Category Archives: Healthcare

Any thing to do with Healthcare

Healthcare Ins Group warns Senate Republicans against Cruz plan….

Senator Cruz’s plan is actually a walk around the preexisting part of the Affordable Healthcare Law….

It would allow younger and healthier Americans to join a separate insurance plan. Of course, this would take millions out of the existing insurance plan which would be force to charge MUCH higher rates…..

Those higher rates would mean that those people would eventually be priced out of the healthcare insurance markets sending things back to the pre-Obamacare  era…..

It essentially penalizing Americans who get older and need additional medical care….

The two leading health insurer trade groups sent a strongly-worded letterFriday expressing opposition to a controversial conservative provision included in the latest GOP ObamaCare replacement bill.

America’s Health Insurance Plans and the Blue Cross Blue Shield Association warned that the provision from Sen. Ted Cruz (R-Texas) would mean “premiums will skyrocket for people with preexisting conditions” and “millions of more individuals will become uninsured.”

The letter expresses opposition to a provision, included in the new GOP repeal bill, that would allow insurers to sell plans that do not meet ObamaCare regulations, including the ban on discrimination based on pre-existing conditions, if they also sold plans that did meet the requirements.

Conservatives argue this move would allow younger, healthier people to buy cheaper plans.

The insurers, and many health experts, warn that only sick people would remain in the more expensive, more generous ObamaCare plans, leading to premium spikes for people with pre-existing conditions.

“This would allow the new plans to ‘cherry pick’ only healthy people from the existing market making coverage unaffordable for the millions of people who need or want comprehensive coverage, including, for example, coverage for prescription drugs and mental health services,” the letter states…..

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Note….

The bill , as written for the Senate , also would DRASTICALLY cut Medicaid funds to the state’s giving ANOTHER blow to those who are not as well off and getting older……

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Gloomy Economic forecast hangs over Trump/Republicans plans…

The Congressional Budget office projections counter Trump and Conservative Republican efforts to enact huge tax cuts for the rich , with social cuts and increased defense spending….

Donald Trump’s pledge of ‘progressivism’ for America is unlikely to get off the ground , especially since Trump isn’t the kind of guy to support the nuts and bolts political skill’s to get much done…..

President Trump’s budget would not add to economic growth or eliminate the deficit in coming years, the nonpartisan Congressional Budget Office said Thursday, casting doubt on a plan the White House has touted as central to achieving the president’s domestic agenda.

The CBO projected that the economy would grow at only 1.9 percent under the White House’s plan — far below the 3 percent goal the administration continued to outline as recently as Thursday. It also warned that contrary to White House claims that deep cuts to the safety net in the budget would lead to a financial surplus in a decade, the deficit would actually be $720 billion.

The report was one of several big questions that emerged Thursday about whether Trump would be able to deliver on the central promises of his populist agenda for governing…..

….

Trump’s combination of setbacks and delays on key policy initiatives highlight how the president is struggling to advance a populist vision of governing in a Republican Party that historically has not been receptive to such an approach.

With his budget and health care, Trump is falling in line with some of his party’s most conservative voices, even if the policies threaten to harm many of the working-class voters who elected him.

On trade — an issue where he could act unilaterally — Trump is facing opposition from companies, foreign allies and numerous White House advisers who say restricting imports could hurt U.S. industry broadly far more than it helps steel companies.

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McConnell unveils a new 2.0 Senate Healthcare bill ….

The latest version is a attempt to garner Conservative GOP Senator’s support….

It will put pressure on several moderate GOP Senator’s to vote for the bill, just like House Speaker Paul Ryan gained his vote for his chambers passage…..

McConnell IS keeping the Democrats out of the picture….

The Bill does NOT fully REPEAL the Affordable Healthcare Law,/Obamacare …..Something Republicans swore they would do for years….

Senate Republican leaders on Thursday unveiled a revised version of their bill to repeal and replace ObamaCare as they race toward a high-stakes vote next week.

The measure includes changes aimed at winning over additional votes, with leadership making concessions aimed at bringing both conservatives and moderates on board. (READ THE BILL HERE.)

