Category Archives: Healthcare

Any thing to do with Healthcare

Republicans want a Bannon led second try at Obamacare Repeal?

There probably isn’t enough time to seriously pull this off….

But Trump aide Bannon respomding to howls from their base over the failure to get just a REPEAL promised by Trump for months has jumped into a second effort trying to sell party unity….

So while his boss is knocking Democrats and the Freedom Cuacus in public?

Bannon and others are trying to get them on board for another try….

This while the budget is fast approaching….

Remember?

The rightwing conservatives where HAPPY with the Freedom Caucus holding out for a STRAIGHT Repeal resulting in tens of millions of Americans LOSING their healthcare coverage and putting Republican Governors out of money for their Medicaid programs….

House Republican leaders and the White House, under extreme pressure from conservative activists, have restarted negotiations on legislation to repeal the Affordable Care Act, with House leaders declaring that Democrats were celebrating the law’s survival prematurely.

Just days after President Trump said he was moving on to other issues, senior White House officials are now saying they have hope that they can still score the kind of big legislative victory that has so far eluded Mr. Trump. Vice President Mike Pence was dispatched to Capitol Hill on Tuesday for lunchtime talks.

“We’re not going to retrench into our corners or put up dividing lines,” House Speaker Paul D. Ryan said after a meeting of House Republicans that was dominated by a discussion of how to restart the health negotiations. “There’s too much at stake to get bogged down in all of that.”

The House Republican whip, Steve Scalise of Louisiana, said of Democrats, “Their celebration is premature. We are closer to repealing Obamacare than we ever have been before.”

 

It is not clear what political dynamics might have changed since Friday, when a coalition of hard-line conservatives and more moderate Republicans torpedoed legislation to repeal President Barack Obama’s signature domestic achievement. The replacement bill would still leave 24 million more Americans without insurance after a decade, a major worry for moderate Republicans. It would also leave in place regulations on the health insurance industry that conservatives find anathema….

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The fact remains that there is slim to none  chance of passage of anything the House might send to the Senate…

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Immigrant ex-doctors become Super qualifed EMT’s in America…And fill a gap in their new country…

The NewYork Times does a focus on Maine’s problem with keeping Emergenct Medical Tech’s to respond on ambulkance calls….

With population loses and older citizens the state has aneed for the EMT’s….

In Maine and across the country immigrants that were doctor’s in the country they left, maybe studing to pass local state certification, or taking other jobs…

These men and women are being recruited to fill a need for their communities….

Like America over the decades?

New blood to keep the American engine going…..

Immigrants helping America….

Not being demonized or turned away….

Jolly Ntirumenyerwa ran her fingers over the stethoscope that she had slung around her neck. It was a comforting connection to her career as a physician in her home country, the Democratic Republic of Congo, where she worked in emergency medicine.

Her credentials did not transfer when she moved to the United States in 2012, and she could not work as a doctor. So, she took jobs as a health aide in an assisted living facility.

Now, thanks to an unusual program that is training immigrants to become emergency medical technicians, she is preparing to make better use of her medical background and, she hopes, work her way up to becoming a physician assistant if not, someday, a doctor.

“I want to do what I was trained to do,” Ms. Ntirumenyerwa, 37, said the other day as she took a break from her E.M.T. class, being conducted in a cavernous ambulance bay at Southern Maine Community College. “I put in a lot of years training to be a physician, and I don’t want to throw them away.”

 

But the program goes beyond helping Ms. Ntirumenyerwa (pronounced t-roo-may-YAY-rwa) achieve her personal career goals. It is also helping to address some serious problems in Maine.

One is a shortage of E.M.T.s. Another is a shortage of a work force in general, particularly of young people who can help sustain the state economically as its population ages. Maine is the nation’s oldest state, with the highest median age and the highest concentration of baby boomers, and its birthrate is dropping; in 2016, just two of its 16 counties had more births than deaths.

Economists regard Maine’s rapidly aging population as a demographic tsunami that has severe implications for the state’s labor pool, health care system and overall socioeconomic well-being. But the state can grow, they say, with more international immigration — though that may become more difficult under the Trump administration….

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Trump & Co want to get in bed with Democrats against GOP Conservative’s for Tax Reform?

It’s REALLY getting crazy in Washington DC…..

