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February 28, 2017 12:26 PM UTC

No Clear Path on Obamacare Repeal in Advance of Trump Speech

  • 19 Comments
  • by: Colorado Pols
Donald Trump’s pre-election rhetoric on the ACA is no less clear today. (Image via Whiskey Politics)

President Trump is expected to focus on his budget plans when he delivers his first speech to a joint session of Congress tonight, but Congressional Republicans are just as eager to learn more from Trump about a potential roadmap for the repeal/replacement of Obamacare. As Politico writes, Republicans have been perplexed about the White House “strategy” on Obamacare, which became even more muddied after Trump’s meandering statements on Monday:

“Nobody knew that health care could be so complicated,” Trump said Monday morning. He added to the GOP’s nervousness by refreshing the idea that Republicans should maybe just let Obamacare collapse under the weight of rising premiums and volatile exchanges — though he claimed it wasn’t an idea he would pursue.

“Let it be a disaster, because we can blame that on the Dems that are in our room — and we can blame that on the Democrats and President Obama,” Trump told Republican governors. “But we have to do what’s right, because Obamacare is a failed disaster.”

Huddling with insurance CEOs, Trump talked up how fantastic his Obamacare replacement would be without giving details. Separately Monday, he said it would be very difficult to do something good.

Thus far the only consistent theme in any a potential repeal of Obamacare has been the complete lack of a cohesive message from Republicans. There are some reports today that Trump may embrace a House Republican proposal on Obamacare that was first floated late last week…and then there are stories like this one from The Hill:

A day after House conservatives panned a leaked GOP draft ObamaCare replacement plan, a top Republican leader on Tuesday described the proposed legislation as “no longer even a viable draft that we’re working off of.” [Pols emphasis]

Majority Whip Steve Scalise (R-La.), the No. 3 House Republican and chief vote-counter, told reporters he had just spoken to Republican Study Committee Chairman Mark Walker (R-N.C.), who issued a statement Monday saying he could not vote for the leaked draft or recommend his 170 members support it because of its use of refundable tax credits.

Another influential conservative leader, Freedom Caucus Chairman Mark Meadows (R-N.C.), came out against the draft plan earlier in the day.

“What [Walker] said was, of the draft he saw — which is no longer even a viable draft that we’re working off of — that he had issues with components of that draft,” said Scalise, himself a former chairman of the Republican Study Committee (RSC).

Meanwhile, Senate Republicans are apparently set to meet on Wednesday to talk healthcare strategy in a members-only meeting that will include presentations from House Republican leaders. House Speaker Paul Ryan also says that “we are hosed” absent a serious effort at reforming Medicare.

Confusion on how to approach a promised repeal of the Affordable Care Act (ACA) hasn’t been limited to Washington D.C., either; Republican governors are divided on how to approach the issue, with Medicaid funding at the top of the list of concerns. State leaders are also worried that House Republican plans for the ACA could lead to significantly-reduced coverage and increased costs for individual states.

President Trump may very well provide a less-cloudy direction on the ACA when he addresses Congress tonight, but it’s hard to see how he could say anything that might fix the deep divide among Republicans on how to move any direction other than sideways.

Comments

19 thoughts on “No Clear Path on Obamacare Repeal in Advance of Trump Speech

  1. Just repeal it. Health care was fine in 2009. Obamacare broke what wasn't broke.

    Stop creating solutions in search of problems and get the government out of America's way.

    1. Ummm.  There are 20 million more people with affordable health coverage now then there were then.  There are people with pre-existing conditions now who are getting health care without bankrupting their families.  Health care cost curves have bent and it is helping extend the solvency of Medicare (2085).

      How does a 'Christian' like you sleep at night knowing that your Judgement Day won't go very well?  Jesus didn't like cruel people and made a point to speak about those who actually fed the hungry and healed the sick.  You're just a sick excuse of a Christian gloating about taking health care away from people who need it.

      1. Man from Gilpin.  Moldy is the perfect White Megachurch Evangelical Repugniturd.  Their Jesus don't believe all healin' or feeding or any of that new testament beatitude stuff.  They're for old testament and Book of Revelations rapture stuff.  That's what "real men" like Moldy like.  And ranting about life before Obama.  Which if you believe them was this incredible right wing utopia/dystopia where the undeserving would die a terrible death because God plagued them with preexisting conditions that prevented them from getting medical coverage because God (insurance company) wouldn't cover them.  Now he's always posting like an angry, impotent, wretch because we actually say that's wrong and we are threatening his idea of how the world should work.

        1. For some reason the Evangelical Pharisees of our time have decided that everyone needs to be punished.  There is no New Testament hope and compassion in anything they do.  'Everyone must be punished' is their mantra including 'those people' who are poor not because their ancestors toiled for other men and received nothing in return but because 'those people' are lazy and need to be taught the value of work by starving their children.  The exception of course are the coal miners but everyone knows that under those black faces those coal miners are really one of the redeemed.  These Pharisees don't see illness and incurable conditions with compassion and there for the grace of God humbleness but with a condemnation that the afflicted somehow deserve their pain.  No wonder these frauds are Republican and follow someone who is the antithesis of the Christ.  Servants of Satan defines Moldy and his hypercritical crew of Evangelical Pharisees.  Where ever they go, they strive to be as cruel as possible while pretending that it is being done with caring goodwill.

