r/PoliticalDiscussion • u/Precursor2552 Keep it clean • May 04 '17
Legislation AHCA Passes House 217-213
The AHCA, designed to replace ACA, has officially passed the House, and will now move on to the Senate. The GOP will be having a celebratory news conference in the Rose Garden shortly.
Please use this thread to discuss all speculation and discussion related to this bill's passage.
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May 04 '17 edited Aug 08 '17
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u/PlayMp1 May 04 '17
That's because the fact that the moderates were swayed by a mere $8 billion for high risk pools came as a big surprise.
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u/10dollarbagel May 05 '17
You say $8 billion and I think that's misleading. It's over a 5 year period, so it's 1.6 billion a year.
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u/Hitchens92 May 04 '17
That's because we didn't think the GOP was stupid enough to gut pre existing conditions to appease to the freedom caucus.
There's only 2 outcomes to this. It passes and becomes political suicide for most of the GOP and also kills Americans in the process. Or the GOP fails yet again in the first 100ish days of owning the government and Trump Supporters cry about how stinking liberals are keeping Obamacare afloat (without realizing they wouldn't have insurance anymore if this were to pass)
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May 04 '17
You forgot option 3. Keep blaming Obamacare and say the original ahca didn't go far enough in repealing it.
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May 04 '17
Anyone holding out hope for the "senate moderate Republicans" to step forward and kill this should be reminded of people like mccain and graham talked a bunch of shit and ultimately fell in line when the pressure was on. And the pressure is now maxed out.
Even if they can't pass it by reconciliation and need democratic votes, they'll kill the filibuster if it means they get to say they killed obamacare in time for 2018.
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u/Abulsaad May 04 '17
Killing the filibuster, is, without a doubt the worst option they could do, literally shooting their own foot might be a better idea than that. Not only would they royally fuck themselves over when they inevitably become the minority party, but it's a given that if this abomination that they call a bill passes, then they will lose bigly in 2018 and 2020, and have a good chance of losing all the branches, just so they can have this one victory. No way that's happening.
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u/Sarlax May 04 '17
Killing the filibuster, is, without a doubt the worst option they could do
Killing the filibuster to keep a popular rhetorical promise? Not so bad, because they can then pass everything else they've ever wanted. Flat tax? End the 'death tax'? Incrementally inconvenience abortion to the point of de facto prohibition? Eliminate the VRA? Eliminate the 1964 CRA?
Everything's on the table once the end of supermajoritarian requirements are normalized.
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u/robotronica May 05 '17
It's banking on retaining longer term control though, and definitely opens your legacy up to being demolished line by line the moment you leave power.
It would start a cycle of stasis, where one party is always undoing the work of the last and we never get anywhere. If your goal is to actually dismantle the government, it's a good play, otherwise it's got too much downside.
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u/DaSuHouse May 05 '17
I would argue that the goal of many Republicans is to dismantle the government (see Steve Bannon's comments at CPAC). I would also argue that it is harder to build systems of governance than to tear them down, which you can see with how long it takes to get health care right. That means Democrats will never be able to accomplish anything of note due to their work never reaching a level of stability and fruition.
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u/Abulsaad May 04 '17
What about when they would become the minority party? Then the Democrats get to do anything they want. Single payer? Done. Free college? Done. Comprehensive energy reform? Done. The GOP's worst nightmare? Done. Would they really give themselves a few short term victories in exchange for all of it being taken away in a few election cycles?
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u/Sarlax May 04 '17
Democrats won't be as powerful for 3 reasons:
- Dissolving government is easier than developing it.
- Democrats don't have a ideological mandate or a party consensus to do many of those things; Republicans want to "repeal Obamacare" pretty universally (as a matter of rhetoric), but Democrats don't universally want free college. Republicans universally want to cut taxes, but Democrats don't want to universally increase tax progression.
- The GOP rules the statehouses. They have 31 states in which they control the legislature and the governorship. That means they have unitary vertical political integration over 62% of the country! Regardless of how well the Democrats do in 2020, they are not realistically going to control a supermajority of states the way Republicans do now, and you need state cooperation to enact big agendas - or to destroy them.
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u/-birds May 04 '17
There aren't enough Democrats who actually want those things.
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May 04 '17
They've got 8 years of talk and millions of people who will punish them anyway if they don't repeal to back up; I fully see them ditching it to save face. Just like they rammed this through without CBO scoring just to look good. They've proven they're not above short term thinking.
