We had Obamacare repealed and replaced, and a man — I won’t mention his name. But a man at 2 o’clock in the morning went thumbs down, and he campaigned for years on repeal and replace. We had the chance. Nobody even spoke to him about it, because it was something that was unthinkable what he did, and because of that… But still, I have just about ended Obamacare. We have great health care. We have a lot of great things happening right now. New programs are coming out....
I thought it very interesting, that almost-phobia about saying the name — as if the name has mystical power, or perhaps a sense that's it's wrong to speak ill of the near-dead.
It was Rush's 30th anniversary show today, and Trump called in to congratulate him. Here, you can watch Rush react. He seems genuinely surprised to get the call:
“Based on guidance from the Department of Justice, the Department of Health and Human Services has concluded that there is no appropriation for cost-sharing reduction payments to insurance companies under Obamacare,” [Press Secretary Sarah Huckabee Sanders] said. “In light of this analysis, the Government cannot lawfully make the cost-sharing reduction payments. …The bailout of insurance companies through these unlawful payments is yet another example of how the previous administration abused taxpayer dollars and skirted the law to prop up a broken system.”...
While Republican lawmakers complained the subsidies were never properly appropriated by Congress, many were wary of ending them suddenly....
"It's time for Congress to fix this bill. That's what needs to happen. Congress has got to get together," [Attorney General Jeff Sessions] said. "Republicans and the Democrats, they've got to come on board and they've got to develop a plan that will actually work. It can not continue in this fashion. It's in a death spiral it seems to me."
Trump is carrying on the Obama tradition of doing everything in the Executive Branch. The complaints should be directed at Congress.
"... and taking crucial steps toward saving the American people from the nightmare of Obamacare... This is going to be something that millions and millions of people will be signing up for... and they’re going to be very happy. This will be great health care."
Mr. Trump directed three cabinet agencies to develop rules that would expand access to less expensive, less comprehensive insurance, including policies that could be sold by trade associations to their members and short-term medical coverage that could be offered by commercial insurers to individuals and families....
Mr. Trump’s order could eventually make it easier for small businesses to band together and buy insurance through new entities known as association health plans, which could be created by business and professional groups. A White House official said these health plans “could potentially allow American employers to form groups across state lines” — a goal championed by Mr. Trump and many other Republicans.
On the NYT "Daily" podcast today — scroll to 3:15 — Michael Barbaro asks how it happened that Congress is once again returning to the effort to repeal of Obamacare. "It just seemed so over" after the last defeat. Thomas Kaplan (who covers Congress for the NYT) answers:
It looked like September was going to be a nightmare of a month because Congress needed to pass a spending measure to keep the government open, and they also needed to raise the debt limit, and that look like it was going to be this big, messy fight. To everyone's surprise...
The podcast shifts to audio of news reports of Trump's meeting with Chuck Schumer and Nancy Pelosi and his breaking with the GOP and siding with Democrats to get a deal on these big messy things that were going to be the nightmare of September.
Kaplan continues:
And that was a tough pill to swallow for Republicans, who were completely blindsided, but it sort of cleared the decks for the rest of September. Instead of having this big fiscal fight, that was resolved much earlier than everyone thought it would be.
For podcast listeners who may be only slowly waking up and blearily starting their day with the NYT podcast, Barbaro hammers* the point:
So, striking a deal with the Democrats on the budget, President Trump — and the Democrats Pelosi and Schumer — opened up another chance for Republicans to repeal Obamacare. That's striking.
Kaplan:
Yeah. No. Completely.
Is Trump that crafty? Did Schumer and Pelosi fall into a trap? I'm inclined to answer those questions yes if only because the 2 NYT reporters — who I doubt would give Trump any extra credit — made me think about it that way. And yet, I don't believe the new legislative effort will succeed. But if it does....
_______________
* I use the word "hammers": 1. because of the repetitious pounding of the the same idea, 2. because Barbaro uses the word "striking" twice, and 3. because... STOP THE HAMMERING...
By then, the alphabetical roll call had reached Sen. Gary Peters of Michigan. McCain walked over to the front of the chamber, raising his right arm. He held it up in the air until he had the attention of the clerk. No," he said, with a swift thumbs-down.
It was a "no" that could barely be heard on C-SPAN, and a thumbs-down that viewers would not have been able to easily make out. But the moment was crystal clear for the dozens of reporters watching from the gallery above, who let out a collective gasp and made a stampede exit for the wooden double doors behind them to report the news.
