Tag Archives: Healthcare

Donald Trump is throwing shit back to Congress….

He just finished telling the world that he doesn’t like the Iran deal…But won’t scrap it….He want’s Congress to ok and better deal….

He just made two executive moves on the Affordable Healthcare program…Again…Congress CAN do something…(And Trump can go back to watching the Media and play Golf)

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The Republicans who are supposed to be a majority party of Donald Trump the ‘head’ Grand Ole party guy can’t get anything done…So Trump, who has been frustrated by  ‘his’ party not getting anything done?….

Is doing things that are dearing Congress to DO SOMETHING….

And Republicans won’t so far if they have to reach across the aisle and work WITH Democrats….Anytime Trump mentions Democrats?Conservatives and Some Republicans scratch their heads and dig in against anything…Others are NOT happy with this stuff)

Republican’s in Congress made this problem to themselves by NOT allowing Barack Obama any backing on ANYTHING he wanted to do…

Bill Clinton fought Congress tooth and nail, from shutdowns to impeachment. George W. Bush boasted that he was “the decider.” Barack Obama groused that if lawmakers were unwilling to take actions he wanted, he would take up his “pen and phone.

Donald Trump, however, is more than willing to let Congress act. Of all the norms that he has upended in his short tenure as president, Trump’s willingness to pass the buck back to lawmakers is one of the most unexpected, curious, and perhaps salubrious. This impulse was on display in two major moves this week, on health care and the Iran deal, and this week the White House also laid out its principles on a third—how to deal with so-called Dreamers. In each of these cases, the Trump administration seems to be shifting responsibility to Congress so that the president is freed of it, while also hoping or expecting lawmakers will act to preserve the status quo.

In each of these cases, Trump is also taking a power that Obama specifically claimed for the presidency and insisting that Congress take it instead…..



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Rural Hospitals Are Dying and Pregnant Women Are Paying the Price

…from Politico Magazine….

….As Congress debates repealing and replacing the Affordable Care Act, rural hospitals are in a kind of purgatory, unsure about their Medicaid budgets and the private health insurance that sustains them. At least 81 rural hospitals have shut down across the country since 2010, according the North Carolina Rural Health Research and Policy Analysis Center at UNC. The pace of closures has been increasing since the Great Recession, but the current health care policy limbo—which leaves hospitals and insurers unable to predict their income—exacerbates the problem. “The uncertainty is really impinging providers, particularly hospitals, from making the kinds of decisions that might put them on a better footing,” says center director Mark Holmes…..


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Trump meeting with lawmakers of both parties on Dreamers, Healthcare, Tax Reform and More…

His party Conservatives will have to wait outside for now as Donald Trump settles down to play politics to try work out deals for some wins…

It seems to have registede on him that he needs to negotiate with people from BOTH parties …..

President Trump has invited a bipartisan group of moderate House members to the White House on Wednesday to discuss a host of issues, including tax reform, infrastructure and health care, according to a congressional source familiar with the meeting.

The meeting may also include a discussion of the path forward for “DREAMers,” undocumented immigrants who came to the U.S. as children, the source said, asking for anonymity to discuss a meeting that had not been publicly announced. Trump last week canceled former president Obama’s policy of protecting DREAMers from deportation and set a six-month deadline for Congress to pass legislation to preserve their legal status.

As of Tuesday morning, four Republican and eight Democratic House members were confirmed for the meeting, including members of the bipartisan “Problem Solvers” caucus and the centrist Democrat Blue Dog Coalition, according to another congressional source familiar with the meeting.

The meeting appears to be another indication of Trump’s recent willingness to involve Democrats in deal-making. Last week,…


Three Democratic senators joined President Donald Trump for a White House dinner Tuesday aimed at winning their support for an as-yet unreleased tax overhaul bill that would be written by Republican leaders.

Trump’s guests — Joe Manchin of West Virginia, Heidi Heitkamp of North Dakota and Joe Donnelly of Indiana — are the only three Democratic senators who haven’t signed on to a list of conditions for supporting any tax legislation: that it not add to the federal deficit, that it not increase the burden on the middle class and that it go through the regular order process in Congress.

