After all this time, it increasingly appears impossible to get 50 Republican senators to agree on legislation to replace Obamacare. Last night brought genuinely shocking news as two GOP senators, who up until now hadn’t appeared to be likely “no” votes, announced their opposition: Jerry Moran of Kansas and Mike Lee of Utah.
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Two more Senate Republicans have declared their opposition to the latest plan to overhaul the nation’s health-care system, potentially ending a months-long effort to make good on a GOP promise that has defined the party for nearly a decade and been a top priority for President Trump. Sens. Mike Lee (Utah) and Jerry Moran (Kan.) issued statements declaring that they would not vote for the revamped measure.
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Senate Majority Leader Mitch McConnell (R-Ky.) announced Saturday night that Senate consideration of legislation repealing and replacing ObamaCare will be delayed while Sen. John McCain (R-Ariz.) recovers from surgery.
McCain had announced earlier on Saturday that he would not be in the Senate next week, depriving Republicans of a key vote.
Without McCain, Senate Republicans likely would not have had the 50 votes necessary to advance the legislation.
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Congressional Republicans should stop calling their health-care bills a repeal of Obamacare. The House bill is not one — it keeps Obamacare’s regulatory heart — and the Senate bill is even less of one now that it has been amended to keep some of Obamacare’s most economically destructive tax increases. And because the bill is not a real repeal, people will face some combination of higher premiums, co-payments, and deductibles than they otherwise would. Moderate Republicans, who said for years that they wanted to repeal Obamacare but apparently never thought through what repeal would entail, are mostly to blame for these disappointing facts. Republicans have failed to make good on their promises.
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Politics is a team sport, and Republicans are playing it poorly. They have one more chance in the Senate to repeal and replace ObamaCare—possibly their last hope for a victory.
Democrats are performing like a well-coached team. Minority Leader Chuck Schumer has all 48 members of his caucus on board with saving ObamaCare at all cost. It’s been a successful strategy.
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Sen. Lindsey Graham (R-SC) and Sen. Bill Cassidy (R-LA) are working with their GOP colleagues on an alternative approach to replacing Obamacare: keeping much of the federal taxes in place and sending that money to the states to control. Graham explained, “If you like Obamacare, you can re-impose the mandates at the state level. You can repair Obamacare if you think it needs to be repaired. You can replace it if you think it needs to be replaced. It’ll be up to the governors. They’ve got a better handle on it than any bureaucrat in Washington.” Cassidy, who is a physician, said that the plan would keep popular protections under Obamacare, including a ban on denying coverage for pre-existing conditions.
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Republican leaders have revised their health care bill in an effort to deliver on seven years of promises to repeal and replace Obamacare. They immediately lost two pivotal votes, leaving none to spare. The reworked bill McConnell presented to fellow Republicans on Thursday aims to win conservatives’ support by letting insurers sell low-cost policies. At the same time, he seeks to placate hesitant moderates by adding billions to combat opioid abuse and help consumers with skyrocketing insurance costs. President Trump tweeted this morning, “After all of these years of suffering thru ObamaCare, Republican Senators must come through as they have promised!”
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Republican leaders unveiled a revised health-care bill on Thursday, setting up a Senate watershed next week. Few votes will reveal more about the principles and character of this Congress.
Months of stations-of-the-cross negotiations between conservative and GOP moderates have pulled the bill towards the political center, and for the most part the new version continues the journey. This leftward shift is Majority Leader Mitch McConnell’s bid to meet the demands of still-recalcitrant Republican moderates. The bill remains a net improvement over the Obama Care status quo, but the question now is whether they’ll take yes for an answer.
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The new Senate health bill abolishes the following Obamacare taxes: 1) Individual Mandate Tax; 2) Employer Mandate; 3) Medicine Cabinet Tax; 4) Flexible Spending Account Tax; 5) Chronic Care Tax; 6) Health Insurance Tax; 7) Medical Device Tax; 8) Tax on prescription medicine; 9) Tax on Medicare Part D retiree prescription drug coverage; 10) Health Savings Account (HSA) Withdrawal Tax; and 11) 10% excise tax on small businesses with indoor tanning services. The Senate bill also delays the “Cadillac” tax on employer-provided insurance until 2026 and doubles the maximum HSA contribution from $3,400 to $6,550 for individuals and from $6,750 to $13,100 for families. The Senate bill also allows Americans to use HSA funds to pay for health insurance premiums.
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