Tag Archives: republican

Republicans Delay Vote on Health Care Bill

Mother Jones

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In a major blow to President Donald Trump and House Speaker Paul Ryan, the House vote to repeal and replace the Affordable Care Act, which was slated for Thursday, has been postponed.

The delay comes just hours after a failed emergency meeting between Trump and members of the House Freedom Caucus, hard-line conservatives who demanded the American Health Care Act eliminate Obamacare’s so-called essential health benefits. The potential concession to the Freedom Caucus’ demands reportedly alarmed more moderate-leaning Republicans.

It’s unclear when a rescheduled vote will take place.

As of Thursday afternoon, 47 House Republicans remained undecided about their vote on Ryan’s health care legislation; 31 Republican lawmakers said they would reject the proposal. With all Democrats voting no, the bill can only afford to lose 22 Republicans to secure passage.

This is a breaking news post. We will update as more information becomes available.

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Republicans Delay Vote on Health Care Bill

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Is Trump’s Popularity Sinking? Here’s the Poll to Look At.

Mother Jones

This Gallup poll has been making the rounds today:

I’ve deleted the rest of this post. It was a comparison of job approval ratings of Republican presidents among Republicans. But I screwed it up. There’s actually nothing interesting to report on that score. Trump’s job approval ratings are about the same as Reagan, Bush Sr., and Bush Jr.

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Is Trump’s Popularity Sinking? Here’s the Poll to Look At.

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Trump’s budget is a declaration of war on the environment

The Trump team wants to dramatically shrink much of the federal government, but you know what it wants to shrink most of all? Environmental programs. Under the budget plan released by the White House on Thursday, the Environmental Protection Agency would take a bigger percentage hit than any other cabinet-level department: Its funding would be slashed by almost a third. That means many of the agency’s programs would experience crippling budget cuts, while others would get wiped out entirely. Environmental programs in other departments would come under the ax as well.

President Trump claims he wants to focus on clean air and water instead of climate change, but this new “skinny budget” proposal suggests otherwise. It not only eliminates climate initiatives, but cuts air and water programs, too.

Here are 13 of the most critical proposed budget cuts:

 Slashed: EPA’s budget would be cut by 31 percent, from $8.2 billion to $5.7 billion — its lowest level in four decades, accounting for inflation.
 Slashed: EPA’s staff would be cut by about 21 percent, taking the workforce from around 15,000 people down to some 11,800.
Eliminated: International climate change programs run by the State Department and the EPA would end, including payments the U.S. had pledged to make to United Nations climate efforts.
Eliminated: President Obama’s signature Clean Power Plan, designed to reduce CO2 emissions from power plants, would have all of its funding zeroed out. (Trump is soon expected to issue an executive order calling for the Clean Power Plan to be rewritten.)
Eliminated: Restoration programs for the Great Lakes and the Chesapeake Bay would be completely wiped out.
Eliminated: Energy Star, a popular voluntary labeling program for efficient appliances and devices, would lose all federal funding.
Slashed: The Superfund program for cleanup of contaminated sites would have its funding cut from about $1.1 billion to $762 million. (EPA Administrator Scott Pruitt reportedly pushed to maintain funding for toxic site cleanups, but lost that battle.)
Eliminated: There would be no more funding for long-distance Amtrak trains; federal funds would be focused on Amtrak’s regional service, like in the Northeast Corridor.
Eliminated: The Department of Agriculture’s water and waste disposal loan and grant program, which gives money to rural governments and tribal nations to improve drinking water systems, would end.
Eliminated: All funding would be erased for National Historic Sites, which are managed by the National Park Service.
Eliminated: No funds would go to the Department of Energy’s Weatherization Assistance Program, which improves the energy efficiency of low-income families’ homes, helping them save money on utility bills and prevent carbon pollution.
Eliminated: The Department of Energy would lose all funding for its Advanced Research Projects Agency-Energy (ARPA-E), which helps to get innovative energy technologies off the ground, and for the Advanced Technology Vehicle Manufacturing Program, which works to develop more advanced, efficient cars.
Slashed: NASA’s climate research programs would get hit hard, with several missions that study climate change getting the ax.

