Nel's New Day

June 11, 2017

GOP Senators Work to Take Health Care from Millions of People

Filed under: Health Care — trp2011 @ 10:37 PM
Tags: , , , ,

While millions of people in the United States were focused on the Senate testimony of former FBI director James Comey, the Republicans were sabotaging health care for a large percentage of people in the nation. Dictator Donald Trump (DDT) announced this goal at the annual Road to Majority conference organized by Ralph Reed and the Faith and Freedom Coalition. Amidst a drum beat of calling Democrats obstructionists, DDT said that restoring freedom means taking away health care from millions of people. A 13-senator group has been planning in secrecy, hoping to push a vote by July because, according to Sen. Roy Blount (R-MO), “I don’t think this gets better over time.” In other words, they know it stinks.

Senate Majority Leader Mitch McConnell (R-KY)  is desperate because the bill has to meet the approval of both House and Senate by September 30 in order to use the process of reconciliation, allowing a simple majority vote instead of a possible 60 votes in a filibuster. A vote on the bill by June 30 requires that it go to the Congressional Budget by the end of this week. Unlike the House, the Senate cannot vote on a bill that has not received CBO scoring. Because the bill will be voted on under the “reconciliation” process, it cannot require any revenue. Because of the possible tax cuts for the wealthy, a leaked version of the bill shows that it includes waivers for states to the ten essential items—including hospitalization—from insurance coverage and enlarges the ratio of what older people can be charged relative to younger customers, greatly increasing premiums for many people.

McConnell implemented Senate “Rule 14” last week, the day before Comey’s testimony, to fast-track it by skipping the committee process—and a full senate debate. During a Senate Finance Committee hearing on the Health and Human Services 2018 budget request on Thursday, Sen. Claire McCaskill (D-MO) expressed her concern with McConnell’s invoking Rule 14. She said that the senate health care bill was being written by “group of guys in the back room making all the decisions” and asked Chair Orrin Hatch (R-UT) if there would be a public hearing on the health bill which has been secret until now. (Hatch is a member of the gang of 13 health care killers.) After a painfully long pause, an aide said into Hatch’s ear, “They’re invited to participate in this process and we’re open to their ideas and suggestions.” Hatch, helped by an aide talking into his ear, said he didn’t know. As McCaskill commented, “But we have no idea what’s being proposed.” Republicans complained about her “rants and raves,” perhaps because she said that the Republicans were trying to pass the bill with 50 votes and one from the vice president. McConnell plans to make the bill public for only two days before the vote.

One glitch to the bill comes from a ban on people using new refundable tax credits for private insurance plans that cover abortion. Parliamentarian Elizabeth MacDonough pointed out that the Byrd Rule might prevent that provision for reconciliation because it covers policy and not budget, not permitted under reconciliation. With the anti-abortion provision, the bill may not be allowed under reconciliation, and without that provision it might not pass. David Christensen of the far-right evangelical Family Resesarch Council, said, “Abortion is not healthcare.” A precedent for MacDonough’s position was in a 1995 ruling about attempting to block abortion in a reconciliation bill.

The GOP senators are already divided into factions, three in opposition to the 13 white men devising the plan. Bill Cassidy (LA) and Susan Collins (ME), not members of the deciding 13 senators, oppose the House bill and co-sponsored their version called the Patient Freedom Act. Led by Rob Portman (OH), another group wants Medicaid expansion. Ted Cruz (TX) and Mike Lee (UT) are part of the group that wants the House bill.

The abominable baker’s dozen of murderers on the Senate health care plan has an average age of over 60 and an average worth of over $1 million each. (They look very much like the people above celebrating the ending of health care of millions of people in the U.S. after the House bill passed.) Almost half of the 13, six senators, are from three states—Texas, Utah, and Wyoming, and Wyoming’s total population of under 600,000 represents less than 0.002 percent of the U.S. population of 321,000,000. Utah isn’t much better with under one percent of the U.S. population. These are the men deciding health care for everyone, including women, minorities, and the poor. The average net worth of the bottom 40 percent of people in the U.S. is almost zero because of heavy losses during the George W. Bush era.

