By Pogo, a Trail Mix Contributor
Well, here we are, playing out this one act play that has been panned so often yet again as the Republican congress tries to kill Obamacare, throw 50 or so million people off the healthcare rolls and cut Medicaid spending way back – all at the expense of the poor and the medical providers who provide care for them.
A final GOP effort to dismantle the Affordable Care Act burst into view this week in the Senate, where leaders began pressuring rank-and-file Republicans with the hope of voting on the package by the end of the month.
The renewed push comes nearly two months after the last attempt to overhaul the law known as Obamacare failed in a dramatic, early-morning vote, dealing a substantial defeat to President Trump and Senate Majority Leader Mitch McConnell (R-Ky.) and prompting many to assume that the effort was dead.
The latest proposal would give states control over billions in federal health-care spending, repeal the law’s key mandates and enact deep cuts to Medicaid, the federally funded insurance program for the poor, elderly and disabled. It would slash health-care spending more deeply and would probably cover fewer people than the July bill — which failed because of concerns over those details.
The appearance of a new measure reflected just how damaging Republicans consider their inability to make good on a key campaign promise of the past seven years: to repeal and replace President Barack Obama’s signature domestic policy achievement.
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With Democrats united firmly against the bill, Senate GOP leaders can afford to lose only two of 52 Republican votes, enabling them to pass the measure with a tiebreaking vote from Pence. They lost three in the July vote: Sens. John McCain (Ariz.), Lisa Murkowski (Alaska) and Susan Collins (Maine).
None of those three committed to voting for the bill Monday, expressing reservations if not outright opposition.
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The proposal would slash health-care spending more deeply and would probably cover fewer people than the July bill, which failed precisely because of such concerns. Under the new bill, starting in 2021, the federal government would lump together all the money it spends on subsidies distributed through the ACA marketplaces and expanded Medicaid programs covering poor, childless adults who earn up to 133 percent of the federal poverty level.
This approach would generally result in less money for states that expanded Medicaid under the ACA and more money for states that didn’t. That’s because it would redistribute the money allotted to the 30 states that opted to expand Medicaid and spread it out among all 50 states.
OK, it’s time for the 3 Republican Senators who showed the LAST time that they actually have a head, a heart and a spine to vote no again and time for those senators who said they would vote no the last time but caved to find theirs.
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