Tag Archives: health care

Obamacare and Choice

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There are 3,142 counties and equivalents (Louisiana has parishes, Alaska has boroughs, three States each have an independent city, Virginia has 38 of them, and State of Rhode Island and Providence Plantations does things entirely differently) in the US.

The Centers for Medicare and Medicaid Services expects that 40 of those counties will have no health care coverage plan providers at all in 2018, and 1,332 of those counties—over 40% of them—will have only one such provider.

Not to put too fine a point on the matter, but this is not choice.  This also drives home the lie of “If you like your doctor, you can keep your doctor; if you like your insurance plan, you can keep your insurance plan.”

Obamacare’s implosion is in full swing, it’s happening rapidly, and Republicans are fiddling.  They can bleat that it’s all Progressive-Democrats’ fault, that the Progressive-Democratic Party owns Obamacare to their heart’s content.  It’s irrelevant.  The Republican Party has been running on repeal and replace for the last four election cycles, and they now have majorities in both houses of Congress, and they have the White House.  The Republicans own repeal and replace—and they own the failure to make even the first syllable of progress toward that worthy end.

Timid Republicans need to find their courage and get on with the business.  Along these lines, others who demand that it all be done at once—both right damn now and in a single bill—need to recall the lessons of Obamacare as a single, all-at-once, almost right damn now bill, and they need to keep in mind political realities: Republicans in the Senate don’t have the filibuster-proof majority the Progressive-Democrats had for most of the time they were putting together their bill.

Repeal and replace can’t, won’t, and shouldn’t happen in a single bill.  It’ll need to occur as a series of bills, although those bills need to be passed in quick succession as politics go: over the course of a couple of Congressional sessions, or at most over two Congresses.

Senators Susan Collins (R, ME) and John McCain (R, AZ) are desperate to return to “regular order,” to negotiate with Progressive-Democrats and to hold hearings.  Fine.  Do that.  Those hearings need not take longer than a couple of weeks—especially if the Senate (read: Republicans) get rid of the ridiculous 2-hour per day limit on hearings—and the negotiations can be done similarly quickly, particularly since the Progressive-Democrats have shown they won’t seriously negotiate.

But get after it.  Republicans need to stop dithering, stop playing with their…fiddles…and get on with the business.  They have their own choice to make regarding their place in Government and in the nation.

The Betrayal of Lisa Murkowski

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Lisa Murkowki is a Republican Senator from Alaska who voted against even opening debate on repeal and replace of Obamacare.

Murkowski has betrayed her constituents.  She betrayed them this week by trying to block debate on repeal and replace.  Or, she betrayed her constituents when she lied to them in 2015 with her vote in favor of repeal in the full knowledge that her vote didn’t matter because then-President Barack Obama (D) would veto the matter.

Republicans and Obamacare

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In a Wall Street Journal editorial about Republican Senators’ timorous attitude toward actual repeal and replace of Obamacare now that what they do matters, the editors had this remark toward the end of their piece:

One vote to watch would repeal ObamaCare with a two-year window to replace it, which is similar to a bill that 51 Senate Republicans voted for in 2015. We’ll see how many have changed their minds.

We’ll see how many have changed their minds.  The rest of that sentence is this: …now that their vote has actual consequences, and they can’t hide behind their virtue signaling.

It’s Time

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…to sweep the ones we can’t trust from the Republican Party of Castrati and from Congress.

When Republicans voted on the repeal-only bill in 2015, they knew Mr Obama would veto it, making their vote largely symbolic. Of the GOP senators currently in the chamber, 49 voted for it at the time.  …

Moreover, many GOP lawmakers have already acknowledged that they would vote differently now that the stakes are far higher….

Now that these persons have to take action more concrete than virtue signaling, they’re exposing themselves as porch dogs.  They’re betraying their country, and more specifically, they’re betraying their constituents, to whom they promised for the last seven years, they’d repeal Obamacare and replace it.

However,

Both [Susan, R, ME] Collins and [Shelley Moore, R, WV] Capito said Tuesday they were unlikely to support the procedural vote for a repeal-only approach.

Senators even are too timid to face debate on the floor of the Senate on so simple a measure.

Capito is being especially disingenuous.

I did not come to Washington to hurt people.  I cannot vote to repeal Obamacare without a replacement plan that addresses my concerns and the needs of West Virginians.

Yet, that’s exactly what she’s doing by supporting Obamacare’s continued existence.  That program not only is devastating the pocketbooks of Americans, including West Virginians, Americans across the country are losing their health coverage plans in droves as health plan providers abandon the market in counties after counties, even whole States.  This is happening now, and it will be increasingly so as long as repeal is blocked by Senators like Capito, with or without a replacement program in hand.  Capito knows this.

Serious reform takes courage.  These worthies don’t have it; they’re quailing, even now, at a first step of repeal.

Senate Majority Leader Mitch McConnell (R, KY) is suggesting he’ll call for a vote on a straight-up repeal, to take effect in two years, during which Congress could work out and pass a replacement program or set of programs.

McConnell should hold the vote, even knowing the porch dogs will vote against repeal and so defeat it (many of whom will vote even against open debate); will vote against their promise; will contradict their vote in 2015, cast as it was deep in the safety of an Obama veto.  Put the porch dogs on record with their votes.  Let them stand exposed and identified.

This is what primaries are for.

Questions for Susan Collins

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Susan Collins is the Republican Senator from Maine whose refusal to vote for the health care reform bill on offer (and any of the prior efforts) is centered on her insistence that the bill’s cuts to reductions to growth in Medicaid payments to the States—Maine in particular—are too great.  Collins needs to be asked, and required to give straight, substantive answers to, a number of questions.

What is Maine’s government doing to reduce the costs to its citizens of health care and of health coverage?

What is Maine’s government doing to make health care available to its citizens in the absence of health coverage?

On what is Maine’s government spending its citizens’ tax money on instead of Medicaid?  What does the Maine government consider to be more important than the health of its citizens?

On what basis does she insist that the citizens of New York, Illinois, California, Texas—any of the other 49 States—must be required to pay into Maine’s Medicaid program?