In reaching out to them, Trump is amplifying a White House strategy that seems squarely aimed at Democrats…



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Sen Kamala Harris will join Sanders effort on a single-payer healthcare bill…

She join’s Sen. Cory Booker and others in a doomed effort, under a Republican  majority Congress ,to approve Sanders “Medicare for All”  legislation….

The push has political postives for Democrat going into the 2020 Presidential nomination campaign…

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California Senator Kamala Harris (D) announced during a town hall on Wednesday that she would support Sen. Bernie Sanders‘s (I-Vt.) “Medicare for All” bill, which would institute a single-payer health insurance system.

“I intend to co-sponsor the ‘Medicare for All’ bill because it’s just the right thing to do,” Harris announced Wednesday at a town hall in Oakland.

“It’s not just about what is morally and ethically right, it also makes sense just from a fiscal standpoint,” she said.

The decision to co-sponsor Sanders’s bill is Harris’s first instance of publicly supporting single-payer.

In July, Harris said, “as a concept” she supported single-payer, but that lawmakers still needed to “work out the details.”

Sanders said earlier this week that he was building support for his “Medicare for All” bill.

“You’re seeing more and more movement toward ‘Medicare for All,” Sanders said. “When the people are saying we need healthcare for everyone, as more and more Americans come on board, it will become politically possible.”

The former presidential candidate’s backing for the policy has raised questions about whether he and his supporters might launch primary challenges against Democrats who do not back a single-payer plan.

Sanders on Wednesday tweeted thanking Harris for her announcement as well.

“Thank you Kamala Harris for your support. Let’s make health care a right, not a privilege,” he tweeted….



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Sen. Ted Cruz plan would drop some healthcare rates 77% and hike others 39%….

Healthy ( young) people rates would drop….They won’t need services for years….

Sick (older) people rates would climb….They do need services…..

Makes sense….Right?

Sen. Ted Cruz wants to lower health insurance premiums, and a new independent analysis says it would do that for healthy people — but not for sick people. The report by Avalere, a consulting firm, says premiums for health plans that meet all Affordable Care Act requirements would be 39 percent higher in 2022 than they’d be if the ACA stays in place. But for a second tier of health plans Cruz would allow — which don’t have to meet all ACA requirements — premiums would plunge by 77 percent.

One more thing: 4.1 million fewer people would have health insurance in the individual market, partly because of the rate hikes.

Why it matters: Conservative senators are pushing hard for the Cruz plan, which would let insurers sell health plans that don’t meet all ACA requirements as long as they also sell plans that do. The Avalere report concludes that the plan would make health insurance more expensive for sick people, because healthy people would move to the cheaper plans. A Department of Health and Human Services report predicted lower premiums for everyone, but experts have heavily criticizedits conclusions….


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McConnell will take things to brink on Healthcare Vote…

His aim is to try to force a vote on if the Senate will HAVE a vote…

His brinkmanship is a attempt to make members of his party who are against the repeal of the Healthcare Law stand up and be counted…

His effort may work….(Last time it didn’t)

But if only three Republican Senators feel that they CAN survive a NO vote back home?  (He did NOT have the votes less than 24 hours ago)

There probably won’t be a vote…

The effort to repeal the law remain unpopular with most Americans of BOTH parties…

Trump is standing on the sidelines pleading for a legislative victory for HIMSELF, after he had promised during the campaign that NO ONE would lose their healthcare coverage…

Senate Majority Leader Mitch McConnell (R-Ky.) appears to be blundering into a healthcare vote this week, despite not having a deal on a Senate healthcare bill.

Public struggles aside, McConnell actually does have a plan: pin down fellow Republican senators on their seven-year-old promise to repeal ObamaCare.

McConnell told activists from Tea Party Patriots, FreedomWorks and Americans for Limited Government during a Monday meeting at the Capitol that a key procedural vote will happen Tuesday afternoon.

