Tag Archives: ACA

media news

Twitter insult might doom health care overhaul

Donald J. Trump’s latest Twitter tantrum bodes potentially disastrous for a legislative goal he and congressional Republicans have established.

They want to repeal and replace the Affordable Care Act. A U.S. Senate bill is hanging by a thread. Senators postponed their vote on it until after the Fourth of July recess.

So what does the president do? He fires off a vulgar, insulting tweet this morning about two MSBNC talk show hosts, ratcheting up his idiotic war against the media. The tweet makes some bizarre reference to Mika Brzezinski “bleeding badly from a facelift.” He refers to her as “Crazy Mika” and her co-host Joe Scarborough as “Psycho Joe.”

Republicans upon whom the president depends to help him approve this ACA repeal/replace idea now are running like thieves away from Trump.

It’s fair to wonder: Is the president’s lack of discipline, decorum and dignity going to cost him a victory that — frankly, it must be said — was tenuous?

This is no way at all at how you govern.

national news, political news

GOP: the party of diversity in thought, philosophy

I want to toss a bouquet or two at the Republican Party.

The Grand Old Party has become the organization filled with diverse thoughts, philosophies, competing ideas. It is being revealed yet again as the GOP struggles over how to enact a bill that would overhaul the Affordable Care Act.

It wasn’t always this way.

A couple of generations ago, those of us of a certain age remember when the Democratic Party exemplified turmoil, tumult and tempest. The Vietnam War tore Democrats apart, had them ripping out the throats of their brethren. Republicans stood firm in support of that war.

The GOP would split in 1976 when conservative champion Ronald Reagan challenged President Ford’s election effort, only to lose narrowly at the party’s political convention.

Now we see Democrats standing as one in opposition to the GOP plan to dismantle the ACA and replace it with something else.

Republican moderates dislike the GOP alternative because it takes too much money from Medicaid. Republican conservatives hate it because they call it a “light” version of the ACA and are pushing for a more drastic departure from President Barack Obama’s landmark domestic legislative achievement.

Frankly, I find the intraparty debate refreshing and healthy for Republicans. There might be a purging after it’s all over. Whichever sides wins the argument will likely have to heal the rift that has developed with the other side, and vice versa.

I’ve always like diversity of thought. Democrats’ divisions in the 1960s and early 1970s cost them dearly over the course of many presidential election cycles. They would lose six of seven presidential elections from 1968 to 1988. Democrats eventually got their act together enough to win in 1992, 1996, 2008 and 2012.

It remains to be seen whether the current Republican political divide will cost that party as dearly as it did the Democrats. I believe, though, that the party’s struggle over health care overhaul will be ultimately good for its long-term future — if the GOP is able to cope with all this arguing.

local news, medical news, national news, political news

Listen up, Congress: Americans hate the health care ‘reform’

Dear Members of Congress,

Y’all are going home for a couple of weeks. Some of y’all are going to conduct town hall meetings with your constituents, your “bosses,” the folks who decide whether to vote for you — and whose money pays your salary.

I just got word of a new poll. It says that just 17 percent of Americans favor the Republican Senate version of a health care insurance overhaul. That’s about the same level of (non)support that the House of Representatives version got when the GOP caucus decided to send the issue over to the Senate.

At least one of your House colleagues, by the way, is declining to meet face to face with his bosses. That would be Republican Mac Thornberry. He’s my congressman. He decided a while back that he didn’t need to hear from just plain folks. The last so-called “town hall meeting” he had was with local business leaders, tycoons, pillars of the community. He wanted to inform them of his desire to see Congress shed some of the Obama administration’s regulations. I reckon he got a friendly reception.

But back to the point here.

That poll doesn’t bode well for the future of the GOP plan to rewrite the Affordable Care Act — if House members and senators are going to heed its findings. If you truly are going to “represent” your constituents, then you need to rethink your approach. It cannot be a Republican-only effort. There appears to be a need to include Democrats in this process. Hey, I’ve heard some Democrats say in public that they want to work with their Republican “friends.” But the GOP leadership — so far — is having none of it.

The president calls the House health care plan “mean.” He said he could support a plan with “heart.” The Senate version appears to many of us to be as heartless as the House plan. It takes too much money from Medicaid and according to the Congressional Budget Office — I am sure you are now aware — the plan will cost 22 million Americans their health coverage over the next decade.

That’s not a plan with “heart,” you lawmakers.

Enjoy your time away from D.C. Have a good time over the Fourth of July. Celebrate this great nation’s birthday.

While you’re at home, though, listen carefully to what your constituents — your bosses — are telling you. You’ll learn something.

medical news, political news

Who’s telling the truth, GOP or Democratic Senate leader?

I am certain today that I heard two diametrically opposed statements come from the mouths of the U.S. Senate’s top partisan leaders.

The Senate was going to vote this week on a plan to replace the Affordable Care Act; then Senate Republicans said “no.” There won’t be a vote just yet. They balked because they don’t have the votes to approve it. They might not get the votes, either.

