After 20 of the 24 Obamacare non-profit health insurance cooperatives collapsed, despite the influx of $2.4 billion in taxpayer funds, it shouldn’t surprise anyone that its trade association would also fail.

The National Alliance of State Health Cooperatives (NASCHO), the Obamacare co-op health insurance trade association, has quietly closed its doors, The Daily Caller News Foundation Investigative Group has learned.

NASCHO once represented as many as 24 Obamacare non-profit co-ops that were intended to compete with for-profit commercial health care insurers and perhaps even drive them out of business. The Obama administration underwrote the experiment with $2.4 billion in long-term, low-interest loans.

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It’s pretty hard to get a head start on President Trump in trying to shift blame onto others for the late night culmination of massive political failure in the presumptively Republican Senate. But let’s provide a short report from the medical examiner on the causes of death to the once soaring rhetoric and more recently depressing reality of “repeal and replace.”

  • Yes, the procedural minefield through budget reconciliation was narrow, murky, and treacherous. But even the entire inventory of legislative tricks, gimmicks, and sidesteps attempted still needed to be anchored to a larger commitment than just avoiding political-party embarrassment.
  • Republicans in Washington never met the challenge of offering a sufficiently unifying message to constituents that all the uncertainties and sacrifices immediately ahead from disruptive changes were aimed at actually making their lives BETTER eventually, rather than just not quite as bad as a host of maladies and calamities attributed to Obamacare…

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Weeks ago, President Donald Trump tweeted, “As I have always said, let Obamacare fail and then come together and do a great health care plan. Stay tuned!”

And indeed, the system established by the Affordable Care Act is collapsing on its own. Average premiums are up 105 percent since the health overhaul law took effect, and premiums will soar again next year, based upon early announcements. That will drive more young and healthy people away, further destabilizing the health insurance markets.

People in 40 percent of U.S. counties risk having only one “choice” of plan next year, and some may have none as insurers flee the market because of heavy losses.

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Senators who walked off the floor around 2 a.m. Friday after the stunning defeat of the latest GOP ObamaCare repeal effort face tough questions on how to move forward.

GOP leaders sounded pessimistic notes that the failure would lead to compromise or bipartisan work on healthcare, though some members said they hoped it would spur leaders to start a more formal process of committee work after months on Senate bills being drawn up behind closed doors.

“We’re not adverse to that,” said Sen. John Thune, the No. 3 Republican leader. “I just don’t have high hopes that we’re going to get anything that really solves the problems that we think exist with ObamaCare today.”

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Shortly before 1:30 a.m. Friday, McCain strode to the well of the Senate, and gestured his hand downward to vote “no.” Stunned gasps echoed throughout the chamber.

“I thought it was the right vote,” McCain told reporters as he left the Capitol. “I do my job as a senator.”

It was a shocking — yet fitting — coda for the Senate’s health care battle, starring the veteran senator with a well-polished maverick streak. Within days he went from Obamacare repeal’s savior to its executioner.

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The Senate in the early hours of Friday morning rejected a new, scaled-down Republican plan to repeal parts of the Affordable Care Act, derailing the Republicans’ seven-year campaign to dismantle President Barack Obama’s signature health care law and dealing a huge political setback to President Trump.

Senator John McCain of Arizona, who just this week returned to the Senate after receiving a diagnosis of brain cancer, cast the decisive vote to defeat the proposal, joining two other Republicans, Susan Collins of Maine and Lisa Murkowski of Alaska, in opposing it.

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The Senate voted 45-55 Wednesday not to repeal ObamaCare with a two-year delay to replace it, and the only consolation for Republicans is the clarity of seeing who voted to preserve and protect rather than repeal and replace.

Congress had passed and sent to Barack Obama’s desk a similar measure in 2015, with support from every current Senate Republican except Susan Collins of Maine. This time seven voted no, including Rob Portman of Ohio and Shelley Moore Capito of West Virginia, who aren’t up for re-election until 2022 and 2020, respectively. If you’re going to renege on your political promises, better to do it early, we suppose.

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Obamacare gave the federal government a heretofore unprecedented power: the power to force us to buy health insurance irrespective of our desire to do so. Republicans, for both moral and economic reasons, oppose this mandate. The framers of the Constitution never envisioned granting Congress the power to force people to buy a privately delivered financial service. There are also important economic reasons to oppose Obamacare’s mandate. Gross premiums for individually purchased coverage have doubled over the past four years under Obamacare. But the authors of Obamacare don’t need to care about whether they’ve made coverage costlier, because they’re forcing you to buy it anyway. Without a mandate, insurers would have to do what businesses have to do in every other sector of the economy: design products that you voluntarily want to buy because they represent a good value for you. Under Obamacare, they don’t have to.

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Anthem Inc. said that if it doesn’t quickly get more certainty about the future of the Affordable Care Act exchanges, it will likely further pull back its planned participation for next year, a threat that adds to the pressure on Senate Republicans as they struggle to pass health-care legislation.

The big insurer, speaking during its second-quarter earnings call, strongly emphasized that it needed answers about the future of federal payments that help reduce out-of-pocket costs for low-income ACA exchange-plan enrollees. Chief Executive Joseph R. Swedish said that without greater clarity, particularly around the cost-sharing payments, “we will need to revise our rate filings to further narrow our level of participation.” He added that the insurer may make decisions “in a relatively short period of time” and in September at the latest.

Yesterday, Senate Majority Leader Mitch McConnell did the seemingly impossible and got the votes he needed to proceed to consideration of the House-passed plan for repealing and replacing the Affordable Care Act (ACA). At this point, it’s hard to tell what exactly will happen in the coming days, but there is one thing that is fairly certain: if the current Republican effort succeeds in passing a bill, the legislation will make the individual insurance market less stable than it is under current law.

The problem for Senate Republicans is that their principal policy goal is incompatible with the process they are using — budget reconciliation — to pass their legislation.

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