Tag Archives: health care

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?

The Cruz Amendment

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Senator Ted Cruz (R, TX) has a provision in the latest Senate health bill that’s on offer, one that would allow sellers of actual health insurance to sell non-Obamacare compliant policies on the condition that they also sold Obamacare compliant plans on the ObamaMart.  The idea, and it’s a sound one, is that those plans, better tailored their customers’ needs, would soon have commensurately lower premiums, deductibles, and copays and thereby be more affordable.

Health plan sellers don’t like it, though.

While this setup could offer healthy people less expensive policies, insurers and actuaries say it would likely prove dysfunctional over time, pushing up rates and reducing offerings for people buying the compliant plans.

That’s a market decision, though; nothing in the provision or in the overall bill would require the plan sellers offer fewer compliant plans or at higher premiums.

Aside from that, those non-compliant plans would be better tailored—market forces would require it—have fewer items covered that a plan purchaser doesn’t want or need—market forces would push plan sellers to stop forcing contraceptive coverage on men and geriatrics or prostate cancer coverage onto women—and they would, as advertised, have much lower premiums, smaller deductibles, and lower copays.

They would also attract customers, low income and others, from those ObamaMart plans into the non-compliant market because those better tailored and cheaper plans would better suit their needs, too.

Maybe the health care coverage welfare plan providers—sorry, the health insurance companies—don’t want the noise of competition; maybe they prefer the steady, safe income of government subsidies in the form of customers trapped in their protected monopoly in the health “insurance” industry.  Maybe that’s why so many of these companies are leaving ObamaMarts, leaving folks with few plan choices or no plans to buy at all—because the industry as Obamacare has changed it is so sound.

On the other hand, the Progressive-Democrats in Congress should jump on this provision with both feet.  Obamacare plans are terrific, they insist.  Surely, in their wonderfulness, these plans would win resoundingly in the competition of the market place.  Especially with so many of those plans still subsidized through other provisions in the bill.  Wouldn’t they?

On Whose Side Is He?

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Senator Rand Paul (R, KY) has said he will not vote for the latest Senate effort at beginning the repeal and replace process of Obamacare.  He claims he can’t tell the difference between this offer and the Obamacare that exists because, in part, it leaves some of the Obamacare taxes in place.

Never mind that a critical difference between the offer and Obamacare is that the offer does repeal some of the Obamacare taxes.

The offer isn’t a perfect bill, but it represents progress, and it’s not a final answer—and I know of no one, other than a few Senators, perhaps, who are arguing that it is; that there will be, can be, no possibility of coming back next year to make more progress and coming back in the next Congress to make yet more in each of those two years.

Furthermore, there aren’t enough votes to get all of the Obamacare taxes passed in this bill.  And, at least some Obamacare taxes must be repealed in order to be able to effect significant tax code reform.

Finally, the only politically possible alternative to passing a bill that repeals only some of the Obamacare taxes is to preserve the status quo and all of the Obamacare taxes.

Paul knows all of this, of course; he’s just virtue signaling.

I have to ask, then: on whose side is he?