    2. Yep … just repeal it. That simple solution will handle everything.

      Except:

      Two hospital trade groups, the American Hospital Association and the Federation of American Hospitals, have warned of — quote — “an unprecedented public health crisis” if the law is hastily scuttled.

      They say if Congress repeals the law entirely and 20 million people are kicked off their insurance, hospitals will lose $166 billion in Medicaid payments alone in the next decade and face much steeper losses if certain Medicare cuts that were part of the law aren’t restored.

      And what will that do for employment? PBS quotes one person who says

      if the 900,000 Illinois residents who gained insurance under the law lose coverage and hospital revenue drops suddenly, hospital executives estimate 95,000 jobs could be lost.

      So, multiplied out, 20 million who lose insurance will mean a loss of 2 million jobs, more or less. There may be a surge in mortuary workers, but the full effect of that is hard to calculate.

    3. No it wasn't, Moddy.  If it weren't for the Affordable Care Act, I would not be able to qualify for health insurance due to preexisting conditions.  So eff you and your friggin' ignorant high horse

       

    4. Darth Immoderatus, as usual, spews lies and ignores the facts.

      Lie #1: Health care was fine in 2009. If you were employed and insured, maybe, but NOT for the 47 million uninsured Americans!

      Lie #2: Obamacare broke what wasn't broke. The healthcare market in 2009 was seriously broken. Pre-existing condition exclusions and even recissions were rampant.

  2. In “Pro-Life” Moldy's point of view, those 20 million don't count.  Only if you are still inside a woman's womb do you deserve his overbearing attention.  Everyone else is fair game in the GOP dog-eat-dog alternate universe.

  3. as many complain that they can't buy insurance across state lines I complain that insurance companies are allowed to opt out of exchanges. Should not be allowed. If you wish to be in the insurance business with the protections and limits of state government, you should NOT be allowed to opt out

    1. My brother, who is an insurance broker, would agree with you. Finding companies with the right coverage for some of his clients is harder since they're not all on the exchanges.

    2. That is a good idea, that I haven't heard before.

      If you have a license to be in the Insurance business, you should serve all markets, not just skim the cream. Treat Insurance companies equally, and treat insurance consumers equally. Like maybe tax-deductions for individuals.

      Obamacare is about making sure that the Insurance market for individuals works, by regulation and creating a large enough risk pool.

      Long run, I suspect that employer-provided insurance is going to die. It's already dying for small companies, as insurance companies don't want the hassle or the small risk pool.

      And, if you think about it, Insurance should belong to the individual, not your employer. Your relationship with your health is lifelong, but your relationship with your employer is finite.

    1. Like trying to sell off public land in the west, they realized that it is a quick way to electoral defeat and the dustbins of history.  The rabid base will still vote for them and they don't destroy their contact with the middle of the country.  Whatever the reason, it is in no small part to the resistance and tenacity of folks trying to contact their representative.

  4. Comrade Moderatov,

    Sure health care was fine in 2009 IF YOU HAD IT!!!

    My self-employed neighbor had insurance all her life (although her husband never could get it because he had a pre-existing condition).  Then she got breast cancer.  She would have been #1 on the cancellation list after that, except  Obamacare arrived just in time.   They are FRIGHTENED!!!

    Sure things were great for some, but many were left out in the cold, afraid of being driven to bankruptcy. 

    My brother, big-time Republican, won't admit it, but he's only insured now because of Obamacare.  He lost his job, and as he's in his 60's new opportunities just aren't there. His wife has an expensive disease.  Without the ACA, they'd probably be selling off their house now to pay for her expensive drugs.

    Sorry…you've been in a cushy world and just can't imagine the struggles of others.

     

     

    1. yes+10 doremi

      My own story: A few years back, before Colorado's health exchange went live, I was "in between" contracted teaching jobs, and trying to survive as a substitute teacher, plus part time tutoring gigs. None of this paid well, or had health benefits.

      I had been prescribed a medication which I ran out of. I did not qualify for Medicaid, was too young for Medicare, and the low income community health clinics had openings 3-4 months out, and their sliding scale slid up to $250 copay for me.  Forget wellness checkups, or care for anything not a dire emergency.

      The only place in town I found to get treatment was the clinic of Grace church in Aurora. I was glad to get my prescription there, though I had to put up with a condescending Evangelical Christian doctor who scolded me and treated me like an errant child.

      After ACA and Colorado's Medicaid expansion, all of that changed. I could get screenings and checkups. Medication was doable. My "advance credit tax payment" (which the Trump team is looking to copy) subsidized my care. I had health insurance just like a grownup.

      Plenty of other Coloradans with interim, part time, or self-employed gigs found the ACA to be a lifesaving solution. It's why health care outcomes increased (people no longer waiting til health crisis to go to the ER) when uninsured rates went down.

      I predict that Trump TremendoCare will copy most of the characteristics of Obamacare, but without the mandate. The whole structure will collapse without the mandate. We need a public health care option, like every other industrialized country in the world.

      1. I'm glad you got care. That you were smart enough to figure it out and tough enough to find it until ACA came around. ACA was good for me as well

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