House Freedom Caucus call for quick Obamacare repeal vote could stall progress

Everybody understands these dynamics, so it's likely the real objective of the House conservative gambit in pushing a politically disastrous repeal-without-replace plan - aside from signaling impatience about inaction - is to keep GOP leaders from going too far in the direction of continuing the very Obamacare policies the public (and presumably fearful Republican senators) would like them to continue.

He said the replacement bill would give consumers the power to choose their own health care plans in a more competitive marketplace. "That's going to be decided at the conference level, I think, ultimately, with sort of what repeal looks like or doesn't look like, and I don't think anybody has divined the answer to that one yet", Sanford said. Lawmakers now have an outline to bring with them to their districts for the Presidents Day holiday weekend, where they may face constituents with questions about what is going to happen to their health care.

Still, Ryan insisted Wednesday that the House is "on schedule" for a repeal and replacement vote this spring.

The changes to tighten enrollment and collect unpaid premium payments aim to cut down on signups from people after they are sick, which insurers say has created an unprofitable mix of healthy and sick customers.

Under the ideas being discussed Thursday, the tax penalties that Obama's law imposed on people who don't buy insurance would be killed.

What was made clear Thursday was that Trump plans to take a hands-off approach toward the health care lawmaking process - at least for now. Unfortunately for them, the alternative to gleefully snatching insurance away from poor people, at least as long as the GOP continues to irrationally equate any form of single-payer healthcare with full-on socialism, is a compromise plan that looks an bad lot like the Affordable Care Act. Meanwhile, Senate Republicans lunched with newly confirmed HHS Secretary Tom Price, hoping to learn that the Trump administration has a concrete plan that would erase the ACA while maintaining affordable coverage for the 20 million people who have gotten it under the current law.

The major difference between the two is that the Obamacare subsidies increase as premiums rise so that consumers are responsible for the same premium amount, which is tied to their income. Congressional Republicans can not put off decisions about Obamacare much longer without imperiling the timetable for everything else they need to do. In interviews about what he might introduce, Speaker of the House Paul Ryan has said that a "refundable tax credit" would be created to help consumers pay for plans, an echo of the subsidies now available to people who purchase plans in ACA-created exchanges.

Tom Brady, James White fuel New England's Super Bowl LI comeback
I joke with him all the time, but I just say, 'Thank God for Malcolm Butler.' He saved the game for us", Brady said. Yes, he won it for his dad, Tom Sr., who has publicly stood up for him in the face of Deflategate.

Some Republicans reassure voters that when ACA is repealed, it will be replaced with a plan that will allow people able to keep the things they like, like insurance coverage for those with pre-existing conditions and children staying on their parents' plans until age 26. It calls for the limits on HSA savings to rise from $6,750 per family to $13,100.

Treatment of Medicaid is also still up in the air.

The repeal of the Affordable Care Act has many Americans scared, but no one has more at stake than women.

Like the Better Way proposal, this new paper doesn't include specifics, such as the value of those tax credits, or the actual formula for calculating Medicaid funds. Cost savings? Forget about it: The latest estimates peg health care at 18.9% of GDP as of December 2016. That is because a strong majority of Americans agree with Republican free-market principles on health policy - individual choice and market competition - rather than the socialized medicine principles of so-called progressives - collective social choice and centralized government regulation.

Congressional Republicans, anticipating confrontations with angry Affordable Care Act supporters during the upcoming February recess, have been given talking points by party leaders to counter and deflect the growing public rancor.

Furthermore, since Obamacare repeal means eliminating its tax hikes that targeted rich people, the optics of doing this while capping a tax break enjoyed by a much broader section of Americans could be devastating.


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