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Anti Federalist
02-06-2017, 11:29 PM
President Trump: Obamacare Repeal May Take Until 2018

http://www.breitbart.com/big-government/2017/02/06/president-trump-obamacare-repeal-may-take-2018/

by Sean Moran 6 Feb 2017

President Donald Trump lamented that an Obamacare repeal may take until 2018 in an interview with Bill O’Reilly on Super Bowl Sunday.

“I would like to say by the end of the year, at least the rudiments, but we should have something within the year and the following year,” the president explained.

Republican leaders originally set the Obamacare repeal deadline on January 27th. That deadline was quickly brushed away given increasing disunity regarding Obamacare’s repeal. Secret recordings of the Republican retreat in Philadelphia revealed a deluge of uncertainty from Republican leaders, the rank-and-file. Arguments included whether to repeal and replace Obamacare simultaneously or separately, to maintain Obamacare’s taxes to fund a replacement, and to keep the states Obamacare exchanges.

Since then, Republicans leaders such as House Energy and Commerce Committee Chairman Greg Walden (R.-Ore.) believe that the scope of healthcare reform needs to change from “replace” to “repair.” Speaker Ryan rebuked that rhetoric by called Obamacare a “collapsing law.” He noted, “Somewhere along the line there was confusion that we were going to take the Obamacare architecture and, you know, tinker at the margins and repair it.”

Despite the rhetoric, it is unclear how Republicans plan to repeal Obamacare beyond reconciliation, where any Obamacare repeal will require the support of Democrats. Senate Minority Leader Chuck Schumer promised no cooperation from Democrats unless there will be a repeal-and-replace package at the same time, and “So long as it covers as many people as the ACA, so long as it helps bring healthcare costs down, so long as it doesn’t move our healthcare system backward.”

The American Medical Association, the largest association of doctors, wrote a letter to Congress in January providing a roadmap for what “in reasonable detail what will replace current policies.” Vice President Mike Pence speaking with ABC’s George Stephanopoulos said that there will be a smooth transition between repeal and replace, noting, “He’s also made it very clear that at the same time that we repeal Obamacare, we’re going through both executive action and through legislation, set into motion a replacement of Obamacare that will be orderly and will lead the American people.”

Senator Lamar Alexander (R.-Tenn.), Chairman of the Senate Health Committee said argued that Obamacare’s repeal will only take place when there is a practical alternative, saying:

I think of Obamacare like a collapsing bridge. If your local bridge were “very near collapse,” the first thing you would do is send in a rescue crew to repair it temporarily so no one else is hurt. Then you would build a better bridge, or more accurately, many bridges, as states develop their own plans for providing access to truly affordable health care to replace the old bridge. Finally, as the new bridges are finished and safe to drive across, you would close the old bridge.

While Congress will vote to repeal and replace Obamacare this year, the repeal of Obamacare finally will become effective when our reforms are implemented and we have concrete, practical alternatives.

I believe this is what the President means when he says we will repeal and replace Obamacare simultaneously and what Speaker Ryan means when he says we will repeal and replace Obamacare concurrently.

Sen. Alexander is a proponent of repealing and replacing at the same time, an idea that President Donald Trump has signed onto in the past. Any form of repeal would only be effective after there is a practical alternative that includes several of the popular republican reforms to Obamacare, such as shopping insurance plans across state lines, and expansion of health savings accounts.

There are number of plans to replace Obamacare, including from Sens. Susan Collins (R-ME) and Bill Cassidy (R-LA), a separate plan from Senator Rand Paul (R-KY), as well as from Speaker Ryan. However, there is little consensus from Congress, or the White House on which plan will be implemented to replace Obamacare. There is also little agreement on when the plan will take place, Speaker Ryan has mentioned March or April, but with President Trump’s remarks it seems that Obamacare may stay until even 2018.

President Trump said that Obamacare repeal is “very complicated” but reminds everyone that “Obamacare is a disaster.”

Anti Federalist
02-06-2017, 11:31 PM
GOP is worthless.

Why was it so easy in 2015 and now, less than two years later, is like moving Everest with a spoon?

House votes to repeal ObamaCare

http://thehill.com/policy/healthcare/231638-house-votes-to-repeal-obamacare

By Cristina Marcos and … - 02/03/15 05:07 PM EST

The GOP House on Tuesday voted for the fourth time to completely repeal ObamaCare, but this time with instructions for several committees to replace the healthcare law with new policies.

eleganz
02-06-2017, 11:32 PM
This seems like they're going to let Obamacare hang itself instead of fixing it immediately.

Trump has said he could let the dems own it but he wants to fix it. Delaying it by a year, sounds to me like he decided to let them own it and eat it during the mid terms, thoughts?

CPUd
02-06-2017, 11:33 PM
GOP talk shifts from replacing ObamaCare to repairing it


Key Republican lawmakers are shifting their goal on ObamaCare from repealing and replacing the law to the more modest goal of repairing it.

It’s a striking change in rhetoric that speaks to the complexities Republicans face in getting rid of the Affordable Care Act. Many of the law’s provisions are popular, and some parts of the law that the GOP does want to repeal could have negative repercussions on the parts seen as working.

“I'm trying to be accurate on this that there are some of these provisions in the law that probably will stay, or we may modify them, but we're going to fix things, we're going to repair things,” House Energy and Commerce Committee Chairman Greg Walden (R-Ore.), a key player on healthcare, told reporters Tuesday.

“There are things we can build on and repair, there are things we can completely repeal,” he said.

