Tag Archives: ACA

medical news, national news

Who needs analysis of ACA repeal bill? Not the GOP

Did I hear this correctly?

Congressional Republicans are pushing a vote on a measure to repeal and replace the Affordable Care Act without knowing the “score.” Is that right? I guess it is. That’s what the “enemy of the American people” media are reporting.

Republicans got themselves into a jam the first time they tried to repeal the ACA when the Congressional Budget Office delivered some bad news about the American Health Care Act: The AHCA, according to the CBO, would toss about 24 million Americans off their health insurance programs.

That frightened enough Republican congressmen and women to forestall a vote on a repeal/replace measure.

So, the GOP leadership found a way around that. They made the new repeal/replace law more drastic than the previous one and have scheduled a House vote before the CBO has a chance to “score” it.

The conservative Freedom Caucus, which bucked the original bill, is now on board. Moderate Republicans, meanwhile, are the wild card in the vote that’s coming up.

Democrats? They hate this bill even more than the first one. They’re out. Forget about the Democrats.

Memo to GOP leaders: This is not how you build a “good government” environment.

To think, too, that Republicans were just furious that Democrats allegedly tried in 2010 to shove the Affordable Care Act down Republicans’ throats.

Who’s angry now?

medical news, national news, political news

Why not repair ACA instead of repealing it?

Barack H. Obama used to say it all the time: If Republicans have any improvements they want to make to the Affordable Care Act, I am willing to work it with them.

The Democratic president was open to tinkering with the ACA. He said he was keeping an open mind on ways to improve his signature piece of domestic legislation.

Then his time as president expired. His successor, Donald J. Trump, had vowed to “repeal and replace” the ACA starting with Day One of his presidency. He has labeled the ACA a “disaster.”

But the president can’t seem to bring himself to persuade his fellow Republicans in Congress to do as his predecessor has suggested regarding improving the ACA. They have dug in hard in their effort to repeal and replace the ACA. Trump has joined them. They now are left to fighting among themselves over the best way to replace the ACA.

The ACA is not the “disaster” that Trump has asserted about it. The law has provided health insurance for more than 20 million Americans who couldn’t afford it.

I am willing to concede that the ACA isn’t perfect. However, it is the law of the land. Why in the world can’t the GOP pick the law apart, huddle with Democrats, agree on what’s working and then seek to reform the elements of the ACA that aren’t working?

Oh, no. They cannot go there. The intention among the GOP leadership is to throw out every vestige of the ACA because, I’m going to presume, it has President Obama’s imprimatur. The Republican congressional caucus had declared its intention to make Obama “a one-term president,” and the ACA — approved in 2010 — simply had to go.

Tinkering and mending this law doesn’t constitute an unprecedented solution. Congress did as much with Medicare in the 1960s and with Social Security in the 1930s.

They managed — somehow — to improve those other two pieces of landmark legislation.

What about the here and now?

national news

‘None of your business’? Why, I never …

U.S. Rep. Darrell Issa is getting a bit testy, or so it appears.

A reporter asked the veteran California Republican lawmaker how he intended to vote on a bill to repeal the Affordable Care Act and replace it with some sort of Republican-sponsored alternative.

Issa responded, “It’s none of your business.” The reporter then responded with a question about Issa’s constituents. Don’t they need to know? “You’re not a constituent,” Issa replied.

OK. Let’s settle down for a second or two.

Exchange got tense

Rep. Issa is a member of Congress. He is one of 435 members of the House. This body writes federal law. It then enacts those laws, which then get approved by the Senate and gets signed by the president.

Thus, we’re all his constituents, if you get my drift.

Rep. Issa, you need to get a grip, sir. Reporters asking you for your opinion on an important piece of federal legislation is everyone’s business.

Issa has no special privilege to keep his views on these critical matters to himself.

national news, political news

100 days: real — or phony — benchmark for POTUS?

Donald John Trump now calls the 100-day threshold for presidential performance a phony standard.

That’s not what he was saying, however, while he was running for the office in 2016. He said repeatedly — and loudly — that he would do more than any other president in U.S. history during his first 100 days in office.

