of the president’s tenure will be brutal and hoping that a last push on health care might bring a measure of salvation.
    But the legislation’s future is unclear. For now, the proposal exists only in vague talking points. West Wing advisers to Mr. Trump are decidedly mixed in their views of how aggressively to raise expectations. The aide feeling perhaps the most pressure, according to people close to the discussions, is the chief of staff, Reince Priebus, who was blamed internally for the botched vote count around the first repeal effort and is closest to Mr. Ryan within Mr. Trump’s circle.
    This month, Vice President Mike Pence and other Trump administration officials sought a new agreement with the conservative House Freedom Caucus, whose opposition helped fell the first bill. The measure, which gained little traction, earned a nickname on Capitol Hill: Zombie Trumpcare.
    The bill has the stink of failure on it that any politician should be able to smell from miles away, and that has to cause a lot of people to flee it or at least be extremely wary of it.

    Reince Priebus can't really think this is going to end well for him.

    Couscous on
  • Commander ZoomCommander Zoom Registered User regular
    "So, who here wants to fall on your sword for a guy most of you can't fucking stand, and thinks he can come in and tell you what to do?"

  • OptimusZedOptimusZed Registered User regular
    Problem: People are going to look at the first hundred days and call Trump a failure.

    Solution: Cap that hundred days by re-failing at something that already failed spectacularly once.

    We're reading Rifts. You should too. You know you want to. Now With Ninjas!

    They tried to bury us. They didn't know that we were seeds. 2018 Midterms. Get your shit together.
  • MuddBuddMuddBudd Registered User regular
    Sounds like it's down to Trump's Ego again. Just like the election numbers and the inauguration after it.

    He doesn't want to be known as the President who didn't get anything done, but isn't willing (or is unable) to put forth a bill that the public wouldn't crucify the GOP for.

    He might be starting to realize that insane populist promises can get you into office, but won't keep you there if you don't deliver the goods.

    There's no plan, there's no race to be run
    The harder the rain, honey, the sweeter the sun.
  • Santa ClaustrophobiaSanta Claustrophobia Ho Ho Ho Disconnecting from Xbox LIVERegistered User regular
    Remember when March 2010 was 'shoving it down our throats'?

    Which is why you learn to breath through your nose.

    You're muckin' with a G!

    Do not engage the Watermelons.
  • AegisAegis Fear My Dance Overshot Toronto, Landed in OttawaRegistered User regular
    Yea, it's the exact same song and dance again isn't it? They're perfectly willing to promise everyone who talks to them the moon, except the moment it comes to actually putting words and promises to paper they can't do it because, obviously, you can't craft a bill that way. And once again there's this self-imposed short timeline that serves to do nothing but tank the bill, because anyone who would seriously take a look at the proposals and be open to trying to find an agreeable compromise aren't going to rush into things. From reading reporters talk about what's behind this latest attempt, it sounds like there's been no indepth detail to the larger constituency in the House over what the exact details are, and they expect there to be agreement?

    There just seems to be no institutional comprehension within the Executive Branch involving anything to do with legislation and politics.

    We'll see how long this blog lasts
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  • Commander ZoomCommander Zoom Registered User regular
    He's the Chief Executive, right? That means he can just tell people what to do, and they'll make it happen, or else he'll get someone else to fire them!

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  • DracilDracil Registered User regular
    MuddBudd wrote: »
    Sounds like it's down to Trump's Ego again. Just like the election numbers and the inauguration after it.

    He doesn't want to be known as the President who didn't get anything done, but isn't willing (or is unable) to put forth a bill that the public wouldn't crucify the GOP for.

    He might be starting to realize that insane populist promises can get you into office, but won't keep you there if you don't deliver the goods.

    Who's gonna kick him out. Republicans?

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  • MuddBuddMuddBudd Registered User regular
    Dracil wrote: »
    MuddBudd wrote: »
    Sounds like it's down to Trump's Ego again. Just like the election numbers and the inauguration after it.

    He doesn't want to be known as the President who didn't get anything done, but isn't willing (or is unable) to put forth a bill that the public wouldn't crucify the GOP for.

    He might be starting to realize that insane populist promises can get you into office, but won't keep you there if you don't deliver the goods.

