#1 House Passes Revised American Health Care Act 3710 by algernonpj 04.05.2017 18:01

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House Passes Revised American Health Care Act
by Sean Moran4 May 20175,545


House Republicans passed a revised version of the American Health Care Act (AHCA) on Thursday.

The bill passed after moderate Republicans fretted this week about how well the bill will protect patients with pre-existing conditions. Many, including former Energy and Commerce Committee chairman Fred Upton (R-MI), previously came out against the bill, but now support it after GOP leaders agreed to add an amendment adding $8 billion to help cover people with pre-existing conditions.

The vote comes after a tumultuous process for the bill, which has seen previously scheduled votes pulled after Speaker Paul Ryan failed to accumulate enough Republican support. Speaker Ryan received widespread criticism after drafting the bill in secret and retaining many parts of Obamacare. Pundits dubbed the original bill, “Ryancare.”

House Freedom Caucus chairman Rep. Mark Meadows (R-NC) stepped up and brokered a revised version of the bill, known as the MacArthur amendment, along with Tuesday Group co-chairman Rep. Tom MacArthur (R-NJ). The addition of the amendment collected enough Republican votes to pass the bill.

Meadows’ efforts in no small part seem to have succeeded where Ryan failed, rallying his House Republican colleagues behind a years-long campaign promise to repeal and replace Obamacare–despite the fact that this bill does not constitute a full repeal of the previous president’s signature law.

Vice President Mike Pence, White House Chief of Staff Reince Priebus, and others have worked alongside congressional Republicans, especially Meadows–who has emerged as a force in the negotiating process so strong that some have begun calling him the acting speaker of the House in the wake of Ryan’s failures–to bring the new bill to the brink of passage.

Meadows, in an exclusive interview with Breitbart News earlier this week, commended the actions of President Donald Trump, Vice President Mike Pence, and Congressman Tom MacArthur. He said:

Not only have we made good progress, we have to get give a good shout out to Tom MacArthur and the President and the Vice President for their efforts in the last couple of weeks. It would be a mistake to suggest that had Tom MacArthur, the President, and the Vice President have not gotten involved in this process, then we would not have the options now for everyone to consider. Tom has worked closely hard with Energy and Commerce Chairman Greg Walden and the committee to make sure that what we do is keeping in line with repealing and replacing Obamacare and drives down premiums and keeps pre-existing conditions.

The agreement, brokered by the House Freedom Caucus chairman and Tuesday Group co-chairman Tom MacArthur (R-NJ), would allow states to eliminate Obamacare’s community rating system — a rule that prohibits health insurers from pricing health care plans based on age, gender, or health status. States that repeal Obamacare’s community rating rules would have to join a high-risk pool to obtain the waiver.

The deal, known as the MacArthur amendment, would also reinstate Obamacare’s Essential Health Benefits, although states could waive these if they were to prove that eliminating those regulations would lower premiums, increase the number of people insured, or “advance another benefit to the public interest in the state.”

Essential Health Benefits require that health insurance plans must cover certain services such as doctors’ services, inpatient or outpatient hospital care, prescription drugs, pregnancy, childbirth, and mental health.

The American Health Care Act replaces a number of Obamacare’s taxes and subsidies with age-based tax credits to help people buy health insurance on the individual market. Freedom Caucus members, including Congressman Jim Jordan, previously said that the tax credits would create a new entitlement program. The AHCA repeals Obamacare’s employer mandate, while it replaces the individual mandate with a 30 percent insurance premium surcharge for those who forgo health insurance. The bill will also cap Medicaid per capita starting in 2020.

If the bill passes the House, it will most likely see changes in the Senate. Sens. Bob Portman (R-OH) and Shelley Moore Capito (R-WV) remain concerned about a provision in the American Health Care Act that freezes Medicaid expansion. Senator John Thune (R-SD), the third highest-ranking Republican in the Senate, has crafted a measure to better compensate older Americans for the high cost of health insurance.

Congressman Mark Meadows (R-NC) told Breitbart News that he will work with Senate colleagues to push for a more conservative version. “I am having conversations with my colleagues in the Senate,” he explained, “where we can push for even more conservative solutions, because it was more difficult to push amendments procedurally in the House.”

Senators Rand Paul (R-KY), Mike Lee (R-UT), and Ted Cruz (R-TX) were the strongest opponents of the American Health Care Act. Senator Paul crafted his own conservative plan for repealing Obamacare and worked with the Freedom Caucus to push for an even more conservative Obamacare repeal bill. The Freedom Caucus endorsed Sen. Paul’s plan.

