Tag Archives: The Politics of Healthcare Insurance

The Senate is in No Rush on their Obamacare rewrite bill….

Meaning that the Affordable Healthcare Law will continue in effect and the political ‘hot potato’ will be left on the side for a long while…

The Senate GOP’s progress on Obamacare repeal has been hard to decipher so far, with lots of public assurances that negotiations are continuing but few tangible results.

The process, which Republicans claim began even before the House passed its repeal bill, has been notable for what it’s been missing. It’s unclear, publicly at least, who is leading the effort, the direction they’re taking and whether there’s even agreement on how far the Senate will stray from the deeply unpopular House proposal, which guts Medicaid while scaling back the Affordable Care Act’s widely-liked consumer protections.

The Senate GOP’s 13-member working group initially unveiled to iron out an approach that could bring 51 votes was quickly met with ugly headlines about the lack of women, while rival groups have popped up among the members left out of the original task force. GOP leaders have since stressed that all Republicans are invited to participate in the talks, which happen twice or thrice weekly in Capitol, behind closed doors.

In the meantime, trial balloon after trial balloon has been floated with anonymous leaks, only to be immediately popped by other Republicans, who sometimes are only hearing of alleged proposals directly from the press….

While GOP Senators swear their not adhering to any specific timetable, some deadlines do in fact exist. To stay on track to pass both Obamacare repeal and tax cut legislation this year, the Senate will likely need to wrap up their health care talks this summer. More pressing, however, is insurers’ filing deadlines for their 2018 plans. Insurers would like to see more certainty on what the marketplace will look like, including what will happen to key ACA subsidies Republicans have previously attacked….

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Trump budget plan would be to cut Medicaid and give the program to the states…

According to the Washington Post Trump ‘s budget proposal for the 2018 budget will look for deep cuts to the Medicaid program….

There is virtually NO Chance such cuts amounting to up to $800 Billion will make it thru the Senate version of the budget that they are working on…

But Trump’s push is in line with the House Repeal language….

Medicaid cuts don’t sit well even with Republicans governors and some Red state lawmakers who actually want to expand the program….

“President Trump’s first major budget proposal on Tuesday will include massive cuts to Medicaid and call for changes to anti-poverty programs that would give states new power to limit a range of benefits… despite growing unease in Congress about cutting the safety net,” the Washington Post reports.

“For Medicaid, the state-federal program that provides health care to low-income Americans, Trump’s budget plan would follow through on a bill passed by House Republicans to cut more than $800 billion over 10 years. The Congressional Budget Office has estimated that this could cut off Medicaid benefits for about 10 million people over the next decade.”

“The White House also will call for giving states more flexibility to impose work requirements for people in different kinds of anti-poverty programs, people familiar with the budget plan said, potentially leading to a flood of changes in states led by conservative governors.”

Politicalwire….

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The Senate is working on EXPANDING Medicaid…And NOT Following the House…

While House Republicans passing up a bill that will go nowhere with it’s cuts and ‘Repeal’ tag attached to Obamacare….

The Senate is working to ADJUST the Affordable Healthcare Law….

They have got the message from American’s who do NOT want the Houses’s drastic cuts to their healthcare coverage…

Senate negotiators, meeting stiff resistance to the House’s plans to sharply reduce the scope and reach of Medicaid, are discussing a compromise that would maintain the program’s expansion under the Affordable Care Act but subject that larger version of Medicaid to new spending limits.

With 62 senators, including 20 Republicans, coming from states that have expanded Medicaid under the Affordable Care Act, the House’s American Health Care Act almost certainly cannot pass the Senate. The House bill could leave millions of Medicaid beneficiaries without health coverage, but in a House debate focused more on pre-existing medical conditions and tax cuts, the sweeping Medicaid changes received little attention.

Those changes would, for the first time, put Medicaid on a budget, limiting federal payments to states for care provided to tens of millions of low-income people — not just those who gained Medicaid coverage as a result of the Affordable Care Act, but also children, people with disabilities and nursing home residents who have been eligible for decades under the law that created Medicaid in 1965. The House bill would cut expected Medicaid spending by more than $800 billion over 10 years, according to the most recent estimate from the Congressional Budget Office.

A bill to repeal the Affordable Care Act has been “leveraged, by a sleight of hand, into reform of the entire Medicaid program,” said Greg Moody, director of the Office of Health Transformation in Ohio, run by the state’s Republican governor, John R. Kasich.