Stung by the intransigence of the REPUBLICAN Conservatives in the Freedom Caucus ? Reports are that the White House has threaten their own party rightwing nuts that they should bow down and fall in line with Trump and Ryan on the Tax Reform effort (and other legislative Bills)….

Wait?

Did I just say Trump/Ryan think they can co-opt their own party with Democrats?

The same Democrats they ran AGAINST and demonized to their base?

Bipartisanship?    (John Boehner is laughing someplace!)

What is WRONG with this picture?

Fresh off a defeat on U.S. healthcare legislation, the White House warned rebellious conservative lawmakers that they should get behind President Donald Trump’s agenda or he may bypass them on future legislative fights, including tax reform.

The threat by White House chief of staff Reince Priebus to build a broad coalition on tax reform that could include moderate Democrats came as the Republican head of the tax-writing committee in the House of Representatives said he hoped to move a tax bill through his panel this spring….

Both Trump and Priebus have scolded hardline conservatives who rejected legislation backed by the White House to replace the 2010 Affordable Care Act, known as Obamacare.

Speaking on “Fox News Sunday,” Priebus held out the possibility of working with moderate Democrats as well as Republicans to pass other aspects of Trump’s agenda, such as his proposed budget, the revamp of the tax code and a renewed effort at healthcare reform.

“If we can come up with a bill that accomplishes the goals of the president with Republicans alone, we’ll take it and we’ll move forward with it,” Priebus said.

But he added: “I think it’s more or less a warning shot that we’re willing to talk to anyone. We always have been and I think more so now than ever.”…

Trump has put tax reform at the top of his legislative agenda now that the healthcare bill has failed.

Priebus said Trump was not backing off his view that the tax reform bill needed a border tax. He also said that the measure would include a middle-class tax cut that he said might help to attract votes from moderate Democrats…..

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Schumer… Running a Government is WAY different than Running a Business …

And if you look carefully Donald Trump wasn’t all that good at running his businesses…

…”You cannot run the presidency like you run a real estate deal. You can’t tweet your way through it,” Schumer said. “You can’t threaten and intimidate and say I’ll walk away. It’s more complicated.”….

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Democrats ain’t losing it all so far like many expected…

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Yes….There Still ARE Moderate Republicans….

During last years GOP Presidential nomination sweepstakes race ‘moderate’ Republicans fell by the wayside one by one….

It got so bad for them that they had to put a ‘conservative mask on their face to try to survive….

Donald Trump copped the hard right place in the campaign and used it to steal the party….

That was then….

In the last week the moderate Republicans in the Grand Ole Party have asserted themselves , worried about doing something that might make Trump and Speaker Ryan happy, but might cost them their seats come next year…

The Republican party….

Like Democrats…

Has a duality issue….

The parties are neither just one thing….

….In some corners, Republicans saw the past week as a defining moment where lawmakers went from the hypothetical exercise of previous fiscal proposals, which they knew the White House of former president Barack Obama would block, into the world of live ammunition in which these proposals could become law.

That gravity, among moderates and some mainstream conservatives, altered votes. “Sometimes you’re playing Fantasy Football and sometimes you’re in the real game,” said Rep. Joe Barton (R-Texas), a Freedom Caucus member whom Trump had won over to support the bill.

By the time Ryan arrived at the White House, delivering the bad news about the whip count for the vote, those Republicans were doing just that. Rep. Barbara Comstock (R-Va.), who brought Ryan into her suburban district outside Washington, broke against the bill, followed by Rep. David Joyce (R-Ohio).

His district, a mix of suburbs and working-class towns east of Cleveland, actually went for Trump by more than 11 percent, as Joyce was reelected by a 25-percentage-point margin. In the past his biggest political fear has been a primary challenge from the right, yet the slight hint of Trump-fueled challengers to those opposed to the bill did not sway Joyce.

Ohio Gov. John Kasich (R) had accepted expanded Medicaid funding as part of increasing insurance coverage through the ACA. Ryan’s American Health Care Act would phase out the Medicaid coverage.

Joyce made a simple, binary choice about Obamacare: “The American Health Care Act was not a better solution.”

This new combination, with Ryan’s right and left flanks willing to buck him and the new president, presents deep concern for the long-term effort to take up the more complicated effort to overhaul the corporate and individual tax codes….

