Tag Archives: ACA

medical news

CBO weighs in again: not good for ACA repeal

That doggone Congressional Budget Office has done it again.

It has released a report that suggests an attempt to repeal the Affordable Care Act — even through a back-door process — is doomed to cost Americans more than many of them can afford.

The CBO reports that Donald Trump’s threat to repeal the “cost-sharing” payments to Americans seeking health insurance under the ACA is going to cause premiums to skyrocket. Such a repeal also would balloon the deficit by $194 billion over the next decade.

The president has made the threat as a way to get congressional Democrats to bargain with Republicans after the GOP repeal/replace effort failed in the U.S. Senate.

The payments provide Americans a way to afford health insurance. They subsidize insurance companies as well, giving them a chance to provide coverage to Americans who otherwise could not afford it.

As I’ve noted already, my wife and I have benefited directly from the payments provided under the ACA and I am appalled that the president would threaten to cut them off, to use them as a bargaining tool — or, if you’ll accept this description, as a political football.

I’m glad the CBO has lined up on the side of Americans — such as yours truly — who want the president and Congress to improve the ACA, not repeal it.

medical news, national news

Trump is right: GOP blew it on ACA repeal/replacement

I hope you’re sitting down as you read this next sentence: Donald Trump is correct — to a point — in criticizing the congressional Republican caucus for failing to replace the Affordable Care Act.

The president, who has opened a new front in his all-out war against the Washington political establishment, tore into Senate Majority Leader Mitch McConnell for the GOP’s failure to have a replacement ready for enactment when Trump took office.

Do I wish the Republicans had done such a thing? No. I do not like the idea of total repeal of the ACA; I would prefer mending it, fixing it, repairing what’s wrong with it.

My point about the president’s criticism is that the congressional GOP caucus had many years to come up with a replacement plan. It didn’t. It dawdled and twiddled. It didn’t have the wisdom to come up with a reasonable alternative to the ACA. It instead chose to fight with the President Barack Obama on all manner of issues.

Then came Donald Trump to the scene. He won a presidential election while making some grossly overstated promises. He pledged to take Washington by the back of its neck and shake, rattle and roll it to do his bidding.

That didn’t happen, either.

The president was right to at least expect to have a starting point on this repeal-and-replace effort regarding health care insurance. There was nothing waiting for him when he took office.

To the extent that GOP members of Congress were at fault, then the president is correct. They didn’t deliver the goods.

However, the president’s anger at the GOP breaks down because of his refusal to accept any personal responsibility for his party’s failures. It might have been better for Trump to say something like this: “The Republicans in Congress had seven years to replace ‘Obamacare,’ but they didn’t. It’s not entirely their fault, though. As the leader of the Republican Party, I must share in this disappointing outcome. I am the president of the United States, the head of the executive branch of government, which shares power with Congress. I also must share the blame. That’s part of the deal.”

Trump told McConnell that he needs to “get to work.”

Yes. So should the president.

national news, political news

Now for Main Event: The Donald vs. Mitch

It’s a rare event indeed when a president beset with unanimous opposition from the “other party” decides to declare virtual political war on someone who’s aligned with him in the same political party.

Donald John Trump Sr. is now tweeting his angry thoughts about Senate Majority Leader Mitch McConnell.

Here’s the best part: McConnell offered a perfectly reasonable, rational critique of the president’s difficulty in enacting legislation, while the president responds with a typically juvenile tweet.

I’m shaking and scratching my head at the same time.

McConnell noted that Trump is “new” to the political process, and said he set “excessive expectations” about how quickly he could enact his legislative agenda. The president’s newness is an honest assessment; the man had zero public service experience prior to running for president. He doesn’t understand government and doesn’t grasp the notion that effective governance is a team sport, that it requires the executive branch of government to work hand-in-glove with the legislative branch. It also requires pols from both parties to compromise while searching for common ground.

Good grief! McConnell could have said it much more harshly than he did. He sought instead to be the diplomat.

Trump fired back with that tweet reminding us that Congress had seven years to repeal the Affordable Care Act, but still hadn’t gotten the job done. Trump’s allies in the right-wing media — namely Fox News commentator Sean Hannity — weighed in, calling for the Senate majority leader to resign.

The utterly ridiculous aspect of this is that Trump and McConnell supposedly are on the same team. The president needs McConnell to assist him in furthering his agenda. Is this how he intends to harvest that help, by continuing these attacks?

Meanwhile, the loyal opposition on the other side of the political chasm — congressional Democrats — are remaining quiet.

Smart.

national news

With ‘friends’ like these …

Donald John Trump Sr. needs all the friends he can find on Capitol Hill.

Why, then, does the president of the United States insist on waging rhetorical war with the leader of the U.S. Senate’s Republican majority? Why is he picking a fight with Mitch McConnell, a master Senate parliamentarian and a guy known as one who can move legislation?