But Senate Majority Leader Mitch McConnell (R-Ky.) is facing a tough task in funding 50 votes to pass the bill. Sens. Susan Collins (R-Maine) and Rand Paul (R-Ky.) appear to be firmly against the measure, and one other defection would kill the bill.

Overall, McConnell appears to have shifted the revised bill toward the conservatives, without giving the moderates much of what they want.

Importantly, the revised bill largely keeps the Medicaid sections the same, meaning that deeper cuts to the program will still begin in 2025, and the funds for ObamaCare’s expansion of Medicaid will still end in 2024.

The changes to Medicaid have emerged as a top concern of moderates such as Sens. Rob Portman (R-Ohio), Shelley Moore Capito (R-W.Va.) and Lisa Murkowski (R-Alaska).

The Congressional Budget Office found that those Medicaid changes in the original bill would result in 15 million fewer people enrolled in the program and cut spending by $772 billion over 10 years.

For the conservatives, though, the measure includes a version of an amendment from Sens. Ted Cruz (R-Texas) and Mike Lee (R-Utah) aimed at allowing insurers to offer plans that do not meet all of ObamaCare’s regulations.

Conservatives argue the change would allow healthier people to buy cheaper plans, but moderates and many healthcare experts warn that premiums would spike for the sick people remaining in the more generous insurance plans.

Senate Republicans had vowed to not change the ObamaCare protections for people with pre-existing conditions in the healthcare bill, which is why the debate over the Cruz-Lee amendment has been heated.

The bill does include new funding aimed at easing costs for those people with health problems remaining in the ObamaCare plans…..

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Changes from 1.0 Senate healthcare  Bill to 2.0 ...Here…

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Democrats name their conditions for helping GOPer’s on Healthcare Senate vote…

We’ll see if Senate majority Leader Mitch McDonnell has to walk across the political aisle to Democrats to get something he can win enough votes on…..

The terms for even talking are?

Democrats, for their part, are pointing fingers right back at Republicans, saying they would be perfectly willing to negotiate if Republicans would make two key concessions: drop the proposed cuts to Medicaid and scrap the tax breaks for the wealthy.

“Once you get rid of those two things, we can have a conversation,” Sen. Dick Durbin (D-IL) told TPM.

Durbin added any nascent bipartisan talks that have sprung up have been stuck in limbo, waiting to see whether Republicans can muscle through a bill on GOP votes alone.

“The Senate Republicans I’ve spoken to are all waiting for McConnell to say, ‘This is over. I can’t pass it.’”

Such an admission may come as soon as next week, when Republicans plan to hold a procedural vote on their health care bill whether or not they have secured enough votes for its passage.

“There comes a time where you have to fish or cut bait,” Kennedy told reporters. “We’ll either pass it or we won’t pass it, and if we can’t do it, let’s move on to something else.”

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Bernie Sanders goes after Trump voters…..

Gotta give it to the guy…..

He’s putting shoe leather on efforts to drum up support AGAINST the Republican’s effort to get rid of the healthcare law ….

And he’s doing it among Trump and Republican support area’s….

Sanders seems to have moved on something his adopted Democrats need to jump on a bit faster….For 2018 /2020 it is NOT just about Trump….It’s working on the hearts and minds of those who fell left behimd America’s changing demographics….

When Bernie Sanders spoke at a rally on Sunday afternoon to stop the Republican effort to dismantle Obamacare, he didn’t wait long to bring up President Trump.

“I am more than aware that Donald Trump did very well in the state of West Virginia, I got that,” the Vermont senator told a crowd inside a hotel ballroom. “Donald Trump told the people that he was going to be a champion of the working class,” he said. “I’m sorry to have to tell you this, but I suspect most of you already know it, Donald Trump was not telling you the truth.”

If Democrats want to win back the White House, Congress, and hundreds of seats lost in state legislatures, the party may need to convince voters who pulled the lever for Trump of this fundamental argument: The president is not their champion, and never will be. Sanders, who posed a serious challenge to Hillary Clinton in the 2016 Democratic presidential primary while running as a self-described “democratic socialist,” is doing his best to persuade them.