Senate Majority Leader Mitch McConnell, the Kentucky Republican, said categorically that Democrats “aren’t interested” in working with Republicans to craft a new health care insurance bill.

There. We have that statement.

Less than an hour later, Senate Minority Leader Chuck Schumer, the New York Democrat, told reporters that Democrats “want to work” with Republicans.

OK. Who’s telling the truth? McConnell said Democrats aren’t interested. Schumer said the exact opposite.

I guess it depends on the partisan bias of those who heard the statements. McConnell said it in front of fellow Republicans; Schumer made his declaration in front of fellow Democrats.

I tend to believe Schumer. I would be my hope that Democrats would be willing to huddle with their GOP “friends” in the hope of finding some common ground with regard to what McConnell called a “complicated” piece of legislation.

The Senate will take up this matter after the Fourth of July recess.

As Lyndon Johnson would say, “Let us reason together.”

medical news

Trumpcare in trouble … put on hold

Trumpcare is in trouble. There’s no way to spin this any differently.

Nine Senate Republicans are now on the record that they oppose their party leadership’s version of the alternative to the Affordable Care Act. Senate Majority Leader Mitch McConnell, who is as adept at tea-leaf reading as anyone in Washington, delayed the vote on the GOP plan until after the Fourth of July recess.

I live out here in Flyover Country, in the heart of Trump Land, where the president polled something like 80 percent over Hillary Clinton in the 2016 presidential election.

But my gut tells me that rank-and-file Trumpkins are none too happy about what the GOP Senate leadership has come up with.

We’ve got a lot of folks out here who depend on Medicaid to cover the cost of medical care. The GOP plan guts Medicaid. A lot of those same folks voted for Donald J. Trump on his promise that he wouldn’t touch Medicaid, or Medicare, and would ensure a better, cheaper, more efficient health insurance plan than the one provided by the ACA. He isn’t delivering the goods, based on what the House of Representatives has approved and what’s on the table in the Senate.

Republicans can afford to lose just two votes in order to approve a Senate version of Trumpcare. They hold a 52-48 majority in the Senate; two “no” votes means Vice President Pence casts the tie-breaking vote to approve Trumpcare.

McConnell said today that Democrats have no intention of working with Republicans to craft an ACA replacement. Really!

How about this, Mr. Majority Leader? How about agreeing to preserve the good aspects of the ACA and work to improve those elements that need work? I’ve heard Democrats say they would be willing to with Republicans to mend the ACA. One of them happened to be the former president, Barack H. Obama, who has said repeatedly that if Republicans can improve the ACA he’d be willing to work with them.

Obama is out of office now. Republicans are in complete charge. They control Congress and the White House. They had eight years to come up with a reasonable alternative to the ACA. They dickered, dawdled and dissed the Democrats for that entire time and then came up with a plan that cannot please enough Republicans to make it law.

Cue music. The dance goes on.

medical news, national news, political news

Now the economists weigh in: GOP health care overhaul stinks

I suppose politicians are predisposed to think more highly of their own opinions and agendas than anyone else’s.

How else does one explain Senate Republicans’ stubborn insistence that their version of an overhaul of the nation’s health care insurance system is good while actual experts say it’s bad?

The Congressional Budget Office, the famously non-partisan agency charged with “scoring” legislation, has said the GOP plan would cost 22 million Americans their health insurance over the next decade.

Now we hear from some Nobel Prize laureates, economists with a proven track record of expertise and knowledge about such matters, saying the GOP bill is bad news for Americans.

Not to be derailed or dissuaded, the Senate Republican leadership is going to trudge ahead with a vote — possibly as early as Thursday — on this so-called alternative to the Affordable Care Act.

I’ll call it Trumpcare, named after the president of the United States. I have refused to refer to the ACA by its more colloquial term named after former President Barack Obama; that’s just me, though, and my bias speaking out loud.

Trumpcare is a turkey, according to the Nobel laureates.

Here’s how The Hill reports on it.

According to The Hill: “We call on Congress to work on legislation to improve the health delivery system, in general, and The Affordable Care Act, in particular,” the economists wrote. “The goal should be to hold down health costs and increase access to affordable, quality health coverage for all.”

The plan under consideration doesn’t do any of that. It also makes dramatic cuts in Medicaid insurance, upon which millions of Americans depend because they cannot afford to pay the full freight for health insurance.

The Senate plan has made conservatives angry because it doesn’t go far enough in repealing the ACA. It makes GOP moderates angry because it is every bit as “mean” — to borrow a term used by the president — as the plan that House members approved by a narrow 217-213 vote.

Nobel laureate economists dislike it, too, as do apparently millions of just plain average Americans who are worried about what it will do to their insurance plans.

The only folks who like it are the 13 Republican U.S. senators who cobbled this legislation together.