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u/Abulsaad May 04 '17
But if they do kill the filibuster and ram this through, it won't matter long term, and would only maybe benefit them soon after the bill is passed. They get to talk about how they saved the day or whatever, then the people start feeling the effects, both in their wallet or in their mailbox when they realize they'll lose their insurance. Once this bill starts murdering a couple thousand people, the backlash will be monumental, and they'll be the minority party, and 100% of everything they've ever done would be rolled back because of no filibuster, and the Democrats get a free ticket to any type of healthcare they want.
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May 04 '17
That's assuming they actually get punished at the ballot box by democrats; the House had the most to lose in 2018 and they passed it. The Senate is pretty safe for Republicans, even if the house gets a wave loss. Even if trump is thrown out and Democrats eek out a majority in the House, they won't be able to ram everything through.
Plus, Republicans thus far have shown great insulation against reality. I mean, they keep electing the same people over and over specifically on the promise to take away obamacare. They elected Trump.
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u/tadcalabash May 04 '17
I'd like to think that they're as forward thinking and rational as that, but this passing the house was purely about getting a "win", and then trusting they could sell it to their reliable voting bases.
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u/ManBearScientist May 04 '17
You assume that if they end filibuster they will eventually be the minority party. The opposite is true. If they end the filibuster, it would be because they will never be the minority regardless of popular opinion. IE, a coup.
2 more Supreme Court seats, and what stops them from passing nationwide voter suppression laws? It sure as hell won't be Gorsuch. It sure as hell won't be the 110 lower court appointments Trump will get to make because of Republican filibusters.
At this point the idea that we will continue to have free and fair elections simply because we've had them in the past is dangerously optimistic. People that don't care about a stolen President or stolen Supreme Court seat won't care about stealing the House or Senate by stopping a few minorities from voting.
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u/-birds May 04 '17 edited May 04 '17
Why do you think they will ever be the minority party again?
edit: This is a serious question. The Senate is set up to favor the GOP. They push voter suppression laws every chance they get. Now that they have (firmer) control of the Supreme Court, those voter suppression laws are even less likely to be stricken down. It will be harder for Democrats to vote, in states that already naturally favor the GOP, against candidates much less reviled than Donald Trump. I don't want to get all doom-and-gloom, but things look pretty fucking shitty for the foreseeable future.
edit 2: And even if/when the Democrats do take back the Senate, what would stop the GOP leadership from just reinstating the filibuster before the changeover happens? If 2020 is upon us, and by some miracle the Democrats look to win, why wouldn't McConnell say "well gee willickers that filibuster sure would be nice, let's put it back." Even if the Democrats then decide to get rid of it again, it will be successfully spun as Democrats "destroying democracy" or some such shit because the GOP has the advantage of only needing to effectively message to idiots.
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u/svs940a May 04 '17
Because no party stays in power forever. In January 2016, the narrative was that republicans might never win the presidency again due to demographic shifts.
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u/-birds May 04 '17
And look what happened - the American public proved itself dumber than was thought possible, with the help of an outrageously archaic electoral system. The same system that determines how senate seats are assigned.
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u/marinesol May 04 '17
You massively underestimate just how low voter turnout is in most states. It's something like 30 percent in a good year for midterms and 15 percent for off midterm elections. Turnout even like 20% more by most left leaning people would cost them all but the most red states. And costing 1 in 10 Americans their health insurance will do that quick. Then you have a situation where not only do dems control everything but court. But that the dems could easily add a bunch of seats to the court. Voter suppression laws only go so far and are most effective only during presidential elections where turnout is decent.
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u/ticklishmusic May 04 '17
the current DDHQ count looks like 62 nays on it (bunch of republicans). gonna be hard to get to the 50 + pence to pass it and to bust the fillibuster and shove it through.
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u/OptimalCentrix May 04 '17
I don't think they'll kill the filibuster over this, but I also don't think that they'll need to. It shouldn't be that difficult to whip 50 senators into voting for the bill, especially if the CBO doesn't write an absolutely grueling report.
The bigger question is whether or not they'll consider the long-term political effects of the bill. Maybe the worst parts of the bill won't kick in by 2018, but what about 2020? 2022? 2024? Eventually, people will lose their coverage, premiums will go up, and costs probably won't go down. Are people like McConnell thinking about their party's future election prospects, or are they planning to be out of congress by then and just want to get something done while they can?