There’s lots more where that came from. If you want to dig deeper into Trump’s budget plans, the Washington Post has an excellent rundown.

Keep in mind, though: Congress gets to write federal budgets, not the president. Trump has now put forward his proposal, but the House and Senate will do their own thing. Even many Republicans are unnerved by Trump’s proposed cuts, environmental and otherwise. Alaska Republican Sen. Lisa Murkowski, chair of the subcommittee that writes EPA’s budget, said she “cannot support” many of the cuts. And Rep. Leonard Lance, a New Jersey Republican, argued that some of the cuts “are penny wise but pound foolish.” That’s putting it mildly.

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Trump’s budget is a declaration of war on the environment

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Is Obamacare Already Dead?

Mother Jones

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Paul Ryan and President Trump have been insisting for months that Obamacare is collapsing, failing, imploding, spiraling quickly into death. This is ridiculous, of course. It’s covering more than 20 million people at a lower cost than originally projected, and by any fair appraisal it’s been hugely successful.

But that’s not to say it has no problems. The Obamacare insurance pool is skewed toward the old and sick, and this has made it hard for insurers to turn a profit. Several smallish insurers have already left the market, and there are hundreds of counties in the US with only one insurer left on the exchanges. This is probably not fatal—CBO says the Obamacare market is stable—and it’s a problem that could be addressed fairly easily and inexpensively. Still, it does put the Obamacare market in modestly perilous shape.

But what now? Even if the godawful Republican repeal effort fails, there’s every reason to think that Congress will try again. What’s more, it’s clear that they’ll do everything they can to undermine Obamacare along the way. In a few months, insurance companies have to decide whether they want to participate in the exchange market in 2018, and I wonder what they’ll decide? The uncertainty is sky high now, and that means they have little incentive to continue. Remember, most insurers swallowed big losses early on in hopes of building a stable, profitable market later. But what’s the point of absorbing losses if it looks like—at best—years and years of chaos ahead?

It may be that 2018 is safe. The exchanges are pretty close to profitable now, and it’s probably worth it for most insurers to stay on board for at least another year to see what happens. Still, I wonder. Merely by upending everything and making it clear just how dedicated they are to cutting taxes on the rich and cutting health coverage for the poor, have Republicans already managed to effectively repeal Obamacare without passing a single page of legislation?

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Is Obamacare Already Dead?

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The Short, Happy Valley of Obamacare

Mother Jones

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Back in the past, about 17 percent of Americans went without health insurance. In the future, according to the CBO, about 17 percent of Americans will go without health insurance if AHCA, the Republican health care bill, passes. In between is the short, happy valley of Obamacare, when we got that number down to about 10 percent:

The CDC has precise numbers for the present if you’re interested. The Obamacare smile in the chart above is just approximate. Bottom line: if AHCA passes, not only will all the good work of Obamacare be wiped out, but uninsurance rates will actually be higher than they used to be when we had no legislation at all. I’m not quite sure how Republicans managed to pull that off, but it’s an impressive feat of callousness and greed.

Are you interested in additional detail about exactly which groups will be less insured under AHCA? The answer is: all of them. Here’s the absolutely appalling CBO estimate:

Poor people will have less insurance. Working-class people will have less insurance. Middle-class people will have less insurance. The young will have less insurance. The middle-aged will have less insurance. The old will have less insurance. Everybody will have less insurance. Except for the rich, of course, who will also get an $882 billion tax cut.1

This is what Paul Ryan calls “encouraging.” I’m not sure how he looks at himself in the mirror every morning.

1In fairness, they have to share this tax cut with big corporations.

