Tag Archives: GOP

national news

Beware of declaring the end of Trump Era

It might be easy for some observers to declare the virtual end of the Trump Era in the wake of the spectacular flameout of the effort to repeal the Affordable Care Act.

I wish to offer a word of caution.

* The principal character in this drama, Donald John Trump, is a guy who wasn’t supposed to win the Republican presidential nomination this past summer. But he did.

* Then he was supposed to be trampled by the Democratic Party juggernaut led by that party’s presidential nominee, Hillary Rodham Clinton. He defeated Hillary in the general election.

* Trump was thought to be a goner after an endless litany of verbal gaffes, insults, revelations of hideous behavior. He not only survived all those incidents, the legions of Trumpkins rallied behind him.

Trump shouldn’t be president. However, he is president. He doesn’t know the political system works. He has surrounded himself with sycophants who have little knowledge of the system as well.

He got his head handed to him by conservative congressional Republicans.

Is this the end of Trump’s tenure as president?

Sure, except that he survived some hideous mistakes on his way to the presidency.

There might be circumstances that develop along the way that derail this guy. One political miscalculation — admittedly it’s a big one, indeed — likely isn’t enough to do him in.

medical news, national news, political news

Where have you gone, Ivanka and Jared?

It turns out that the president of the United States reportedly is angry that two of his “key advisers” were absent during the run-up to the historic non-vote on a bill to repeal the Affordable Care Act.

Donald J. Trump is none too happy about it at that!

The advisers? Ivanka Trump and her husband Jared Kushner.

Where were they? They were on a ski vacation. They were absent from the negotiation that took place between Daddy POTUS and his new best friend, House Speaker Paul Ryan, and those stubborn House of Representatives conservatives who torpedoed the legislation.

Here is the Big Question: What on Earth could either of these individuals have done to persuade balky congressmen and women to change their votes? Must anyone remind the president that Ivanka and Jared are political novices, as is the president of the United States himself?

There. I just did remind him. Not that he’ll even see this gentle rhetorical jab, let alone take it to heart.

Ivanka has just acquired a West Wing office, where she’ll work as a sort of unofficial adviser with no specific job description; nor will she draw a federal salary. Kushner already is the president’s point man on U.S.-Israel relations and reportedly plans to play a key role in searching for a comprehensive peace agreement between Israel and the Palestinian Authority.

Are either of them skilled political operatives? Are they experts on health care, on the ACA or on the failed bill to replace it, the American Health Care Act? Do they even have any relationships with congressional naysayers? Umm. Nope.

What could they have done to affect the outcome? Maybe it’s just me, but my hunch is that it would have been not a damn thing!

So, they took a trip to the mountains to ski and enjoy each other’s company.

Dad didn’t need their “help” in scuttling this bill. He and the speaker did a fine job of it all by themselves.

Oh! And that’s a good thing.

medical news, national news, political news

Trump takes defeat … and then offers another lie

Donald Trump said repeatedly — countless times, in fact — that his Day One priority would be to repeal and replace the Affordable Care Act.

Over and over again on the stump while campaigning for president, the Republican Party nominee said it. It would be his top priority.

From … Day … One!

What, then, did the president say from his desk today in the Oval Office? He said he “never” mentioned repealing and replacing the ACA within the first 64 days of his presidency.

The Liar in Chief cannot tell the truth … about anything!

Good ever-lovin’ grief, man! It’s on the record, Mr. President. You said it. Out loud. In front of your adoring fans and in front of the “enemy of the people” media representatives who were covering your campaign.

The president lost a big fight today. House Speaker Paul Ryan — the president’s wing man in this fight — pulled the repeal-and-replace legislation. The Republican majority in Congress didn’t have the votes to enact it.

Thus, the president’s top priority became toast.

At the very least he ought to be able to recognize and acknowledge what he said while campaigning for the first political office he ever has sought.

local news, medical news, national news, political news

Who works for whom in Washington?

Donald Trump thought he could strong-arm congressional Republicans into doing his bidding.