States could face tough choices because Medicaid spending per beneficiary is expected to increase faster than the limits in the House bill, according to the Congressional Budget Office and an independent commission that advises Congress on Medicaid policy. State governments could cut services, limit beneficiaries or take on more of the funding responsibility.

“We have a hard time seeing this as anything more than a budget fix for the federal government,” said Leslie M. Clement, director of health policy and analytics at the Oregon Health Authority, which runs the state Medicaid program. “It’s a cost shift to Oregon and other states.”

As senators begin what is likely to be weeks of negotiations, Republican leaders have made it clear that the legislation that ultimately emerges will look very different from the bill that narrowly cleared the House….

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Senator Ted Cruz is working on the Senate GOP Healthcare write-up…

A lot of people do NOT know this…

The question is?

Which Ted Cruz is doing this?

Could  he dial down some of right-thinking to get a Senate Bill that has a chance of getting enough votes for passage?..

Texas Senator Ted Cruz has developed a reputation as a firebrand. Cruz has made refusal to compromise a trademark of his career in Congress and has often had strong words for fellow Republicans who disagreed with him on strategy. Now a new behind-the-scenes report by the Wall Street Journal reports that Cruz may be turning over a new leaf.

The Journal reports that Cruz began working quietly with moderate Republicans to find a consensus on health care reform that has a realistic chance of becoming law. Cruz was instrumental in forming a working group of 13 Senators that had its origin in a February steak dinner with Sen. Lamar Alexander (R-Tenn.). The group includes Republicans concerned about the effect of an outright repeal of Obamacare’s Medicaid expansion and pre-existing conditions rules such as Rob Portman (R-Ohio), Tom Cotton (R-Ark.), Cory Gardner (R-Col.) and Mike Lee (R-Utah). Cruz has reportedly been working with House Freedom Caucus Chairman Mike Meadows (R-N.C.) for the past month.

Senators on both sides of the aisle expressed surprise at Cruz’s new strategy. “It’s a ‘you live long enough, anything can happen’ moment,” said Lindsey Graham (R-S.C.).

“It would be a first for Sen. Cruz,” noted Chris Murphy (D-Conn.)….

More @ Erick Erickerson’s Resurgent….

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Trump/Ryancare House Bill has only 21% support among Americans…Poll

And the Republican House lawmakers that voted to pass it have been taking political beatdown’s ever since they cast their votes….

The support for the current healthcare bill continues to rise and a majority of Americans DO NOT like how Trump is handling the healthcare insurance issue…

The Republicans are driving this issue AGAINST THEMSELVES...

Only 21 percent of American voters approve of the Republican health care plan passed by the U.S. House of Representatives last week, a slight improvement over the 17 percent who approved of the first health care plan in March, according to a Quinnipiac University national poll released today. Overall, the current health plan goes down 56 – 21 percent.

Except for an anemic 48 – 16 percent support among Republicans, every listed party, gender, educational, age and racial group opposes the plan, the independent Quinnipiac (KWIN- uh-pe-ack) University Poll finds.

Under the new plan, their health insurance costs will go up, 42 percent of voters say, while 11 percent say they will go down and 37 percent say insurance costs will stay the same.

American voters approve 64 – 32 percent of the current law which prevents health insurance companies from raising premiums on people with pre-existing conditions.

Voters say 75 – 21 percent, including 59 – 34 percent among Republicans, that it’s a “bad idea” to give states the ability to allow health insurance companies to raise rates on people with pre-existing conditions.

A total of 96 percent of voters say it’s “very important” or “somewhat important” that health insurance be affordable for all Americans.

American voters disapprove 66 – 28 percent of the way President Donald Trump is handling health care….

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Was the healthcare repeal vote just about a tax cut for the rich?

A focus on what would happen if the House  and Senate give Trump and Paul Ryan a healthcare bill repeal….

A LOT of people WOULD be cut out of healthcare insurance while rich people would pay less for it….

….EILEEN Z. FUENTES @ The NY Daily News…

While President Trump celebrated with GOP lawmakers at the White House after the House passed the Republican-backed health care bill, I could not help but feel a profound sense of disgust, anxiety and anger.

Here were a bunch of mostly men who have access to the best health care in the world reveling and rejoicing at the fact they were one step closer to denying that very same access to millions of people. If the American Health Care Act, aka Trumpcare, is enacted, the death, despair and decimation that will result are almost incalculable.