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The Short, Happy Valley of Obamacare

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Conservatives Aren’t Yet Sure How to React to the CBO Health Care Report

Mother Jones

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What do people think about the new CBO report on RepubliCare? I don’t mean us bleeding heart liberals. Naturally we think it’s great since it confirms that the Republican bill will decimate health care in America. But what do conservatives think?

HHS Secretary Tom Price says the CBO report is ridiculous. It “defies logic,” he says:

But over on Capitol Hill, Paul Ryan says he finds the CBO’s report “encouraging.” It exceeded his expectations and “gives us even more room to work on good, fine-tuning finishing touches.” Hoo boy. Even Fox News isn’t buying this:

This is some serious happy talk. Ryan must be taking lessons from Trump. In a statement, Ryan says the report confirms that the Republican bill will “lower premiums and improve access to quality, affordable care”—which is, um, a pretty creative reading of the report. More to the point, Ryan is thrilled that the CBO confirms that the bill will provide “massive tax relief.” This is true—though the tax relief is all for the rich—and it’s telling that Ryan doesn’t need to provide any spin on this point.

But what about all those people who will lose coverage? Ryan says, “I recognize and appreciate concerns about making sure people have access to coverage.” He doesn’t say he plans to do anything about this, but at least he appreciates the concerns. You know who else appreciates those concerns? Breitbart News:

The Drudge Report is pretty much ignoring the whole thing for the moment, as if they’re waiting for some kind of conservative consensus to form before they wade in. National Review is pretty silent too, though Dan McLaughlin writes that “The projections of who will and won’t be insured don’t actually mean anything.” The Weekly Standard’s Chris Deaton has a carefully neutral post up that says millions of Americans “would opt out of purchasing coverage once the federal government stops penalizing them for doing so.” That’s not quite what CBO says, though I admit you have to read the report carefully to recognize this.1

Basically, no one outside of Congress or the White House really wants to defend the Republican bill. There are a few half-hearted gibes at the CBO, but nothing more. I’ll be curious to see if tribal defenses kick in more strongly by tomorrow, once everyone has had a chance to suffer through all the liberal jeers and taunts.

1CBO says that subsidies after 2020 would be “significantly smaller” than they are now and that “some people would forgo insurance in response to higher premiums.” However, they are oddly cagey about exactly how big an effect this would have compared to the elimination of the individual and corporate mandates. I’m not sure what the reason for this is.

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Conservatives Aren’t Yet Sure How to React to the CBO Health Care Report

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One of the most important figures in environmental justice just quit Trump’s EPA.

Mustafa Ali helped to start the EPA’s environmental justice office and its environmental equity office in the 1990s. For nearly 25 years, he advocated for poor and minority neighborhoods stricken by pollution. As a senior adviser and assistant associate administrator, Ali served under both Democratic and Republican presidents — but not under President Donald Trump.

His departure comes amid news that the Trump administration plans to scrap the agency’s environmental justice work. The administration’s proposed federal budget would slash the EPA’s $8 billion budget by a quarter and eliminate numerous programs, including Ali’s office.

The Office of Environmental Justice gives small grants to disadvantaged communities, a life-saving program that Trump’s budget proposal could soon make disappear.

Ali played a role in President Obama’s last major EPA initiative, the EJ 2020 action agenda, a four-year plan to tackle lead poisoning, air pollution, and other problems. He now joins Hip Hop Caucus, a civil rights nonprofit that nurtures grassroots activism through hip-hop music, as a senior vice president.

In his letter of resignation, Ali asked the agency’s new administrator, Scott Pruitt, to listen to poor and non-white people and “value their lives.” Let’s see if Pruitt listens.

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One of the most important figures in environmental justice just quit Trump’s EPA.

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Trump just picked an ambassador to Russia who (gasp!) cares about climate change.

Mustafa Ali helped to start the EPA’s environmental justice office and its environmental equity office in the 1990s. For nearly 25 years, he advocated for poor and minority neighborhoods stricken by pollution. As a senior adviser and assistant associate administrator, Ali served under both Democratic and Republican presidents — but not under President Donald Trump.