He wanted them to enact a repeal of the Affordable Care Act. GOP lawmakers — namely the more conservative members of their caucus — weren’t budging. Why? I believe it’s because they knew something that the president doesn’t understand: They work for their constituents; they do not work for the president.

When I heard today that Trumpcare went down in flames, I flashed back to another time, in an another era, when another lawmaker decided to stick it in the ear of his congressional leadership.

I recalled former U.S. Rep. Larry Combest, a Republican from Lubbock, who once defied the speaker of the House of Representatives who wanted Combest to back some legislation that he just couldn’t support.

It occurred in the late 1990s. Combest represented a largely rural West Texas congressional district that ran from southern Amarillo all the way to the Permian Basin.

GOP House Speaker Newt Gingrich was pushing something called Freedom to Farm, a dramatic overhaul of national farm policy. If memory serves, Freedom to Farm would have drastically reduced the amount of subsidies the government gave to farmers and ranchers to help them through difficult years. We get those kinds of seasons in West Texas, as you might know. Drought has this way of inhibiting dryland farmers’ ability to harvest crops; such a lack of moisture also restricts the amount of grain that ranchers use to feed their livestock.

Gingrich pushed Combest hard to back Freedom to Farm. Combest resisted. He finally voted against Freedom to Farm.

Combest was left to remind the speaker that he didn’t work for congressional leaders. He answered to the farmers and ranchers who elected him to Congress. These folks back home would suffer from Freedom to Farm and Combest wasn’t about to let them down.

I applauded Combest at the time, remarking in an editorial — and also in a couple of signed columns — that he showed guts by defying his congressional leadership and standing up for his constituents.

Congressional Republicans today don’t work for the president. They answer to their constituents at home, the folks whose votes upon which these lawmakers depend. They hate the GOP alternative to the ACA and let their congressmen and women know it in no uncertain terms. Democrats hate it, too.

That is how representative democracy works, Mr. President.

Just ask Larry Combest.

medical news, national news, political news

So many lessons to learn from health care failure

Where in this world does one start to sort through the wreckage created by the Republican failure to repeal the Affordable Care Act and replace it with … something else?

Most of know the story by now. Donald J. Trump got elected president and promised to “repeal and replace” the ACA. Congressional Republicans, having retained control of both legislative chambers, finally had a president on their side. Repeal and replacement were slam dunks.

Or so they thought.

Then they cobbled together something that didn’t pass conservative and progressive muster. They couldn’t round up the votes to repeal the ACA, let alone approve something called the American Health Care Act.

Arm-twisting, threats and last-second negotiation resulted in the president’s first major legislative failure. House  Speaker Paul Ryan — a partner with the president on this fiasco — canceled the vote today.

Lessons learned here? Let’s take a peek at some of them.

* Trump bitched today at the White House that he had “no Democrat votes.” Really! He said that out loud to a room full of “enemy of the people” reporters. Well, irony apparently isn’t something that’s on Trump’s radar. President Obama didn’t have a single Republican vote when he got Congress to enact the ACA in 2010; but he damn sure tried to get some GOP support.

* Trump campaigned for the presidency on his record as a take-no-prisoners business mogul. He had no public service experience prior to running for president. His whole adult life had been geared toward personal enrichment. Then he discovered something about politics: It is that politicians have their own constituencies to worry about. If the voters who elect them don’t like what they’re doing, they have this annoying habit of voting them out of office.

Congressional Republicans didn’t like the AHCA because their voters back home didn’t like it. Do you get that, Mr. President? Your Republican colleagues don’t work for you; they work for the citizens in their congressional districts and in their states.

This ain’t reality TV, Mr. President. Politics is practiced by those who know what the hell they’re doing. Just because you’re the president doesn’t mean you get your way whenever you demand something of others.

* The ACA isn’t perfect. I’ll concede that along with anyone with half a brain. But as Speaker Ryan conceded today, it is “the law of the land.” Here’s a thought for the speaker and for the president: Why not try to tinker with the ACA? Fix what’s most egregiously wrong with it. If premiums are costing too much, find a method to cap them. If Americans are having trouble finding medical care within certain networks, find a way to streamline the process.