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Just don’t blame me…..Trump

The word was Trump wanted a Vote on Trump/Ryancare’s Repeal/Replace Phase One….

NOT GOP House Speaker Paul Ryan….

The word was Trump said in the end……

Pull the Bill….

OF COURSE Donald Trump doesn’t EVER say HE messed up….

In the past ?

He’d  just settle….

Well….

He’s 0 for 2  right now…(Immigratioin AND Healthcare)

And he has been right in the MIDDLE of BOTH loses….

Welcome ‘Mr. President’ to the new world where YOU get credit for wins and blamed for your loses….

The Democrats don’t have the votes, Right?

“I think the losers are Nancy Pelosi and Chuck Schumer because now they own Obamacare,” Trump said of the Democratic leaders in the House and Senate, respectively, immediately after remarking that he’d “be totally open to” working with the opposition party. “They own it — 100 percent own it. And this is not a Republican health care. This is not anything but a Democrat health care, and they have Obamacare for a little while longer until it ceases to exist, which it will at some point in the near future.”

“And just remember: This is not our bill. This is their bill,” he continued. “Now, when they all become civilized and get together and try and work out a great health care bill for the people of this country, we’re open to it. We’re totally open to it.”

Yet asked if he would talk to Democrats now that Republicans are moving on, Trump said no….

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Trump tries to blame the Democrats on Trump/Ryancare failure to launch….

Another one of Trump’s attempt to bend reality….

Won’t work….

Trump and his buddy House GOP Speaker spent the last 48 hour trying get THEIR felloe Republicans to vote FOR their sake….

The Rightwingnuts and Moderate REPUBLICANS turned their backs….

This was a Republican IN-HOUSE thing….

Had NOTHING to do with Democrats who watched the show from the sidelines….

President Donald Trump said Friday that the failure of the House GOP’s long-awaited Obamacare repeal bill, which he himself backed “100 percent,” was the fault of Democrats.

“We were very close; it was a very, very tight margin,” he said. “We had no Democrat support. We had no votes from the Democrats. They weren’t going to give us a single vote, so it’s a very difficult thing to do.”

Trump’s comments glossed over the fact that Republicans currently control both houses of Congress and the White House, leaving them plenty of leeway to craft and push through a health care bill via reconciliation.

The President appeared defiant in a short remarks to the press pool in the Oval Office, where he was flanked by Health and Human Services Secretary Tom Price and Vice President Mike Pence.

Thanking both men and as well as GOP leadership for their efforts to write the legislation and to gin up votes for it, Trump predicted that Obamacare will “explode” “soon” and that Democrats will be held accountable for that failure. He first announced that he would use this strategy in the event of the bill’s failure in a closed-door meeting with conservatives earlier this month.

“What would be really good with no Democrat support if the Democrats, when it will explode [sic], which it will soon, if they got together with us and did a real health care bill,” he said. “I would be totally open to it. And I think that’s going to happen. And I think the losers are Nancy Pelosi and Chuck Schumer because now they own Obamacare. They own it, 100 percent own it.”…

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As long as Donald Trump JUST plays to his base?

Democrats ain’t gonna help him….

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Trump/Ryancare Bill pulled…No Vote….

Sensing  that Republicans did NOT HAVE THE VOTES and not wanting to throw GOP House members to dogs in next years Midterm elections,,,,

Trump has asked Speaker Ryan to NOT  do a vote that would  be politically hurtful…

Donald Trump losses another ‘deal’….

Immigration was the first one….

The Republicans  have spend years knocking Obamacare

They now have taken a hit and do not know WTF to do

Barack Obama has to be smiling

The Republicans have made the program more popular THEMSELVES….

House Republican leaders abruptly pulled a rewrite of the nation’s health-care system from consideration on Friday, a dramatic acknowledgment that they are so far unable to repeal the Affordable Care Act.

“We just pulled it,” President Trump told The Washington Post in a telephone interview.

In a news conference shortly after the decision, House Speaker Paul D. Ryan (R-Wis.) conceded that his party “came up short.”

The decision came a day after Trump delivered an ultimatum to lawmakers — and represented multiple failures for the new president and Ryan.

“I don’t blame Paul,” Trump said, referring to Ryan….

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CNN Trump/Ryancare Update…Who to blame for the Bill going down?..

John King over at CNN is reporting that House GOP Speaker Ryan is briefing Donald Trump as I write this at the White House…..

