Repeal & Replace Watch

Podcast: ‘What The Health?’ Whiplash

The bipartisan leaders of the Senate Health, Education, Labor and Pensions Committee this week agreed on a bill they say could help stabilize the struggling health insurance exchanges. But despite compromises made by Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.), it’s still unclear whether Congress can pass the measure, particularly in time for the Affordable Care Act’s 2018 open enrollment season, which begins Nov. 1.

President Donald Trump, who in the past week has taken multiple positions on whether he supports or opposes the bipartisan efforts, is not helping the effort.

In this episode of “What The Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times, and Alice Ollstein of Talking Points Memo discuss these issues, as well as the fate of the Children’s Health Insurance Program, whose funding authorization expired on Oct. 1.

The Senate compromise would appear to be a win-win: Democrats restore Obamacare markets’ stability and Republicans help bring down premium prices. But politics keep getting in the way.

The panelists agreed that the bipartisan bill faces a perilous path to passage, with Republicans in both the House and Senate loath to vote for something that could be seen as shoring up the health law they promised voters they would repeal. Even if it appears “really, really dead,” proposals often come back to life in health care. Keep an eye on end-of-the-year congressional compromises.

But it also seems that Trump’s cutoff last week of subsidies that reimburse insurers for discounts they provide to lower-income enrollees has had less of an impact than many predicted. In some states, insurance regulators had insurers file two separate sets of rates, including a higher one in case the president stopped the payments. In other states, insurers are letting states file new rates, even though the deadline for that has technically passed.

Plus, for “extra credit,” the panelists recommend their favorite health stories of the week they think you should read, too.

Julie Rovner: The Washington Post’s “,” by Scott Higham and Lenny Bernstein.

Joanne Kenen: The Pacific Standard’s “,” by Fabiola Ortiz and Megan Clement.

Margot Sanger-Katz: Vox.com’s “,” by Julia Belluz.

Alice Ollstein: Bloomberg News’ “,” by Erik Larson and Zachary Tracer.

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HHS Secretary Robert F. Kennedy Jr. completed his tour of House and Senate committees this week, ostensibly to promote President Donald Trump’s budget proposal for his department but also to answer for some of his more controversial positions, particularly on vaccines. Meanwhile, Trump signed an order to facilitate the use of hallucinogens to treat mental health conditions. Victoria Knight of Bloomberg Government, Alice Miranda Ollstein of Politico, and Sheryl Gay Stolberg of The New York Times join Թϲ’ Julie Rovner to discuss these stories and more. Also this week, as part of our “How Would You Fix It?” series, Rovner interviews Harvard public health professor David Blumenthal.