Conservative policy experts and strategists continue to quietly meet and craft a legislative replacement for Obamacare, and with good reason.

People are hurting under the current broken system that denies individuals control over their own health decisions while hugely driving up their costs. Premiums have been rising by ungodly amounts (an average of 37 percent in 2018), while nearly one-third of all counties feature just a single insurer offering coverage in an Obamacare exchange.

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The U.S. government is seeking to further protect the “conscience and religious freedom” of health workers whose beliefs prevent them from carrying out abortions and other procedures, in an effort likely to please conservative Christian activists and other supporters of President Donald Trump.

The U.S. Department of Health and Human Services said on Thursday it will create a division within its Office of Civil Rights to give it “the focus it needs to more vigorously and effectively enforce existing laws protecting the rights of conscience and religious freedom.”

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The Senate Finance Committee on Wednesday afternoon advanced the nomination of Alex Azar to run HHS, putting him one step closer to heading a department that’s been in turmoil in the Trump administration’s first year.

The 15-12 vote, which fell largely along party lines, clears the way for a vote on the Senate floor to install Azar atop the sprawling health agency, which has been without a permanent leader since Tom Price’s resignation in September amid scrutiny of his use of charter jets.

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“The Trump administration’s action today is cruel,” said Democratic Congressman Frank Pallone Jr. of New Jersey. The new policy is “the latest salvo of the Trump administration’s war on health care,” according to a health-care advocacy group. “The pain is the point” of the policy, wrote columnist and economist Paul Krugman.

They were attacking the Trump administration’s decision last week to allow states to impose work requirements on Medicaid beneficiaries. But far from being a “cruel” action designed to inflict “pain” on the vulnerable, the administration’s decision is completely reasonable.

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Sen. Lamar Alexander said he wants to add legislation to try to stabilize Obamacare’s insurance exchanges in a long-term spending deal, which Congress could pass as early as next month.

The comments from the chairman of the Senate Health, Education, Labor and Pensions Committee come as Congress is nearing a government shutdown Friday, with no deal for a short-term spending deal. Senate GOP leadership and President Trump have committed to the Obamacare bills, but House GOP leadership has not.

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Sen. Bernie Sanders will hold an online town-hall meeting next Tuesday regarding his single-payer health-care legislation. Mr. Sanders calls it “Medicare for All.” But the text of the bill itself reveals a more accurate name: Medicare for None. The Orwellian way in which Mr. Sanders characterizes his plan speaks to the larger problem facing the left, whose plans for health care remain so radical that speaking of them honestly would prompt instant repulsion from most voters.

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House Republicans are considering adding a six-year extension of the Children’s Health Insurance Program (CHIP), as well as delays of certain ObamaCare taxes, to a short-term government funding bill this week, sources say.

The six-year extension of CHIP would help put to rest a months-long delay in renewing the funding for that program, which has been caught up in a partisan dispute over how to pay for it. There was a breakthrough last week when the Congressional Budget Office revised down the cost so that a six-year extension would essentially cost nothing.
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A battle is brewing in the courts over the Trump administration’s move to let states impose work requirements for recipients of Medicaid, the health insurance program for the poor. Advocacy groups are gearing up to sue the administration, arguing that it doesn’t have the power to allow work requirements and other rules for Medicaid without action from Congress.

But the administration is defending the legality of the shift. When unveiling guidance Thursday on the work requirements, top Medicaid official Seema Verma said the administration has “broad authority” under current law to allow states to make changes through waivers.

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A day after the Trump administration announced that it would allow states to compel poor people on Medicaid to work or get ready for jobs, federal health officials on Friday granted Kentucky permission to impose those requirements.

Becoming the first-in-the-nation state to move forward with the profound change to the safety-net health insurance program is a victory for Kentucky’s Republican governor, Matt Bevin, who during his 2015 campaign for office vowed to reverse the strong embrace of the Affordable Care Act by his Democratic predecessor.

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Mainstream Democrats are clamoring for Canadian-style single-payer health care — a demand once relegated to the far-left fringe of the party.

Sixteen Senate Democrats, including several with aspirations for the party’s presidential nomination in 2020, have signed onto Sen. Bernie Sanders’s “Medicare for All” plan. Fealty to single-payer is already proving a litmus test for Democrats running for public office in blue states like California.

The increasing idolization of our northern neighbor’s health system is ironic, as Canada’s single-payer system — which I grew up under — just experienced its worst year ever.

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