The motion to proceed needs the backing of 50 senators to pass — assuming Vice President Pence breaks a tie — and it will be close.

Jenny Beth Martin, the co-founder of the grassroots group Tea Party Patriots, said McConnell is pushing very hard on getting members to vote for the motion but did not appear to have it in hand as of Monday afternoon…..


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Barack Obama holds his own….

For eight years Republicans vowed to get rid of the Affordable Healthcare Law they dubbed ‘Obamacare’….(Trump now wants to also)

They haven’t…

President Obama got a deal with Iran to halt their nuclear weapons program…

Trump and some Republicans vowed to get rid of it…

They didn’t….

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Obama worked to strengthen NATO….

Trump said he wanted more money before he stood by the alliance …

He’s hanging in there…

Barack Obama has to be wearing a little smile these days….

Determined to dismantle his predecessor’s legacy, Mr. Trump in the space of a couple of hours this week reluctantly agreed to preserve President Barack Obama’s nuclear deal with Iran and failed in his effort to repeal Mr. Obama’s health care program.

The back-to-back events highlighted the challenge for a career developer whose main goal since taking office six months ago has been to raze what he sees as the poorly constructed edifices he inherited. Mr. Trump has gone a long way toward that objective through executive action, but now faces the reality that Mr. Obama’s most prominent domestic and international accomplishments remain intact.

In neither case has Mr. Trump given up. He instructed his national security team to keep rethinking the approach to Iran with a view toward either revising or scrapping the nuclear agreement. And by the end of the day he was vowing to let Mr. Obama’s health care program collapse.

“We will return!” Mr. Trump tweeted Tuesday morning about the collapse of his health care effort.

Yet there is little appetite among the United States’ partners to revisit the Iran deal, nor is there much eagerness among lawmakers to cancel the existing health care program without a new system to install in its stead.

The latter notion seemed to die almost immediately on Tuesday on Capitol Hill, leaving the president to throw up his hands and say he would simply let Mr. Obama’s program collapse of its own weight. “I’m not going to own it,” he told reporters. “I can tell you the Republicans are not going to own it. We’ll let Obamacare fail, and then the Democrats are going to come to us.”

Nearly every president arrives in office promising a new direction, especially those succeeding someone from the other party. But few, if any, have spent as much of their early months focused on undoing what the last president did rather than promoting their own proactive ideas as Mr. Trump has.

Where the president has succeeded so far in reversing the Obama legacy, it has largely been on issues where he could act on his own authority……



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

And is unlikely to get ALL of it done….


Tax Reform….


Debt Ceiling….


“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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GA-06…Republican Healthcare moves have more support there than the media paints it…

The special election IS TODAY....

The Washington Post’s 

Support for the Republican effort to change the Affordable Healthcare Law…..

While certain parts of it people want to keep?

Most Republicans are ok with changes to the program….

In addition, Republican  HHS head Tom Price was very popular as the House member from the district…

Hohmann writes that the polling stories do not show the situation actually on the ground in the district ….

the polling does not capture the full story. In dozens of interviews on the ground over three days, most Republicans and many independents who have concerns about the House bill stressed that they still detest Obamacare. Their expectations might seem unreasonable to anyone who is closely following the debate or is steeped in the complexities of public policy, but they believe Donald Trump can and should enact a replacement plan that will both reduce their costs and improve their quality of care.

No matter where people fall in the debate, virtually everyone cares deeply about the outcome. The Journal-Constitution survey, conducted the week before last, found that 81 percent of likely voters describe health care as an “extremely” or “very” important “priority” to them, larger than any other issue by far.

One reason a lot of Republicans in the suburbs north of Atlanta are willing to give Trump leeway is Price. After representing the district for 12 years, he is still highly respected by the grassroots. He won reelection by 23 points last November, even as Trump edged out Hillary Clinton by just one point….

— The bottom line: If Handel loses tonight, it will be almost entirely because of moderate unease with Trump and his agenda. The Journal-Constitution poll found that only about one-third of voters in the district approve of the president. Even one in four Republicans give him an unfavorable review….


