“Let Obamacare fail”

One of President Donald Trump’s big legislative aims is teetering as Republicans decide to shelve their bill to replace Obamacare after more GOP senators said they wouldn’t support.

Politico: GOP health care bill collapses

President Donald Trump’s top legislative priority was dealt a potentially fatal blow Monday night as two more Republican senators announced their opposition to the party’s health care overhaul.

Trump quickly called on Republicans to simply repeal Obamacare and begin work on a new health care plan, and Senate Majority Leader Mitch McConnell announced he would try to do so.

“Regretfully, it is now apparent that the effort to repeal and immediately replace the failure of Obamacare will not be successful,” McConnell said.

The Kentucky Republican said he planned to hold a vote in the coming days to take up the House-passed bill to replace the 2010 health care law and then call up an amendment to eliminate major parts of Obamacare, such as the Medicaid expansion, insurance subsidies and fines for the employer and individual mandates.

Republicans passed a similar bill to effectively repeal Obamacare in 2015 under reconciliation — the fast-track budget procedure the GOP is using to thwart a Democratic filibuster — but it was vetoed by President Barack Obama.

McConnell added that the repeal-only bill is “what a majority of the Senate has already supported in 2015,” but GOP lawmakers have voiced severe doubts that such a plan can win the 50 votes necessary this year given the uncertainty it would throw into insurance markets. The 2015 vote was viewed as mostly symbolic at the time, given Obama’s certain veto.

Trumps reaction:

Failure to pass an Obamacare repeal could upend the entire Republican agenda. The party has spent nearly seven months on a health care overhaul, with hopes it would ease the path to tax reform. Now Trump and the GOP-led Congress are staring at an impending August recess with no major legislative achievements in hand.

At a dinner with GOP senators on Monday evening, Trump said the party would look like “dopes” if they couldn’t pass the bill after passing a repeal bill in 2015.

US healthcare is horrendously expensive, and it doesn’t stack up against other countries.

The Commonwealth Fund: The United States Health System Falls Short

The United States spends far more on health care than other high-income countries, with spending levels that rose continuously over the past three decades (Exhibit 1). Yet the U.S. population has poorer health than other countries. 1 Life expectancy, after improving for several decades, worsened in recent years for some populations, aggravated by the opioid crisis. 2 In addition, as the baby boom population ages, more people in the U.S.—and all over the world—are living with age-related disabilities and chronic disease, placing pressure on health care systems to respond.

Timely and accessible health care could mitigate many of these challenges, but the U.S. health care system falls short, failing to deliver indicated services reliably to all who could benefit. 3 In particular, poor access to primary care has contributed to inadequate prevention and management of chronic diseases, delayed diagnoses, incomplete adherence to treatments, wasteful overuse of drugs and technologies, and coordination and safety problems.

HealthcareSpendingComparison

HealthcareRankings

Healthcareperformance

Letting an expensive and poor system fail doesn’t seem to be a great approach.

52 Comments

  1. Joe Bloggs

     /  July 19, 2017

    The Republicans have bitterly criticised Obamacare for over 7 years, yet spent not a New York minute working during that time to put together a viable alternative. All of their repeal votes have been cheap political point scoring.

    • Alan Wilkinson

       /  July 19, 2017

      Untrue. The obvious problem is that there are extremists at both ends of the political spectrum in the Republican Senators and insufficient middle ground to outvote the Democrats who are happy to party vote obstruction. None of that supports your claim.

      • NOEL

         /  July 19, 2017

        I thought Trump had a far superior system ready to go when he became President?

        • Alan Wilkinson

           /  July 19, 2017

          Then you overlooked the conflicts within the Republican Party.

          • Gezza

             /  July 19, 2017

            No, he did. Too busy looking in the mirror & at Fox News would be my guess.

            • Alan Wilkinson

               /  July 19, 2017

              Really? My guess is that trying to deal with them consumed a deal of his campaign time and money.

            • Gezza

               /  July 19, 2017

              Well, as long as he’s happy forever whinging on Twitter I guess at least it saves Melania copping an earful of his miseries with them every nite.
              As for campaigning consuming his money, well, it’s not like he’s short of a few bob, is it? And he’s creaming it now, that’s for sure. Flying, driving, camping everywhere in Europe etc – all on the taxpayers’ dime. He does ok, does The Donald.

      • Joe Bloggs

         /  July 19, 2017

        Bullshit Alan.

        Fact 1: the Republicans have had over 7 years of voting to repeal Obamacare

        Fact 2: they have failed to table a viable alternative.

        All the bluster in the world cannot change those two facts

        • Alan Wilkinson

           /  July 19, 2017

          Fact 1: Irrelevant.
          Fact 2: Wrong. They failed to get 50 out of 52 Republicans to agree on their alternative.

          And the reasons why: https://www.usatoday.com/story/opinion/2017/07/18/liberals-medicaid-alarmism-helped-kill-senate-health-bill-chris-jacobs-column/471633001/

          • Joe Bloggs

             /  July 19, 2017

            So for 7 years they vote for repeal without thinking about a workable replacement… seems pretty bloody relevant to the American public

            And fact 2: they have failed to table a viable alternative. If they had tabled a viable alternative then they would have obtained the agreement they needed. They didn’t. They failed.