Throwing out a landmark health insurance overhaul simply because it was the creation of a president from the “other” party isn’t smart. What’s more, the ACA is patterned after a plan adopted in Massachusetts, which at the time was governed by a real Republican, Mitt Romney; you remember him, correct? The ACA in fact has Gov. Romney’s fingerprints all over it.

Ryan said today that “doing big things is hard.” No kidding, Mr. Speaker. Barack Obama learned that lesson, too. Indeed, as Vice President Joe Biden once said, “This is a big f****** deal.”

So … the Affordable Care Act remains on the books. Now the president and Congress can turn their attention to something else.

I just hope there aren’t more screw-ups on the horizon.

national news, political news

Will the ‘system’ swallow POTUS whole?

This fantasy keeps ricocheting around my noggin. Here’s how it goes.

Donald J. Trump sold himself as a no-nonsense, kick-butt business mogul who brooked no foolishness from anyone. Then he got elected president and learned that “I alone” cannot repair what he said is wrong with the country.

He set out to “repeal and replace” the Affordable Care Act and then ran smack into the buzzsaw otherwise known as the House Freedom Caucus, whose members hate the cooked-up alternative to the ACA. Democrats hate it, too, as much as they hate the president.

If the ACA repeal fails today, does that signal the start of a string of failures for a man who told us over and over that he never seemed to fail at anything?

What, then, happens when he cannot enact tax reform, or get the wall built on our southern border, or institute an infrastructure rebuilding program?

What happens if he can’t “destroy ISIS” all by himself? What happens if he keeps getting stern resistance from those on the far right — who don’t trust him anyway — as well as those on the left who are still steamed that he got elected president in the first place?

My fantasy is that Trump might decide the fight ain’t worth it. He’ll call Vice President Pence into the Oval Office and tell the veep, “Mike, take it away. It’s all  yours, my man. I’m going to take Melania and Barron back to New York and we can vacation to our hearts’ content at Mar-a-Lago and no one will give a crap about how much it costs. Besides, this house in D.C. isn’t nearly as nice as my digs in Florida. I’m outta here.”

Yes, that’s why I call it a fantasy. However, one never knows.

medical news

Trump tries to stampede GOP into replacing the ACA

I think I understand what Donald J. Trump is trying to do to persuade his Republican colleagues in Congress to repeal the Affordable Care Act.

The president said a vote on Friday is the drop-dead event. If House of Representatives Republicans do not have the votes to enact the GOP alternative, then that’s it.

The Affordable Care Act will stand. President Barack Obama’s signature domestic policy initiative will remain. The president will move on. He’s done negotiating.

Don’t you get it?

Trump is now trying to persuade balky Freedom Caucus Republicans to vote for the American Health Care Act, or else face the prospect of failing to deliver on the president’s top-drawer campaign promise.

Will he do it? I have no clue. Whether he goes through with his threat likely depends on whether someone gets his attention long enough to persuade him to keep up the fight.

The AHCA is not an improvement over the ACA. The Congressional Budget Office says the AHCA will throw 24 million Americans off their health care plans. GOP lawmakers have been hearing from their constituents for weeks now about how much they hate the Republican alternative to the Affordable Care Act.

Trump throws down the gauntlet

Now it has come down to whether House Republicans actually care enough about health care “reform” to enact an alternative to what’s already on the books. It’s also an open question about whether the president actually cares about health care — at all!

Does he want to enact an actual improvement over the ACA or does he simply want to replace a health care plan promoted and pushed forward by his immediate predecessor? Does he really care about what the alternative contains?

Trump said he is done negotiating with his fellow Republicans. Either pass what’s on the table, he is saying, or we’ll just forget the whole thing.

What a way to lead.

medical news, national news, political news

GOP turns tables on Democrats

John Boehner was a year away from becoming speaker of the U.S. House of Representatives in 2010, but he stood on the floor of the House to express his intense anger at his Democratic colleagues.

They were rushing the Affordable Care Act into law, the then-House minority leader declared. Democrats were shoving this “down our throats,” he hollered. He bellowed that no one had “read the bill!”

The ACA passed with no Republican votes.

