Morning Briefing
Summaries of health policy coverage from major news organizations
Different Takes: GOP House 'Victory' On Health Care Could Be A 'Disaster'; Hasty Overall Plan 'A Dangerous Game'
After voting to repeal and replace Obamacare last week, House Republicans rode up Pennsylvania Avenue to celebrate with President Trump in the Rose Garden. The reveling was premature: The bill still has to go to the Senate and back to the House, and analysts have already highlighted the immense electoral risks that come with rushing through an overwhelmingly unpopular bill. But there鈥檚 another, more immediate, level of risk involved in the bill鈥檚 passage: what it means for the rest of the party agenda. (Sarah Binder, 5/8)
We should never forget May 4, 2017. It should forever be marked as the day when the House of Representatives descended to a new level of cruelty, irresponsibility and social meanness. The lower chamber has always claimed to be 鈥渢he people鈥檚 house.鈥 No more. It should now come to be known by other names: the house of selfishness, the house of suffering, the house of the wealthy, the house of expediency, the house of untreated illness. Perhaps also: the house of Trump. (E.J. Dionne Jr., 5/5)
Republicans celebrated on TV with cheers and a Rose Garden ceremony, but many Americans reacted with disbelief and outrage when the House voted to dramatically scale back access to health care for millions. The narrow party line vote, and the public high-fiving by Congress and the White House, comes despite polls showing that by large majorities, Americans want to keep and repair Obamacare 鈥 not turn back coverage for millions of families as House Republicans voted to do. (Andy Slavitt, 5/5)
There have been many bad laws in U.S. history. Some bills were poorly conceived; some were cruel and unjust; some were sold on false pretenses. Some were all of the above.聽But has there ever been anything like Trumpcare, the health legislation Republicans rammed through the House last week? It鈥檚 a miserably designed law, full of unintended consequences. It鈥檚 a moral disaster, snatching health care from tens of millions mainly to give the very wealthy a near-trillion-dollar tax cut. (Paul Krugman, 5/8)
House Republicans have been engaging in this charade for seven years. They voted to repeal the Affordable Care Act, aka Obamacare, more than 40 times between 2011 and 2016, knowing full well that the incumbent president would veto their initiative, even in the extremely remote event the U.S. Senate rubber-stamped it. Like the 6-year old who grandiosely announces that the restaurant bill for his parents' party of 12 is "on me," House Republicans knew they were in no danger of being taken seriously. (Brian Dickerson, 5/6)
The Republican effort to take health insurance from millions and slash Medicaid to fund a massive tax cut for the rich was a testosterone-laden affair on Thursday. ...聽So many very white men, laying waste to people鈥檚 health care, especially female people鈥檚 health care, and poor people鈥檚. (Yvonne Abraham, 5/5)
The Republicans鈥 health bill is an act of supreme hypocrisy and insensitivity to the experience of Americans. It will damage 鈥 not improve 鈥 the U.S. health system. Obamacare was a failure because it passed with only Democratic votes 鈥 so charged Republicans. All through 2009, Democrats tried to get Republicans to engage in discussions about health-care reform. Remember the 鈥淕ang of Six鈥 or the 鈥淕ang of Eight鈥 that Sen. Max Baucus (D-Mont.) ran to try to craft a bipartisan bill? After Sen. Olympia Snowe (R-Maine) voted for the bill in committee, she reversed herself under extreme Republican pressure. Now, given their own opportunity for a bipartisan health reform bill, Republicans passed a totally partisan bill, and they never even tried reaching out to Democrats to see if there could be consensus. (Ezekiel Emanuel, 5/5)
The primary rallying cry for this week鈥檚 passage of the American Health Care Act was the claim that the Affordable Care Act was 鈥渋mploding.鈥 Republicans argued the rapidity and lack of clarity with which this radical bill passed the House was necessary given how quickly the ACA was 鈥渇alling apart.鈥 They cited as evidence the recent large premium increases and the growing number of counties with no insurers. What supporters of the AHCA are not admitting, however, is that the ACA鈥檚 current failings are due to the misguided policies of Republicans and particularly the Trump administration. (Jonathan Gruber, 5/5)
I hope you read this letter. I doubt you will. I know you鈥檙e busy rebuilding Washington, reshaping the international order and doing a lot of other weighty stuff. Full disclosure, I voted for you. Not because you promised to repeal the Affordable Care Act, or because you tweeted at me about it, but because our healthcare system is hopelessly broken and requires an overhaul that does not simply convert over to a single payer system. (Niran Al-Agba, 5/5)
Now that the House has passed its big health care bill, it will find out what that bill could actually do. The Congressional Budget Office, Washington鈥檚 nonpartisan scorekeeper, did not have time to evaluate the effects of the American Health Care Act before Thursday鈥檚 vote, since the bill was being amended until just before passage. But the budget office will not ignore the health law, and next week it is expected to release detailed estimates of how many people will be covered by the bill, and at what cost to the government. (Margot Sanger-Katz, 5/5)
The obscene spectacle of House Republicans gathering last week in the Rose Garden to celebrate the House鈥檚 passage of a bill that would likely strip insurance coverage from tens of millions of Americans, while simultaneously serving as a massive tax break for the wealthy, had the callous feel of the well-heeled dancing on the poor鈥檚 graves. (Charles M. Blow, 5/8)
Years of promising to repeal and replace the Affordable Care Act took a major step last week with the House passing the American Health Care Act. The years of rancorous debate leading to this vote have highlighted the profound divisions in our political system. But, it has also obscured the encouraging reality that most Democrats and Republicans actually share a common goal 鈥 the creation of a high quality, high-performance, high-value health care system. We cannot continue to spend more than $3 trillion a year on health care, yet lag behind much of the developed world in overall health outcomes. (Tom Daschle and Mike Leavitt, 5/8)
In 2010, after a Democratic-controlled Congress passed and President Barack Obama signed the Affordable Care Act, Republicans denounced what came to be known as Obamacare with critiques that were often borne out. U.S. Rep. Darrell Issa, R-Calif., for one, has long had on his website a statement ripping the law because it was 鈥減assed on a partisan vote with the rationale that we would have to pass it to find out what was in it. Now that the bill is law, the American people are finding out that what鈥檚 in it is completely contrary to what they were promised.鈥 (5/7)
House Republicans, including all four from Kansas, fulfilled a key campaign promise by advancing a bill Thursday that repeals much of the Affordable Care Act. But the measure seems unlikely to pass the Senate, at least in its present form. And in their rush to pass the bill without even knowing its cost or impact, the Republicans were guilty of legislative malpractice 鈥 worse than when Democrats forced through the Affordable Care Act. (5/7)
The only thing surprising about yesterday's partisan, razor-thin vote to gut Obamacare was that it took so long. As I noted two months ago, well before the failure of the first iteration of the American Health Care Act, President Donald Trump and House Speaker Paul Ryan are playing the long game. All they needed in the House was a bill鈥攁ny bill鈥攕o they could throw the legislation into the more moderate Senate. (Merrill Goozner, 5/5)