Martes, 25 Junio, 2019

Republicans float health care compromise ahead of Trump's 100-day mark

Andrew Harnik Associated Press	 White House budget director Mick Mulvaney spoke at the White House in Washington Andrew Harnik Associated Press White House budget director Mick Mulvaney spoke at the White House in Washington
Eleena Tovar | 23 Abril, 2017, 12:36

House Speaker Paul Ryan in late March canceled the House vote over the GOP's first effort under President Donald Trump to repeal and replace the ACA after it became clear the effort would not pass. Ryan described the death of the bill as a "disappointing day". Speaking on a local radio show during the recess, Meadows promised health care will "be done in this first 100 days".

A new Quinnipiac poll found that only 36% of American voters say Republicans in Congress should try again to repeal and replace Obamacare, while 60% say the Republicans should "move on".

"We are doing very well on health care", Trump said during a press conference Thursday with the Italian prime minister.

Does the GOP's health care bill get rid of pre-existing conditions? I asked a collection of conservative and moderate aides as well as GOP lobbyists, and nobody is sure this tweak will get the bill to 216 votes. "And whether it's next week or shortly thereafter".

GOP leaders and the White House have been searching for a health care compromise that could placate enough moderates and hard-line conservatives to win passage in the House. Leaders of top health-care committees wouldn't commit specifically on the amendment, when contacted Thursday morning. It would also preserve the health law's ban on insurers rejecting customers with pre-existing medical conditions. It does, however, allow for states to apply for a waiver on the community rating, a mandate that limits the amount health insurance can charge certain people more.

But the complications that remain may be far too hard to finesse at the same time the House and Senate press to pass a giant spending bill. Not only will he need to convince his colleagues to support a vastly unpopular bill in just a few days' time, but he will also have to get the party to rally behind a spending bill to keep the government up and running before a funding deadline on Friday.

But it's still too early to tell if this will convince enough Republicans to support the bill, despite pressure from the White House to pass something as early as next week.

Some Republicans expressed skepticism Friday, including congressman Rodney Davis, a Tuesday Group member who said he has had discussions with the White House on how to proceed. He lamented any focus "on an arbitrary 100-day deadline". GOP leaders in the House have largely taken a backseat approach since their initial attempt, instead allowing conservative members of the House Freedom Caucus and moderates in the Tuesday Group work on a deal they can all support. That's a point of concern, especially for the conservative hardliners of the House Freedom Caucus.

USA vice president Mike Pence also played a role in shaping that plan, Republicans say. The measure, which gained little traction, earned a nickname on Capitol Hill: Zombie Trumpcare.

Voters disapprove by a 65% to 29% margin of the way Trump is handling health care. Many insurers want that matter settled before they commit.

Is this a plan "a lot of people are liking ... a lot"? At stake is roughly $10 billion in payments expected to be made to the insurers next year. "Not only are Democrats opposed to the wall, there is significant Republican opposition as well".

This week, insurance executives met with Medicare officials to plead their case.

Grow said the industry appreciated the opportunity to meet with Verma on a number of topics, incuding the future of the individual market and Medicare and Medicaid. Negotiations have faltered because of disputes over the border wall and health law subsidies to help low-income people afford health insurance. Insurers say their rates could rise as much as 30 percent. Millions will lose coverage; or they'll keep coverage, but it will become so threadbare it's nearly worthless; or premiums will skyrocket for the most needy unless vast sums - hundreds of billions of dollars - are devoted to those high-risk pools. The state Department of Health reported that the AHCA would shift billions of dollars in health care costs to the state and localities between 2017 and 2026, leading to coverage loss. Under the so-called MacArthur Amendment, states could never allow insurers to price plans based on gender or to turn away people because of pre-existing conditions.