Friday, June 23, 2017

Trump's Big CON: Don't Ask About the Republi-CON Health Care Plan, Or You'll Be Needing Health Care

UPDATE III:  Read also the Washington Post:

Republicans’ Obamacare repeal would be one of the biggest cuts to the social safety net in history, and

The Republicans’ Obamacare repeal is one big lie.

UPDATE II:  Read the Washington Post, Here comes the Senate GOP’s health bill. It’s a cruel and cynical shell game., which explains that "[i]t's all about cutting health spending on poor people, and cutting taxes on rich people."

UPDATE:  "Here's what we know right now about the health-care plan Senate Republicans are working on: They want to pass it next week.

That's just about it, and all we can say for sure. While there have been some leaks and rumors about what might be in it, that's all they are. There haven't been any hearings or legislative text for anyone to analyze. It's been a backroom process that, whether there's any cigar smoke or not, has been more secretive, according to the Senate's historian emeritus, than any other in the past 100 years.

If you think this is a good way to restructure 18 percent of the American economy, well, then you must be Senate Majority Leader Mitch McConnell and the exclusive group of Republicans he's letting in on the project — because it's hard to see how anyone else could. There's been no input from anyone who has anything to do with any part of the health-care system. Why, it's almost as if Republicans weren't acting in good faith when they complained that Obamacare, which actually did go through months of hearings and amendments, had, as the Senate's now-No. 2 Republican John Cornyn put it at the time, happened “behind closed doors with secret [health-care] negotiations.”

Despite this lack of transparency, there are still a few things we can guess about. Whatever else it does, it seems like a good bet that the Senate GOP's bill will have the same basic structure as the House GOP's: a trillion-dollar tax cut for wealthy investors that's paid for by slashing Medicaid for the poor  and Obamacare subsidies for the middle class. . .

You just can't cut taxes the way Republicans want and have 'insurance for everybody' like Trump promised. Heck, you can't even have cheaper insurance. On an apples-to-apples basis, the House Republican plan, at least, would probably increase premiums and deductibles, according to the center-left Brookings Institution and the nonpartisan Kaiser Family Foundation. To the extent that people would pay less, it would only be because they were getting less and people who needed more had been priced out of the market. None of this is going to change in the Senate version unless the GOP changes its commitment to cutting taxes for the rich.

So I guess that makes it two things we know about the Senate GOP's health-care plan: they want to pass it next week, and it will be something Trump thinks is mean.

Read the Washington Post, The simple reason the Senate has been keeping its health-care plan a secret.

Read also the Washington Post, Republicans who decried Obamacare secrecy now writing legislation in secret, which states:

"Hypocrisy has always been a vital lubricant to making the gears turn in Washington. Give politicians some power and a job to get done, and they quickly forget their righteous critiques of the seamy practices they denounced when the other side was running things.

Rarely, however, has the double standard been so flagrant as now, when Republicans are scrambling to keep their promise to 'repeal and replace Obamacare.'" 

Speaking of bullies:

"The GOP candidate in the Montana special House election was charged with misdemeanor assault late Wednesday night, after allegedly body-slamming Ben Jacobs, a reporter for the Guardian. The candidate, Greg Gianforte, grew incensed after being asked an impertinent question about whether he supports the GOP’s brutalization of our health-care system — and rather than answer, he allegedly brutalized the reporter. . .

In a sense, Gianforte was employing a version of the evasion that many Republicans have performed on Obamacare for years. They have consistently said that of course they want to repeal the disastrous Affordable Care Act, but don’t worry, they will replace it with something that offers all the good stuff in it (the protections for consumers and people with preexisting conditions, the expansion of coverage to the poor) without any of the bad (the taxes, the regulations, the mandates). This worked beautifully, as long as Republicans could demand the repeal of Obamacare, secure in the knowledge that they would never have to deal with the actual consequences of it happening, or explain how their alternative would do what they said it would.

The CBO score has upended this tidy little arrangement as brutally as Gianforte allegedly upended Jacobs. Even after the GOP bill was written and passed the House, Republicans continued to employ a variation on that evasion, falsely claiming that no low-income people would be worse off (they would have access to coverage) or that the bill would increase protections for the sick. But the CBO now projects that it would leave 23 million fewer insured after 10 years; that 14 million of those people, the poorer ones, would lose coverage due to a staggering $800 billion in cuts to Medicaid; and that its deregulatory provisions could cause premiums to soar for people with preexisting conditions in large swaths of the country, pricing some out of the market entirely.

Gianforte had suggested in early May that he would declare whether he supports the GOP bill once he hears from the CBO. This month, he was caught on audio praising the bill during a phone call with lobbyists, and his campaign again declined to say publicly whether he backs it (pending the CBO analysis), suggesting it is politically too radioactive even for Montana. Yet now that we do have the CBO score, as best as I can determine, Gianforte still has not answered Jacobs’s question. . .

Can a Republican get elected to the House of Representatives after being charged with assault and despite refusing to say whether he will vote for a bill that would impact many millions of people and one-sixth of the U.S. economy? We’ll soon find out."

Read the Washington Post, Asked about GOP assault on health system, GOP candidate allegedly assaults reporter.

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