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Morning Briefing

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Wednesday, Apr 3 2019

Full Issue

Different Takes: Trump-Backed Lawsuit On Health Law Is Irresponsible, And It's Probably Not Even Appealing To His Base

Opinion writers weigh in on health care policies.

So much for President Donald Trump鈥檚 renewed聽health-policy push. It was only a week or so ago that his Department of Justice announced it would聽fully back a lawsuit aimed at聽repealing聽the Affordable Care Act, a move聽Trump brought further attention to by calling Republicans 鈥渢he party of health care鈥 while promising a superior plan. Now he鈥檚 punting, saying this great new plan 鈥斅爓hich appears聽to be a version of a previous failed effort聽鈥 won鈥檛 come up for a vote until at least 2021, and only if he wins the election.聽(Max Nisen, 4/2)

The only plausible explanation for President Trump鈥檚 renewed effort through the courts to do away with the Affordable Care Act, other than muscle memory, is a desire to play to his base despite widely reported misgivings in his own administration and among Republicans in Congress. Reality check: But the Republican base has more complicated views about the ACA than the activists who show up at rallies and cheer when the president talks about repealing the law. The polling is clear: Republicans don鈥檛 like the ACA, but just like everyone else, they like its benefits and will not want to lose them. (Drew Altman and Mollyann Brodie, 4/3)

Let鈥檚 say you鈥檙e a 52-year-old bricklayer, and years of physical labor have taken their toll. Or you鈥檙e 54 and find yourself laid off. Or maybe you鈥檝e worked really hard your entire career and would like to retire at age 60, volunteer, and spend more time with your grandkids. Wouldn鈥檛 it be great if Medicare were an option for you? Soon聽it could be, under legislation I鈥檝e introduced with Democratic colleagues in the U.S. Senate and House, led by U.S. Rep. Brian Higgins, D-New York, to give people age 50 to 64 the option to buy into Medicare. Passing the Medicare at 50 Act is something we can do right now to expand health care and give people more certainty in a time of great uncertainty. (U.S. Sen. Debbie Stabenow, 4/3)

Nearly a quarter century ago, then Speaker of the House Newt Gingrich said this about the original Medicare program: 鈥淲e believe it鈥檚 going to wither on the vine because we think people are voluntarily going to leave it 鈥 voluntarily.鈥 Gingrich argued that original Medicare 鈥 based on a 1960s-style fee-for-service benefit package with a confusing set of deductibles, co-insurance, and copays 鈥 was stuck in the past. He saw a day when Medicare-contracted private health plans would prove so attractive that Medicare beneficiaries would have to choose them. It鈥檚 taken a generation, but Gingrich is on the verge of being right about Medicare. (Michael Adelberg and Kristin Rodriguez, 4/3)

Just last week, President Trump promised that any minute now, Republicans were going to produce a plan to solve all the problems in the health-care system, one that would be, and I quote, 鈥渟pectacular.鈥 In response, I argued he was putting his party in an uncomfortable position by forcing Republicans to talk about an issue they would much prefer to avoid altogether. Now Trump seems to have realized his mistake. (Paul Waldman, 4/2)

Lawmakers have the opportunity to dramatically improve our health and financial well-being by expanding Medicaid. Nearly a dozen bills are related to Medicaid expansion in the Texas legislature. Earlier this month, Rep. Garnet Coleman's bill (HB 565) to expand Medicaid and protect essential health benefits received a committee hearing, marking the first time the House Committee on Insurance has heard testimony on Medicaid in six years. And Senator Nathan Johnson has introduced a resolution, SJR 34, to put Medicaid expansion on the ballot with support from a diverse consumer coalition, Cover Texas Now. (Hussain Lalani, 4/3)

How to achieve universal health insurance in California? In our super-progressive, supermajority Democratic state, that鈥檚 the health policy question of the day. Not聽if聽we should lead the way on universal coverage, but聽how. ...We need to revamp our insurance mess. We can do this with a well-known and proven solution: single-payer. (James G. Kahn, 4/2)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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