West Virginia was the senator’s first stop on a day-long, two-state trip to campaign against the Senate Republican health-care bill. Next up was Covington, Kentucky, a city near Cincinnati, Ohio, where Sanders called the health-care bill House Republicans passed in May “the most anti-working class legislation that I have ever seen,” adding that “the Senate bill, in many respects, is even worse.”….

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Republicans find themselves in a pickle….Cancel part of their Summer off…

Image result for mcconnell

They will need more time to get stuff done….

Republicans LEAD in the three centers of power in running America from the nations capital……

The hold the Presidency…..

The are the majority party in the nation’s Congress….

They hold the majority in the nation’s highest court…..

So?

They have having a shitload of problems and issues…..

A President that is ill prepared to BE President, and it turns out a family that does understand what it means to actually be with him….

A Republican party that has found that being the majority with a President who isn’t interested in their actions, doesn’t under them and doesn’t really care isn’t gonna help them with members who are now have scant cover from their parties adopted leader that actually  campaigned AGAINST what they DO……

And finally a highest court that seems to be getting ready to give this President’s off the wall stuff their majority backing….

The guys who put this place together where smart….

They made sure to make their legislative body and check on ITSELF by elections every two years for the lower House and longer terms for the upper Body ….

Checks and Balances, eh?

People…..

Oh, and maybe President Obama wasn’t so dumb in putting together a healthcare law, eh?

Republicans are failing at governance. And they know it.

Their senatorially painful decision announced on Tuesday to sacrifice some of lawmakers’ usually sacrosanct August recess was a public confession that they have not gotten the job done even while controlling the White House, Senate and House of Representatives.

In deciding to forgo at least the first two weeks of their regular summer getaway, Senator Mitch McConnell and his colleagues essentially admitted that they could not afford to go home to face constituents without making a concerted effort to pass contentious health care legislation and put some other points on the board.

“It is time to get results for the American people,” said a group of 10 Republican senators who had pressed Mr. McConnell, the Kentucky Republican and majority leader, to force the Senate to stick around.

Legislative results have been in short supply for unified Republican government as first the House and now the Senate have gotten badly bogged down in trying to overhaul the Obama administration’s health care law — a top priority of Republicans since 2010. The stalemate has been ugly, preventing Republicans from moving ahead on long overdue budget, spending and tax priorities and leaving Mr. McConnell and Senate Republicans frustrated and doubting their abilities…..

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image…concordmonitor.com

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GOP Senate Leader to try to get something done on Healthcare…

It’s NOT gonna be easy….

And has a good chance to NOT work at all.

Senate leaders, facing their restive colleagues after the Fourth of July recess, vowed on Tuesday to press ahead with their effort to repeal and replace the Affordable Care Act, with a new version of their bill on Thursday and a vote next week — regardless of the deep divisions in the party.

The weeklong recess only seemed to generate more doubts about the Senate bill, but Senator Mitch McConnell of Kentucky, the majority leader, signaled that he was not ready to give up on his party’s seven-year-old promise to gut President Barack Obama’s signature domestic achievement. Accusing Democrats of obstructionism, he announced he would delay the Senate’s scheduled August recess by two weeks so that senators could keep working.

But pessimism among Republicans still pervaded the Capitol on Tuesday after a week in their home states that did little to resolve the disputes that thwarted a vote last month.

Senator Charles E. Grassley, Republican of Iowa, said Tuesday that he was “very pessimistic” about passing a bill, while Senator John McCain, Republican of Arizona, said it was “very possible, very probable” that the Senate bill was dead.

Senator Susan Collins, Republican of Maine, said, “Minor changes and tweaks will not be sufficient to win my support for the bill.”….

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Changes are coming, but none that are likely to radically alter the estimate by the Congressional Budget Office that 22 million fewer people would have health insurance in 2026 under the Senate health care bill than under the Affordable Care Act. A new estimate is expected from the budget office early next week.

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“I Don’t Like Obamacare Because of Obama” Says Woman on Obamacare

I mean REALLY??????

get-a-brain-morans.jpg

This story was on NPR today on the ATC evening news. It is so frustrating.