For me this is more than academic. At 34 years old, I was diagnosed with triple negative breast cancer, which is considered to be one of the most aggressive forms of breast cancer. There I was a mother of three very young girls having to cope with this most devastating diagnosis. Complications ensued and there was a close call with the hereafter when doctors found a blood clot in my heart.

Thankfully, this year I will be celebrating 9 years cancer-free. I am also fortunate enough to have private insurance provided by my employer. It was that arduous cancer journey that led me to dedicate my life to helping other women battling the scourge of cancer. As a patient navigator at the Columbia University Medical Center I am on the frontlines everyday helping to navigate the care of breast and gynecologic oncology patients. It is not a job — it is a calling.

It is also not easy. This bill will make it impossible. I do the Lord’s work in the proud and working class community of Washington Heights, which has the highest concentration of immigrants in all of New York City. This tax cut for the rich disguised as a health care bill will wreak utter destruction on this community, especially those battling with cancer and other grave illnesses. Not only do they have the burden of a chronic, potentially life-threatening disease, they also struggle with being priced out of their neighborhood due to gentrification and accessing the already limited resources as a result of it.

Since Election Day, there has been a massive spike in anxious phone calls from my patients and their caregivers. They watch the news non-stop in fear that their cancer treatment will be halted midway because Donald Trump and Paul Ryan have made the repealing and replacing of Obamacare their number one priority…..

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Note….

This Dog believes the vote was about making Donald Trump happy he could at least get a vote ON the campaign promise…

That’s ALL….

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Listing of how many will lose their Healthcare coverage by GOP Repeal House vote…

These GOP House members just voted to put a BIG Political BULLS EYE on their backs…

…from TPM….

It was a big day yesterday. Against the expectations of many, House Republicans were able to come back from a demoralizing defeat in March and pass a slightly revised version of their “American Health Care Act.” That is to say, repeal Obamcare and replace it with Trumpcare. After passing it with 217 votes, they partied, bigly.  Here’s a collection of photographs of the good times, annotated with the number of people who will lose their health care coverage in each representative’s district.

Click the “read more” link to see the full story where the photos are large enough to easily read the annotations.

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Cook Report changes 20 House race ratings after Healthcare Repeal law vote…

In the House districts that Republicans hold, but voted for Hillary Clinton?

The Healthcare vote as has been mentioned could hurt those Republicans 18 months from now in the 2018 Midterm elections…

The Healthcare plan has only become MORE popular with every mention of it being repealed…

The vote yesterday will probably boost it’s polling numbers…

Senate members have indicated they are in NO hurry on this….And their repeal bill will most probably be a LOT different than the House’s forcing the issue to come back against House members again (in the summer or fall) , who didn’t even see what they where voting on…

Already some are expressing misgivings about what they voted on…

They should be…

Democrats are already raising money and setting protest’s in motion against them…

Republicans’ 217-213 passage of the American Health Care Act on Thursday guarantees Democrats will have at least one major on-the-record vote to exploit in the next elections. Although it’s the first of potentially many explosive votes, House Republicans’ willingness to spend political capital on a proposal that garnered the support of just 17 percent of the public in a March Quinnipiac poll is consistent with past scenarios that have generated a midterm wave.

Not only did dozens of Republicans in marginal districts just hitch their names to an unpopular piece of legislation, Democrats just received another valuable candidate recruitment tool. In fact, Democrats aren’t so much recruiting candidates as they are overwhelmed by a deluge of eager newcomers, including doctors and veterans in traditionally red seats who have no political record for the GOP to attack – almost a mirror image of 2010.

Of the 23 Republicans sitting in districts won by Hillary Clinton in 2016, 14 voted for the repeal and replace measure. For these Republicans, time is still on their side and healthcare reform can’t be disposed of soon enough. There are still 18 months before the 2018 election, whereas House Democrats eked out final passage of the ACA less than eight months before the 2010 midterms. These Republicans can’t afford a year-long Senate slog….

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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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The Republican embrace of Obamacare….

One of the best things about the program seems to be the SERIOUS Trump/Ryan efforts to Repeal it….

As the spot light turned on the idea that the program used by tens of millions of Americans COULD go away?

People went to the streets, the media went on high alert and those on the right across the country who voted FOR Donald Trump went to town hall meeting and told their lawmakers NOT to cancel their healthcare coverage….

All of this has united different groups of Americans to move the approval numbers in the polls to a slim Majority of Americans AGAINST a Repeal and a growing number of their lawmakers and Governors looking to keep most the Affordable Healthcare program in tact….