Now the GOP is in charge of Congress. Boehner became speaker in 2011 and served until 2015. Republicans sought to repeal the ACA many times during Boehner’s tenure. They failed.

Now it’s Paul Ryan’s House. Speaker Ryan is working with a Republican president to enact something called the American Health Care Act.

What is the GOP strategy being mapped out by Ryan and Donald Trump. Why, they’re trying to rush this to a vote. They’re trying to “shove this down the throats” of conservative lawmakers who oppose it. They aren’t bothering to persuade Democrats, who are lined up en masse to oppose the AHCA, just as the GOP locked arms against the ACA in 2010.

Is it good enough now for Republicans to do the very thing they accused Democrats — with good reason, candidly — of doing?

Of course it isn’t!

The president declared that repealing and replacing the ACA was his top priority. The House was supposed to vote tonight on the AHCA. Ryan backed away from the vote. It’s now scheduled for Friday.

The president says a Friday vote — up or down — will be the end of his negotiating a replacement for the ACA. He said today he’s going to “move on” to other issues. Whether he does will depend on who gets to him. Trump does have this way of changing his mind.

Has there been sufficient comment and analysis on this Republican alternative to ACA, which was trotted out less than a month ago?

Nope. Not even close.

One difference between now and 2010: You aren’t going to hear the current House minority leader, Democrat Nancy Pelosi, screaming on the House floor about not having enough time to consider this health care insurance replacement. Rep. Pelosi is actually chuckling at what she calls the president’s “rookie mistakes.”

That’s the major difference. The tactics of today’s Republicans certainly resemble those employed by yesterday’s Democrats.

medical news

ACA just might survive GOP in-fighting

The Affordable Care Act has been called as good as dead, a goner, a “miserable failure.”

The Republican majority in Congress fought it tooth and nail for the past seven years. Then a Republican got elected president in 2016 and the GOP became downright giddy at the prospect of repealing the ACA, President Barack Obama’s chief domestic achievement.

Then it happened.

The Republicans cobbled together something called the American Health Care Act. Then they sent it to the Congressional Budget Office for some “scoring.” The CBO then delivered some numbers the GOP didn’t want to hear: 24 million Americans would lose health insurance, the CBO declared.

The GOP’s response? The CBO doesn’t know what it’s talking about, congressional leaders said.

But isn’t the CBO the gold standard for determining these matters?

Now the TEA Party wing of the GOP is rebelling against the AHCA. It’s “Obamacare Light,” they say. They hate the AHCA. Of course, they hate the ACA even more, which is no surprise, given that a Democratic president happened to be its founding father.

Oh, and Democrats? They’re unified against any effort to repeal the ACA and replace it with something that relies heavily on “tax credits” for Americans to buy insurance; Democrats call it code for “tax relief for the wealthiest Americans.”

Which brings me to this point: If the Republican Party’s congressional elders cannot come up with an alternative to the ACA that all its members can endorse, can this party actually govern?

medical news

Politics, the art of the payback

The game of politics can be called the game of payback.

Consider the process that has produced something called the American Health Care Act, the Republican-sponsored overhaul of the Affordable Care Act, which the GOP faithful says it wants to repeal.

In 2009, Republicans griped themselves hoarse over the way congressional Democrats “shoved the ACA down our throats.” They bitched that Democrats crafted the ACA in the “dead of night” and then, using their then-congressional majority, got it approved without a single Republican vote.

Fast-forward to 2017. Republicans now are in charge. They control Congress and one of their own occupies the White House. What do they do? They produce the AHCA also in the “dead of night” and then they try to cram it down Democrats’ throats without knowing how much it’s going to cost.

You see, the Congressional Budget Office — the non-partisan agency — hasn’t “scored” the AHCA. We don’t know how much impact it will have on the annual federal budget deficit.

Was it wrong for Democrats to flummox Republicans with a health care overhaul? Sure. Is it wrong now for Republicans do essentially the same thing to their “friends” on the other side of the aisle? Absolutely.

This is yet another demonstration of how much of a contact sport politics can become.

As for the CBO “scoring” of the AHCA, how about waiting to see how much it would cost Americans before putting it to a vote?