These 13 men of wealth are writing and pushing through a bill for health care that 140 million people in the U.S. directly rely on and one that comprises one-sixth of the nation’s GDP, one that 140 million people in the United States.  This comes from the same party that complained for eight years that Democrats passed health care on a party-line vote and falsely asserted that Republicans weren’t involved in the process. And they admit what they’re doing: Sen. James Lankford (R-OK) said that there was no reason for a committee hearing because Democrats won’t support their bill. Sen. Chuck Grassley (R-IA) said that the bill will go up for a vote without floor debate as soon as there’re 51 votes for it. The senate has 52 Republicans.

The senate promised a kinder version of health care than the House approved, but states would still be forced to end expanded Medicaid programs because of lost federal funds, and poor and near-poor adults losing Medicaid couldn’t afford private coverage. Eight Medicaid-expansion states have laws immediately dropping the program without federal funding, the year 2020 if the bill passes, and other states would see significant increases in costs which they may not be able to afford. Eighty-four percent of the public, including 71 percent of Republicans, support continued current federal funding for Medicaid expansion.

With the philosophy of “kill the ump,” OMB Director Mick Mulvaney wants to do away with the Congressional Budget Office because it scored the House bill as removing health insurance from 23 million people as well as either raising premiums or reducing health care coverage—or both—for tens of millions more people. He used this information to claim that the CBO is partisan, despite the fact that his own department’s evaluation matched that of the CBO. In addition, the GOP chose CBO’s director, Keith Hall, praised by DDT’s cabinet member Tom Price because of Hall’s “impressive level of economic expertise.”

In addition to telling Christians at the conference that he wants to strip health care for tens of millions of people, DDT is also sabotaging the existing health care plan. Anthem Blue Cross and Blue Shield has impacted 10,500 consumers by pulling out of the federal exchange in Ohio; the company blamed DDT, citing “the lack of certainty” about the federal government funding cost-sharing subsidies. Since DDT was inaugurated Ohio’s governor, John Kasich has warned that insurance markets are “slipping into crisis.” DDT is pushing for the health care system to collapse by making the exchanges less stable and discouraging companies from offering plans.

DDT supporters are big losers with Trumpcare. The more likely people were to vote for DDT, the greater they will lose. Those losing more than $1,000 favored him by seven points, and those losing at least $5,000 in tax credits supported DDT by 59 percent to 36 percent. The largest number of losers from voting for DDT are older people and those who live in rural areas. All the benefits of two tax hikes go to people earning $200,000 or more; only ten percent of that demographic voted for DDT.

North Carolina resident Martha Brawley, 55, cast her first ballot in her lifetime for DDT because he said he would bring down the cost of healthcare. “I might as well have not voted,” she said after she discovered that Trumpcare would give her $3,500 to buy insurance instead of the $8,688 subsidy she gets from Obamacare.

Gone with Trumpcare will be any hope for retirement. Tea Partiers who turned the government into one of cruelty almost eight years ago are the same people who are getting too old to find jobs now and won’t have health insurance if they aren’t old enough for Medicare. Before the Affordable Care Act, people were forced to stay in jobs to keep health insurance; “Obamacare” freed many of them. Trumpcare will force people back into a pattern of working long into old age, even those with serious medical issues like cancer. Trumpcare may force people out of their homes. In 2009, medical bills caused 1.5 million people in the U.S. to declare bankruptcies. Medical bills stressed at least 20 percent of all families. By 2013, medical bills put over ten million people into poverty. During the first year of the ACA, over four million fewer people, including one million children, were in poverty.

The 50+ senators who may vote for Trumpcare go home on recess immediately after the vote. Let’s hope that they all have town hall meetings with their constituents who lose the health care.

 

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