    Who's gonna kick him out. Republicans?

    Republican voters, presumably, in concert with Dems. In 2020. Assuming he lasts that long.

    Hope is all I have some days.

    There's no plan, there's no race to be run
    The harder the rain, honey, the sweeter the sun.
  • monikermoniker Registered User regular
    Oghulk wrote: »
    Also if he kills the subsidies that means he's violating the constitution for not faithfully executing the law. Which means he could be sued.

    Not really. The reason there's a chance he could is because the subsidies are in a lawsuit by the Congress that preliminarily shuts them off but was stayed.

  • shrykeshryke Member of the Beast Registered User regular
    OptimusZed wrote: »
    Problem: People are going to look at the first hundred days and call Trump a failure.

    Solution: Cap that hundred days by re-failing at something that already failed spectacularly once.

    To be fair, this is exactly what Trump would do. That's what plenty of people have been calling this focus on healthcare even after the failure. Trump can't deal with the failure and yet his political capital is shitting itself away by the second so it moves further and further out of reach.

  • Gnome-InterruptusGnome-Interruptus Registered User regular
    Oghulk wrote: »
    If this AHCA 2: Electric Boogaloo goes to a vote it's gonna die and then the government will shut down because I guarantee that Trump will veto whatever budget is put forth until he gets his way.

    Which, ya know, I may be waiting on a federal government job right now, but fuck it, do it, just go ahead and destroy your approval rating.

    Trump wont veto anything unless it is personally insulting to him, or causes himself or his business specifically financial distress.

    Everything, no matter how bad, can be lied about and called good, which counts as a win for him. What he cant lie about and call winning is having nothing to sign, and having no legislative victories.

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  • CouscousCouscous Registered User regular
    edited April 2017
    http://www.cnbc.com/2017/04/21/health-care-deal-language-could-come-as-early-as-today-white-house-official-says.html
    Health-care deal language could come as early as today, White House official says
    The White House hopes language on a possible health-care deal can come as early as Friday or Saturday, leaving the potential for an agreement next week, a White House official told CNBC.

    The Senate Budget Committee is assisting with the draft, which would be introduced first in the House.
    President Donald Trump has pushed for a vote next week, which may prove daunting as Congress returns from a recess with only days before the current resolution funding the government runs out on April 28.

    This is apparently all in addition to the tax proposal Trump today said he would release "Wednesday or shortly thereafter," because when you can't walk, why not walk, juggle, and chew bubblegum at the same time.

    It is almost hard to believe that Trump is probably doing all of this for the sole purpose of making himself look less pathetic by the 100 day mark despite the fact that nobody is going to give a shit about it a year from now. It is trump so it isn't really hard to believe.

    Couscous on
  • ViskodViskod Registered User regular
    Said they were going to be the biggest tax cuts, "ever" as well.

  • OptimusZedOptimusZed Registered User regular
    How many more things are they angling to fail at before the first hundred days is up?

    We're reading Rifts. You should too. You know you want to. Now With Ninjas!

    They tried to bury us. They didn't know that we were seeds. 2018 Midterms. Get your shit together.
  • ViskodViskod Registered User regular
    Well I definitely don't think AHCA 2.0 is going to pass. Not after all the angry town halls and the 20+ point flips in Kansas and Georgia.

  • MaximumMaximum Registered User regular
    Is he trying to cram this in because the budget is due by the 28th?

  • CouscousCouscous Registered User regular
    edited April 2017
    OptimusZed wrote: »
    How many more things are they angling to fail at before the first hundred days is up?
    The goal is to look like they did something even if they failed. Think of them as a terrible worker who really wants to look like they are doing something or did something without necessarily doing something while leaving the real work to other workers.

    Washington Post reporter:
    Checking in w House Rs. They're already grumbling, even tho they don't fly back till Sun/Mon. Facing big lift on gov funding + taxes, h-care

    One thing to remember, based on my convos w/ House Rs. Many priv want to pass a h-care bill just to get burden off shoulders, let Sen handle

    Their thinking is, if bill can get out of House, they will have done something. And then if Sen Dems balk, maybe blame stall on them.

