Repeal, replace is over; bipartisan fix is needed
The predominate attitude among Democrats in the U.S. Senate was not celebration but relief, said Sen. Patty Murray, D-Washington, following Republican Sen. John McCains famous thumbs-down, assuring a 51-49 defeat of the skinny repeal that would have tossed out the Obama-era Affordable Care Act and insurance coverage for millions.
Its a relief to know were moving on from this and have shut the door on that conversation, said Murray, in a phone interview Friday afternoon following the early-morning vote.
Whether that door stays shut depends on President Trump and Republican leaders in Congress. Some, including Senate Majority Leader Mitch McConnell, want to move on to budget and tax reform issues. But Trump, in tweets over the weekend, lambasted Congress for failing to repeal and replace or just repeal Obamacare and address its replacement later. Instead, Trump vowed to let the ACA implode.
But it wont implode without significant action or inaction, rather by the president. Trump, hoping to prod Republicans, has threatened to withhold cost-sharing reduction payments, reimbursements paid to health care insurers for the premiums and deductibles of low-income enrollees in the ACAs insurance markets.
Thats a bad idea. Withholding the payments means reduced revenues for insurers who would pass on the costs of coverage to others with insurance, drop out of markets altogether or both. The result, according to a report by the Kaiser Family Foundation, would be a rate increase for most covered by insurance of about 19 percent. And while the federal government would save $7 billion in payments for this fiscal year, its overall costs would increase at least 23 percent because of the increased cost of tax credits provided to insure low-income families. Trump cant withhold those.
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