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Obamacare Tag

Rep. Ted Poe (R-TX) has resigned from the Freedom Caucus over the GOP healthcare fiasco because he wanted to vote for the bill:
“To deliver on the conservative agenda we have promised the American people for eight years, we must come together to find solutions to move this country forward," Poe said through his congressional office. "Saying no is easy, leading is hard, but that is what we were elected to do. Leaving this caucus will allow me to be a more effective member of Congress and advocate for the people of Texas. It is time to lead."

The GOP healthcare bill AHCA failed before Speaker Paul Ryan (R-WI) could even bring it to the floor. Of course, the Democrats have used this opportunity to gloat and take credit on television, even though they hold the minority in the House and Senate. Senate Minority Leader Chuck Schumer and House Minority Leader Nancy Pelosi led the charge.

Update: No vote today

After hours of late-night, pizza-filled negotiations, Politico reports Trump and a small, but disruptive contingent, the House Freedom Caucus (HFC), have been unable to come to an agreement on the American Health Care Act (AHCA), what House Republicans promise is the first in a three-step approach to repealing and replacing Obamacare. But in today's White House press briefing, Press Secretary Sean Spicer said some members of the HFC pledged to vote for the AHCA. I'm guessing Politico's report is based on the fact that Trump was unable to move the entire HFC block. The last minute negotiations left some Republicans feeling they were making the same missteps as Democrats when Obamacare was slopped together in a fury of revisions over Christmas.

The American Health Care Act (AHCA) dubbed Ryancare, Trumpcare, GOPcare, and even RINOcare (take your pick), is the first step of three in repealing and replacing Obamacare, so we're told. This first bit of legislation can only address tenets of Obamcare that pertain to the budget (see also: reconciliation). Congressional Republicans have promised more substantive regulatory changes and reforms in bills to follow. The House is slated to vote on the AHCA Thursday, but do Republicans have the votes?

If you haven't seen OMB Director Mick Mulvaney in action, do yourself a favor and watch the video here. On today's Morning Joe, Mulvaney showed himself to be smart, well-spoken, undefensive and down-to-earth as he systematically demolished Mika's, and by extension, the CBO's, claims about the Trump admin's health care proposal. Before Mulvaney appeared, the panel had engaged in extended hand-wringing over the loss of coverage that the CBO has projected. Mulvaney made three telling points:

The Congressional Budget Office (CBO) has released its analysis of the House Republican Obamacare replacement bill, which estimates that millions will lose coverage, but will bring down costs. The report has many people freaked out, with some saying its proof that repealing Obamacare will harm Americans. Most major media outlets and Democrats have failed to mention that many of those would "lose" coverage will do so because they choose to opt out. The AHCA repeals one of Obamacare's worst features -- the individual mandate.

"Repeal and replace" has been the GOP mantra since the Affordable Care Act, aka ObamaCare, was signed into law in 2010. Riding the wave of horror and outrage that inspired millions of Americans to rise up and rally, attend town halls, and become involved in the election process, the GOP has enjoyed enormous gains not only at the federal but at the state and local level across the nation.  They all understand how important this moment is to the Republican party, and they all comprehend that they have one chance to get this right. What is not clear is how much they get about the need for substantive changes to those parts of ObamaCare they can tackle with only a simple majority in the Senate.  As the prof noted, they are somewhat restricted in what they can do unilaterally; without a supermajority in the Senate, there are parts of ObamaCare that cannot be "fixed" via budget reconciliation.

I don't know Dr. Tom Taylor. But I understand his situation when he decided to attend Republican Congressman Tom Reed's town hall this morning in Ithaca, NY, where I work at Cornell Law School. In case you were unaware, Ithaca is like Berkeley, California, only smaller. Ithaca is in the NY-23 District. Reed has won in landslides the last two elections against Democratic challengers backed by national money. While no one is a sure thing, he is in a very strong position in this mostly conservative district. Ithaca is an anomaly in the District. In fact, Reed twice ran campaigns lambasting "Extreme Ithaca Liberals." This ad against Martha Robertson in 2014 irked many Ithaca progressives:

I haven't had a chance to fully digest the House health care bill.  I'm just beginning the process of learning more. Trump supports the bill broadly, subject to some negotiations. And is promising a round 2 and round 3 of more market-oriented reforms. It appears that much of this procedure is driven by the desire to repeal Obamacare as a technical matter by the means through which it was passed -- the "reconciliation" process. That avoids the possibility of a Senate filibuster by Democrats, but also limits what can be done. I've seen many of the statements rejecting the bill, even if modified somewhat, from the conservative side (I've tuned out what Democrats are complaining about). The overall point, as I take it, is that the House bill institutionalizes the key concept of Obamacare - that the federal government not markets will drive health care.

Outrage everywhere because House Oversight Committee Chairman Jason Chaffetz (R-UT) had the nerve to tell people they should prioritize their budget. On CNN, he spoke about healthcare with Alisyn Camerota:
"Well, we're getting rid of the individual mandate. We're getting rid of those things that people said that they don't want," Chaffetz replied. "Americans have choices, and they've got to make a choice. So rather than getting that new iPhone that they just love and want to go spend hundreds of dollars on that, maybe they should invest in their own health care.