            You don’t need a university degree to see that.

            • Alan Wilkinson

               /  July 19, 2017

              Rubbish, JB. Obviously they thought a lot about what should replace it. They just did not all agree.

              Viable = capable of working successfully; feasible.
              Likewise the majority of Republicans in the House and Senate agreed their proposals were viable. A small minority in the Senate were dissatisfied, not necessarily with their viability but with their political appearance.

              You don’t need a university degree to see that either. You just need half an ounce of informed objectivity.

        • David

           /  July 19, 2017

          “Fact 1: the Republicans have had over 7 years of voting to repeal Obamacare

          Fact 2: they have failed to table a viable alternative.”

          Indeed. The evidence is they have no intention of ever repealing Obamacare.

  2. Alan Wilkinson

     /  July 19, 2017

    The big question is whether the Senate will ever recover its role as a moderating force or is it doomed to continue just as a second tier redundant party political battleground?

    If the latter, it’s hard to see how the US can be governed whenever there is a conflict between the two tiers or a deadlock within one of them. It’s a certain recipe for dysfunction as it is.

    • Alan Wilkinson

       /  July 19, 2017

      Looking at it another way, it’s a recipe for legislative stagnation. It makes it impossible to make things better or worse while providing both sides with ammunition for blaming the other. It’s hard to know what degree of calamity would have to be suffered before both are obliged to cooperate. We may yet discover that.

      • Patzcuaro

         /  July 19, 2017

        Are some of the problems in the Senate due to the fact that each state has 2 senators regardless of the population of the state. California has 38+ million for it’s 2 senators and Wyoming has less than 1 million.

        It is probably easier to get an extremist elected in a small state. The current system leans in favour of the Republicans who dominate on in the less populous middle & southern states.

        • Alan Wilkinson

           /  July 19, 2017

          That’s a reason for divergent views within a party. It doesn’t contribute to the political legislative stalemate caused by the Senate becoming a party political battleground with a different mix than the House.

  3. Patzcuaro

     /  July 19, 2017

    The current health care system in the US appears to be over price and inefficient.

    • PDB

       /  July 19, 2017

      Um……………yes.

    • Joe Bloggs

       /  July 19, 2017

      That’s largely an outcome of partially privatising primary healthcare…

      If you listen to Republicans describe Obamacare, it is always “imploding,” “failing,” “dying,” “disastrous.” But the law is, for the most part, not in crisis. There are places where the exchanges have struggled to attract insurers, and there are markets in which premiums have skyrocketed. These problems are real and, if the party in power were interested in improving the law, solvable.

      But even without improvements, the reality is that for most people, in most places, Obamacare is working. The bulk of its coverage expansion has been through Medicaid, which is immune to the problems of the insurance marketplaces and Medicaid enrollees really like their coverage; they’re just as satisfied as people who get health insurance at work. That’s why Senate Republicans from Medicaid-expanding states like Ohio and Nevada have been fighting to preserve it.

      • Alan Wilkinson

         /  July 19, 2017

        “Medicaid enrollees really like their coverage”

        Of course, since they don’t have to pay for it. It’s the people who have to pay for them who are not happy.

  4. Joe Bloggs

     /  July 19, 2017

    The politics of casual disregard for the people’s welfare, brought to a new low…

  5. Patzcuaro

     /  July 19, 2017

    Last time the Senate voted to repeal Obama care there was no chance of it happening as President Obama had a veto. This would have made it more palatable for moderate Republicans to vote for repeal as nothing would happen.

    Now if they vote for repeal it might not go down well with their constituents.

    Perhaps the varying parts of the US (West Coast, North East, South and the Mid West) have lost touch with each other. Then you have the Rural/Urban divide with the Urbans areas becoming Democratic (more liberal) and the Rural areas which are being left behind becoming more conservative Republicans.

    The not so United States.

  6. artcroft

     /  July 19, 2017

    So after just six months Trump is a lame duck president. Some sort of record surely. And Trump won’t be accepting any blame but I doubt the public will believe it’s all Hilary and Barack’s fault. So look for a very uncivil war on the American right. 😀😂😃😄😅😆

  7. artcroft

     /  July 19, 2017

    And I’d like to remind the shrinking number of Trumpists that anyone with a brain saw this coming.

    • Alan Wilkinson

       /  July 19, 2017

      Except not shrinking:
      https://www.realclearpolitics.com/epolls/other/trump_favorableunfavorable-5493.html

      Yes, it was obvious that the Senate is deadlocked and incapable of passing anything controversial, and that the Democrats are determined to make everything controversial.

      So we will see who gets the blame in the mid-term elections. So far the Dems have lost every one.

    • Corky

       /  July 19, 2017

      You need a bit of leather oil on your holster, Arty. That was a half baked draw. In fact Trumpy is doing OK. Yep, he has problems. But other things are humming along nicely. The first prototypes of the fence will be ready for evaluation by September. Immigration is having a great time being free of the constraints Obama placed on therm. They now can do their job of rounding up law breakers and deadbeats and sending them back to where they came from. Climate change has been sorted. It doesn’t exist. Coal miners are dusting off their equipment and getting ready to work again. Huge military contracts… etc

      The one thing that worries me is his lack of movement on inner city problems.