Senate Health Committee Chairman Lamar Alexander (R-Tenn.) is sounding a similar note. He notes that Republicans plan to use special budget rules known as reconciliation to prevent Democrats from filibustering a vote to repeal ObamaCare. The use of those rules won’t allow all of ObamaCare to be repealed.

“I think it is more accurate to say repair ObamaCare because, for example, in the reconciliation procedure that we have in the Senate, we can't repeal all of ObamaCare,” Alexander said. “ObamaCare wasn't passed by reconciliation, it can't be repealed by reconciliation. So we can repair the individual market, which is a good place to start."

Not everyone is on board with the new rhetoric.

Some Republicans say their party should be focused on repealing the law and replacing it, not repairing it.

“I’m hearing a lot of members say that they want ObamaCare-lite,” said Rep. Raúl Labrador (R-Idaho). “That’s not what we promised the American people.”

House Ways and Means Committee Chairman Kevin Brady (R-Texas) said he thinks the goal of fully repealing ObamaCare is still doable, while Senate Finance Committee Chairman Orrin Hatch (R-Utah) in a Wednesday speech to the U.S. Chamber of Commerce said “we need to repeal ObamaCare immediately” and then provide a transition to a new system.

The House is charging ahead with a plan to pass a bill under the fast-track process of reconciliation to repeal core elements of the law. Markups could come in House committees within the next couple of weeks, and leaders hope to have the bill on the House floor within a couple of months.

But that timeline could be pushed back.

Lawmakers have already started to face crowds of constituents concerned about what repeal might do to their own healthcare. Twenty million people gained health coverage under ObamaCare, and Republicans have promised that people will not lose their insurance because of repeal.

There is a split within Republicans over what to do about ObamaCare’s Medicaid expansion, which provided coverage to about 11 million new low-income people. Lawmakers from the 31 states that accepted the expansion are more likely to want to protect the expansion and the federal money for their states that came with it.

Other lawmakers are worried repeal could cause chaos in the insurance market that would be politically damaging to Republicans, or simply that their constituents could lose coverage under repeal. Some lawmakers also want to keep ObamaCare’s taxes in place to provide revenue for a replacement plan, while many others say repealing the taxes is a key part of repeal of the law overall.

Alexander made his comments after chairing a hearing Wednesday focused on targeted reforms to the insurance market to increase competition and allow for cheaper plans.

The Senate is taking a much slower pace than the House when it comes to ObamaCare — partly because of questions over how to handle the Medicaid expansion.

Sen. John Hoeven (R-N.D.), whose state accepted the expansion, said that he wants to keep it while providing more flexibility to states to make changes to the rules of the program, a common Republican goal.

“I think we should keep the Medicaid expansion, but we have to modify it to give the states more control so that they can manage it in a way that works in their state,” Hoeven said.

Even in the House, Walden acknowledged that some sort of compromise would have to be worked out around Medicaid expansion before Republicans would have enough votes to pass a repeal bill.

“It's an issue in our conference because we have members whose states took it and members whose states didn't; we want to be equitable about this,” Walden said. “We're cognizant of this issue and fundamentally, if we don't find the right sweet spot, we aren't going to be able to pass it. I know how to count.”

Another thorny issue is whether to keep ObamaCare’s taxes. Some Republicans, like Sen. Bill Cassidy (R-La.), want to keep the taxes in place to provide revenue for a replacement.

But that appears to be a minority position. Hatch had some of the strongest comments yet on Wednesday, saying all the taxes “need to go,” despite calls by some to keep them.

Protections for people with pre-existing conditions and letting young people stay on their parents’ plans until age 26 are also areas Republicans commonly say they want to keep, though how to go about offering pre-existing condition protections is an open question.

Sen. Ron Johnson (R-Wis.) has gone so far as to explicitly reject the slogan of “repeal and replace.” He told CNBC last month that he wants to work with Democrats to “fix” ObamaCare.

“It’s way more complex than simply ‘repeal and replace,’ ” Johnson said. “That’s a fun little buzzword, but it’s just not accurate.”

http://thehill.com/policy/healthcare/317441-gop-talk-shifts-from-replacing-obamacare-to-repairing-it

CPUd
02-06-2017, 11:40 PM
This seems like they're going to let Obamacare hang itself instead of fixing it immediately.

Trump has said he could let the dems own it but he wants to fix it. Delaying it by a year, sounds to me like he decided to let them own it and eat it during the mid terms, thoughts?

Their problem is with some of these state GOP legislatures and governors who are already entrenched in the exchanges, pulling out of those or letting them fail is political suicide. For these people, going in and talking repeal is going to be the equivalent of going into FL in a national election and telling the old folks they want to "fix" Medicare.

eleganz
02-07-2017, 02:37 AM
Their problem is with some of these state GOP legislatures and governors who are already entrenched in the exchanges, pulling out of those or letting them fail is political suicide. For these people, going in and talking repeal is going to be the equivalent of going into FL in a national election and telling the old folks they want to "fix" Medicare.

I wonder if this means Rand's proposal is dead in the water.

CPUd
02-07-2017, 02:46 AM
I wonder if this means Rand's proposal is dead in the water.

It's still on the table as long as he keeps talking about it and getting groups like Freedom Works behind it. The ones who are trying not to talk about it are getting run out of their own town halls, while they should be reassuring their constituents they aren't going to be left hanging.

CPUd
02-07-2017, 02:52 AM
Blue state GOP are getting the worst of it right now.


https://www.youtube.com/watch?v=J2wyQNGYFF4