Despite how confused McCain sounded a few weeks ago (at the Comey hearing) and despite the ferocity of the opposition to repealing Obamacare, no one said a word — did they? — about McCain's capacity to participate. But the truth is, McCain sounded strong and lucid as he addressed the Senate today:
This can't be a surprise to anyone, and it's also not a surprise the Republicans have no idea what to do next. That's why Obamacare had to be stopped before it started, so people didn't become reliant on whatever it was, even though it was never good enough. But it wasn't stopped. So what are Republicans going to do? The only hope, it seems, is for them to fall short of having enough power to do anything.
"It’s very, very scary to think about not having health insurance. If the condition doesn’t kill you, the stress of having it does, in this country. The fact that people do without health insurance is a sin, in my opinion," says one woman, quoted in the NYT article.
But think what it's like for the Republicans. The stress of having political power is killing them. One way back to health is to fracture into parts that can get back to playing from the comfortable minority position.
Remember the old affirmation: I’m so glad I’m a Beta... I’m really awfully glad I’m a Beta...
“After the election, he made no secret of how pissed he was—he feels that he won that thing all on his own. They wrote him off for dead and cut all his money off... He was already left for dead and when you’re left for dead and you keep walking, there’s a pretty remarkable level of strength that comes with that.”
ADDED: I'm skeptical of this story, so let me front-page something I wrote in the comments:
Ron Johnson has such a modest, low-key Wisconsinite demeanor that it seems funny to me to picture him seething and cursing, just burning up and ready to go wild and break things.
Forget death panels. If Republicans pass this bill, they’re the death party.
Will DEATH!!!! work as a political message?
The Republicans famously, successfully used "death" to reframe political issues: death tax, death panels. But those were more precise issues that really had to do with death. "Death tax" was a reframing of "estate tax," and "death panels" had to do with end-of-life medical decisionmaking.
"Death party" asks us to believe the Republican Party is happy to let us die.
I would think that crudely shouting DEATH!!!! would cause many people to turn away from the whole discussion. And for many others — especially people facing life-threatening conditions or with family members who are dying or have died — the harping on death causes pain and anxiety.
Now, President Trump and the Republicans have the “going second” problem. The public will compare their proposed bill with Obamacare and conclude that the one metric they understand – the number of people covered – does not compare favorably with Obamacare. The contrast is fatal.
"I personally think that holding a vote on this next week would definitely be rushed. I can't imagine, quite honestly, that I'd have the information to evaluate and justify a yes vote within just a week."
ADDED: Doing the tags for this post I started to type "mean" and was pleased to see it autocomplete to "meanies." I wouldn't make a new tag for "mean" at this late date in the life of the blog, but it was great to see that there is a "meanies" tag and to use it again. I had not used it since August of last year, when I had a post titled "The 3 meanest men Hunter S. Thompson ever met — one was Jimmy Carter" — "He will eat your shoulder right off," said Thompson, who also had this description of Hubert Humphrey that amused me by sounding like Trump:
His hair was bright orange, his cheeks were rouged, his forehead was caked with Mantan.... No! I thought. This can't be true! Not now! Not so soon! Here was this monster, this shameful electrified corpse – and raving and flapping his hands at the camera like he'd just been elected president.
Not so funny now that Trump actually is President... or is it?
I've only used the "meanies" tag a few times over the years, perhaps because I don't think of it unless the word "mean" is used. I see I had it here in January 2014, when Ron Paul said that the media will "get meaner and meaner when you run for president" and "pick you apart," and I wondered — assuming the media was going to be very mean in the 2016 election season — who we'd enjoy seeing bullied. Maybe Trump did well because he absorbed and deflected meanness better than anyone else.
"You're supposed to be vetting doctors and vetting hospitals and knowing what an MRI costs and knowing what a CT scan costs and a cardiac catheterization – how much does that cost? And is the cost different if I have this doctor or this doctor? Health insurance as a for-profit business is immoral... You want to make money off of me. And the reason you [don't want] to go to single-payer is not because you don't believe in it... It's because you know the insurance companies have a powerful lobby and they would decimate you.... I have no value to an insurance company. I can't do anything to their CEO, I can't do anything to their employee. Nothing. I can argue until I'm blue in the face. But a single-payer, run by the government? Yeah, it's got problems, but it's also got elections, and you're going to find that out in 2018."
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