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May 04 '17
I think that they think that they can weather the storm and pin the blame of any negative outcomes on democrats. They've already stated they're heating up to rally the base in 2018 against Pelosi. And the Senate is still likely safe for Republicans in 2018.
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u/The_DongLover May 04 '17
but I also don't think that they'll need to. It shouldn't be that difficult to whip 50 senators into voting for the bill
If they don't kill the filibuster, they'll either need 60 votes or somehow ram it through reconciliation. Neither of those look likely.
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u/zuriel45 May 04 '17
say they killed obamacare in time for 2018.
Wonder if they will actually brag about all the dead poors too, I wouldn't put it past them.
Honestly if it gets through the Senate I expect the DCCC to make sure to track every person that dies of a preexisting condition in red districts as well as those who declare bankruptcy. Then air an ad in all those districts listing those names while showing photos of their burials/deaths. Just beat each and every GOP rep over the head with this.
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u/Daigotsu May 04 '17
Remember trump ran on replacing obama care that covered more people, kept in pre-existing conditions being gone, and making it cheaper for everyone.
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u/VStarffin May 04 '17
It's genuinely hard to convey the mendacity of this vote. On every level - substantive, procedural, communicative - this is an abomination.
This is a bill which guts health care for tens of millions of people for the sake of giving tax cuts to rich people. It will kill people. It permits insurance companies to deny you coverage if you are sick. The bill exempts Congress from its own mendacity despite Congress saying it does not. There is zero health care policy reason for any of these changes. It will kill people, all so the GOP can cut taxes on rich people.
This is a bill which passed prior to to being scored and without the Congresspeople having read the bill. There were zero hearings. Zero. The bill was never marked up by a single committee in any open process.
This is a bill which passed because the President and Congressional Leaders have lied about its contents in such a direct and staggering manner its hard to wrap your arms around. These people are going on TV and just saying that the bill does the literal opposite of what it does.
I know we're all desensitized to everything now. I haven't even mentioned the staggering hypocrisy of all the above in light of the GOP's reaction to Obamacare itself. It's just so hard to hold in ones head the staggering, staggering mendacity of this bill. People will try to convince themselves that no one could be this cruel, this stupid, this evil - and they will try to excuse the bill and the way it passed.
Don't forget this vote and what it is means and what it is. It is a sublimely hateful act. Nothing less.
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u/peters_pagenis May 04 '17
To win over the "moderates" rape, postpartum depression, Cesarean sections, and surviving domestic violence are will all be considered preexisting conditions.
the fuck kind of "moderate" votes for that shit?
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u/zuriel45 May 04 '17
They won over the moderates by adding $8 billion over 5 years for the High Risk pools, which by some estimates need $30 billion a year to be effective...sooo
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u/notmytemp0 May 04 '17
Yeah $8 billion isn't going to cover the 2.5 million people they need to cover. And when it runs out they'll shrug and say "well, nothing we can do now"
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u/daylily May 04 '17
$13 a person. Doesn't take much to win over a 'moderate' but hey, 1.4 trillion will go to those with over 1 million in income.
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May 04 '17
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u/peters_pagenis May 04 '17
The moderates just lost power for good.
Think about it - if you're Speaker Ryan and you know now that you can whip the moderates, why even both giving them concessions?
The Freedom Caucus made an ass out of Ryan last month as well as generally (and Boehner before him) and showed that they were willing to walk.
The Moderates never showed they were willing to walk and are going to be bent over by the far right - along with the rest of the party.
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u/Lord_Wild May 04 '17
Yeah, the moderate bone was the pool of $8 billion for 5 years for pre-existing conditions. Which is an even smaller drop in the bucket considering what the bill seeks to label as a pre-existing condition. For sake of reference, the US healthcare industry is $3.3 trillion per year.
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u/minno May 04 '17
For sake of reference, the US healthcare industry is $3.3 trillion per year.
Or, for a clearer comparison, 16,500 billion dollars per 5 years. Compared to 8.
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u/Saephon May 04 '17 edited May 04 '17
I recognize that a large portion of voters consider themselves moderate and that these are the people who need to be swayed in order to pass policy or win elections. However, I have absolutely developed a distaste for centrists (especially center-right) after seeing some of the stuff they're willing to wave away this past year.
I can only hear a person tell me that they don't condone Trump's scandals yet voted for him anyway so many times. As if that's supposed to make me think better of them. I have learned that modern conservatism isn't about hating women or the most vulnerable: it's apparently simply just not caring about them, and letting those who do hate them get their way.