Rural Northeast CA is in a predicament. Clinics know their patients need ACA coverage or Medicaid but won’t tell their reps to support it so county officials are doing it themselves.

Before the election while Obamacare was being implemented officials had to rename MediCal to make it sound like it was a regular insurance plan, not a “government handout” which these people were too proud to take (from a black man). Since they still didn’t pay anything  for it I don’t know how they filled in that logic gap.

The area went for Trump in a landslide. And now they won’t contact their reps to vote against repeal. Either they don’t believe Republicans will really take their insurance away, or they’re dumb enough to think it will be replaced with something better. Which at this point you’d have to be weapons grade stupid to believe. Or, they’d rather be destitute than admit the black guy helped them. There is nothing you can do when people are so willing to vote and act against their interests. I’ve said it before, I just can’t help wanting to see the repeal actually take away their insurance.

One patient at the Mountain Valleys clinic in Bieber, Kay Roope, 64, knew she had Medi-Cal, and she liked it.

“It did me good,” she says.

Now she has a subsidized commercial plan through Covered California with modest premiums and copays, and she likes that, too.

“It’s OK, ’cause I’m at the doctor’s at least once a month,” she says.

But when asked what she thinks of Obamacare overall, she says she doesn’t like it.

“Because of Obama himself,” she says with a laugh. “I rest my case.”

The confusion and the contradictions are common among patients, explains Morris, the enrollment counselor.

“People just don’t understand the different names,” she says. “But of course, it’s the same thing.”

Morris has seen the difference the Affordable Care Act has made for people in the region. She has seen patients get treatment for diabetes and breast cancer, or get knee surgery that they otherwise wouldn’t have gotten.

Those patients won’t fight for Obamacare, Morris says, so that’s why the clinics have to.

Notice how she “laughs” when she says “because of Obama himself” .  Yeah, hawhaw, you sure made that case.  The nervous laugh because she knows that makes no sense, and trying to hide her racism.

www.npr.org/…

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Hillary Clinton Sends Her Healthcare Plan to the Republicans….

Yesterday I posted up how Republicans have moved to attack Hillary Clinton’s plan to work on Obamacare if she had become President….

Well?

She has now made sure to send HER plan off to the GOPer’s via her campaign website….

Maybe they want to use her plan?

The RNC sent out a series of tweets Wednesday targeting Democratic lawmakers, including Clinton, with clips of those lawmakers calling for changes to healthcare, asking them, “Where’s your plan?”

Clinton shot back a few hours after the initial tweet, linking a page to her campaign website.

“Right here. Includes radical provisions like how not to kick 23 [million people] off their coverage. Feel free to run [with] it,” Clinton tweeted in response.

Clinton said throughout her presidential campaign that she would defend ObamaCare, but admitted that changes did have to be made to the plan.

The GOP Twitter account tweeted the message at Clinton along with Sens. Bernie Sanders (I-Vt.), Elizabeth Warren (D-Mass.) and Joe Manchin (D-W.Va.)….

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Senate Republicans push back Healthcare vote…

They don’t have the votes for passage of bill…..

Senate Republicans are tentatively preparing for a vote on repealing Obamacare in approximately two weeks and are highly unlikely to vote next week, according to senators and officials on and off Capitol Hill.

The Congressional Budget Office is reviewing legislative language sent by Senate Majority Leader Mitch McConnell; the Senate parliamentarian must weigh in on controversial proposals; and GOP leaders still have not forged a bill that can get 50 votes. Those factors are likely to push the pivotal roll call closer to the end of July than immediately after the July 4 recess.

“There’s a lot of moving pieces. My sense is the week of the 17th is when we start moving on it,” Sen. Marco Rubio (R-Fla.) said in an interview Thursday morning.

Sen. Pat Toomey (R-Pa.) said on Wednesday evening that such a vote is “several weeks away,” according to the Philadelphia Inquirer…..

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GOPer’s go after Hillary Clinton for wanting to fix Healthcare Law….

Clinton DID offer to FIX problems with the Affordable Healthcare Law….

