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Thursday, March 23, 2017

Speaker Ryan had 7 years to write a health care bill


House GOP Leaders Pull Trumpcare Vote- Speaker Ryan is proving he's certainly not a Tip O'Neil- who was a giant among political negotiators when he was the Speaker of the House.
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Speaker Paul Ryan wants to blame Republicans for not supporting the American Health Care Act (AHCA) rather than admit the bill is flawed becaue it doesn't meet consumer (aka "voters") expectatons

Makes no sense for Speaker Ryan's to shift the blame about the lack of support for the Republicaan "American Health Care Act" (AHCA), and the ensuing public policy debacle, to blame those who,in the past, voted to repeal Obamacarre or The Affordable Care Act (ACA),. He believes the Republicans have an oblgation to pass any kind of health care coverage law, just because they happen to oppose Obamacare. But, what Speaker Ryan doesn't "get" is thaat quality health care is "compensated health care". To repeal Obamacare without a suitable replacement, inclusive of popular benefits like maternity care, coverage for pre-existing conditijons and keeping children up to ag3 28 on a parents plans, causes a lack of access to compensated care. In other words, in the Re[ublican plan, insurance companies will create healthcare plans whereby beneficiares will pay for no access at all. At the end of this story, the result is hospitals and health  facilities will be forecedto close for lack of patients who can pay for their care.

All of this drama is a back door way of giving those who earn over $250,000 a year a tax break. How stupid is that?

Paul Ryan Sells Health Care Bill As A 'Once-In-A-Lifetime Opportunity'- in other words, Speaker Ryan wants to say he has power enough to harm poor people. He is staking his entire political reputation on taking an insurance benefit from ACA beneficiaries who pay premiums for their coverage.

Well, at least on the first try, Speaker Ryan received a reality check. His obsession with passing this AHCA thru Congress without public hearings is causing more harm to the "repeal and replace". But, the real issue is, why bother to repeal Obamacare when it's working well? Rather than repeal, just work a bi-partisan deal to improve the current law.

But, instead, Ryan says, "This is the chance. This is a once-in-a-lifetime opportunity," he said, roving the stage with a wireless mic, gesturing at both the audience in front of him and the PowerPoint presentation behind him.

(TED Talk? Late-night infomercial? Nope — it was House Speaker Paul Ryan, making a hard pitch for his health care plan after a week of loud conservative criticism.)

After listening to conservative groups like the Club For Growth blast the bill as a "warmed-over substitute for government-run health care," Ryan went on offense, saying this is just the first step of an ongoing overhaul of the health system. (OMG- what's wrong with Republicans?  They should be taking pride in supporting and improving government's rose in health care rather than cutting the progress made over the past 100 years to improve quality and affordable access.)


But, regardless of the darma.....
Washington DC- The House Republican leadership’s effort this week to (needlessly! and... sloppily) drive home its Obamacare repeal legislation seemingly collapsed on Thursday afternoon, when President Donald Trump was ultimately unable to win the elusive support of the hard-right Freedom Caucus. 

According to GOP sources, the healthcare vote will be postponed. Meetings among Republican members are expected to continue through out the evening. On Wednesday night, the caucus directly circumvented House leadership and Speaker Paul Ryan’s office to negotiate directly with Trump and the White House.

In fact, the caucus has been the single biggest obstacle to passing the American Health Care Act (AHCA) in the House, and was reportedly nearing cutting a deal with the president. 

Members of the Freedom Caucus indicated that the president and House leadership were open to nixing the so-called "essential health benefits" from the House bill—a proposal that would prove anathema to more moderate Republicans in both the House and Senate.

Despite the frantic, high-level negotiations and courtship that lasted well into Wednesday evening, no new deal was struck, and the AHCA was left with an even more uncertain future than it had when the day started.Freedom Caucus aides who spoke to The Daily Beast on Thursday morning said that, despite the “cautious optimism” on bringing Trump more into their corner, nothing had changed. The caucus’s concerns with the bill—which members view as another big-government conservative sell-out—were still far too great to support it, and President Trump and Speaker Ryan still weren’t surrendering to all their demands.

A friendly meeting at the White House with the president and his key advisers on Thursday morning didn’t do much to appease members of the Freedom Caucus or its staunchly anti-AHCA chairman Rep. Mark Meadows. 

A friendly meeting at the White House that happened the day before didn’t make a dent, either. Even Trump’s high-profile visit to Capitol Hill to single out and warn conservative holdouts that “many of you will lose your seats in 2018 if you don’t get this done” didn’t move the needle in his direction.

For weeks, the House Freedom Caucus was publicly and loudly vowing to not blink in its game of chicken against the Trump White House and House GOP leadership. They made it a mission to kill the bill—and the caucus delivered. “We’re taking [Trumpcare] down,” a Freedom Caucus aide assured The Daily Beast on Tuesday morning. —Asawin Suebsaeng

Republicans in Congress have long vowed that they can make health care more affordable and accessible. Americans will now see if they can keep that promise. (But, the Republican Speaker had 7 years, since Obamacare was passed, to come up with a cogent plan.....)

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