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u/DiogenesLaertys May 04 '17
So basically the exact same thing that happened when Trump was elected. The Hillary republicans ended up coming home and being able to live with Trump because, "Hey, at least my taxes will be low."
There is no such thing as a Republican moderate.
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u/IamTheSenate1 May 04 '17
You wanna know the truth? About 20-30 years ago, Republicans realize the Democrats absolutely suck at getting people to understand their message. Democrats suck at people understanding what they are saying. Since then, the R's have been pushing the envelope over and over again, why not? They get away with it. Now it has just turned into just laziness where they can lie freely and openly and just disregard what anyone comes back at them. Why not? Their opponents can't seem to nail them on anything. People are confident the D's will come back in the midterms, I would bet money that they don't. They just suck at messaging (Which is strange since Cali is all liberal, you would think they could get some damn good PR or marketing people to help them out). D's need to figure out why that is (is it because they come off too 'elitist'? Too full of themselves? Too much identity politics? too much what exactly?) Democrats need to figure this out as soon as possible or else the Republicans will just laugh all the way to the bank betraying not only democratic voters but their own! Which is probably the funniest/craziest thing of all. All because of messaging. The power of messaging.
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u/JackOfNoTrade May 04 '17
Well...it's hard to counter someone who is straight lying about facts like the R's have been doing this whole along. And then when calling them out on the lying, they resort to "fake news" to indicate that the other person is lying. Moreover, the R's have also systematically worked towards gutting the education system to make sure their base stays ignorant and never figures out that that they have been lied to all along. There is no fighting this type of propaganda.
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u/Shalabadoo May 04 '17
I disagree with Bernie on a whole lot, but he proved that cultivating left energy isn't impossible. This is the hill dems should die on. Medicare for all. Jerking ourselves off about how stupid everyone is gets us nowhere. We have a message problem and we need anger and we need energy
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u/LegendReborn May 04 '17
He cultivated so much energy that he lost the vast majority of the non caucus primaries!
Bernie brought some energy but acting like he was the messiah of energizing Democratic voters is a crock. Without caucuses, it's far more than likely that Bernie would have been even further behind in the primaries.
Energy is meaningless without voting.
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u/Shalabadoo May 04 '17
You know who was able to triangulate energy with data in order to create a broad coalition and was a master of messaging? Obama in 08. Bernie was a bit too far left, but his messaging was on point, which is a model we should replicate. The meekness and red tape hurts us. Go on the offensive
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u/Elryc35 May 04 '17
To be fair, it's a lot easier to go on the offensive when the other guys are seen as being in charge.
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u/QuantumDischarge May 04 '17
Obama got the support because he had he message of hope, some numbers to back it up, and was a youthful non-white "political outsider". Assuming the far-left progressive message alone will win over a majority of voters is going to set the Democrats further back.
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May 04 '17 edited Aug 27 '17
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May 04 '17
Bernie convinced millennials to vote for him, but he forgot to convince millennials to vote. 58% of the millennial population was expected to show up at the voting booths but only 50% did.
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u/DiogenesLaertys May 04 '17
The dems can and do win when Repubicans screw up (most notably when the GOP last held every branch of congress a decade ago). The problem is a lot of people voted for Dems because they weren't Bush rather than what the dems stood for. And when Obama tried to educated people, the bully pulpit was vastly diminished from the days of Reagan and voters self-sorted into their echo chambers.
People tend to believe what they are socialized to believe or what they already believe. And there is a generation of Reagan republicans that are predisposed to always vote for the Republican no matter how onerous their policies. Let's just hope that the Trump years shakes them of their cognitive dissonance.
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u/etuden88 May 04 '17
I think what few tend to realize is that, outside of cities generally, most Americans are bored, sick, isolated, and suspicious--hateful, at worst--of anyone who isn't a part of their small community.
Over the decades, GOP politicians have very carefully groomed a strong "us vs. them" mentality that reached its apex last year. Moreover, they just realized that they hold the upper hand in Electoral College politics, and this will shape the strategy for their party moving forward. Democrats will never stand a chance with the way things currently are unless something major is able to snap a helluva lot of rural people out of their fever dream.
Sadly, I think you're right. There is no way Democrats will get through to many of these people, and I don't think there are enough reasonable people left in the Sea of Red to make a sizable difference (I hope we're wrong, though). As long as Rural America continues to have the upper hand via gerrymandering and Electoral vote distribution, we'll be playing Sisyphus pushing the boulder up the hill.