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Conservative Club for Growth wants to push moderate GOPer’s to approve Trump/Ryancare…

Sounds kinda like a waste of money to me….

Moderate Republicans right now are in their home districts getting an earful from their OWN voters screaming to NOT Repeal their healthcare….

The Club for Growth ain’t gonna supply any votes….

They may threaten with ads to fo after some people…

But moderate GOP lawmakers can hear and read…..

And Repealing Obamacare to make Trump happy isn’t gonna assure them a job next November….

The conservative Club for Growth said Monday that it is targeting 10 moderate House Republicans with a $1 million ad campaign, offering a glimpse into the right’s strategy for pushing through a GOP health-care overhaul.

The ads, set to begin Tuesday, come at the beginning of a two-week congressional recess — and after the latest bid to reconcile warring GOP lawmakers and resurrect the American Health Care Act fell short last week.

But the Club for Growth sees a path to the bill’s passage: convincing more moderate — or less stridently conservative — Republicans to swallow a proposal favored by the House Freedom Caucus that would allow states to seek waivers of several Affordable Care Act insurance mandates. Those mandates form the core of the ACA’s protections allowing Americans with preexisting medical conditions to buy affordable insurance plans, and numerous lawmakers have balked at the request.

The Club for Growth is betting that the bill could find its way to passage if the mandate waivers win over the vast majority of the Freedom Caucus’s roughly three dozen members, and if other House Republicans who had announced plans to vote for an earlier version of the bill don’t withdraw their support as a result….


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Republican lawmakers will return home to growing ‘Resistance’ protests and demonstrations…

In the weeks since Donald Trump lost the vote but won the election grassroots  protests have sprung up around the country against Trump himself and the Republican lawmakers policies on Trump’s No Enter Muslim ban and possible Obamacare cuts…

Republican lawmakers find their email and phone lines jammed with messages and any town hall meeting they have are the scenes of protests that some need police escorts to leave…

The number of organizations participating in these actions has steadily increased…

Most Republican lawmakers are shrugging the movement off….

But if these actions result in increased American’s signing up to vote in next years Midterm elections?

There could be unexpected trouble on the Grand Ole Parties numbers in Congress….

“It’s going to be intense,” said Emily Tisch Sussman, who leads the political arm of the Center for American Progress, a liberal think tank in Washington. “All every group wants to know is how to find out where the town halls are going to be.”

The recess, traditionally a time for lawmakers to take the temperature of their constituents, comes at a surprisingly vulnerable moment for Republicans. They are struggling to gain traction on a legislative agenda despite controlling both congressional chambers and the White House, as the new administration remains mired in controversy over its targeted travel ban and pre-election contact with Russia, among other issues.

While complaints about the health care act — high premiums in particular — helped elect Mr. Trump, polls show it has become more popular as voters realize that repealing it would mean that an estimated 30 million people lose health insurance.

There are few indications at this point that the conservative base of the Republican Party is mobilizing for action on a large scale during the recess. FreedomWorks, the Washington-based libertarian group that in 2009 nurtured Tea Party groups to rally against the legislation that became the health care act, said it was planning a Washington rally next month to let lawmakers know that there remained significant opposition to the Affordable Care Act.

But just as the energy after Mr. Obama’s inauguration seemed to be on the right, this year it seems to be on the left….


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President Trump will NOT get Most of what he’s advertising…

Yea I KNOW he’s gonna just rump over the Republicans and Democrats in Congress is the narrative being sold by Trump & Co……

But you know what?

Talk is cheap….

As the Washington Post piece linked below points out?

President Trump has come out wit SEVERAL things he ‘s gonna do in the last seven days…

Almost ALL of them are going NOWHERE fast…..And may never happen at all…

Many of the sweeping actions President Trump vowed this week through his executive orders and proclamations are unlikely to happen, either because they are impractical, opposed by Congress and members of his Cabinet, or full of legal holes.