That’s what Trump is doing.

I’m going to put my money on McConnell getting the better of this battle of wits.

McConnell was mildly critical of the president for setting “excessive expectations” for his legislative agenda. Trump then fired back — via Twitter, of course! — this message: “Senator Mitch McConnell said I had ‘excessive expectations,’ but I don’t think so. After 7 years of hearing Repeal & Replace, why not done?”

You see, this is another demonstration of what the president fails to acknowledge. He is the leader of the Republican Party. He’s the head of the executive branch of government. He owns the GOP’s failure to enact an Affordable Care Act replacement bill as much as the congressional Republican leadership.

Except that he refuses to take ownership on that failure. Or any failure, for that matter.

This deteriorating relationship is going to bring great harm to the president’s ability to enact any kind of legislative agenda. The more he fights with members of his own party, the weaker he appears across the land.

Democrats, meanwhile, should follow the time-honored credo of refusing to butt in when principals of the other party are fighting so openly.

What’s more, if the special counsel’s investigation into that “Russia thing” gets any hotter, and it produces actionable results, the president is going to seriously need friends on his side of the aisle. This intra-Republican squabbling isn’t going to help him.

This might be where I should say: Awww, cry me a river.

national news, political news

POTUS remains an angry man

Donald John Trump is an angry old man. The 71-year-old president of the United States marked his 200th day in office with a series of tweets.

He blasted Democrats, the “fake” media, turncoat Republicans, Congress in general. The only folks who escaped his Twitter tirade it seems are his kin and Vladimir Putin.

What gives with this guy? The honeymoon period presidents traditionally get never materialized with this buffoon. Perhaps it was the tone of his inaugural speech, the one that talked about vowing to end the “American carnage” and painted a dark portrait of the world’s greatest, most powerful nation. There was no high-minded prose coming from the president. There was plenty of anger.

It’s gone downhill … from there!

He hasn’t filled a huge number of key staff posts. Judgeships remain vacant. Federal prosecutors need to be named. He’s changed his White House chief of staff, booted out his press secretary, fired the FBI director and the acting attorney general, tossed his national security adviser, kicked out his communications director. Am I missing anyone? Whatever.

My point is that the president is an unhappy man who this morning decided to torch a Democratic senator over an issue for which the senator has apologized. Take a bow, Richard Blumenthal.

Nothing of consequence has been accomplished — legislatively. Yes, he issued those executive orders removing the United States from the Transpacific Partnership and from the Paris climate accords. He tweeted something about banning transgendered Americans from serving in the military, only to get push back from the Pentagon brass at the highest levels of all the military branches.

Trump keeps getting caught in lies and duplicitous comments, thanks to the “leakers” inside the White House who are exposing his countless shortcomings as the head of state and government.

Those “easy” tasks, such as repealing and replacing the Affordable Care Act? Not done! The leader of the party that controls the Congress and the White House couldn’t get that one pushed across the finish line. So … he blames Congress for his own failures.

Getting Mexico to build a wall along our nations’ shared border? Forget about it. Tossing out the North American Free Trade Agreement? Pfftt!

Here’s the best part of all of this: We’re at Day 200 of the Trump administration. That means we’ve only got 1,261 more days of this ahead.

Maybe.

business news

Great jobs report, but what has POTUS done … exactly?

The U.S. Labor Department chimed in this morning with a stellar jobs report for July.

The nation added 209,000 payroll jobs. The unemployment rate fell from 4.4 percent to 4.3 percent. It’s good news. The economy is on the move, as it has been for some time now.

Donald J. Trump, as expected, took credit for the great jobs report. Yes, the president should be thrilled and happy with them. I welcome the good news as much as he does.

He said he’s “only just begun” to bring back more American jobs.

My question, though, is this: What, precisely, has the president done to generate the stellar jobs numbers?

Legislative accomplishment? None. We haven’t overhauled the tax system. Congress hasn’t acted on the president’s infrastructure revitalization plan. It hasn’t tossed out and replaced the Affordable Care Act.

The U.S. Environmental Protection Agency has rolled back many of regulations enacted in prior administrations, but have those actions produced — by themselves — these big job numbers? Umm. No.

Take credit, Mr. President, if you wish. You are entitled to all the credit you deserve — which is some, but nearly as much as you seem to suggest.

medical news

Is bipartisanship making a comeback in the Senate?

Oh, I do hope my ears and eyes aren’t deceiving me.

I’ve heard during the past day or so that the failure of the Republican-authored bill to replace the Affordable Care Act has produced a remarkable event.

It is that Republican U.S. Sen. Lamar Alexander of Tennessee and Democratic U.S. Sen. Patty Murray of Washington are going to actually talk to each other about how they might find a path toward improving the ACA.