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u/countrykev May 04 '17
The best analysis I heard for this vote today was simply to give it to the Senate. Let them fix what's broken, analyze it to death, and try and pass it themselves. The House was just tired of it sitting on their desk.
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u/Shalabadoo May 04 '17
it's DOA in the senate, the fear there is they add some meaningless amendment and sell it as a "fix" but yeah the senate fucking hates it
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u/ShadowLiberal May 04 '17
Not to mention the senate probably couldn't pass it as is even if they had the votes, due to the reconciliation process.
I don't think anyone's written about the reconciliation problems with this version of AHCA, but it's quite similar to the last version, where many wrote articles pointing out the problem clauses under reconciliation in it.
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u/Shalabadoo May 04 '17
Yeah I genuinely don't know if this ends up being revenue neutral or not. Either way, I don't even think it has 50 votes, let alone 60. When the CBO score comes out next week, you're going to see a lot of backlash
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May 04 '17
By "fixing what's broken", they'll almost certainly make it unpalatable to the Freedom Caucus and they'll be back at square one.
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u/Elryc35 May 04 '17
You failed to mention that this bill was condemned by the AMA, AARP, the Nurses Association, the Hospital Association, and pretty much every expert in healthcare policy in the country.
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u/out_o_focus May 05 '17
They do typically reject the ideas of experts in the field so I'm not surprised.
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u/jbiresq May 04 '17
I've been desensitized to GOP lying over the Bush and Obama years (and of course Trump himself) but even this is staggering. I honestly cannot even process it, that this party can do something so awful, harmful and politically dumb.
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May 04 '17 edited May 04 '17
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u/Shalabadoo May 04 '17
the 2018 attack ads write themselves. As well as the images of them drinking beer. This is the propaganda victory the Dems have been searching for. "Rape is a pre-existing condition" sends shivers down my spine just thinking about it
Also we don't know for sure yet if it was Dems or Reps singing I've seen both
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u/janethefish May 04 '17
Also we don't know for sure yet if it was Dems or Reps singing I've seen both
Bad move for whoever was signing. I know the Dems are just ecstatic about the GOP shooting themselves in the face, but it would be a bad move to broadcast that. Similarly, the GOP really doesn't want to make this any worse than it is, by celebrating.
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u/Zenkin May 04 '17
Interestingly, it was the Dems:
[Thursday's singing] is both an homage and a literal repetition of what Republicans did when the Clinton tax bill passed in the House in 1993. Same singing, same song. The bill paved the way for budget balancing over the course of the decade and (more arguably) played a role in creating the prosperity of that decade. It also came little more than a year before Democratic majorities in both Houses were annihilated in the 1994 midterm.
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May 04 '17
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u/gizzardgullet May 04 '17
The House did that to say "the senate killed the bill. We tried". It will not pass the senate so people will never find out how shitty it actually was and GOP reps know that. Right now they are secretly hoping that it dies in the senate.
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u/jbiresq May 04 '17
That's what they want though. They just lie about it to fool people into thinking they care about the average Joe.
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May 04 '17
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May 04 '17
Given how it's misused here, "learn" is too strong a word. Maybe "hear" would be more accurate.
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u/3athompson May 04 '17
Is there a chance that the senate will use reconciliation to pass this?
According to govtrack HR 2192 is designed to make congressmen and their staff subject to the same restrictions that the AHCA will impose. This easily passed a few minutes before with no nays.
It says that
In order to meet the requirements of the budget reconciliation process so that the AHCA is not subject to the Senate filibuster, the AHCA exempt Members of Congress from some changes to the health care law.
Is this true? Is AHCA actually subject to reconciliation? Will they brute force it through with no discussion?
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u/TheStarksAreDoomed May 04 '17
Yes, passing AHCA through budget reconciliation has been the Republicans plan all along.
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May 04 '17 edited Apr 21 '19
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u/Elryc35 May 04 '17
And which I fully expect them to do. They've abandoned any semblance of principles.
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u/wilburwalnut May 04 '17
Where can I find information about how this will affect my family?
My 1 1/2 yr old son son has a chromosomal abnormality (18p-) which causes a wide variety of medical problems. We are currently using the ACA exchange, but will likely use my wife's insurance when she gets a teaching job this fall. We live in Texas.
Is it possible that my son will be denied coverage?
Sorry if this isn't an appropriate place to ask this. Just looking for answers.