    Couscous on
  • OptimusZedOptimusZed Registered User regular
    The Hill's got a bunch of people off record saying this new-old thing is already re-dead in the same water.
    But GOP aides and some lawmakers say it seems doubtful the deal, as presented by MacArthur, could win approval in the House.

    They also note that there is not even legislative text yet to mark a deal, which makes the prospect of holding a vote next week even more unlikely.

    “The question is whether it can get 216 votes in the House, and the answer isn't clear at this time,” said a senior GOP aide, referring to the number of votes likely necessary to pass the legislation.

    “There is no legislative text and therefore no agreement to do a whip count on.”

    “I don’t know that the state of play has really changed over the recess,” said another House GOP aide.

    A White House aide also said they are “still in the same place we’ve been” with no timetable or set date for a vote.

    Note that they're not even talking about the Senate yet. They're questioning whether it can pass in the no-filibuster, clear R majority House.

    We're reading Rifts. You should too. You know you want to. Now With Ninjas!

    They tried to bury us. They didn't know that we were seeds. 2018 Midterms. Get your shit together.
  • HefflingHeffling No Pic EverRegistered User regular
    Viskod wrote: »
    Well I definitely don't think AHCA 2.0 is going to pass. Not after all the angry town halls and the 20+ point flips in Kansas and Georgia.

    I don't think Trump cares, in the least bit, about 20+ point flips in Kansas or Georgia. Trump is only out for Trump, and expects everyone else to be the same.

  • CouscousCouscous Registered User regular
    Oh God.

    Politico reporter

    For one, the money currently being asked for the wall isn't the same as ACA subsidies cost.

    For another, what incentive do the Democrats have for accepting that offer? "Either you pay for this unpopular wall or we strangle ACA subsidies in a way that will focus the anger of millions at us."

  • KnightKnight Dead Dead Dead Registered User regular
    That is honestly hilarious.

    "Give us $1 in new appropriations for $1 of existing budget when we can't pass a law to remove it" is perhaps not the smartest negotiation strategy.

    aeNqQM9.jpg
  • XaquinXaquin Right behind you!Registered User regular
    Couscous wrote: »
    Oh God.

    Politico reporter

    For one, the money currently being asked for the wall isn't the same as ACA subsidies cost.

    For another, what incentive do the Democrats have for accepting that offer? "Either you pay for this unpopular wall or we strangle ACA subsidies in a way that will focus the anger of millions at us."

    wait, I thought mexico was paying for tha GASP!

    the president wasn't lying to us was he?!

  • SleepSleep Registered User regular
    Knight_ wrote: »
    That is honestly hilarious.

    "Give us $1 in new appropriations for $1 of existing budget when we can't pass a law to remove it" is perhaps not the smartest negotiation strategy.

    This would require anyone understanding how our government "works"

  • So It GoesSo It Goes We keep moving...Registered User regular
    Couscous wrote: »
    Oh God.

    Politico reporter

    For one, the money currently being asked for the wall isn't the same as ACA subsidies cost.

    For another, what incentive do the Democrats have for accepting that offer? "Either you pay for this unpopular wall or we strangle ACA subsidies in a way that will focus the anger of millions at us."

    Lol what the fuck. They need to reverse bribe Dems to get wall funding now?

  • QuidQuid Definitely not a banana Registered User regular
    Trump could very easily get rid of the ACA and have the wall built but entirely on his own but, out of his incredibly generous spirit which everyone agrees is the most generous, he'd like to offer Dems a chance to help.

  • Mr KhanMr Khan Not Everyone WAHHHRegistered User regular
    Maybe $1 in *new* Medicaid funding for $1 in wall, that'd be the kind of compromise i can get behind (since the wall is ultimately a boondoggle but does no great harm aside from a handful of ranchers who will end up having to become Mexican citizens or immigrate every time they want to go shopping, and will at least pay some wages to middle and low-class workers at some point), otherwise it's the problem @Knight_ just pointed out, you're threatening appropriated money for unappropriated money and it doesn't work that way.

  • MuddBuddMuddBudd Registered User regular
    Wait... THAT's his next play?

    "Approve my wall or I'll let the sick die."

    /me walks off the the 'Angry Dome' to rant.

    There's no plan, there's no race to be run
    The harder the rain, honey, the sweeter the sun.
This discussion has been closed.