  8. Alan Wilkinson

     /  July 19, 2017

    Letting an expensive and poor system fail doesn’t seem to be a great approach.

    In fact it is exactly the normal way progress is made in the private sector.

    • Gezza

       /  July 19, 2017

      Yeah. Like building buildings with no sprinklers n shit! Not enuff bureaucrats there!

      • Alan Wilkinson

         /  July 19, 2017

        Bureaucrats owned the buildings.

      • Alan Wilkinson

         /  July 19, 2017

        Newsflash for G: Council flats are not private sector.

        • Gezza

           /  July 19, 2017

          Newsflash for Sir Alan. Bureaucrats don’t build buildings!

          • Alan Wilkinson

             /  July 19, 2017

            They sure do, G. In conjunction with politicians.

            • Gezza

               /  July 19, 2017

              Ya can’t swing a hammer in a bloody business suit!

            • Gezza

               /  July 19, 2017

              @ Al. If you start posting at me after midnight again, when I’ve hit the sack – that means I win !

  9. David

     /  July 19, 2017

    I’m reminded of the quote from the Commonwealth Fund, who judged the NHS as the best healthcare system in the world;

    “The only serious black mark against the NHS was its poor record on keeping people alive.”

  10. From Fox:

  11. lurcher1948

     /  July 19, 2017

    Donald it was MALE republicans who decided the plan for female health care in the USA but it was 3 FEMALE republicans who ruined YOUR health plan HAHAH
    TXT tonight I need a laugh

  12. Conspiratoor

     /  July 19, 2017

    The greatest political predictor in the history of the world reminds his fellow Americans how lucky they are to have a populist president who can sell the bejeezus out of a health care plan if someone could come up with one that makes sense.

    “But for that to happen, Congress first had to do a hard faceplant in the asphalt, to show the country they are not the right tool for the job. That phase is complete. Time for the next phase. The topic is too complicated, the politics are too corrosive, and the money interests are too strong”

    He goes on to explain how his fellow citizens will solve where Congress has failed, and even throws in a video that frames the problem beautifully. Sheer bloody genius!

    http://blog.dilbert.com/post/163138976726/i-tell-you-how-citizens-can-fix-health-care-now

    • Gezza

       /  July 19, 2017

      He’s a wanka. His bloody video thinggy doesn’t work! It says ‘ended 17 hours’ ago!

      • Conspiratoor

         /  July 19, 2017

        Works fine for me on VPN. I’m in Oregon

        • Gezza

           /  July 19, 2017

          Stop showing off ! It doesn’t bloody work for me on bloody Chrome!

          I installed the Periscope app seeing his site bangs on about it – but it says “Proudly Made In America By Immigrants”. They want me to create a bloody account !

          Next I’ll be getting bloody phone calls offering to fix my bloody computer remotely. And The Vladimir will be passing my personal details to bloody Julian ! I’ll have to boody unistall it, otherwise it keeps coming up when I click on his bloody link – demanding I create a bloody account ! Bastards !

          Ring him up ! Find out why his videos don’t bloody play in Chrome on my feckin iPad ! Get back to me ! 😡

          • Conspiratoor

             /  July 19, 2017

            Your ipad’s probably riddled with viri G, caused by nefarious downloads. Reformat hard drive and try again. I’m chrome on a clean android, no probs

            • Gezza

               /  July 19, 2017

              Nah … bullshit ! I don’t [deleted accusation/insinuation PG]

              1. Took 3 goes, 1 crash. Ring him up. Tell him he’s a wanka. Tell him put them on his bloody YouTube channel next time !

              2. Tell he’s talking rubbish about healthcare ! Tell him he’s bloody ignorant ! See if he knows where New Zealand is ! Tell him its not bloody Tasmania & its not in bloody Holland !

              3. Bring him back with ya. Give him a tour round our public & private hospitals. Tell him to spend some bloody money here too. Get him to have a yack to ya daughter. The GP. Tell him not to pay any bloody attention to you.

              4. Tell him to bugger off back home, to have another bloody think – and to get back to us ! 👍

            • Gezza

               /  July 19, 2017

              PS: If he likes glamping, tell him to get in touch with Al. Tell him to come in November. And to listen to me & Possers – not Al !

      • Alan Wilkinson

         /  July 19, 2017

        Worked for me on second attempt. First time it stalled.

        • Alan Wilkinson

           /  July 19, 2017

          I didn’t install the app. Just used Chrome on laptop.

          • Gezza

             /  July 19, 2017

            Righto. 👍
            I’ll dump Periscope & have another go.

            • Gezza

               /  July 19, 2017

              Righto – given that the elbow 💪🏼
              I’ll do a bloody reboot of the FiP as well. 👍

  13. Joe Bloggs

     /  July 20, 2017

    The Republicans seem to have this notion that they can be a majority party, and have control of the White House, and not be responsible for bringing down the health care system. It doesn’t work that way.