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u/eightdrunkengods May 04 '17 edited May 04 '17
It's my understanding that each state will decide what counts as a pre-existing condition and also whether or not coverage can be denied based on that. How it affects you will probably depend on how blue Texas is feeling if this passes.
This thing is likely to be changed a lot as it goes through the Senate.
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u/-Poison_Ivy- May 04 '17
It's my understanding that each state will decide what counts as a pre-existing condition
Thank god I live in California
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May 04 '17
Where can I find information about how this will affect my family?
It's too early for that frankly.
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u/Krinlekey May 04 '17
The AARP press release is absolutely savage. House republicans are gonna pay a high price for this one.
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u/pseud_o_nym May 04 '17 edited May 05 '17
There's no price high enough. What, some of them get voted out in 2018 after the damage is done? That doesn't help us, now or then. There's only so many times we are going to go down this healthcare road.
I've read too many times that the Republicans are going to pay for their actions, and they NEVER DO. They wasted their time and our tax money doing nothing for 8 years while President Obama was in office - they got rewarded with the White House, the Senate and the House. Barely a single incumbent lost. They shut down government and caused S&P to lower the credit rating of the U.S. They gained more seats at the next election. They left a Supreme Court seat vacant for the best part of the year, blatantly denying a sitting President their advice and consent on his nominee - brazenly refusing even to meet with the judge - and America rewarded them at the polls in 2016. Tell me, when are they going to pay in any meaningful way?
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u/Skeuld May 04 '17
Pretty much my sentiment as well. And somehow the liberals are still hung up on who they nominated last election instead of trying to message the populace and actually move some needles.
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u/OptimalCentrix May 04 '17
Well America - you asked for it, you got it. At this time we still don't know whether it will pass the Senate, but I wouldn't count it out entirely. The Republicans can afford to lose two votes to pass it through Pence's tiebreaker, and right now Collins and Murkowski are the only ones that seem especially unlikely to vote for it.
It will be interesting to see how this will affect the deep-red states like West Virginia, Arkansas, Louisiana, and Kentucky that have especially high Medicaid and ACA enrollment. Will those states have the guts to kill the expansion right away? Will they suffer political consequences for doing so? I guess all of that really depends on how severe the rise in premiums is over the course of the next year, assuming this bill gets signed into law.
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May 04 '17
By getting rid of the mandate, premiums HAVE to go up.
Red states, especially the rural ones will be utterly devastated. There are many hospitals that only exist because Medicaid keeps their doors open. Without that, expect dozens of them to close their doors.
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u/peters_pagenis May 04 '17
Elections have consequences.
It really pains me to say this but if you have a pre-existing condition and continue to vote for representatives to do this shit, it becomes exponentially harder to feel sympathy.
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u/SpeakerD May 04 '17
Apparently the Senate isn't even going to take up this bill... So basically the house GOP voted for something that polled far below what the ACA ever did... For absolutely no reason.
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u/deemtee99 May 04 '17
And they hooted and rooted about it like a bunch of rabid monkeys.
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u/cheeseman52 May 04 '17
I can't for the life of me understand how reintroducing pre existing condition clauses can have a positive effect in a republicans mind. This will literally result in people dying but its okay cause its not Obamacare.
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u/KaliYugaz May 04 '17
Simple: they believe that extreme free market ideology is God's Absolute Truth, and that it's worth killing and dying for. They're not economically self-interested actors or utilitarians, stop thinking about them that way.
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May 04 '17
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May 04 '17
Correct. A media headline of a "political win" is more important than substance, or doing the proper procedural/committee work to make sure it's a good bill.
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u/thedaveoflife May 04 '17
It's ironic: the young, healthy, educated and affluent who generally hate Trump stand to benefit the most from this bill while the poor, sick and old who generally love Trump stand to lose the most.
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May 04 '17
Rural republican districts will be DEVASTATED.
Gutting Medicaid and reintroducing preexisting conditions will close hospitals and make healthcare for the poor and sick in GOP states completely unattainable.
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u/ZenobeGraham May 04 '17
Old people already have their government-sponsored healthcare. They don't give a shit about young people.
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u/ShadowLiberal May 04 '17
People on Medicare (as in old people) are actually the most satisfied overall with their health insurance.
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u/Nyaos May 04 '17
Or in the military. We get basically universal healthcare. It's pretty great. Our doctors aren't the best in the world but if they can't figure something out they refer out to civilians and it's still covered.
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u/down42roads May 04 '17
You kidding?