The politics of Obamacare have changed….

The House’s debate over repealing ObamaCare has had an unintended effect: Republicans are now defending key elements of President Obama’s health law.

Many House Republicans are now defending ObamaCare’s protections for people with pre-existing conditions, in the face of an effort by the conservative House Freedom Caucus to repeal them.

Some Republican lawmakers are also speaking out in favor of ObamaCare’s expansion of Medicaid and its mandates that insurance plans cover services like mental health and prescription drugs.

Rep. Patrick McHenry (R-N.C.), the GOP’s chief deputy whip, said Wednesday that Freedom Caucus calls for states to be able to apply for waivers to repeal pre-existing condition protections are “a bridge too far for our members.”

Those ObamaCare protections include what is known as community rating, which prevents insurers from charging higher premiums to people with pre-existing conditions, and guaranteed issue, which prevents insurers from outright denying coverage to them.

McHenry spoke in personal terms about the importance of keeping in place those Affordable Care Act (ACA) provisions, contained in Title I of the law.

“If you look at the key provisions of Title I, it affects a cross section of our conference based off of their experience and the stories they know from their constituents and their understanding of policy,” McHenry said.

“My family history is really bad and so my understanding of the impact of insurance regs are real and I believe I’m a conservative, so I look at this, understand the impact of regulation, but also the impact of really bad practices in the insurance marketplace prior to the ACA passing,” he continued. “There are a lot of provisions that I’ve campaigned on for four election cycles that are part of the law now that I want to preserve.”……

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Trump and Ryan could lose Trumpcare battle—and still destroy Obamacare

 By Egberto Willies   @  Daily Kos

The Trumpcare bill, which seeks to replace the Affordable Care Act, seems to be hanging by a thread. Public opinion polls now show Obamacare above water and Trumpcare under water. Gambling types would surely bet that the bill—in just about every form—will fail. But that would be nothing more than a short-term gain, and it is important that progressives understand that—right now.

Rejoicing in this likely upcoming win is a fool’s errand. Why? Because for many Americans, specifically those who are not on Medicaid, Obamacare is a financial strain. I am self-employed, and I’m paying about $1,200 a month with a family deductible of $12,000. My plan is an HMO. But in past years a program like this would be considered a “catastrophic” plan. I would have to spend $26,400 before the insurance kicks in. To be fair, the doctor fees are an affordable $40.00 to $100.00, and labs and medicine are discounted.

I understand these costs intellectually, in the context of the corrupt health care system that we have. I understand that the drug companies, the hospitals, and the insurance companies are businesses with shareholders. They all want to show growth, regardless of whether they provide more value or services. That growth consists of an unwarranted increase in health care costs across the board.

University of Houston professor Seth Chandler wrote a piece titled “Republican Stalemate Will Test Whether Obamacare Is Indeed Collapsing” that pointed out a reality about Obamacare. He predicts that we are headed for a stalemate—and progressives should not consider that a win….

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Trump moves embrace MORE House cuts in Healthcare…Trump/Ryancare Update 3/1017

As the effort mounts to get the Trump/Ryancare thru the US House by moving away from Donald Trump’s views to the Ryan views?

The proposed plan moves to the right, which will make the bill harder to get approved in the US Senate….

With THAT?

The thinking is that Trump may be seeting the stage for Trump to blame the Democrats for a failure to get a Repeal done….

President Trump, after a halting start, is now marshaling the full power of his office to win over holdout conservatives and waffling senators to support the House Republicans’ replacement for the Affordable Care Act.

There are East Room meetings, evening dinners and sumptuous lunches — even a White House bowling soiree. Mr. Trump is deploying the salesman tactics he sharpened over several decades in New York real estate. His pitch: He is fully behind the bill to scotch President Barack Obama’s signature domestic achievement, but he is open to negotiations on the details.

In so doing, Mr. Trump is plunging personally into his first major legislative fight, getting behind a bill that has been denounced by many health care providers and scorned by his base on the right. If it fails, Mr. Trump will find it difficult not to shoulder some of the blame.

“He understands the power he has as president to drive the legislative process,” said Representative Patrick T. McHenry, Republican of North Carolina and a top House vote counter, who was part of a meeting with Mr. Trump in the East Room on Tuesday….

