D-Day for ‘Obamacare’ repeal aka Trumpcare bill in the House

It is decision day (D-Day) in the House.

The radical far-right GOP House Freedom Caucus is making eleventh-hour demands for more draconian measures to the GOP’s “Obamacare” repeal bill aka “Trumpcare 2.0” (soon to be 3.0?) ahead of the vote scheduled for today, only because it is the anniversary of President Obama signing the Affordable Care Act into law. The post-policy nihilists of the GOP only do propaganda, not policy.

The New York Times reports, Key to Health Vote, Hard-Line Conservatives Push New Cuts:

Hard-line conservatives in the House will meet Thursday morning with President Trump to hammer out changes to the House bill to repeal the Affordable Care Act, pressing to eliminate federal requirements that health insurance plans provide a basic set of benefits like maternity care, emergency services and wellness visits.

What the Freedom Caucus wants in the GOP health-care bill, and why it’s not getting it:

The Congressional Budget and Impoundment Control Act of 1974 dictates that not just anything can be passed by the “reconciliation” process; matters that are “extraneous” to the budgetary nature of the bill are excluded.

House leaders, including Speaker Paul D. Ryan (R-Wis.), are insisting that any provisions rolling back the ACA’s essential health benefits are indeed extraneous. And not only are they extraneous, Ryan argued Wednesday, but if the House adds them to the bill, the Senate couldn’t just strip them out — it could no longer consider it as a privileged reconciliation bill needing only a simple, Republican majority to pass.

Translation: the Senate cloture rule requiring 60 votes to end debate and advance to a vote on the bill will apply, and Democrats could comfortably filibuster this bill in the Senate.

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Rep. Martha McSally will vote to take health care away from thousands of her constituents

As I pointed out earlier this year to the folks at “McSally Take A Stand,” It turns out that Martha McSally does stand for somethin’: Trumpism.

The Five Thirty Eight Vote Tracker still shows our “mythical moderate” Congresswoman (a myth created by our local media) voting 100% with the destructive positions of “The Donald.”

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McSally has now declared her support for the “Trumpcare 2.0” bill to be voted on Thursday, which will take health care insurance away from thousands of her constituents. Hopefully they vote and will return the favor in November 2018.

The Arizona Republic reports, Martha McSally signals support for ‘Obamacare’ repeal bill; Trent Franks doesn’t:

U.S. Rep. Martha McSally signaled support for the revised Republican health care bill Monday, but the plan’s passage remained uncertain as it headed toward a key vote Thursday in the House or Representatives.

In a statement Monday night, McSally, a two-term Arizona Republican, said the bill backed by House Speaker Paul Ryan “is not perfect and I still have concerns,” but she indicated she was working to strengthen that plan.

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‘Trumpcare’ bill was DOA in Congress, so a desperate attempt at ‘Trumpcare 2.0’

Tea-Publicans in Congress want to hold a vote on their “Obamacare” repeal bill aka “Trumpcare” on Thursday for one reason, and one reason only: it is the seventh anniversary of President Obama signing the Affordable Care Act (ACA) into law. The post-policy nihilism of the GOP is all about empty symbolism and marketing to the conservative media entertainment complex for them.

Just one problem: Tea-Publicans do not have the votes to pass their own bill among their own members in Congress. The radical House Freedom Caucus demands nothing less than a straight-up repeal of the entirety of the ACA (something these lunatics apparently do not realize cannot be done under the budget reconciliation process, which this bill is proceeding under). Concessions to these far-right radicals will lose the mythical moderate Republicans who have the ACA’s expanded Medicaid in their states and who are afraid of voters turning on them for taking away their health care (looking at you Rep. Martha McSally).

The so-called American Health Care Act aka “Trumpcare” bill drafted by the GOP’s alleged boy genius, “the zombie-eyed granny starver from the sate of Wisconsin” and Ayn Rand fanboy Paul Ryan, is dead on arrival (DOA) in Congress. He does not have the votes and he desperately wants to avoid a defeat on Thursday which would demonstrate just how weak a Speaker of the House he is.

So boy genius last night rolled out “Trumpcare 2.0” to try to sway enough GOP members of Congress to go along in the House to avoid an embarrassing defeat. (This new version is no more likely to pass the Senate than the original bill). It is all about saving face, the one thing that really matters to boy genius.

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CBO scores GOP ‘Obamacare’ repeal: 24 million would lose health care insurance (updated)

Just as anyone with even a rudimentary knowledge of health care policy had predicted, the Congressional Budget Office (CBO) today scored the GOP “Obamacare repeal” bill aka Ryancare Trumpcare, and finds that the Obamacare revision would reduce insured numbers by 24 million:

House Speaker Paul D. Ryan’s proposal to revise the Affordable Care Act would lower the number of Americans with health insurance by 24 million while reducing the federal deficit by $337 billion by 2026*, congressional budget analysts said Monday.

[This is dynamic scoring required by the Budget and Accounting Transparency Act of 2014 to make long-term budgetary effects appear better. See Paul Krugman on dynamic scoring, Selective Voodoo.]

UPDATE: The way the bill achieves the 10% lower average premiums has little to do with increased choice and competition. It depends on penalizing older patients and rewarding younger ones. According to the CBO report, the bill would make health insurance so unaffordable for many older Americans that they would simply leave the market and join the ranks of the uninsured. No Magic in How G.O.P. Plan Lowers Premiums: It Penalizes Older People.

The report from the Congressional Budget Office underscores the dramatic loss in health insurance coverage that would take place if the GOP health-care plan is enacted, potentially contradicting President Trump’s vow that the plan would provide “insurance for everybody” and threatening support from moderate Republican lawmakers.

Fourteen million people would lose health coverage next year alone, the report stated. Premiums would be 15 to 20 percent higher in the first year compared to the ACA, and 10 percent lower on average after 2026. By and large, older Americans would pay “substantially” more and younger Americans less, the report states.

No wonder Donald Trump does’t want the GOP plan to be called “Trumpcare.” White House: Don’t call it Trumpcare. This grifter and con man literally brands his name on every product imaginable, so how bad does this GOP bill have to be for him to say “sorry, no“?

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Alleged ‘Boy Genius’ Paul Ryan doesn’t know how insurance works

Wow. This actually happened this week.

The GOP’s alleged boy genius, the “zombie-eyed granny starver from the state of Wisconsin” and Ayn Rand fan boy Paul Ryan, gave an “explainer” explaining his RyanCare TrumpCare repeal of ObamaCare in which he said Obamacare in a ‘death spiral’ because healthy people are forced to pay for sicker people (video).

Even a late-night comic, Jimmy Kimmel, could see the obvious flaw in boy genius’s argument. Jimmy Kimmel Sums Up the Problem with Paul Ryan’s Obamacare Replacement:

Kimmel reserved his most damning comments for House Speaker Paul Ryan, who has been trying to defend his party’s plan. “He said the reason Obamacare doesn’t work is because it makes healthy people pay for the care of sick people,” Kimmel explained. “Isn’t that how all insurance works?

“Imagine trying to buy car insurance,” Kimmel continued. “’Hey, my car is fine. I’m not paying for those people who got in accidents.’ It’s like saying the lottery doesn’t work because only one person hits the jackpot.”

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