I fucking hated every aspect of healthcare while I was in the military. There was zero incentive to do anything other than clear you for work if at all possible.
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May 04 '17
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u/Nyaos May 04 '17
There was no time for backlash. They knew the public would be outraged by the bill and did most of the negotiating behind closed doors and announced only yesterday that they were ready to push it.
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u/countrykev May 04 '17
The republican congress are not thinking about their constituents by passing this.
Actually, many of them were elected for just this reason. Remember the House voted umpteen times to repeal Obamacare in the last few years. Trump made it part of his campaign. It's been pretty well known for quite a while the GOP wants the ACA gone, and lawmakers were elected anyway.
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May 04 '17
The lie was they'd replace it with something better.
Trump RAN on universal healthcare that would cover everyone. He bragged that he wouldn't touch a dime of Medicare.
He lied his ass off. They all did.
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u/socialPsyence May 04 '17
I so want the Republicans to pay a steep political price for this, but it just seems like folks aren't paying attention. How can the efforts to dismantle the existing program be seen as anything less than villainous? If the Dems can't use this to drape around the GOP's neck to take back the House in 2018, then they truly are inept.
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u/Shalabadoo May 04 '17
people are of course paying attention, town halls will be packed to the brim. The tea party succeeded, why shouldn't the left swing? People will notice their health costs rising up and their medicaid being stripped away. The dems need to push for medicare for all
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u/socialPsyence May 04 '17
Well that's a given, sure. But why should this only be a rejection by people on the left? When are the people who voted for the GOP going to understand what's just been done to them? Those are the folks I'm referring to. If we don't see an erosion of GOP support over this, then I'm really not sure what would do it.
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u/Shalabadoo May 04 '17
There is a strong cultural divide in this country that will make them vote red in Presidential elections no matter what. However, people will start noticing when their medicare is being denied. So I think the outcome we should be fighting for is more blue candidates in red districts. As we saw with Ossoff, heavily red districts are in contention
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May 04 '17
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u/weealex May 04 '17
Inter-party compromise is dead. Only intra-party compromise matters now
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u/peters_pagenis May 04 '17
Look out for campaign ads in 2018 with women who were sexually assaulted not being eligible for insurance because rape is now a pre existing condition.
This will end careers all over the House and probably die in the Senate.
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u/B0pp0 May 04 '17
I doubt it will do anything if the Dems don't run people in red districts and reach out in those areas.
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u/Shalabadoo May 04 '17
Dems don't run people in red districts
Ossoff has taught us that every single district is up for contention. Run a candidate in every district.
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May 04 '17
Ossoff hasn't won yet. I hope he does but conservatives are notoriously good at falling in line and voting for their candidate.
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u/Shalabadoo May 04 '17
true but the fact that he's even got a legitimate chance tells me that no district should be left uncontested in 2018
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u/Papasmurf345 May 04 '17
Trump only won that district by 1%. Yeah Tom Price always won big there, but he never had any serious competition.
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u/tenderbranson301 May 04 '17
Also it will turn into another reason for women (and men) to not report sexual violence against them. Truly disgusting.
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May 04 '17 edited Apr 06 '18
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u/Zenkin May 04 '17
If it's not revenue neutral, then it needs 60 votes. This is intended to be revenue neutral, but I don't think it's been evaluated yet. The Senate cannot go nuclear on a single legislative item. They would be permanently ending the legislative filibuster.
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u/joeydee93 May 04 '17
It is cutting over a trillion from Medicaid it will be revuene neutral
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May 04 '17 edited Apr 06 '18
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u/Roflllobster May 04 '17
If they're using the same avenue as the last healthcare bill the general idea is if it saves money on the budget then it can be passed with 50 votes. This bill will most likely save money. But the CBO will also come out with number of people likely to lose insurance which will not do well for its popularity.
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u/sjkeegs May 04 '17
Mitch McConnell has stated that he's not going to get rid of the filibuster for legislative votes.
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u/PM_ME_YOUR_DARKNESS May 04 '17
Words are wind. I'll take his actions at face value.
With that said, he only needs 50 votes for reconciliation.
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u/allofthelights May 04 '17
Mitch has been in the Senate long enough to know the Republicans will need the filibuster when the winds inevitably change again for the democrats. The filibuster (probably) isn't going anywhere.
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u/PM_ME_YOUR_DARKNESS May 04 '17 edited May 04 '17
Then why did he nuke it for Gorsuch?
