Nel's New Day

September 20, 2017

GOP Desperate to Pass Bad Bill to Get Re-elected

“We need to pass something–anything. We promised.” That’s the excuse behind the most recent care bill, the fourth one this year, that is the worst one thus far. And GOP senators admit that their bill is worse than the Affordable Care Act (ACA). Asked why the GOP bill is better, John Barrasso (R-WY) said that there “shouldn’t be” essential health care benefits in a health care bill.  Sen. Lindsey Graham (R-SC) said that some “big blue states” would be hit with huge cuts. “The CBO scoring is just a detail,” said Sen. Ron Johnson (R-WI). “[States] can do it with less money,” said Sen. Jim Inhofe (R-OK), but he didn’t explain how—probably by not providing health care to as many people.

The bill, Sen. Richard Shelby (R-AL) myopically said, “wouldn’t cut Alabama.” (Not everyone is that lucky: Louisiana, co-author Sen. Bill Cassidy’s state, will lose health insurance for 433,000 people.) Sen. John Kennedy (R-LA) said “it’s an improvement over Obamacare” because he will “get to vote for repeal it.” Kennedy has one concern about states’ rights in health care: he’s afraid that they may decide to have single-payer plans. He doesn’t want money from the “American taxpayer” to go toward single-payer plans despite the fact that “blue” states pay more to the federal government than they get back. When Kennedy asked for an amendment to stop these states’ rights, Lindsey Graham assured him it was in the bill. Republicans want state innovation but only by their rules.

But Graham may not know what’s in the bill. A senior GOP aide commented, “If there was an oral exam on the contents of the proposal, graded on a generous curve, only two Republicans could pass it. And one of them isn’t Lindsey Graham.” It was obvious he knew nothing about the bill that he “co-authored” during questions from a reporter. The aide added, “You could do a post office renaming and call it ‘repeal-replace’ and 48 Republican senators would vote for it sight unseen.”

Sen. Bill Cassidy, co-author of the bill, has this reason for justifying a bad bill.

“We must [pass the bill by September 30] because there is a mother and father whose child will have insurance because of Graham Cassidy Heller Johnson.”

Otherwise Cassidy flat-out lied in defense of his bill by claiming that it gives more coverage to people and protects people with preexisting conditions. His office claims that the bill, which slashes funding, will provide more funding to every state. Only 15 states will benefit financially. The plan carries the nickname “Screw Blue Bill” because it removes $57,547 per Californian and $33,058 per New Yorker. But states that hurt the most are the ones in poverty that supported Dictator Donald Trump (DDT) and expanded Medicaid under the ACA—Louisiana, Arkansas, Arizona, Kentucky, Ohio, Indiana, Maine, Iowa, Alaska, New Mexico, North Dakota, West Virginia, and Montana. And it hurt seniors, disabled, and the poor everywhere. They all have GOP Senators who will vote to take health insurance from their constituents. (More about these states here.) These are the winners and losers in the next decade.

Speaker Paul Ryan (R-WI), who will push the bill through the House if the Senate passes it, tweeted in favor of the bill:

“I’ll take federalism over Obamacare any day.”

It’s not “federal”: the bill turns money over to states, some of which will feed the funding into balancing their budgets instead of health care. This message comes from the man who has lived off federal money since he was 16 and got Social Security.

The Congressional Budget Office doesn’t have time to score the bill, but experts believe it will throw the same tens of millions of people off health care insurance as earlier GOP bills or be worse. A CBO scoring is mandated for Senate bills, but they plan to vote without “point estimates of the effects on the deficit, health insurance coverage, or premiums for at least several weeks.” Without this knowledge and without reading the bill, senators will be blindly voting on the bill using their personal assumptions.

Cassidy-Graham health care bill would have these impacts:

  • Proposed block grants for states that are below current funding will eliminate marketplace subsidies and enhanced matching rate for the Medicaid expansion and disappear in 2026. States have no requirement to provide coverage or financial assistance to low- and moderate-income people.
  • A per capita cap will replace Medicaid’s federal-state financial partnership that cuts funding for seniors, people with disabilities, and families with children.
  • People with preexisting conditions will lose coverage because the only stipulation for premiums is “affordable” with no consideration for a person’s income.
  • Withdrawal of mandated coverage for essential health benefits means people can purchase health insurance without provisions for mental health, substance abuse treatment, maternity care, and hospitalization.
  • People with preexisting conditions will lose coverage because the only stipulation for premiums is “affordable” with no consideration for a person’s income.
  • States can waive age rating rules, essential health benefits, the prohibition on medical underwriting, prohibition on annual and lifetime limits, and the required medical loss ratio for plans and enrollees who receive some benefit from the state’s block grant funding.
  • The loss of subsidies and insurance mandate destabilize the individual insurance market, risking its collapse.
  • The bill prevents any impetus to fix the ACA, proposed by Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA) that had a September 27 deadline to stabilize health care for the coming year.

States that created fewer uninsured under the ACA will lose their money to states that were failures. (Another version of winners and losers)

 

Just ignore protesters. That’s the position of GOP senators and DDT who are committed to passing this bill. DDT blocked a 41-year-old woman with State 4 cancer on his Twitter feed because of her appeals to him. The Cassidy-Graham bill would place a $140,510 surcharge on an annual health premium for a 40-year-old woman with metastatic cancer.

Half the governors signing a letter opposing the Cassidy-Graham bill to decimate health care are not Democrats. They were joined in opposition by GOP Gov. Larry Hogan of Maryland. Sixteen patient and provider groups, from the American Heart Association to the March of Dimes, criticized the bill for destroying Medicaid and protections for people with pre-existing conditions. Other medical groups urged Republicans to fix the Affordable Care Act instead of the repeal and were joined by hospitals and insurers, appalled by the unworkable and irresponsible concept of 50 insanely different state health care systems.

Senators supporting the Cassidy-Graham bill are pushing hard because September 30 is the deadline to pass any bill with a simple majority. After that the filibuster goes into effect.

Sen. John McCain’s (R-AZ)  governor, Doug Ducey, asked him to vote for the bill despite Ducey’s not knowing how much money his state will lose. (Governor Ducey, you’ll lose over $1 million a year until 2026 when you’ll start losing lots more. Does that make a difference?) Twelve days ago, McCain said that health care reform “must” follow regular order. He may rationalize a couple of hearings, on before the Senate Homeland Security Committee with no jurisdiction over the issue, as “regular.” The bill has two witnesses—co-author Cassidy and Graham. GOP Senators plan to change almost 20 percent of the world’s largest economy and endanger the health security of tens of millions of people without minimal committee hearings and no testimony from experts, debates, or public input—all for a partisan win.

A reporter who interviewed nine GOP senators found these five lies, according to Forbes: (1) States will be more “efficient”; (2) It’s the last chance to do anything; (3) The ACA is responsible for rising healthcare premiums; (4) The decrease in future rates of growth is not a cut; (5) States need to be the innovators; and (6) The problem is some states get the lion’s share of the federal money. As the conservative magazine pointed out, the one truth is that the entire issue with the Republicans is “about politics and not public policy.”

Katrina vanden Heuvel, editor and publisher of the Nation wrote:

“GOP legislators … assume low-wage and moderate-income families should have less health-care protection than the wealthy…. Republicans want to strip millions of health insurance, including seniors in the last days of life, the disabled and women with infants. Democrats want everyone to have the right to affordable health care. There is a choice.”

Passing the Cassidy-Graham bill destroys both health care and the democratic process.

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