How has he done?

Repeal of the Affordable Care Act? Nothing. Tax reform? Zip. Infrastructure renovation? Forget it. The Wall on the southern border? Ha!

Yes, the president has signed a lot of executive orders. I like a few of them; most of them are clunkers.

Legislative accomplishment? The president has come up empty.

That means the 100-day report card — when it comes due — is going to record a pretty dismal job performance. Unless, of course, you’re Donald Trump, who’s been saying in consecutive breaths that he’s done more than any president in history and that the 100-day benchmark doesn’t mean a damn thing.

Trump’s victory in the 2016 election rewrote the political calculus on so many levels. He wasn’t supposed to win; he didn’t know anything about government; he insulted too many key political demographic groups.

Despite all of that he won the Electoral College by a comfortable — if not a massive — margin over Hillary Clinton.

He’s parlayed that changing political dynamic into some sort of success in his own mind.

I’m not buying the president’s version of success. And, yes, the 100-day marker for first-term presidents does matter, no matter what the current president might think publicly about it.

political news, State news

Even Texans are mad at Trump … go figure

When residents of Texas are polling negatively against Donald John Trump, well, then you’ve got a problem.

Are you paying attention, Mr. President?

Texas Monthly reports that a Texas Lyceum poll suggests most of us here in the Lone Star State disapprove of the job Trump is doing. The poll surveyed everyone — those who vote and those who don’t. Texas Monthly reports further that among Texas Republicans who do vote, the president remains popular, with an 85 percent approval rating.

According to Texas Monthly: “The key seems to be which group of Texans you’re talking about. Overall Trump’s disapproval/approval rating among all Texans was 54 percent/42 percent. But while Republicans support him, 86 percent of Democrats disapprove of his job performance, along with 73 percent of the millennials and 61 percent of Hispanics. Sixty percent of whites view Trump positively.”

Trump in trouble in Texas?

I am not going to presume for a second that Trump couldn’t win Texas yet again if an election took place in the next day or two. Texans have shown a propensity over many years to be intensely loyal to whichever party is in power.

I’ve noted already that a semi-trained chimp could get elected to public office if he was a Republican.

To be, um, fair and balanced, you could have said the same thing 40 years ago about Democratic candidates for office.

The tide has turned here. Having been at ringside in Texas as the state turned from moderately Democratic to strongly Republican, I borne witness to the shocking nature of the transition.

The Lyceum poll also suggests that U.S. Sen. Ted Cruz, who’s up for re-election in 2018, might be in some trouble against a strong Democratic challenger. The poll puts Cruz and U.S. Rep. Beto O’Rourke — the only announced challenger for Cruz’s seat — in a dead heat.

But … as they say: A week is a lifetime in politics. In Texas, I’m not about to count Cruz out as dead meat more than a year away from the next election.

As for Trump, his relatively poor standing is emblematic of the trouble he is encountering throughout the nation. He wants to repeal the Affordable Care Act, which remains popular with a majority of Americans; and he wants to build that wall along the Rio Grande River, a notion that I keep hearing isn’t popular at all among rank-and-file Texans.

But, hey. If we were to ask Trump about his low poll standing, he’d blow it off. He’d call it “rigged.” He would say it’s cooked up by the media that he describes as “the enemy of the people.”

You know what? Most Texas Republicans would believe him.

Imagine that.

national news

Trump’s first 100-day report card coming due

Franklin Delano Roosevelt set the bar for measuring the progress of a new president’s administration. He put it at 100 days.

Presidents had that amount of time to establish the pace and the tone of how they intend to govern, FDR determined. It’s been the benchmark ever since.

How has the 45th president done as his 100th day in office approaches? Not well at all.

That’s the view of almost every observer who gets paid to analyze such things. Donald J. Trump, though, sees it differently. Imagine that, if you can. He’s done a “fantastic” job, he’ll tell you. He’s assembled the “best” team ever created, he will insist. Why, he got a Supreme Court justice nominated and confirmed all within the first 100 days, he has said.