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The White House is privately lining up behind conservative calls to roll back Obamacare’s Medicaid expansion sooner than the health care reform bill currently calls for, two senior administration officials and a senior House conservative aide told CNN on Thursday.

Nobody wants their name on the Republican health care bill
Nobody wants their name on the Republican health care bill
White House officials are beginning to urge House GOP leadership to include an earlier sunset of the Medicaid expansion funds authorized under Obamacare than the 2020 date set by the current bill. The change comes just days after the bill was unveiled and follows a blitz of activism aimed squarely at the White House and President Donald Trump, who has met with conservative leaders in recent days.

Such a move, however, could blow up the already fragile efforts to repeal the Affordable Care Act.

Ending the Medicaid expansion sooner could complicate prospects for the bill in the Senate. And it would likely infuriate Republican governors in states that accepted federal funds for the expansion, who face the prospect of many people losing coverage they gained under Obamacare….

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Most American’s want to KEEP Obamacare…Poll

Against these feelings House Republicans and Trump are trying to force a vote of a Repeal/Replace bill that lackas support from Democrats  AND Conservative Republicans…

A national Monmouth University Poll conducted right before Congressional Republicans unveiled their health care plan this week found that 1-in-3 Americans believe any such reform would drive up their costs compared with 1-in-5 who anticipate their costs going down. Most Americans prefer to keep the Affordable Care Act in place with improvements, while still retaining the ACA’s individual mandate. The bottom line for most Americans will be how any changes to the ACA will impact their own health care costs.

Before House Republicans revealed their new health care legislation, most Americans (51%) said they would prefer to keep the Affordable Care Act and work to improve it, with another 7% saying they want to keep the ACA entirely intact. Just 4-in-10 want to see the ACA repealed, either with a replacement put in place (31%) or repealed entirely without a replacement (8%). The poll finds majority support for retaining the ACA regardless of how individuals get health care coverage – such as through an employer (57% prefer to keep the law), a privately purchased plan (55%), or publicly funded coverage (63%).

There may be a pitched battle over the Republican plan since it is not clear how similar or different it may be from the ACA. Two-thirds (66%) of those who want to repeal Barack Obama’s signature policy say it is very important to them that Congress follow through on this GOP promise. On the other hand, a similar 60% of those who want to keep the law say it is very important to them that the ACA remains basically intact.

Before details of the GOP plan emerged, one-third (33%) of the public suspected that a repeal and replace effort would cause their own health care costs to go up, 20% expected their costs would go down, and 38% expected no change to their costs…..

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Republicans now want to REPAIR Obamacare….

I Told Ya So…..

(This comes out while the Media  is focused on the Supreme Court and the Ban, eh?)

Now that the Affordable Healthcare Law is the Republicans baby?

Things have shifted….

I have pointed out here Over and OVER that REPEALING the Law that is ingrained in all 50 states and effects tens of millions Americans with a Midterm election coming in LESS than two years with a President that does NOT want ANYBODY losing coverage is just TOO HARD to just kill and walk away from….

Even President Obama admitted that the law needed fixes….

But the Republicans wouldn’t allow that….

Now that THEY are in power?

It’s ok…..

People faced with the loss of their coverage had all the sudden changed their tunes…

Republicans Governors don’t want to lose the hundreds of millions of dollars in their budgets….

Insurance companies STILL want federal money to prop up the coverage for poorer people…

And Republican Congress men and women are getting people’ up in their grill’ about the prospect of losing their insurance…

Sure there are gonna be things in the law that are gonna be cut….

But the basic program is gonna be around….

The Republicans will probably give it a different name though….

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

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

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

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

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Oh, and the Republicans KNOW that they will need Democratic votes to do the ‘REPAIRS’ to the Law….

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Trump wants Repal/Replace Now…Do Republicans have the votes?

For the past few days the Republicans in Congress have been going back and forth about a time table for getting rid of the Affrdable Healthcare Laaw know as Obamacare….

Donald Trump just threw a wrench in things….

He wants his adopted party to tackle the issue ‘very quickly’….

(His spokesperson had said the Republicans would NOT change things until 2019…And Trump has stood by a pledge to NOT change Socila Security and Medicare)

Hmmmm?

Republicans on Capitol Hill are in disarray about how to repeal Obamacare and President-elect Donald Trump’s call on Tuesday to enact a replacement “very quickly” did nothing to clear up the turmoil.

Trump told The New York Times that he wants a repeal to happen within days and “the replace will be very quickly or simultaneously, very shortly thereafter.”