His sources indicate that Ryan is telling the leader of his party that he’s throwing the dice…

House moderates have stiffen their backs AGAINST the Bill worried about their keeping their jobs next year and being able to face their voters who increasingly do NOT want the Obama healthcare program Repealed….

Ryan is said to be dropping the ball in Trump’s lap in asking him if he wants a embarssing NO vote on the bill….

Or….

Pulling the bill and moving to Tax Reform something Trump might like to deal with better ….

Ryan IS telling Trump they do NOT have the votes and if they keep this up ?

The MODERATE REPUBLICANS will provide cover for even MORE in the party to vote against the Bill and ease their lives back home at Trump and Ryan’s expense….

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Update….Trump DEMANDS a Friday vote on Trump/Ryancare Bill….

HOT DAMN!…..

Gonna be a rough night for House Republicans….

They do NOT have the votes to pass the Trump/Ryancare Bill….

Image result for trump/ryan

One would assume that Trump is making his demand to pressure EVERYONE….

Gonna be a political bloddy mess if this gamble fails….

Who would Trump blame?…He’s NOT gonna blame HIMSELF for a defeat….Would it be his adopted GOP establishment or the Freedom Caucus, eh?

Who would be left?

Democrats?

UPDATE: 7:42 p.m.: President Donald Trump is demanding a vote Friday in the House on the Republican plan to repeal and replace Obamacare, White House Budget Director Mick Mulvaney said. If the bill fails, Trump is prepared to move on and leave Obamacare in place, Mulvaney said.

***

President Donald Trump and House Freedom Caucus members failed to strike a deal on the GOP Obamacare replacement Thursday, endangering the prospects of passage and all but assuring any immediate vote on the measure would fail.

Hours later, House leaders canceled a planned Thursday night vote on the legislation, dubbed the American Health Care Act. There was no immediate word when a vote might be rescheduled. The House Republican Conference is planning to meet at 7 p.m. Thursday about how to proceed, with procedural votes expected later in the evening.

Negotiations between Trump and the arch-conservatives opponents of the bill reached at least a temporary impasse after Freedom Caucus members were told recent concessions from the White House and GOP leadership represented a final offer. The group rejected that, wanting more.

The setbacks triggered a series of meetings later Thursday — between Trump and the moderate Tuesday Group, and separately between the Freedom Caucus and Speaker Paul Ryan (R-Wis.).

As it stands, Trump and Ryan find themselves playing see-saw with moderates and hard-liners. Lean too much toward one faction and they lose votes from the other. So far, they’ve been unable to find a sweet spot…..

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For Trump and Ryan it would seem this is no longer about other Americans…..

It’s about a political face saving, since there is NO Chance the Senate will pass whatever they come up with….

image…NBC News

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Conservatives bargaining to get rid of basics like Prescriptions, New Born Care and Hospitalization….

Ya gotta KNOW WHAT Trump and Ryan are doing to get the Freeedom Caucus on board to get 24 Million to LOSE their healthcare Insurance coverage….

They want Americans to have the freedom to choose their insurance….

They do NOT want the Government to help those who cannot pay for it….

They also seek to deny service to those the more fortunate are helping with their payments into the system….

The cuts the House righwingnuts are abrgining with Trump for for their support would probably make the healthcare for tens of millions of American’s WORST than BEFORE Obamacare……

Trump NO longer cares about his promise for eveyone to keep their insurance…It is now about him getting a POLITICAL WIN.

As of this date MOST Americans do NOT want the Law Repealed….

Remember all that talk during the health reform debate about why men should have to pay for maternity care? What politicians were really arguing about was the “essential health benefits” provision in Obamacare.

In an attempt to make the insurance marketplace fairer and more viable, the law required insurance products sold in the individual market, the fully insured small-group market, and for people who got Medicaid through the state expansions to cover a list of 10 “essential health benefits.” The list included some pretty basic medical care — like pregnancy and maternity care, and lab tests.

Republican Congress members have been pretty consistent about their desire to get rid of this part of the law. It has driven the cost of premiums up, and, they argue, limited Americans’ freedom of choice. But you probably haven’t heard much about the “EHBs,” as they’re called among health wonks. That’s because the assumption has been that killing the provision wouldn’t be possible under the budget reconciliation procedure the GOP is using to rush the American Health Care Act through Congress. (As Vox’s Dylan Matthews explained, the procedure includes the Byrd Rule, which says reconciliation can’t be used to pass provisions that are “incidental,” or don’t change the overall level of federal spending or revenue.)