Trump has signed a lot of executive orders, too. He has rolled back many of the policies enacted by President Barack H. Obama. He’s repealed, for instance, regulations that sought to ensure clean air and water; Trump wants to bring more jobs back and he says those job-killing regulations just had to go.

Oh, but legislatively? What has the president done?

Umm. Not much, folks.

The effort to repeal and replace the Affordable Care Act went down in flames. That would be his “first priority.” He got nothin’, man.

Absent a victory there, he then turned his sights on reforming the federal tax code. Now that effort appears stalled. Why? Because a few of his allies in Congress want to restart the ACA repeal/replace effort.

The president has failed to fill most of the key deputy Cabinet posts that need filling. Key Cabinet secretaries are lacking go-to men and women who serve as backstops for them.

The 100th day is less than two weeks out. Will the president be able to proclaim any significant legislative victory? I do not think so.

As one point of comparison, I believe I’ll look back eight years ago to the then-new presidency of Barack Obama. All he managed to do in the first 100 days was shepherd through Congress a $787 billion economic stimulus package that managed to rescue the nation’s collapsing financial system.

How would I grade the current president?

I’ll give him a D-minus. The only thing — in my view — that keeps him from failing outright is that missile strike on the Syrian government.

local news, political news

Time for a town hall meeting, Rep. Thornberry? Hmmm?

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Welcome home, Mac Thornberry.

I know you’re a big shot in the U.S. House of Representatives, chairing the House Armed Services Committee and all of that.

You and I have some shared history here in the Texas Panhandle. You took office the same week I reported for duty at the Amarillo Globe-News in January 1995. In a way, we kind of “grew up together.”

But you’ve disappointed me at times. We differ on public policy matters. That’s OK with me. We have maintained a friendly relationship, which I sincerely appreciate.

What I cannot yet fathom is why you are forgoing town hall meetings with your constituents during this Easter/Passover break Congress is taking. Surely you know about the unease among many Americans about what Congress might do with the Affordable Care Act, the law you GOP lawmakers and other critics blithely call “Obamacare.”

Y’all tried to scrap it and replace it with something else. It didn’t work. The effort failed.

But you aren’t planning any town hall meetings. You met with business leaders in Amarillo and, I presume, in Wichita Falls. I understand you talked about the government’s rules and regulations that affect business operations; I also am quite certain you heard a lot of agreement from those constituents over your own belief that the feds are too hard on private enterprise.

Others out there aren’t entirely in sync with what you want to do. They dislike efforts to repeal and replace the ACA. Indeed, many of your colleagues — including your fellow Republicans — have gotten a gutful of gripes from constituents. I applaud them for taking the heat.

I do not applaud members of Congress who decline to face their constituents and to answer their questions and deal with their anxiety.

You need not to be reminded, Mac, that you work for us. We are your bosses. Not the speaker. Not the House majority leader. Not the president. It’s us, sir.

Talk to us. Listen to us.

national news, political news

Trump at war … with conservatives in GOP!

Conservative Republicans should have known what they were getting when they stood firmly behind their party’s presidential nominee in 2016.

They were backing a guy who didn’t understand them, didn’t understand how to legislate, didn’t grasp the degree to which they would run through brick walls to get their way.

So, when Donald Trump hooked up with congressional GOP leaders — comprising a few moderates here and there along with some notable conservatives — on a cobbled-together health care overhaul, the Freedom Caucus bolted.

The caucus opposed the American Health Care Act. It spoke as one. The president couldn’t deliver.

Don’t get me wrong. I don’t think the Affordable Care Act should be repealed. It does kind of make me chuckle, too, to see the president get his head handed to him by a group of zealots who want the ACA tossed into the crapper.

But now the president has all but declared war against the Freedom Caucus. I believe this open warfare might doom whatever passes for Trump’s legislative agenda for, oh, the foreseeable future.

Trump is a RINO to many conservatives anyway. RINO, of course, means Republican In Name Only and it’s not altogether clear what precisely informs any public policy that pops into the president’s noggin.