His departure comes amid news that the Trump administration plans to scrap the agency’s environmental justice work. The administration’s proposed federal budget would slash the EPA’s $8 billion budget by a quarter and eliminate numerous programs, including Ali’s office.

The Office of Environmental Justice gives small grants to disadvantaged communities, a life-saving program that Trump’s budget proposal could soon make disappear.

Ali played a role in President Obama’s last major EPA initiative, the EJ 2020 action agenda, a four-year plan to tackle lead poisoning, air pollution, and other problems. He now joins Hip Hop Caucus, a civil rights nonprofit that nurtures grassroots activism through hip-hop music, as a senior vice president.

In his letter of resignation, Ali asked the agency’s new administrator, Scott Pruitt, to listen to poor and non-white people and “value their lives.” Let’s see if Pruitt listens.

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Trump just picked an ambassador to Russia who (gasp!) cares about climate change.

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One Tenth of GOP Health Care Bill Deals With … Lottery Winners

Mother Jones

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A reader emails to tell me something about the new Republican health care bill. Out of its 66 pages, a full tenth of them are devoted to…

…a new rule allowing states to deny Medicaid coverage to lottery winners.

Seriously. That’s a tenth of the bill. This is part of the insane conservative preoccupation with making sure that no undeserving person ever gets away with anything. That’s why they’ll spend six solid pages on something that will probably affect about 0.01 percent of all Medicaid recipients. It’s too bad they don’t pay equal attention to all the deserving people their bill will hurt.

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One Tenth of GOP Health Care Bill Deals With … Lottery Winners

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Insurers Have Remained Mysteriously Quiet About Obamacare Repeal

Mother Jones

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A reader emails with a question:

The repeal-Obamacare mania has been on for years, but I have NEVER read anything about what the insurance industry is thinking or doing about it.

Neither have I! And it’s damn mysterious. Obviously the insurance industry was heavily involved in lobbying for Obamacare back in 2009, and just as obviously there are parts of Obamacare they don’t like. The patient pools have turned out to be sicker than they projected and insurance companies have struggled to make money on Obamacare policies. This year, however, they’re finally there—or close to it. The market has shaken out, premiums have risen to CBO-projected levels, and Obamacare is probably a break-even or better prospect for the insurers who have gutted through the first three years.

What’s more, like it or not, they’ve spent years adapting the way they do business. Everything from computer systems to physician compensation now follows Obamacare’s rules. This has cost tens of millions of dollars, but now it’s done. The last thing they need is to rip it all out and start from scratch.

And yet insurance companies have been surprisingly silent about the Republican plan to kill Obamacare. Do they prefer getting rid of it even if there’s an upfront cost? Have they given up, and assume that repeal is a foregone conclusion that’s not worth fighting? Is all their lobbying behind the scenes? It’s not clear. Insurers are pretty unanimous about wanting some certainty in the rules, but aside from that, this eight-week-old story from the New York Times still describes things pretty well:

Far from reflecting the magnitude of the moment, the most prominent message from lobbyists that lawmakers saw in their first week back at work was a narrowly focused advertisement from the U.S. Chamber of Commerce….Health care professionals are not totally silent, but industries that were integral to the creation of the Affordable Care Act in 2010 are keeping their voices down as Republicans rush to dismantle it.

….Some lobbyists have tacitly accepted the likelihood that major provisions of the health law will be repealed, setting their sights instead on shaping its replacement. They fear that if they come out strongly in opposition to repealing the law, they will lose their seats at the table as congressional Republicans and the Trump administration negotiate a replacement.

Insurers spent $150 million lobbying in support of Obamacare in 2009. So far they’ve spent virtually nothing in 2017. I continue to be mystified by this.

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Insurers Have Remained Mysteriously Quiet About Obamacare Repeal

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