Daily Archives: March 23, 2017

Is This A Dagger …

Well if they stick to their schedule the U.S. House of Representative will vote tonight to repeal the ACA ‘ObamaCare.’ Note that this is a budgetary bill and as such should it survive in the Senate will be immune to filibuster.

As I write this it is uncertain if Paul Ryan has mustered the votes to pass the bill out of the House. To satisfy the more conservative members of the GOP he has recently added even more draconian amendments to a bill that has already been scored by the CBO as pushing up to 14 million people off their health insurance by next year’s off-cycle election.

Now in addition to allowing insurers to charge older patients up to five times the rate of younger patients while slashing subsidies so that their prices sky rocket, this bill now seeks to strip out the essential coverage requirements of the ACA. This is a list f ten essential aspects that all health insurance now must cover, such as drugs.

This amendment stripping the coverage requirements may not survive the senate because it can easily be ruled as beyond the budget and that would open it up to a filibuster. Even if the parliamentarian rules the amendment allowed there are wavering GOP Senators unhappy with the such extreme measures, and the GOP’s vote margin is one vote. (Normally it would be two, but one member is out ill.)

Why add this is it almost certainly cannot pass the Senate?

Because they are facing a pressure that they cannot resist, the Tea Party Base.

For six years the number one target on the Tea Party’s hit list has been the ACA and the GOP has gone along, promising repeal on day one of they reign. There are people who hate the ACA because it is not single payer, there are people who hate the ACA because of limited networks and high costs, there are people who hate the ACA because it forces you to buy insurance, and there are people who hate the ACA because it makes some people pay more in taxes.

Some of these group can be made happy by reforming and adjusting the ACA, but those last two can only be happy with killing it. Amid the GOP no faction has the number to impose their will and many have the number to kill anything they hate. Ryan has been trying to square that circle and to my eyes he’s given up.

He’s going to win over enough of the Tea Party/Freedom Caucus to get the thing off his desk and onto McConnell’s where it will likely die.

If it dies in the Senate McConnell should look out for knives in the back – a grand Senatorial tradition even if this time they will be metaphorical. The conservative GOP Senators, Cruz and the like, will be blaming him and Ryan will be pushing that train with everything he’s got. His only hope is selling the lie that Repeal would have worked if the Senate have gone all wobbly.

This is a trap of their own construction and if millions of lives didn’t hang in the outcome I’d be getting the popcorn.

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