Now, it seems, that might be wrong. In an attempt to win more support from the party, the latest GOP plan to repeal and replace the Affordable Care Act would get rid of the law’s EHB requirement for the individual and small-group markets. (The previous draft of the American Health Care Act already did away with the EHB requirement for Medicaid expansion enrollees.)

They are about as basic as they sound. Here’s the full list, from Healthcare.gov:

Outpatient care without a hospital admission, known as ambulatory patient services
Emergency services
Hospitalization
Pregnancy, maternity, and newborn care
Mental health and substance use disorder services, including counseling and psychotherapy
Prescription drugs
Rehabilitative and habilitative services and devices, which help people with injuries and disabilities to recover
Laboratory services
Preventive care, wellness services, and chronic disease management
Pediatric services, including oral and vision care for children….

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Last minute Trump/Ryancare Crazy shit….

Desperate times ….Desperate measures?

The Freedom Caucus goes around House Speaker Ryan to Trump for rewrites of the Trump/Ryancare Bill?

For something that would have even LESS of a chance in the Senate?

(These last minute changes do NOT have analysis by the Congressional Budget Office …So NO ONE knows what they cost out to….)

Just hours before an expected Thursday vote in the House, congressional Republicans are considering massive changes to insurance coverage without even a basic idea of what those changes would mean.

According to House Freedom Caucus members, the conservative group is negotiating directly with President Donald Trump and the White House on an amendment to the Republican health care bill, seemingly cutting out GOP leadership from the conversation as Speaker Paul Ryan (R-Wis.) and his deputies work to corral votes for a bill that is, in these latest provisions, a mystery even to them.

The re-opening of negotiations is an admission of what has been clear all along ― that the bill as constructed by Ryan does not have the votes to pass on Thursday. It also represents a major reorganization of a significant chunk of the American economy in a matter of hours.

Conservatives are using their considerable leverage on the measure ― the Freedom Caucus has demonstrated it has the votes to sink the legislation ― to extract concessions on the Essential Health Benefits section of the bill, which mandates that insurers offer plans covering 10 services: outpatient care, emergency room visits, hospitalization, maternity and newborn care, mental health and addiction treatment, prescription drugs, rehabilitative services, lab services, preventive care and pediatric services.

“Negotiations are taking place,” Freedom Caucus member Randy Weber (R-Texas) told reporters Wednesday night. Asked if he thought they were going to get to a deal, Weber said it sounded like it.

“The president’s moving our way,” he said….

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Trump/Ryancare Bill Update…Nope….

Appears that even after arm twisting and some concessions  by GOP House Speaker Paul Ryan and Trump ……there isn’t enough votes to pass their Repeal /Replace  legislation in the House….

As for the Senate?

Foregtaboutit….

At this rate it is possible that Ryan will pull the bill and move on, letting Trump have HHS head Price do whatever he can internally thru his power’s…..

House Republican leaders on Tuesday struggled to pick up votes for their ObamaCare repeal-and-replace bill, even after President Trump visited Capitol Hill to sell the plan.

With only a day before a scheduled vote on the House floor, the White House and Speaker Paul Ryan (R-Wis.) are facing an uphill fight to get the majority — 216 votes — needed to clear the lower chamber.

In a closed-door meeting with House Republicans, Trump warned that failure to pass the legislation might trigger a backlash for the GOP in the 2018 midterm elections. Republicans, the president said, could lose their seats next year, give Democrats the majority and derail Trump’s ambitious 2017 agenda if they fail to fulfill their campaign promise of repealing ­ObamaCare, said sources in the room.

But Trump’s dire warning didn’t appear to immediately change many minds. House Freedom Caucus Chairman Mark Meadows (R-N.C.), whom Trump singled out during the meeting, emerged from a private meeting with Vice President Pence Tuesday afternoon, insisting that he was still opposed and that he had at least 22 votes from conservative hard-liners to defeat the bill. Following the meeting, Reps. Jim Jordan (R-Ohio) and Walter Jones (R-N.C.) also said they remain opposed.