The Republicans tweeted about that today….

As a negative to help THEM….

When in trouble?

Republicans bring out a Clinton to beat up on , eh?

Clinton’s plan looked very different from what Republicans were proposing then, or what they are trying to do now, because Clinton also recognized the Affordable Care Act’s accomplishments ― which included not just a historic drop in the number of uninsured Americans but also cheaper, stronger coverage for millions whose low incomes or pre-existing medical conditions had made decent insurance impossible to get in the old days.

Instead of ripping the guts out of the Affordable Care Act and reversing that progress, Clinton sought to strengthen the new system ― by, among other things, using government negotiating leverage to bring down prescription drug prices, creating a public insurance option to improve competition and reduce prices, and offering new tax credits to offset out-of-pocket expenses for people with severe medical problems.

The plan was vague on key points, like exactly how the federal government would use its new negotiating authority with drug companies. But it was more detailed than what then-presidential-candidate Donald Trump had put forward and, fully fleshed out, Clinton’s proposal would have represented a substantial commitment of government resources.

When the Committee for a Responsible Federal Budget analyzed Clinton’s health care agenda, as part of a broader examination of her campaign promises, it concluded that the initiative would cost about $250 billion over 10 years ― money Clinton proposed to raise through higher income taxes on the very wealthy.

Clinton’s proposal looked a lot like recommendations that former President Barack Obama made before leaving office…..

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The Republican led Congress has a LOT on its plate….

And is unlikely to get ALL of it done….

Healthcare…..

Tax Reform….

Budget….

Debt Ceiling….

Sanctions…

“Our current Senate calendar shows only 33 potential working days remaining before the end of the fiscal year,” a group of 10 Republican senators wrote on Friday in a letter to Senator Mitch McConnell of Kentucky, the majority leader, highlighting the deadline at the end of September. “This does not appear to give us enough time to adequately address the issues that demand immediate attention.”

The Republican Party is under intense pressure to achieve something of consequence in that limited time in order to legitimately claim that the first year of the Trump administration has been a success. So far, the ambitious agenda has stagnated without a signature achievement. President Trump’s unpredictability has only made matters more complicated.

The first order of business when lawmakers return remains reaching a swift conclusion to the debate over how to repeal and replace the Affordable Care Act, an ambition that has bedeviled Republicans since Mr. Trump entered the White House. The grappling over how to proceed has laid bare deep divisions within the party and stalled progress for the next items on the agenda, a federal budget deal and a tax overhaul. A vote on health care could drag on until mid-July or later depending on when Senate Republicans deliver a new bill to the Congressional Budget Office for scoring.

The straggling health bill has backed up other major priorities, setting the stage for a government shutdown or even a default in the fall if the debt ceiling is not raised in time…..

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Obamacare isn’t collapsing….

But it DOES have issues….

…from AXIOS….

Georgetown’s Sabrina Corlette notes that Friday’s Centers for Medicare and Medicaid Services report on the Affordable Care Act’s reinsurance and risk adjustment programs didn’t exactly portray a market in collapse. In fact, it suggested, in the dry language of the CMS bureaucracy, that the programs to help insurers cover sick people are actually in good shape:

  • The two programs “functioned smoothly for the 2016 benefit year.”
  • The predictability of the risk scores “was noticeably improved.”
  • “Risk scores were stable in the individual market and decreased in the small group market.”

Why it matters: The report isn’t enough to negate the real problems of the ACA market. Insurers have been pulling out and premiums have been increasing, although some of that is influenced by the Trump administration’s hostility to the law. But this is one of the first CMS reports in the new administration that hasn’t tried to emphasize the law’s problems. Instead, it’s a rare “business as usual” report — a change in tone that suggests some in the agency are still just trying to implement the law.

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Some Republican Senator’s engaged voters July 4th….

Most didn’t….

The senators who did appear at Fourth of July events found ways to minimize the risks. Apart from Cruz, all appeared in fairly remote areas; Murkowski and Collins stopped by island towns far from the states’ population centers.