Are these men the only people in America who have it right, that everyone else is wrong? I think not.

medical news, national news, political news

CBO verdict is in: health care bill is ‘mean’

The Congressional Budget Office doesn’t use language such as “mean” to assess its analysis of legislation, but that’s what one can surmise of its latest analysis of a key Senate bill.

The CBO today turned in its “score” of the Senate Republican-passed health care legislation and it has told us:

* 22 million more Americans are going to be uninsured.

* The budget deficit will be cut more than $300 billion over the next decade, but that’s because of cuts in Medicaid spending for those Americans with financial need.

* There will be lower premiums, but there also will be less coverage.

It’s still a “mean” overhaul

Donald J. Trump said he wanted a less “mean” health care insurance plan than what the House of Representatives approved. The CBO score suggests that the Senate version of health care overhaul doesn’t make the grade.

Is the GOP plan in trouble? That depends on who’s doing the talking. Since this blog gives me a voice to speak out, I’ll suggest that Senate Republicans on the fence or leaning against the overhaul well might be inclined to vote “no” on this new plan if it comes to a vote later this week.

The president promised he wouldn’t touch Medicaid, that Americans who rely on Medicaid will continue to rely on it once he repealed and replaced the Affordable Care Act with something else.

It looks to me as though this promise won’t be kept.

Senate Majority Leader Mitch McConnell has his work cut out for him as he looks for the votes to approve this bill.

medical news, national news, political news

Planned Parenthood: classic political football

Oh, how I wish there were more U.S. Senate Republicans like Susan Collins of Maine. Or Lisa Murkowski of Alaska.

These two GOP moderate lawmakers are standing firm in their desire to see Planned Parenthood retain its federal government support. They dislike the Senate Republicans’ draft of a bill to overhaul the Affordable Care Act because it cuts money for Planned Parenthood for a year.

You see, we now have the makings of a political football game, with Planned Parenthood being the ball and competing forces within the Republican Party — not to mention the Democratic Party — kicking it all over the proverbial field.

Debate will get heated.

“There are already longstanding restrictions on the use of federal funds for abortion, so this is not what this debate is about. And Planned Parenthood is an important provider of healthcare services, including family planning and cancer screenings for millions of Americans, particularly women,” Collins said.

Abortion, that’s the kicker. Which means that abortion is at the epicenter of this particular discussion.

Senate and House conservatives detest Planned Parenthood because it does provide abortion referrals to women seeking to end their pregnancies. Last time I looked, it’s a legal activity. According to the “true believers,” though, Planned Parenthood is sanctioning the “murder of unborn children” and therefore its mission is steeped in evil intent.

Collins, though, is correct to point out two things about Planned Parenthood. One is that Congress already has written into law restrictions on federal funding for abortion; two is that Planned Parenthood provides a number of vital health care services for Americans.

But the organization is going to get kicked around, mauled, chewed up and spit out as competing legislative factions argue over whether the new health care legislation should use taxpayer money to keep it functioning.

I’m on Sen. Collins’s side.

medical news, national news, political news

Good call, Sen. Ernst; ask your ‘bosses’

U.S. Sen. Joni Ernst, an Iowa Republican, is doing something quite useful.

Sen. Ernst says she is undecided on the Senate Republican health care overhaul plan designed to replace the Affordable Care Act. Her response? She wants to poll her constituents back home. She wants their opinion on what the Senate GOP wants to do to — or with — their health care insurance.

How about that, dear reader? She wants her bosses to weigh in, to give her advice on what she should do when this matter comes to a vote, possibly as early as this week.

Here’s the deal, though. It’s fair to wonder a couple of things about the freshman senator.

Is she truly undecided, or has she secretly made up her mind and is using the poll as a ruse? And if she polls her constituents, will the questions be fair, without a hint of bias? You know how these surveys can work. If you ask questions a certain way, you can elicit certain answers.

Sen. Ernst might not have much time to collect responses from her Iowa constituents. I’ll hope for the best for her and hope that she’ll do the right thing by asking the questions straight up and will act on what her constituents tell her … one way or the other.

If her bosses back home share the views of so many other Americans — that they detest the GOP alternative — I think I know what they’ll tell her if they’re given the chance to speak freely.

medical news, national news

Hard to keep track of what Trump likes, loathes

If you’re keeping tabs on the president’s tweets and assorted public statements, then you’ve got your hands full.

When the U.S. House of Representatives approved its American Health Care Act by the narrowest of margins, Donald J. Trump called the GOP-authored-and-passed bill “spectacular.”

Then he tweeted that it is “mean.”

Then tweeted about the draft U.S. Senate plan — again crafted solely by Republicans. He says now, with a vote scheduled for later this week, that the Senate plan is far better than the House plan.

OK, Mr. President. We keep hearing how you make decisions based on the last person to have your attention. Which of these plans is the suitable replacement for the Affordable Care Act, which you once said would be “easy” to replace, but now you say is “hard”?

I cannot begin to possibly keep up with this guy’s ever-evolving stance — on anything and everything!