The biggest surprise to me was that conservatives would stand with this candidate to begin with, given his bizarre personal marital history, his acknowledged groping of women, the manner in which he spoke to — and about — his more conservative GOP primary opponents. Whenever I hear Trump talk openly about matters important to social conservatives, one word keeps popping into my head: panderer.

Thus, I shouldn’t be surprised that the president would stake his agenda on cooperation with anyone other than the Freedom Caucus.

He’s not one of them. They certainly do not follow his lead.

The battle, therefore, is joined.

national news, political news

The buck still stops in the Oval Office … doesn’t it?

There once was a time when presidents of the United States took the heat when things went badly.

President Harry Truman had that sign on his Oval Office desk that declared “The Buck Stops Here.” He knew, for example, that his firing of Army Gen. Douglas MacArthur from his command post in Korea would be political dynamite at home. But he did so anyway as a statement of support of civilian authority over the military.

President John F. Kennedy fell on his grenade in 1961 when the Bay of Pigs invasion of Cuba — which sought to overthrow Fidel Castro  — went badly. He told us that “Victory has a thousand fathers while defeat is an orphan.” He took responsibility for the failure of the mission.

Other presidents have assumed responsibility for missteps, mishaps and outright tragedy.

The current president is not wired that way. Donald John Trump’s first and last instinct is to blame others.

The commando raid in Yemen in which a brave Navy SEAL died was the fault of the “generals” who put the mission together, Trump said.

Then came the failed effort to repeal and replace the Affordable Care Act. Trump is not taking a lick of responsibility for the failure to cobble together a political alliance that would institute something called the American Health Care Act.

Oh, no! He said first it was the fault of Democrats who didn’t sign on at all with the AHCA. Then it became the fault of the conservative Freedom Caucus of the House GOP. After that, the president tossed a barb at Republican moderates who hated the AHCA as well.

Where, oh where is the president’s responsibility?

Leaders step up when matters go awry, just as they bask in the reflected glory when matters go well. They take the bad along with the good.

If only the current president could actually lead. He simply cannot fulfill a basic tenet of the office he occupies.

Presidents Truman and Kennedy are spinning in their graves.

business news, national news, political news

Health care overhaul? Kaput! Tax reform? That’s next!

Let’s see if we can figure this one out together.

Donald J. Trump and congressional Republicans botched a plan to repeal and replace the Affordable Care Act, a law that took about a year of tough negotiation and dickering to enact in the first place.

Trump and his pals in Congress tried to do it in the span of 17 days. They failed to muster enough support from, oh, just about any faction within the GOP. TEA Party, Freedom Caucus, party moderates all hated the American Health Care Act, which the Republican congressional leadership pulled out of its backside in the dead of night.

ACA repeal and replace? Gone. Finished. As House Speaker Paul Ryan said, “(The Affordable Care Act) is the law of the land for the foreseeable future.”

What, then, do Trump and the Trumpkins — the gang that cannot legislate its way out of a wet paper bag — want to do now?

Tax reform. Tax reform!

ACA repeal and replacement was complicated enough. Indeed, the president admitted he didn’t realize it could be so complicated. No kidding, Mr. President.

I’ve got your “complicated” right here, though. If you’re going to take on the big stuff, you’ve decided to go after the biggest of them all: reforming the federal tax code.

Presidents of both parties have been saying for decades that the tax system is too complicated, too cumbersome, too this and too that. What have any of them accomplished? Damn little!

The tax system is a monstrous entity that requires careful study, analysis, expertise and patience to repair. Does anyone really think that the president of the United States — based on what we’ve just witnessed — is capable of learning the nuts and bolts of tax policy? Does he really and truly even give a crap about it?

And what about the speaker of the House, who presides over the congressional chamber where all tax policy must originate. How well do you think Paul Ryan did in engineering the House’s role in the cluster fudge that resulted in the ACA replacement meltdown late this past week?

Good luck, gentlemen. You will need all of it you can find if you have any chance of succeeding in this monumental effort.