Meadows told Breitbart News, “I fully expect that we will repeal most aspects of Obamacare by the end of May. It may have been a deterrent in the first 100 days, but by the end of the first 120 days or so it will be seen as a significant accomplishment. It’s not how you start, it’s how you finish, as the as song used to say. We will have an excellent finish.”
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http://www.breitbart.com/big-government/...ealth-care-act/


Sounds like Paul has been taken down a peg and Obama's legacy is in jeopardy

#2 RE: House Passes Revised American Health Care Act 3710 by ThirstyMan 05.05.2017 00:41

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Getting this out of the House and into the hands of Senators like Rand Paul is a step in the right direction.

#3 RE: House Passes Revised American Health Care Act 3710 by Cincinnatus 05.05.2017 00:57

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Sounds like Paul has been taken down a peg and Obama's legacy is in jeopardy

I hope you are right but I remain skeptical of the Republican commitment to reducing government. I also note the idea healthcare is a universal right is now assumed without any serious discussion. The state grows, the private sector shrinks.

For your consideration:



Say what you will about Robert Welch, the man was brilliant and an outstanding historian.

#4 RE: House Passes Revised American Health Care Act 3710 by algernonpj 05.05.2017 15:06

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Quote: Cincinnatus wrote in post #3
Sounds like Paul has been taken down a peg and Obama's legacy is in jeopardy

I hope you are right but I remain skeptical of the Republican commitment to reducing government. I also note the idea healthcare is a universal right is now assumed without any serious discussion. The state grows, the private sector shrinks.

For your consideration:



Say what you will about Robert Welch, the man was brilliant and an outstanding historian.


Thanks for posting. There is so much information I'll watch it again later.


Thursday, 04 May 2017
GOP House Keeps Much of ObamaCare in “Repeal and Replace” Bill
Written by Alex Newman

......................................................

The healthcare vote to keep much of ObamaCare follows another recent betrayal of voters by establishment GOP lawmakers. Under the guise of preventing what they claimed would be a “government shutdown,” establishment Republicans in Congress joined with Democrats to pass a massive spending bill filled with funding for virtually every unconstitutional program and agency they campaigned against. Over 100 liberty-minded Republicans defected. Among other concerns, they noted that the “stop-gap” bill funds abortion giant Planned Parenthood and sanctuary cities, while specifically prohibiting any spending on Trump's long-promised border wall.

The AHCA now goes to the Senate, where political analysts expect it will undergo further changes to retain even more of ObamaCare. Trump has insisted it will pass. But with Democrats, the United Nations, and many crony special interests united against it — along with potential opposition from some liberty-oriented GOP lawmakers and some Big Government-minded Republicans — approval in the Senate remains far from certain. Either way, Americans who supported Republican candidates based on the promise that they would repeal ObamaCare are going to be sorely disappointed once they find out what is in it. But the fight may not be over yet.

https://www.thenewamerican.com/usnews/he...nd-replace-bill


I expect establishment Republicans to be nothing but obstructionists. My hope is that Trump can slowly chip away at Obama's legacy Obamacare.

Unfortunately people have been well conditioned to believe without government interference and health insurance they could not get health care. People are shocked to find out that when I went from being an employee to being a consultant my first few years I worked through consulting firms. My internist did not accept the insurance I was given by one of the firms. What shocked them was the fact I explained my situation the my internist who had me listed a self-insured with an office visit rate of $ x.xx. Unfortunately my internist could not do the same thing today. as regulations were added he began losing money, had to shut down his private practice and join a group.

#5 RE: House Passes Revised American Health Care Act 3710 by Cincinnatus 05.05.2017 16:05

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Zitat
Krauthammer: Let’s face it, we’re looking at single-payer in less than seven years



Zitat
Indeed. That was always the secret hope of ObamaCare fans, although many of them made no bones about it. But I’m stoic about this after the last election. Before 2016, conservatives saw the battle over single-payer as Armageddon between the small-government and big-government visions for America. What we learned last year is that there really is no “small-government vision” anymore outside of a 25 percent “conservatarian” rump of the GOP. All the parties are arguing over at this point is how big government will get, and how soon.

