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Morning Briefing

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Tuesday, Jun 27 2017

Full Issue

Political Points And Counter Points: What's At Stake As GOP Senators Face A Health Plan Vote

Opinion writers contemplate the cost-benefit analysis Republican senators are confronting. Many have for years dreamed of the chance to unravel Obamacare, but the Congressional Budget Office analysis offers some damning reasons to think twice before supporting it.

This week, these senators will face a career-defining choice. It is not an easy one for many of them. Republicans have spent years promising to repeal Obamacare. Now the Senate is nearing a decision on whether to do so. Opposing the bill risks marking any Republican as a traitor to the party. By late Monday, enough Republicans were nonetheless expressing skepticism about the bill to put its success in serious doubt. Susan Collins of Maine, Rand Paul of Kentucky and Dean Heller of Nevada have all distanced themselves from the bill. But we鈥檝e seen a version of this story before. (David Leonardt, 6/27)

Senate Republicans are headed for a vote on their health-care bill as soon as this week, and Majority Leader Mitch McConnell is still scrambling for 50 votes. What the holdouts should understand is that this is a defining political moment. They may never have a better chance to improve U.S. health care and reform government, and the window is closing. (6/26)

There are two central problems facing Senate Republican leaders this week as they try to rush through a health-care bill that's gaining opposition by the day: 1. It's gaining opposition by the day. ... 2.聽Not all of their concerns are the same. (Amber Phillips, 6/26)

Senate Majority Leader Mitch McConnell (Ky.) and the GOP leadership are scrambling this week to corral 50 out of 52 Republican votes for an historically unpopular health-care bill. Why did so many House Republicans already vote for a bill that large majorities in every state detest? And why are their Senate colleagues considering walking the same plank, given the electoral risk? (David C. Barker and Christopher Jan Carman, 6/27)

In Democratic circles, I hear many wondering how Republican senators could vote for a health care bill that, according to the non-partisan Congressional Budget Office, will cause an estimated 22 million people to lose coverage by 2026 and deals a severe blow to tens of millions of vulnerable people insured by Medicaid. Prominent Republicans I interact with have a different lens. They are not primarily focused on covering more people. To the extent they have a focal point in health care, it鈥檚 more likely to be costs. They point to premium and deductible increases under the Affordable Care Act (ACA) in some markets and say this demonstrates the need to repeal the law. (Andy Slavitt, 6/26)

This is a week to keep focused on the most urgent question in domestic policy and politics: Will Republicans snatch health insurance from millions of Americans and slash the vital Medicaid program by $770 billion , all to enable massive tax cuts for the wealthy and powerful? (Eugene Robinson, 6/26)

President Donald Trump isn鈥檛 the kind of guy to be humble about his accomplishments. Yet his Twitter persona paid relatively little attention to what could be the biggest step toward one of his campaign promises so far: the emergence of a Senate bill that aims to roll back much of Obamacare. Maybe he's not so sure he likes what he sees? (Mark Whitehouse, 6/26)

The Congressional Budget Office鈥檚 highly anticipated scoring聽of Senate Republicans鈥 health-care bill was released Monday. To no one鈥檚 surprise, it leaves about as many more Americans uninsured (22 million) as the House version (23 million) by 2026; in fact the shock is greater under the Senate鈥檚 bill that would prompt 15 million to lose coverage in the first year. The CBO forecast聽states, 鈥淏y 2026, an estimated 49聽million people would be uninsured, compared with 28 million who would lack insurance that year under current聽law.鈥 (Jennifer Rubin, 6/26)

How many people would lose their lives if the Republican effort to repeal the Affordable Care Act succeeds? Estimates of this inherently murky statistic vary, but the range is from about 28,000 to nearly 100,000 a year. That鈥檚 a shocking toll from an effort that is essentially aimed at gifting the wealthiest Americans with hundreds of billions of dollars in tax cuts by slashing healthcare. So no one should be surprised that Republican and conservative supporters of the House and Senate repeal bills have spent a lot of time claiming that nothing of the sort will happen. The effort moved into high gear this weekend, following Thursday鈥檚 unveiling of the Senate GOP鈥檚 version of ACA repeal. (Michael Hiltzik, 6/26)

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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