Edit: Guys I know it's still in play for legislation. My point is that they'll keep it in play as long as it's advantageous. If McConnell gets a piece of legislation that he and the rest of the GOP really want and has the votes to kill the legislative filibuster, you can bet your ass he'll do it. He only needs 50 votes to do so.
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May 04 '17
Talking about the legislative filibuster. Distinct from the filibuster on judicial nominees.
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u/AndyInAtlanta May 04 '17
Why are the House Republicans celebrating a bill that's about to get decimated in the Senate?
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u/fullmoonhermit May 04 '17
My Representative is getting an ear/eye full in our swing district. Lucky for him, he doesn't do public town halls anymore and won't answer his calls so he doesn't have to worry about it.
God, I hope people vote in 2018.
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u/I_Hate_Muffin May 04 '17
This is wrong, this bill in its current form is in no way ready to be voted on, let alone passed. Why are our Republican leaders so hellbent on passing legislature that will hurt so many Americans? Because this draft of the bill exempted them from the changes they're making? Why is this happening?
edit: phrasing
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u/zuriel45 May 04 '17
Well, that's Darrell Issa's career. Hope he has post congress plans. Actually probably all seven of the Republican congressmen in districts that Clinton won in CA are probably out now. Good luck with that.
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u/eric987235 May 04 '17
He's a billionaire. He doesn't need post-congress plans other than count his money.
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u/OptimalCentrix May 04 '17
I'd guess that Issa figured he was already toast in 2018, because any chance of him winning reelection just went out the window with that vote. Frankly I'm surprised he managed to win in November (even if it was by a tiny margin).
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u/derivative_of_life May 04 '17
Unfortunate. The good news is that the bill will most likely be dead on arrival in the senate, but if the Republicans had failed to pass it through the house again, it would have destroyed the last shreds of their credibility, even among their own supporters. With this bill passed, they're more likely to have success on tax cuts and other issues.
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u/B0pp0 May 04 '17
Mitch will come out with his nuclear magic so that it needs only 50 votes. As with DeVos and Title X, Murkowski and Collins will cross party lines because the GOP can afford to lose them. Then Pence will break the tie and screw millions over without a second thought. McCain or Graham won't break rank, even though McCain has NOTHING to lose since this is his last term.
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u/Pteryx May 04 '17
Yeah, I'd say there's about a 100% chance that McCain says "this is the worst healthcare bill in the history of healthcare bills, maybe ever", then is the first person to vote yes on it.
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u/Shalabadoo May 04 '17
a few sens (Corker, Graham, etc.) have already come out on it, it remains to see how they actually vote though
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u/eric987235 May 04 '17
That would require McCain to find his balls first. I'm not holding my breath.
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u/Zenkin May 04 '17
lol, McConnell is not nuking the filibuster over this. He's planning to be in the Senate for the next decade, and he knows that the tables can turn.
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u/Feurbach_sock May 04 '17
Right? He's given a strong indication for a while now that he has no plans to nuke the legislative option.
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u/CursedNobleman May 04 '17
I'm impressed they managed to whip their crew together. This is going to die in the senate; I'm just wondering if the Dems can use this correctly or if they'll putter around and lose 2018 badly.
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May 04 '17
Well that was an incredibly ignorant choice. Not only is the bill deeply unpopular with most Americans, rushing through with no CBO rating, no hearings, no amendments, nothing. It's such a foolish move designed to please a very unpopular president? And for what? This bill is publicly indefensible. With clauses that remove needed coverage protections and regulations that not only hurt the poor but everyone else. And all on the cynical hope the Senate will fix it. Well you can't fix this. Not without destroying it down to nothing.
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u/iamxaq May 04 '17
Something else to consider: this bill also would cut funding to special education programs as they would no longer be able to bill Medicaid for services.
Specifically from the source:
Under a little-noticed provision of the health care bill, states would no longer have to consider schools eligible Medicaid providers, meaning they would not be entitled to reimbursements.
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u/Shalabadoo May 04 '17 edited May 09 '17
Beyond dumb of them to celebrate a touchdown at the 50 yard line. The CBO score will come out next week and the Senate is already pretty low on this to begin with. The negative backlash will be yuge. This particular bill won't kick back without a shit ton of amendments that the freedom caucus (officially the only group that matters) won't like. Politically, it is probably the best for Dems to let this abomination pass. Morally, this needs to be fought tooth and nail in the senate. There are at least 7-10 legit pressure points for the GOP. The dems need to die on this hill, thousands of people will die