Heller, the only Republican up for reelection next year in a state President Trump lost, made a horseback appearance in Ely, Nev., the largest town in a rural county that gave Trump a 53.5-point landslide. Reporters who made the trek heard something that has become rare: Well-wishers asking a senator to vote for the Republican bill. (Heller opposed the first version but is being lobbied to vote for a revision.)

“Glad I could help them get away from the east coast and to one of the most beautiful parts of NV,” Heller tweeted at reporters after the Ely parade.

In Maine and Alaska, where Republican senators came out loud and early against the bill, residents applauded their lawmakers. Murkowski, who has criticized the Better Care Reconciliation Act for defunding Planned Parenthood and cutting Medicaid, was deluged by health-care questions as she walked a parade in the small town of Wrangell. Kirk Garbisch, 63, thanked her for being “the voice of reason” and slowing down the bill.

“She’s looking at the issues and not just following party lines,” he said. “There have been so few Republicans who can get in some good reason, rather than blindly following.”….

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Governors NOT happy with the push for Medicaid cuts…

They stand to lose hundreds of Billions of dollars…..

The Senate GOP healthcare bill would cut Medicaid spending by $772 billion over the next decade, leaving millions of low-income people uninsured in states where Medicaid was expanded under the Affordable Care Act, commonly known as Obamacare.

The governors from states that took advantage of the Medicaid expansion have worked together in crafting letters, holding teleconferences with reporters and hosting private meetings with members of Congress. Some have called for no repeal, others a more measured approach. Who are they? Here’s a look:

John Kasich
John Kasich ( Mark Wilson / Getty Images)
Ohio Gov. John Kasich (R)

Medicaid expansion: 2014

Ohioans covered since expansion:682,922

Impact:

Expansion has helped increase coverage for those with mental health and substance abuse issues. Nearly a third of the enrollees covered by Medicaid in the state have depression or anxiety disorders, according to an Ohio Department of Medicaid study. The study found nearly a third of Medicaid recipients also had some sort of drug or alcohol dependence. Like many states, Ohio is dealing with an opioid abuse epidemic and some officials, including Kasich, fear cuts to Medicaid will hinder access to drug abuse treatment.

“I believe these are people who need to have coverage,” Kasich said at a recent news conference, alongside Colorado Gov. John Hickenlooper. “If you don’t have a system that does that, then you have a problem.”

Political future:

Throughout the 2016 campaign, he assailed Trump for harsh rhetoric toward, among others, women and Muslims. After Kasich withdrew from the GOP presidential primary, he never endorsed Trump. Many political observers believe that if any Republican challenges the president in 2020, Kasich will be in the best position to do so. He’s term-limited in 2018….

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Single Payer Health Insurance plan gets more and more mentions…

Republicans ARE having a tough time balancing between wants of Conservatives and Moderates Senators n their OWN party concerning Healthcare……

While throwing the entire healthcare insurance program for ALL Americans to the  government is NOT gonna happen any time soon with Republicans in the majority in Congress and owning the White House?

The Single Payer program is being mentioned out loud ……

We still don’t know who will ultimately prevail in the debate over the future of American health care: the Republicans who want to overhaul Obamacare, or the Democrats who want to keep it in place.

But after weeks of debate, there is one clear winner so far: single-payer health care.

No, single-payer isn’t going to happen at the end of this debate — or even the end of this year or this decade, necessarily. But the logical foundations for it are being laid in our political debate just about every single day. And when you pair that with the rising public support for government-run health care, it’s clear in which direction this whole debate is trending.

The most surprising aspect of the current health-care debate, for me, has been how Republicans have essentially given up on making the conservative case for their bills. They aren’t even arguing that the free market would lead to higher-quality care, efficiency and medical advancements, as the GOP of old might have. Instead, they are trying to obscure the reality that their bills would cut Medicaid by hundreds of millions of dollars (versus where funding is currently set) and would increase the number of uninsured Americans by potential 20 million or more.

Part of this is because that’s a losing argument. The reality of entitlement programs and government benefits is that, once they are instituted, it’s very, very difficult to get rid of them or even scale them back. Just look at what happened to the GOP when it suggested privatizing Social Security last decade…..

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