Tag Archives: GOP

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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.

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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.

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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.

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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.

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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?

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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?

national news, political news

Congress sees spike in approval rating … what gives?

 

Given my occasional fascination with public opinion polls, I want to share an observation about RealClearPolitics’ average of polls.

It is that public approval of Congress has spiked up about 10 percentage points since Donald J. Trump became president.

Why is that? I think it’s a legitimate question. I might have the answer, although I could be coming at this from deep left field.

It well might be that the public sees the president of the United States as the greater threat to the nation’s stability. RCP’s average of polls puts Congress’s approval rating at more than 22 percent. During the eight years that Barack Obama was president, the RCP poll average usually pegged Congress’s approval in the low teens, occasionally dipping into single digits.

Might it be that the public saw Congress less favorably during President Obama’s time because respondents were concerned about the continual obstruction orchestrated by the Republican Party leadership?

Moreover, might it now be that the RCP polling reflects a public view that Congress can act as a check against the current president’s reckless rhetoric and fickle policy pronouncements?

Just thinking out loud, dear reader.

Your thoughts?

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Get ready for more impeachment talk

Impeaching a president of the United States isn’t for the faint of heart. It requires a stout gut among those who bring it, not to mention the target of such a drastic action.

The bar must be high. It must have a solid basis on which to make such a move.

Where am I going with this? I have this sinking feeling that the current president well might find himself in the crosshairs of those who want to bring such an action against him.

We’re hearing a growing — but still muted — rumbling in D.C. about the prospect of Donald J. Trump facing impeachment by the U.S. House of Representatives. I’m attaching an item from The Hill in which former Labor Secretary Robert Reich — an acknowledged political liberal — has lined out at least four impeachable offense already committed by the president.

Here it is.

Reich says that Trump’s accusation that Barack Obama ordered a wiretap of Trump Tower offices constitutes an impeachable offense, saying the president has recklessly accused his predecessor of committing a felony. He notes that the Constitution prohibits president from taking money from foreign governments; Trump, Reich alleges, has done so by “steering foreign delegations” to hotels he owns. Reich contends that Trump violates the First Amendment’s provision against establishing a state religion by banning travelers from Muslim countries into the United States. Reich also says the First Amendment bans any abridgment of a free press, but Trump has labeled the media the “enemy of the people.”

There’s a fifth potential cause, which Reich has asserted. It involves the possibility that Trump’s campaign colluded with Russian government officials to swing the election in the president’s favor. Reich said such activity, if proven, constitutes “treason.”

Will any of this come to pass? I have no clue.

Think of the politics of it. Trump is a Republican; both congressional chambers are controlled by the GOP. Will the Republican House majority bring articles of impeachment to a vote, no matter how seriousness of whatever charges are considered?

The collusion matter strikes me as the most serious and the most likely to align Republicans along with Democrats in considering whether to impeach the president. I am not suggesting there is, indeed, proof of such collusion.

Remember as well that the GOP-led House managed to impeach a Democratic president, Bill Clinton, in 1998 on three counts relating to his seedy relationship with that White House intern. Conviction in the Senate, though, required a super majority of senators; the GOP fell far short on all three counts. Thus, the president was acquitted.

They based that impeachment on the president’s failure to tell the truth under oath to a federal grand jury that questioned him about the affair. He broke the law, Republicans said. There was your “impeachable offense,” they argued.

My major concern about the Clinton impeachment was whether the president’s offense had a direct impact on his office. It did not. Any of the issues that Secretary Reich lists, however, certainly do have a direct impact on the president’s ability to perform his duties.

The bar for whatever might occur with the current president is set even higher than it was for President Clinton, given that the president and the congressional majorities are of the same party.

You might not believe this, but I do not prefer an impeachment to occur. I do, though, want the unvarnished truth to be revealed about what the president thinks he can do with — and to — the exalted office he occupies.

If the truth is as ugly as some of us fear, then Congress should know how to repair the damage.

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AHCA may be DOA in U.S. Senate

Hey! Wait a second!

Didn’t the Republican majority in Congress promise to “repeal and replace” the Affordable Care Act? Didn’t they assure us they would produce a plan that would provide health insurance for Americans at a cost they can afford?

Wasn’t that their solemn pledge? Didn’t they all but guarantee it once they won the presidency and retained control of both chambers of Congress?

Hah! Guess again. It seems that the American Health Care Act that the GOP rolled out this week doesn’t go far enough, according to the TEA Party wing of the Republican Party. They might launch a big intraparty fight to derail the AHCA.

These right-wingers are making GOP moderates look better all the time.

House Speaker Paul Ryan assures us that he’ll get 218 votes to approve the AHCA. The problem appears to be in the Senate, which has a very small margin for error among GOP senators. Only three of them need to bolt to drive the whole health care overhaul into the ditch.

There appears to be a rebellion building.

As I look at the proposed legislation, it seems to resemble the Affordable Care Act at some level. It does do away with the “mandate” provision that would penalize Americans who fail to have health insurance. It emphasizes tax credits for Americans seeking to buy insurance.

Some Senate GOP moderates don’t like it, either. There also are the conservatives who want the ACA to be repealed fully and that the AHCA doesn’t wipe the ACA off the face of the planet.

I am one who won’t be disappointed if this GOP overhaul doesn’t work. While I understand that the ACA needs tinkering, some fine-tuning, I would say only that we should simply tinker and fine-tune what we have on the books.

Oh, man … the great Winston Churchill had it right when he declared that democracy was the “worst form of government” ever devised — but was better than anything else.

If only he were around today to watch the U.S. Congress tie itself in knots over this health care insurance matter.

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AHCA to replace ACA … at what cost?

Finally, the Republicans who run the legislative branch of government have produced a replacement plan for the Affordable Care Act.

I will need some time to digest all of it. It’s a complicated issue, one that requires a lot more brain wattage that I can generate at the moment.

It’s called the American Health Care Act. It’s supposed to be better than the ACA — and no, I won’t refer to the ACA by its colloquial name that attaches it to the name of the 44th president of the United States.

Complications abound with AHCA.

It removes the government mandates that require citizens to have health insurance; it relies heavily on tax credits to enable Americans to purchase insurance; it doesn’t monkey around with pre-existing conditions; it allows young people to stay on their parents’ health insurance plans.

The big question? Its cost.

How will Congress pay for this new program? We haven’t yet heard that explanation.

President Obama has said he’d welcome changes to the ACA that improve it. Yes, we now have a replacement idea on the table. It took Republicans eight years to come up with this alternative. They yapped and yammered during the two terms of the president’s tenure about how “terrible” the ACA was for health care, while pledging to repeal it once they got one of their own into the White House.

Here we are.

The debate will go forward now on whether the AHCA is better than the ACA.

The bottom line — for me, at least — is whether the 20 million or so Americans who now have insurance will be able to keep it at a cost they can afford.