The reality — that yawning gap between what Trump says he will do and what he actually can do — underscores his chaotic start, which includes executive actions drafted by close aides rather than experts and without input from the agencies tasked with implementing them.

On a host of issues, from health care to trade to immigration, Trump began his presidency with executive orders intended to both placate and excite his base by keeping his bold campaign promises — in rhetoricif not immediate, tangible results. And the White House says Trump’s executive actions should be viewed as initial moves to enact his agenda…

But the reality is far more complicated. On immigration, for instance, Trump’s call for a border wall paid for by Mexico first has to be funded by Congress. And the possibility that Mexico would pay for the wall — always a long shot — grew even more remote this week after Mexico’s president on Thursday canceled his planned visit to Washington to meet with Trump, citing disagreement over the wall. The White House said that one possible option would be to pay for the project with a border tax on Mexican imports.

On trade, Trump can withdraw from and renegotiate trade agreements, as he promised during the campaign. But there is no guarantee that he will have willing partners with whom to renegotiate better trade deals, and certainly not necessarily with better terms. And change will hardly be instantaneous: Under the terms of the North American Free Trade Agreement, for example, the president or any other leaders must give six months’ notice of his or her intention to withdraw….

One national security executive order he is considering would allow the Central Intelligence Agency to reopen “black site” prisons abroad, as well as reconsider the agency’s now-shuttered enhanced interrogation program. But it does not have buy-in from Defense Secretary James Mattis or CIA Director Mike Pompeo, both of whom privately told lawmakers they were not consulted. Many lawmakers in both parties have also expressed strong opposition to the directive….



And President Trump seems to be ONLY wooried about the THREE Million vote loss to Hillary Clinton and the size of his swearing in crowd being smaller than President Obama’s….

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Sen. Lamar Alexander floats Obamacare transtion plan…Things WILL take time in his plan….

While the Media has been reporting on the Immediate Repeal /Replace notion….

The REALITY is that few Republicans have an actual plan to replace the Affiordable Healthcare Law…

Furthermore ?

A LOT of the existing law IS gonna be left in place…..

Sen. Lamar Alexander (R-TN) has offered up a start in how Republicans would move ahead….His plan (Which may not be THE plan) leaves the program IN TACT for a while, something that WILL be in the final process no matter what some Republicans are saying to media….

…….“If they don’t want to crash the system this is the only way they can proceed, which is very carefully,” said Timothy Jost, a health law specialist at the Washington and Lee who is supportive of Obamacare. “Not following President-elect Trump in trying to replace it in one hour, but rather by taking time to disassemble it, in a very thoughtful and careful basis.’

In his speech, Alexander proposed holding off on full repeal until an alternative has been offered, in likely a piecemeal fashion. In the meantime, he pitched a set of short-term measures that would keep insurers incentivized to stay in the marketplaces while a replacement could be hashed out. Those measures included maintaining certain subsidies to insurers promised by the Affordable Care Act, as well as a continuation of the Obamacare individual marketplaces, but with the option for consumers to use their tax credits on state-approved plans outside of the exchanges.

“These are standard, reasonable ideas,” said Joseph Antos, a health policy scholar at the right-leaning American Enterprise Institute, “which is a sign we’ve seen, not just from Sen. Alexander, but others in the Senate, especially, that they will go along with a repeal bill but as part of that they want to signal very strongly — either with an actual bill or signal very strongly — what will go in a mainstream replace bill.”

Congressional leaders have promised that in theory replacement measures will come after the law is repealed, but they have offered few details about what proposals are on the table or even the timing to expect them. This has prompted a fair number of Republicans to express their discomfort with repealing Obamacare without a replacement ready. Alexander has taken the next step of elaborating on his ideas for going from the ACA through a transition period and ultimately into a replacement….



While the Republicans cand and will repeal the Healthcare Law….

Any replacement will need Democratic support in the Senate….

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Democrats will begin pushing back by taking Trump & Co. To court if need be….

