Tag Archives: AHCA

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.

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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.

medical news

Picture speaks volumes about nature of health debate

This might be the most instructive picture taken during Donald J. Trump’s still-young presidency.

It cracks me up!

The picture shows a collection of individuals gathered around a White House conference room table. The topic at hand? Women’s health issues and whether the Republican-sponsored health care overhaul — the American Health Care Act — would cover certain aspects of health issues germane to women.

Pop quiz: Who is absent from this White House meeting.

Time’s up. The answer? Women. There isn’t a single woman present in this meeting of middle-aged men who are talking about whether the AHCA should include women’s health matters.

Media reported today that the white guys stood and gave Trump an ovation as he entered the room. I guess they were offering a show of respect for the president of the United States.

The person who should have gotten an even bigger round of applause would have been any female member of Trump’s policy team.

I have to wonder: What in the world would any of the people in the picture — even those who are actually married to women — bring to any serious discussion about women’s health?

They use a word in Washington to describe how certain gatherings appear to those who see them: They call them “optics.”

The optics of this meeting were stunning.

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Everyone has a limit, right, Sean Spicer?

Every man or woman — even White House press secretaries — would have their limits on the dissembling, confusion and outright lies with which he or she must contend.

Isn’t that right, Sean Spicer.

The current White House flack came to the podium today and declared that the House of Representatives would vote tonight on the American Health Care Act.

Then word came out that, nope, ain’t gonna happen — tonight! It’s been delayed. House Republicans are still trying to gather up enough  votes to send Trump/Ryancare to the Senate, where it faces an even less friendly pool of politicians.

Chaos, anyone?

It’s fair to wonder out loud about Sean Spicer, a man for whom I’m beginning to develop a certain level of sympathy. How much more of this can he take? How much longer will he be able to defend a president’s policies and the seat-of-the-pants process that produces them?

I don’t know much about Spicer, other than he served as Republican National Committee press secretary before joining the White House flackery machine.

Still, is this guy reaching his limit?

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Trump the ‘deal-maker’ faces grievous setback

Donald J. Trump told us — many times — during the 2016 presidential campaign that the greatest skill he would bring to the presidency would be his ability to close the deal.

He made a fortune working out the “best” deals in the history of business … he said.

Here we are. Trump is now the president of the United States. He promised to “repeal and replace” the Affordable Care Act with something more “affordable” and that no American would be left without health insurance.

Trump and congressional Republican leaders have produced something called the American Health Care Act. But there’s this little problem with it.

The Congressional Budget Office’s “scoring” of it pegs the number of Americans who would lose health insurance at 24 million. What’s more, the conservative Freedom Caucus in the House of Representatives hates the AHCA. They call it “Obamacare light.”

So do congressional Democrats. No surprise there.

Crucial vote coming up

The AHCA goes to a vote Thursday in the House. Freedom Caucus members aren’t budging. The president went to Capitol Hill to pitch the AHCA. He threatened some House members that they’d lose their seats in 2018 if they oppose the bill.

Freedom Caucus leaders say they now have enough votes to kill the AHCA. Which means that a Senate vote won’t matter.

Wasn’t this supposed to be the president’s main selling point? Is this how he closes the deal?

The Affordable Care Act, which has brought 20 million Americans into the health insurance system who previously couldn’t afford it, appears to much harder to “repeal and replace” than Donald Trump predicted it would be.

I will await the president’s response to what appears to be a stunning political setback in the making. I’m wondering if he’s going to say the House vote was “rigged.”

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Palin? … Palin? … Palin?

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I am risking getting some grief from readers of this blog by mentioning it … but where is Sarah Palin?

We all remember the former half-term Alaska governor, the 2008 Republican vice-presidential nominee, the former Fox News “contributor,” the former reality TV celebrity.

She was an ardent and vocal critic of the Affordable Care Act. You remember that, too?

She was out there yapping about “death panels” and how bureaucrats would determine who gets to live and who must die.

Palin also was an equally ardent supporter of Donald J. Trump’s candidacy for president and was thought to be a possible selection for veterans affairs secretary when the president was picking his Cabinet.

With all the debate and discussion about “repealing and replacing” the ACA, I keep waiting for Palin to weigh in. I await her pearls of wisdom about the best way to replace the ACA.

Where in the world is she? Has she retreated to Wasilla, Alaska, from where she emerged in 2008 to become U.S. Sen. John McCain’s running mate?

I know what you’re thinking about yours truly: You’ve trashed Palin incessantly; you cannot contain yourself every single time she opens her mouth; you don’t take her seriously. Why do you want to hear from her?

My answer? I don’t know. I just do.

She did become a major political figure, if only for a brief period. Running for VP on a major-party ticket made her a big deal. The McCain-Palin ticket did garner more than 59 million votes in the 2008 election — which ain’t bad, man!

Palin did become a darling of political conservatives, even as she went “rogue.” Her Fox colleagues welcomed her, as did those who watch the cable channel. I am going to presume, moreover, that she retains a considerable fan following among those very conservatives.

I’m not one of her fans. However, she bitched up a storm about the ACA when it was being debated in Congress and then enacted into law.

Here’s your chance, Sarah. Speak up! Tell us how we should provide a better health insurance plan for Americans.

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Government teaches POTUS a stern, necessary lesson

It’s been a lot of fun watching the president of the United States getting the education of his life about how the U.S. government actually works.