Alexander chairs the Senate Health Committee and is committed to working with Murray to commence bipartisan hearings next month that would fix some elements of the existing health care law.

I do believe this is how effective government is designed to work.

The Senate Republican caucus sought to craft an ACA replacement without any Democratic help. The House of Representatives did approve its version of an ACA replacement, also without Democratic input or votes. It fell to the Senate to complete the job. The Senate failed when they lost three GOP senators, killing the totally partisan measure.

Now the Senate is blundering its way toward a compromise solution. Sens. Alexander and Murray are leading the way.

They’re both Capitol Hill veterans. They’ve been around long enough to know how the place can actually work. Alexander and Murray aren’t alone in that knowledge, to be sure.

It well might be time for Republican congressional leaders — in both legislative chambers — to accept that the ACA is the law of the land and that it’s likely to remain the law of the land.

Many of us out here in the heartland have noted that the ACA is far from perfect. Its chief proponent, former President Obama, has implored Republicans to find a bipartisan solution to repair the law. GOP lawmakers, though, have been hung up on repealing the ACA.

A one-party solution hasn’t worked out for the Republicans.

There now appears some momentum building for a return to the proven strategy of working together — with both parties sitting at the same table — to find some common ground.

That’s how you legislate.

national news

Remember the term ‘co-equal branch’

White House budget director Mick Mulvaney has laid down a marker to the U.S. Senate.

Lawmakers shouldn’t vote on anything else, he said, until they vote once again on a Republican-authored bill to repeal and replace the Affordable Care Act.

There you have it. One branch of government is seeking to dictate to another branch how it does its job.

Hold on here, Mr. Budget Director.

Mulvaney ought to know better. He served in Congress before Donald John Trump tapped him as budget director. He used to fight on behalf of congressional prerogative, which is spelled out quite explicitly in that document called the United States Constitution.

The Constitution, furthermore, does not give the executive branch a single bit of authority over how the legislative branch conducts its business.

The term of art for more than two centuries has been that all three government branches are “co-equal.” That means they all have equal amounts of power. One branch cannot bully another branch.

“In the White House’s view, they can’t move on in the Senate,” Mulvaney said on CNN’s “State of the Union.” “You can’t promise folks you’re going to do something for seven years, and then not do it.”

Got it, Mick. Do not, though, try to push senators around by laying out their legislative priorities for them. That’s their job. It’s in the Constitution. Really … it is!

medical news, national news, political news

Trump ponders new display of heartlessness

Donald John Trump Sr.’s next potential display of heartless public policy would hit yours truly a good bit more personally.

The president is now considering whether to end government subsidies of health insurance plans until Congress repeals the Affordable Care Act. Such a move would render health insurance utterly unaffordable for millions of Americans. I happen to know that because our household benefited greatly from the subsidy.

Does the president have a clue as to what he’s pondering? Does he have any feeling in what passes for a heart for those who would be affected by a decision to pull the plug on these subsidies?

My wife and I had to purchase health insurance to cover my wife after her post-employment insurance plan expired. The ACA required us to purchase it under the “individual mandate” provision. We sought counsel with our insurance agent, who shopped around for a provider who could cover us. She found it and then we applied online — through healthcare.gov — for the subsidy; we got it approved and my wife was able to be covered by health insurance under the ACA.

That policy expired the day she became eligible for Medicare.

But the point here is that if Trump decides to end the ACA subsidy, he is going to deprive millions of Americans — just like my wife and me — of an opportunity to purchase health insurance.

This is how Trump is proposing to let the ACA “implode”?

At what cost, Mr. President?

So help me, Donald Trump Sr. disgusts me to my core.

national news, political news

Listen to this senator

https://www.youtube.com/watch?v=h1YpvX0dEHM

This video lasts 4 minutes and 34 seconds. It is part of a speech that U.S. Sen. John McCain delivered in the midst of an impassioned debate on the Senate floor about whether to repeal the Affordable Care Act.

McCain came back to Capitol Hill to cast a decisive vote against repeal and replacement of the ACA, effectively killing the Republican effort to affect one-sixth of the U.S. economy.

McCain’s speech, though, deals mostly with the political process that has rendered the Senate virtually impotent. The body has become infected with a win-at-any-cost mentality that McCain says strips the Senate of the title of being “the world’s greatest deliberative body.”

McCain — who’s battling brain cancer — took responsibility for being part of the problem. He would go on later to call for a return to “regular order.” He wants the Senate — and I presume the House of Representatives, too — to return to process that encourages compromise and cooperation among lawmakers of both political parties.

It’s not that way now. The word “compromise” has become an epithet. Sen. McCain is right to call for a return to the old way of doing things on Capitol Hill. It’s the only way out of the morass that has engulfed the nation’s legislative branch of government.

Listen to this snippet. It speaks volumes about a brave and heroic American. Our political system needs many more just like him.