'A Very Narrow Path' to Repeal Obama's Healthcare Law

Former President Barack Obama's signature law is usually associated with subsidized insurance markets like HealthCare.gov.

Republicans in full control of government are on the brink of history-making changes to the nation's health care system.

White House aides say Trump intends to be involved in talks with the four senators. Trump earlier attacked Democrats for their "slam" on the healthcare proposal.

When Trump suggested on Twitter in late May that Republicans should change the Senate rules to a simple majority vote to speed up the process, McConnell told the president to leave Senate business to him, according to three people familiar with the conversation.

Just like Obamacare, under the Senate Republican plan, individuals without employer coverage will still buy private insurance using tax credits based on their income and the average cost of insurance premiums in their area.

"What I find so disappointing is these bills aren't going to fix the problem", Johnston said Sunday.

"It may be a squeaker, but I have a lot of confidence in the ability and the maneuverability of McConnell", Lott said. It would end the Affordable Care Act's Medicaid expansion, cutting off the extra federal matching funds that 31 states plus the District of Columbia used to expand eligibility.

House Republicans have passed their health care bill, and Senate GOP leaders are driving toward a vote next week.

The Congressional Budget Office estimated the House bill would reduce federal Medicaid spending by $834 billion over 10 years, and the program would cover about 14 million fewer people by 2026, a 17 percent reduction. "Until I have the information where I am certain this is ... in the best interest for the folks in Wisconsin - that this puts us in a better position tomorrow than we are today - I'm not going to be voting yes". To be sure, some enrollees who exceed that new income limit might lose only a small subsidy because of the way the current law is structured, but older enrollees could lose substantial amounts.

Vice President Mike Pence has made weekly trips to Capitol Hill to meet with senators about the health care bill and said he and the president are "determined before this summer is out" to keep their promise to break up Obamacare.

"Forget death panels. If Republicans pass this bill, they're the death party."

Realizing they're outnumbered, Democrats and their liberal allies were planning events around the USA over the next few days aimed at building public opposition to the bill. While praising the administration for talking about the issue and forming an opioid commission to look into the problem, Kolodny said it's time for the Trump team to act.

But the Senate bill preserves another, more popular, piece of Obamacare: the requirement that insurance companies cover everyone, even those with pre-existing medical conditions. Subsidies that now make health care affordable for millions of the poor, elderly, and those with preexisting conditions, would be paired back, dramatically raising premiums and deductibles for the nation's most vulnerable populations.

Trump was interviewed by "Fox & Friends", while Collins, Schumer and Paul appeared on ABC's "This Week". "I think they'll get some points". She cited in part provisions that she believes could cut Medicaid more than the House version.

Mr. Trump confirmed on Sunday that he has called the House version "mean", though he is cautiously optimistic that Senate Republicans can approve a bill with "heart". Medicaid provides health care not just for the indigent and disabled but also for the working poor - low-wage employees who can not afford health insurance, even the plans offered through their jobs.

  • Larry Hoffman