It’s not how he wants it to work. Donald J. Trump cannot snap his fingers and make things happen just because, well, he can. Oh no. The system is designed precisely to prevent such things from happening.

Trump got elected while promising to “drain the swamp” and get things done. “I alone” can repair what ails the country, Trump declared at his nominating convention this past summer.

No, sir. You alone can’t do a damn thing!

Which is fine by me. Think of it.

* He seeks to repeal and replace the Affordable Care Act with something called the American Health Care Act; then he and congressional Republican leaders run smack into the TEA Party caucus within the GOP, which hates the AHCA. Oh, and those damn Democrats hate it, too!

* Trump declared his desire to ban all Muslims from entering the United States. Then after being elected he cobbles together a measure to ban refugees from seven Muslim-majority nations from entering the United States. Who steps in? The courts. No can do, Mr. President. A federal judge in Washington state strikes down the first ban; then the 9th U.S. Circuit Court of Appeals upholds the judge.

* He tries again. Trump reintroduces what he calls a “watered-down version” of the first ban. The courts strike again. Uh, Mr. President, this order violates the Establishment Clause of the U.S. Constitution, the one that says government cannot favor one religion over any other; it’s in the First Amendment, Mr. President. You ought to read it.

* His budget? The president seeks to boost defense spending by $54 billion while cutting myriad programs that help poor Americans. Meals on Wheels … for example? Gone. Congress has declared the president’s proposed budget to be essentially DOA, which is the way it’s done in Washington, Mr. President.

As it’s been said often, sir: The president proposes, while Congress disposes.

He’s getting grief from Americans who are angry because his wife and young son aren’t living in the White House, costing the government many millions of extra dollars to keep them safe while they live in Trump Tower — in New York City!

More grief is coming from those who wonder why the president keeps jetting off seemingly every weekend to his glitzy, decadent resort in Palm Beach, Fla. That’s costing a lot of dough, too.

It’s all not very, um, populist of you, Mr. President.

This business mogul is used to getting things done his way. He is learning that the presidency doesn’t allow that kind of thing.

You see, one cannot govern the United States of America the way you’d run a business. I don’t give a damn what anyone says to the contrary. You see, the founders had it right when they crafted a government full of all kinds of restraints, checks and balances, and assorted roadblocks to prevent an omnipotent presidency.

Welcome to the world of governance, Mr. President.

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It’s his fault, no … it’s his fault, no …

I don’t know whether to laugh, curse or slap my forehead over what I perceive is transpiring in Washington over the development of this so-called “replacement” of the Affordable Care Act.

House Speaker Paul Ryan and his troops want to call it Trumpcare; the president’s allies want to label it Ryancare.

No one wants to touch the American Health Care Act with a hot poker.

The Congressional Budget Office has given the AHCA a bad “score.” Donald Trump’s budget director says the CBO’s numbers are faulty, that 24 million Americans really and truly won’t lose their insurance if the AHCA becomes law.

Meanwhile, Speaker Ryan is having to fend off the TEA Party wing of his Republican congressional caucus, because they hate the AHCA almost as much as they hate the ACA, which they say was forced down their throats in 2010 by President Obama and those rascally congressional Democrats.

Trumpcare or Ryancare? How about Tryancare?

It doesn’t matter what you call it. The GOP had seven bloody years to come up with an alternative to the ACA. The Republicans were too damn busy trashing the initial health care overhaul and its author — Barack Obama — that they didn’t give nearly enough thought to how they would actually replace it.

Now they have something that no one on their side seems to favor.

I’ll give Republicans credit, though, at least for their “diversity” of thought on this issue. Some of ’em like the AHCA, some of ’em hate it. Isn’t there some middle ground to be discovered here?

I think I know what I want to do. I’ll say a few curse words … under my breath, of course.

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

CBO numbers are in: not good for AHCA

Donald Trump promised that no one would lose their health insurance under a re-crafted plan to replace the Affordable Care Act.

The Congressional Budget Office’s verdict? Wrong, Mr. President!

There goes a major campaign promise.

As predicted, the Trump administration dismisses the CBO report, which is supposed to be the gold standard in determining the fiscal viability of sweeping, landmark public policies.

The CBO projects that 24 million more Americans will lose their health insurance by 2026 under the American Health Care Act. Not good, right?

Health and Human Services Secretary Dr. Tom Price — a leading critic of the Affordable Care Act — says the CBO report is incomplete and inaccurate. Well, of course he would say that.

As the New York Times has reported: “The much-anticipated judgment by Capitol Hill’s official scorekeeper did not back up President Trump’s promise of providing health care for everyone and was likely to fuel the concerns of moderate Republicans. Next year, it said, the number of uninsured Americans would be 14 million higher than expected under current law.”

The president has said “no one” would lose their health insurance. If it were anyone else, I would stand and applaud such a declaration. The problem, though, with this president is that I cannot trust that his word is true, that he’s actually speaking from his heart.

I just do not know any longer when or whether he’s telling the truth.

Therefore, I shall rely on the analyses of others, such as the CBO.

***

One more point …

The White House doesn’t want the AHCA to be nicknamed Trumpcare, much the way the ACA was given the name of President Barack Obama, who signed the ACA into law in 2010 and has become identified as the former president’s signature piece of domestic legislation.

Well, too bad. Trumpcare it is!

The Republican leadership in Congress has crafted it. The president has signed on to it.

Let’s hang the president’s name on it.