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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Sep 25 2017

Full Issue

Parsing The Plan: Graham-Cassidy Is A 'Horror' And 'Legislative Malpractice'

In between what appears to be a tendency among editorial writers to give the GOP repeal-and-replace plan a grim review, one writer offers a defense.

It is difficult to decide which is the worst aspect of the Republicans鈥 latest try at repealing Obamacare: the irresponsibility, the cruelty or the lies. And it is impossible to ignore that the climax of this battle will take place under the shadow of President Trump鈥檚 shameful, racially charged attacks on prominent African American athletes. Once again, Trump has demonstrated his lack of seriousness about the responsibilities of his office, his autocratic habit of demonizing dissent, and his willingness to play racial politics to divide and distract. (E.J. Dionne Jr., 9/24)

Before John McCain put yet another Republican health care plan on life support on Friday, I was going to do with the Graham-Cassidy legislation what I鈥檝e done with previous Republican bills, and weigh the plausible ideas that it contains against its hastily rigged-up architecture and predictable G.O.P. stinginess. But sometimes, when a party has spent most of a year producing health care bills that excite almost nobody and that even the senators voting for them can鈥檛 effectively defend, it鈥檚 worth stepping back and thinking about our national priorities. (Ross Douthat, 9/23)

In a last-ditch effort to repeal the Affordable Care Act, Republican Senators Lindsey Graham and Bill Cassidy are offering a policy mirage. ... This 11th-hour ploy constitutes gross legislative malpractice. (Jon Kingsdale, 9/25)

On Friday, Senator John McCain of Arizona announced that he would not support the latest Republican push to overhaul the health care system. He didn鈥檛 disapprove of the objectives of the bill, but to its process, which was too rushed and partisan, he said in a statement: 鈥淎 bill of this impact requires a bipartisan approach. 鈥滿r. McCain鈥檚 vote most likely dooms the current Obamacare repeal effort, which can afford to lose the votes of only two Republican senators. (Senator Rand Paul of Kentucky and Senator Susan Collins of Maine are generally regarded as no votes as well.) But there is, in fact, a bipartisan effort that could help Congress achieve many of the goals that the recent bill鈥檚 authors say they hope to accomplish. The catch: It would be hard for Republicans to call it Obamacare repeal. (Margot Sanger-Katz, 9/23)

A long list of healthcare experts says the Republican bill to dismantle most of President Obama鈥檚 health insurance program would be a disaster. The American Medical Assn. is against it. Insurance providers are against it. Patient groups are against it. Sen. Bill Cassidy鈥檚 bill, coauthored with Sen. Lindsey Graham, would cut federal spending on Medicaid by amounts one consultant called 鈥渏aw-dropping.鈥 If the bill passes, 21 million fewer people would have health insurance in 2026 than under current law, according to a study by the Brookings Institution and USC. To which Cassidy says, in effect: Pay no attention to the experts. (Doyle McManus, 9/24)

Maybe we have finally established a lasting legislative principle for both parties: Don鈥檛 ever again try to pass major health care legislation using parliamentary gimmicks to avoid a filibuster. The Democrats, under Barack Obama, followed this route in 2010 after they lost their filibuster-proof Senate majority when Republican Scott Brown unexpectedly won the special election to fill Ted Kennedy鈥檚 Senate seat. As a result, final tinkering and technical improvements could not be made in the Obamacare legislation using a House-Senate conference. What the Senate Republicans have been attempting is far worse. (Walter Shapiro, 9/25)

Three states 鈥 California, New York and Massachusetts -- are receiving 37 percent of all Obamacare funds , according to a group of Republican senators. As an example of this inequity, Pennsylvania has nearly twice the population of Massachusetts, but it receives less than half as much Obamacare money. The senators propose to radically change that distribution by giving each state Obamacare funds in the form of a block grant. Eventually, each state鈥檚 share of the total would equal its share of the country鈥檚 poor and near-poor population. That means the people who are the principal target of Obamacare funding will have access to the same federal resources 鈥 regardless of where they live. (John C. Goodman, 9/18)

Until Donald Trump briefly applied himself to the subject, 鈥渘obody knew that health care could be so complicated.鈥 President Van Winkle said this in February 2017. The wonder of discovery is a delight to behold no matter how late in life it awakens. In fact, everyone with a chronic disease in the United States knows health care is complicated. Rich or poor, young or old, their illnesses open their eyes to the fact that the so-called health-care industry, which amounts to roughly one-sixth of the U.S. economy, is not an industry at all. It is a chaotic crossroads of many different industries and professions, often in fierce competition, each adapted to its own culture and pursuing its own business model. (David Von Drehle, 9/23)

The last Democrat I voted for was Jimmy Carter. The last Republican I voted for was Donald Trump. After the past eight months, I am now a health care voter. My story, and my family鈥檚 story, is like so many others. In 2008, after a 20-year career in health care, I became another statistic in the number of uninsured Americans and no longer had a job or employer-provided health care. I had followed the American dream and started my own small business. I am a barber in Tennessee and I love it. I was able to get insurance through my wife鈥檚 job. (Dennis Wallace, 9/25)

At a rally for Sen. Luther Strange (R-Ala.) on Friday night, President Trump claimed Sen. John McCain鈥檚 (R-Ariz.) decision to vote no on the Cassidy-Graham health-care bill was 鈥渁n unexpected thing.鈥 If so, Trump is oblivious and his legislative liaisons are rotten at their jobs. McCain鈥檚 decision was unexpected only if one hadn鈥檛 been paying attention or hadn鈥檛 taken him seriously when he nixed the prior version of Trumpcare. (Jennifer Rubin, 9/24)

Sen. John McCain on Friday announced he won鈥檛 be jumping on the Senate Republicans鈥 bullet train to destinations unknown (a k a Graham-Cassidy.) McCain鈥檚 opposition will likely kill yet another fast-track plan to repeal and replace Obamacare. (Laurie Roberts, 9/22)

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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