Get set for next fight over health care overhaul

Congressional Republicans kept their vow to vote — no matter what — on repealing the Affordable Care Act.

It was a squeaker, 217 “yes” votes to 213 “no” votes. Every congressional Democrat voted “no,” which gives the minority a faint claim of bipartisanship, as some moderate Republicans joined them in voting against the Trumpcare health bill.

I want to make only a couple of observations about this effort.

First, Republicans yapped and yammered that Democrats shoved the ACA down the GOP’s throats in 2010. The GOP response was to do precisely the same thing to Democrats. Payback is a bitch, right?

The GOP throat-shoving, though, took on a little different tone than what the Democrats did in 2010. President Obama tried to get Republicans to sign on, but was unsuccessful. Donald J. Trump didn’t make that effort; neither did House Speaker Paul Ryan. Oh, no. They relied on their healthy Republican majority to win the day — barely, it turns out — in a now-or-never vote on the House floor.

Second, the initial effort to repeal the ACA and replace it with the American Health Care Act, ran into a Congressional Budget Office “score” that told a grim story of 24 million Americans losing their health insurance under the new plan.

This time the GOP didn’t bother to wait for the CBO to “score” this latest rendition of the replacement bill. Republicans forged ahead anyway. Damn the scoring! Who needs to know how this is going to affect Americans?

Oh, and the polls around the country indicate a growing base of support for the ACA. Hmm. Imagine that. The House of Representatives isn’t exactly representing its constituents.

The AHCA now heads to the Senate, where it faces an even steeper climb than it had in the House. The GOP majority in the upper chamber is pretty skimpy and the Republicans cannot afford to lose any support among their ranks. The initial signs don’t look good for final approval in the Senate.

House Republicans sought to win over reluctant conservatives by sweetening the pie for them; then they assuaged some moderate GOP concerns by tossing in some money to pay for those with pre-existing medical conditions.

What say you, senators?

Now it falls on the Senate to decide what to do with this legislation that doesn’t yet have any analysis on how much it will cost and how many Americans might lose their insurance.

Meanwhile, House Republicans are back-slapping each other like crazy. They said they’d cast that vote to repeal President Obama’s signature domestic achievement.

They got the job done. Now they can go home for their 11-day recess. I would bet real American money they’re going to run into a good bit anger among the home folks.