Echoing a tactic sussecfully used by Republicans to stop numerious President Obama actions….

Democrat’s….Led by State Attorney General’s around the country, will seek to use the courts to thwart moves to curtail advances by Republicans in Congress and the White House on several policy issues including immigration, healthcare and climate change….

In addition, Democrats , again like Republicans , will work to pass state legilation to counter holes left by moves by Republicans on the Fedewral level….

One attorney general, Eric T. Schneiderman, is already investigating Donald J. Trump over possible violations of New York State law at his charity foundation.

Another, Maura Healey of Massachusetts, has joined Mr. Schneiderman in an investigation into whether Exxon Mobil — whose chief executive, Rex W. Tillerson, is Mr. Trump’s choice for secretary of state — lied to investors and the public about the threat of climate change.

Ms. Healey also has a new fund-raising pitch: “I won’t hesitate to take Donald Trump to court if he carries out his unconstitutional campaign promises,” she recently wrote to supporters.

A third, Representative Xavier Becerra, who was chosen this month to become California’s attorney general, has dared the Trump administration to “come at us” over issues including immigration, climate change and health care.


As Democrats steel themselves for the day next month when the White House door will slam on their backs, some of the country’s more liberal state attorneys general have vowed to use their power to check and balance Mr. Trump’s Washington.

If the Trump administration withdraws from environmental, antitrust or financial regulations, the attorneys general say they will plug regulatory holes that may gape wide open, deploying state laws like New York’s Martin Act, which allows the state attorney general to pursue wide-ranging investigations on Wall Street.

They have pledged to defend undocumented immigrants, and to combat hate crimes that many believe were unleashed by Mr. Trump’s polarizing campaign.

And if Mr. Trump’s policies veer toward the unconstitutional, several of the 10 current and incoming Democratic attorneys general interviewed recently said they would apply a remedy favored by Mr. Trump himself: a lawsuit…..



How ironic that Democarst are now turning to ‘states rights’ policies  and the courts  that where used against them in the last eight years…..

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Trump will NOT repeal Obamacare….

Anyone who REALLY knows how these work could have told you this….

The program on the WHOLE IS a SUCESS….

The Republicans have used  it  as POLITCAL whipping stick successfully 

But it has cut the uninsured rate in America down ….

It has cut healthcare costs….

And it IS being used by a LOT of Republcan Governors….

The Healthcare Insurance companies are NOT gonna want another wholesale change in things….


The program needs a fix and THAT will be done , and Democrats will go along…..


Hillary Clintion would have also done the same….

President-elect Donald Trump said that, after conferring with President Barack Obama, he would consider leaving in place certain parts of the Affordable Care Act, an indication of possible compromise after a campaign in which he pledged repeatedly to repeal the 2010 health law.

In his first interview since his election earlier this week, Mr. Trump said one priority was moving “quickly” on the president’s signature health initiative, which he argued has become so unworkable and expensive that “you can’t use it.”

Yet, Mr. Trump also showed a willingness to preserve at least two provisions of the health law after the president asked him to reconsider repealing it during their meeting at the White House on Thursday

Mr. Trump said he favors keeping the prohibition against insurers denying coverage because of patients’ existing conditions, and a provision that allows parents to provide years of additional coverage for children on their insurance policies.

“I like those very much,” Mr. Trump said in the interview….


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Trump Can’t just call Congress together to repeal the Healthcare Program…

...from Washington Post.….

— Trump really has no idea how government actually works cont.:He vowed yesterday to call a special session of Congress to repeal and replace Obamacare as soon as he’s elected. Outside Philadelphia, he said: “I will ask Congress to convene a special session so we can repeal and replace,” he said. “We will do it and we will do it very, very quickly.” The Los Angeles Times notes the Constitution gives the president the authority “on extraordinary occasions, to convene both houses or either of them.” But the last one was nearly 70 years ago. Not to mention, if Trump won, Congress would come into session anyway! Asked about his plan by a pool reporter, Trump said he has not reached out to Congress yet, adding: “We will very soon.”

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