The statement took lawmakers on Capitol Hill by surprise. Many had hoped Trump would weigh in. But while he made his intentions clearer, his comments didn’t exactly offer a roadmap. Some even scoffed at the notion that repeal and replace could technically happen that soon, given the procedural and policy hurdles.

“That would be pretty fast. It’s possible,” said Senate Finance Chairman Orrin Hatch. “I don’t know that it will happen, but it could.”

The compressed timeline flies in the face of what Republicans had planned: a relatively quick vote on a budget, a fairly quick turn to repealing crucial parts of Obamacare and then, by year’s end, passage of a replacement plan.

But groups of GOP lawmakers began raising concerns — about a budget that doesn’t balance, the length of the transition period and the risk of not having a replacement ready for the 20 million people now covered under the Affordable Care Act.

Replacement is trickier: Republicans have to agree on a detailed plan, not just a set of market-oriented concepts. And they have to bring at least eight Senate Democrats on board. Failure to move ahead could leave the health system in unsustainable limbo…..

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The Democrats are watching this whole unfold….

Knowing that somewhere along the line Republicans will need Democratic help to legislate a replacement for the Healthcare Law without putting tens of millions of Americans out of health insurance and wrecking just about every state’s budget by changing Medicaid payments….Oh, and upending the countrues Insurance industry….

“There’s a little bit of onus on the president-elect,” Schumer told reporters on Capitol Hill. “What’s his replacement plan? He doesn’t seem to have one either, so it’s sort of a little like Abbott and Costello. Each of them says, ‘We must repeal and replace’ and then says, ‘You come up with the plan,’” Schumer said, pointing two fingers in opposite directions for effect.

On Monday, half a dozen Republican senators called for slowing down the repeal process. Five of them proposed an amendment that would give committees until March 3 to come up with recommendations for repeal legislation, pushing back the original, nonbinding Jan. 27 deadline. Schumer laughed at the idea that Democrats would support such an amendment even if it meant every stage of the repeal process would be delayed by roughly one month.

“The Republicans have created this stew that they’re in,” Schumer said. “They can debate among themselves but they have to be united on a plan. We’re not going to get into these internecine fights, that’s their business.”….

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Republican Governors want no cuts to Obamacare Medicaid program…

Some Republican Governors are joining several Republican Senator’s and the Democrats , in calling for NO across the board cuts in the Affordable Healthcare Program, aka Obamacare,until there is some idea on what will be put in place….

 And one CAN assume that parts of the original program that ARE actually successful will be left in tact, but relabeled to the GOPer’s likings.?…

The goal of repealing of Obamacare is begiing to bled into a a very complex political promise the Republicans are gonna suffer thru….

Cuts propsed could have a severe economic impact on state’s across the country less than 2 years before the 2018 Midterm elections….

Congressional Republicans knew their push for an immediate repeal of the Affordable Care Act would draw howls of protest from Democrats. But they are now hearing warnings from elected officials who may be harder for them to ignore: Republican governors.

In the last week, GOP Governors John Kasich of Ohio and Rick Snyder of Michigan have raised concerns about the impact a full repeal of the health law would have on their states, which rely on billions of dollars in additional federal funding to cover an expansion of Medicaid they carried out as part of Obamacare. Kasich in particular questioned the plans by Republican leaders in Congress to scrap the law without immediately replacing it.

“It’s a serious matter,” Kasich told reporters in Ohio last week. “Our hospitals needed Medicaid expansion. It has worked very well in this state.” The former GOP presidential candidate noted that about 700,000 Ohioans had secured coverage under the law, many of whom, he said, have serious health problems. “There’s room for improvement, but to repeal and not to replace, I just want to know what’s going to happen to all these people who find themselves left out in the cold,” Kasich said.

Snyder similarly touted Michigan’s embrace of the Medicaid expansion, which has covered 642,000 people in the state, as well as other elements of the ACA that the state has incorporated. “I think it’s important that as they look at the Affordable Care Act … I hope they carefully look at the success we’ve had in Michigan, because we didn’t just do Medicaid expansion,” Snyder told The Detroit News.

The governors’ comments underscore a dynamic that has long been obscured by the polarizing debate over the Affordable Care Act in Washington. While opposition to the law is nearly unanimous among Republicans in Congress, the politics of health care are far more complicated in the states….

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Note….

North Carolina’s new Democratic Governor just announced plans to add a half million of his states residents to the Medicaid rolls…

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