Another Health Care Setback for Donald Trump

The bully in the oval office lost today. The Senate voted against repealing the Affordable Health Care Act (Obama Care) without a replacement. Also,

On Tuesday night, a version of a repeal and replace plan, called the Better Care Reconciliation Act, failed to overcome a parliamentary objection that the bill had not yet been scored by the Congressional Budget Office.

Here's how they voted

There are a lot of Republican plans in the works. Here's how they compare.

There may be a vote later this week on whatever Republicans settle on. But they are all bad.

< John McCain's Speech to the Senate
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  • Display: Sort:
    All bad (none / 0) (#1)
    by CaptHowdy on Wed Jul 26, 2017 at 05:31:50 PM EST
    And almost certainties only all dead.

    It's looking more and more that ultimately they will repeal the medical device tax and call that reform because that's all they are going to get.

    Geez (none / 0) (#2)
    by CaptHowdy on Wed Jul 26, 2017 at 05:33:02 PM EST

    Might wanna put the pen down Donnie... (none / 0) (#3)
    by kdog on Wed Jul 26, 2017 at 05:45:42 PM EST
    before the little right hand cramps up...it's gonna be awhile before you have papers to sign that you will not have read, attempted to understand, or even mildly contemplated for more than a few fleeting ADD moments.

    There are other things (none / 0) (#4)
    by CaptHowdy on Wed Jul 26, 2017 at 06:12:23 PM EST
    He could do with that pen

    I could send him a list


    POLITICO (none / 0) (#5)
    by CaptHowdy on Wed Jul 26, 2017 at 06:15:33 PM EST
    Yeah (none / 0) (#6)
    by Ga6thDem on Wed Jul 26, 2017 at 10:13:46 PM EST
    because if you take away the mandate preexisting conditions collapse and the insurance companies are against the mandate removal.

    Because (none / 0) (#9)
    by CaptHowdy on Thu Jul 27, 2017 at 05:39:59 AM EST
    The insurance market would collapse because only sick people would be in it.

    Skinny could be close (none / 0) (#7)
    by CoralGables on Wed Jul 26, 2017 at 10:24:53 PM EST
    Going to have to find someone (none / 0) (#8)
    by CoralGables on Wed Jul 26, 2017 at 10:26:26 PM EST
    other than Murkowski and Collins and not sure who that might be.

    Reportedly some right wingers (none / 0) (#10)
    by CaptHowdy on Thu Jul 27, 2017 at 05:41:11 AM EST
    Don't like the "skinny" part.

    Although Paul seems onboard


    Heller (none / 0) (#11)
    by Ga6thDem on Thu Jul 27, 2017 at 06:50:11 AM EST
    is in a bad spot with all this.

    The Republican senators (none / 0) (#12)
    by KeysDan on Thu Jul 27, 2017 at 10:03:36 AM EST
    really should know what they are voting on---maybe even read something, anything..about it. Health coverage is easy for those who know nothing about anything, but actually has moving parts. Move one, another moves too, and not in the desired direction.

    The Republicans hate the expansion of Medicaid, but the "Skinny" may lead to, essentially, ....expansion of Medicaid. Because "Skinny" repeals their dreaded mandate.

    Obamacare's individual mandate is geared to produce group-like (broad pool) predictability so as to track and average premiums, based on sick and healthy.

     The "skinny" mandate repeal increases insurer's risk and increases premiums. The CBO estimates an increase in premiums of about 20 percent.  For those eligible for ACA subsidies, the increase in those premiums will be picked up by larger government subsidies.  Those in the exchanges get more government subsidies to offset the increase in premiums.  More, not less government spending.   Those with higher incomes than for traditional Medicaid continue to get subsidies...as with expanded Medicaid.

    However, those with incomes above subsidy-eligibility (middle income) get stuck with paying the higher premiums.  So much higher that they can't afford it, and will have to drop out (CBO, 16 million).

     For these middle income working people, health care becomes Emergency Room.  For hospitals, they are likely to get a bad debt, and smaller ones, will find themselves in trouble, especially the small rural hospitals.

    "Skinny" is more diabolic that it may, at first, seem.  But, loss of insurance for some because of higher premiums and more government spending for subsidies to offset the increase in premiums for working poor, are among the grand features of "Skinny."

    and (none / 0) (#13)
    by CaptHowdy on Thu Jul 27, 2017 at 10:06:58 AM EST
    a collapse of the entire insurance industry.

    which is why it will not pass.  screw people,  its insurance companies we need to worry about.