[snip]

Krauthammer might be a little pessimistic in his timeline, especially if Trump wins reelection, but I don’t know. Trump’s own fondness for single-payer systems is no secret. Right now he’s constrained by the prospect of a reelection campaign and the need to present himself to the right as more or less conservative (although why he feels that compulsion, I don’t know), but he won’t be come 2021. If he wins a second term, ends up stuck with a Democratic Congress, and the GOP’s replacement for ObamaCare is performing badly, would he make a deal with Pelosi and Schumer to build a public option — especially if it polled well? Sure, why not? We may not see full single-payer in seven years but the momentum should be even less reversible then than it is now. It’s mainly a question of whether a new Democratic president will provide the next push or whether Trump himself will.



http://hotair.com/archives/2017/05/05/kr...ss-seven-years/

#6 RE: House Passes Revised American Health Care Act 3710 by Rufus T Firefly 06.05.2017 08:10

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Unfortunately, I agree with Krauthammer. All we're witnessing now is a mere speed bump on the road to single-payer.

The establishment has worked too long and hard to force socialized medicine down the masses' throats to give up now.

#7 RE: House Passes Revised American Health Care Act 3710 by Cincinnatus 06.05.2017 16:12

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The Mises View: "Healthcare and the Free Market"

#8 RE: House Passes Revised American Health Care Act 3710 by algernonpj 09.05.2017 13:35

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Here's my:

The article by Allahpundit belongs on Hotair because it contains a great deal of it. It uses misleading logic and references to justify the notion that those on the 'atl-'right' are seeing the light about ObamaCare and condoning a single payer system.

One example is the 'poll'. If you follow the link there is another Hotair article which lins to Twitter which links to yougov.com. YouGov is an international Internet-based market research firm, headquartered in the UK, with operations in Europe, North America, the Middle East and Asia-Pacific
YouGov is an international Internet-based market research firm, headquartered in the UK, with operations in Europe, North America, the Middle East and Asia-Pacific. The accuracy ot the polls it conducts are questionable.
https://en.wikipedia.org/wiki/YouGov
http://reviewopedia.com/workathome/yougo...-legit-or-scam/

My impression is that good ole Krauthammer 's response is a subtle way to justify establishment republican failure to repeal ObamaCare :
'only two ways to go: radically individualistic or single payer'. Note the use of radical attached to individualistic.

No mention of the fact Republicans passed laws to repeal ObamaCare while Zero was president and they knw he'd veto the bills. No mention of the concerted effort over decades to establish health care as a 'right'

Why didn't use this opportunity educate people? Why not address corrupt lobby driven, over regulated, monopolist industry health care has become? Why not mention entrenched special interests for example the cost of epi-pen which is kept artifiically high because a federal law prevents medical consumers from going outside the country buying it at a fraction of the price in the US and bringing it into the U.S. Why not explain the values of individual HSA's ?

Krauthammer's implies message if that single payer is inevitable so accept it.

What is happening now may just be a bump in the road but why not work toward making it a long lasting and bigger bump. Maybe the public will learn that free stuff from the government is not so free after all. It comes at the expense of freedom and national sovereignty

#9 RE: House Passes Revised American Health Care Act 3710 by Rufus T Firefly 09.05.2017 14:05

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Quote: algernonpj wrote in post #8
Here's my:


No mention of the fact Republicans passed laws to repeal ObamaCare while Zero was president and they knw he'd veto the bills. No mention of the concerted effort over decades to establish health care as a 'right'

Why didn't use this opportunity educate people? Why not address corrupt lobby driven, over regulated, monopolist industry health care has become? Why not mention entrenched special interests for example the cost of epi-pen which is kept artifiically high because a federal law prevents medical consumers from going outside the country buying it at a fraction of the price in the US and bringing it into the U.S. Why not explain the values of individual HSA's ?

Krauthammer's implies message if that single payer is inevitable so accept it.

What is happening now may just be a bump in the road but why not work toward making it a long lasting and bigger bump. Maybe the public will learn that free stuff from the government is not so free after all. It comes at the expense of freedom and national sovereignty



Hey algernonpj, I hear your frustration.

I want to focus on the part I bolded, above.

I think you already know this, but the dirty little secret is that republicans are as pro socialized medicine as the dems. Look no further than John Roberts. If any republican votes would have been needed to pass it in '09, they would have been there.

Sure they were able to deceive in '10 and '14 with visions of repeal, but they never expected to really have to deliver.

I understand that maybe to you it looks like it's 'defeatist' to acknowledge that socialized healthcare (single payer) is inevitable. I tend however to think it is just being a realist.

At some point the country is going to go bust anyway. "Free healthcare for all" may be the vehicle that does it.

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