According to The Hill’s Whip List at press time, 22 House Republicans were firm “no” votes, with six more leaning no or likely no. Many other Republicans have not said how they will vote. Should all members vote and all Democrats — as expected — vote no, 22 defections would kill the legislation. The bill is scheduled to hit the floor at some point on Thursday…..

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How ironic….

House Democrats AND hardline Conservatives bonding together to stop their Republican House Speaker and their parties adopted President….

THIS IS GONNA HURT Republicans….(And probably make Obama and the Clinton’s smile)

Could the Freedom Caucus give cover to other Republicans to go home to their districts and say they would have voted against the bill?

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Trump to House Republicans….If you don’t vote for this bill ‘you could lose next year’….

Trump also told the House GOP Conservative Caucus leader that he was coming after him….

The elbow twisting for the Trump/Ryancare bill has gotten serious among Republicans…

That while Trump’s poll numbers drop and the support among  American’s for the Obama signature bill gains….

Trump campaigned on NO loss of coverage for ANYONE….

That will NOT be the result if this bill becomes law…

President Donald Trump issued a stern warning on Tuesday, telling Republicans they could lose their seats — and the House majority — in 2018 if they fail to repeal and replace ObamaCare, GOP sources said.

During a closed-door meeting in the basement of the Capitol, Trump told rank-and-file House Republicans if the party is not successful in passing its health care bill, “I believe many of you will lose in 2018,” according to a source in the room.

The House is slated to vote on the American Health Care Act on Thursday. If it passes, it will head to the Senate, where it faces a tougher road.
Trump’s visit to Capitol Hill was billed as a rally for the healthcare bill, just two days before the historic vote to roll back President Obama’s signature domestic achievement. But the gathering took on a darker tone.

The president told lawmakers a failed vote would be embarrassing to the party and could result in members facing primary challengers and Republicans losing the House, sources said.

And Trump singled out Freedom Caucus Chairman Mark Meadows (R-N.C.), a Trump ally during the presidential campaign who opposes the legislation….

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…twitter…

AP Politics‏@AP_Politics
AP INTERVIEW: Senate Majority Leader Mitch McConnell warns fellow Republicans not to oppose health care bill: http://apne.ws/2n9RPEh

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Trump after FBI/NSA throw downs?…Lets talk about ANYTHING else….

Donald Trump did and ole fashion peep rally in Louisville Kentucky tonight to divert his attention away from the beatdown FBI Director Comey and NSA head Rogers dealt him in the House Intelligence hearing today on Russia,  him and his people and the Trump/Ryancare bill showdown coming in  two days…

170320-Donald-Trump-AP_17080023976656.jpg

On the precipice of the meatiest legislative fight of his young presidency, Donald Trump is increasingly talking about health care like the vegetables of his agenda — the thing he must begrudgingly finish in order to get to what he really wants: tax cuts, trade deals and infrastructure.

At a rally here in Louisville, Trump time and again framed the passage of a repeal and replacement plan for President Obama’s namesake health care law as a necessary step to achieve the rest of his ambitious agenda.

“We want a very big tax cut,” Trump said, “but we cannot do that until we keep our promise to repeal and replace the disaster known as Obamacare.”

The first big test for health care comes Thursday when the House has scheduled a floor vote. But on Monday, at a rally in the state of a senator, Rand Paul, who has been an outspoken skeptic of his health care proposal, Trump barely touched on the health care bill for the first 30 minutes of his speech. And when he did, he suggested it was the province of Senate Majority Leader Mitch McConnell, who was in the crowd.

“Mitch, hey Mitch are we going to be okay?” he said. “Good, thanks Mitch.”

Trump was on the ground in Kentucky for almost two hours but it was enough to boost his spirits after a day of swirling headlines in the nation’s capital about Russia, FBI investigations and his unfounded allegations of Obama-ordered wire-tapping. Fresh polls showed new lows for his approval rating, but inside the Louisville arena where attendees did the wave, Trump’s favorability was somewhere near 100 percent….

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It also appears the Trump is throwing House Speaker Ryan and Senate majority Leader McConnell under the bus in the event the Freedom Caucus people are right and the Trump/Ryancare Bill does NOT get the votes….

Trump has NOT got one single major piece of legislation done even though Republicans have majorities in the House and Senate and he ‘s living in the nations’ White House….

image…AP

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