The Republican Promise (MacArthur’s Exemption Remix)

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Sarah Kliff explains:

House Republicans appear to have included a provision that exempts Members of Congress and their staff from their latest health care plan.

The new Republican amendment, introduced Tuesday night, would allow states to waive out of Obamacare’s ban on pre-existing conditions. This means that insurers could once again, under certain circumstances, charge sick people higher premiums than healthy people.

Republican legislators liked this policy well enough to offer it in a new amendment. They do not, however, seem to like it enough to have it apply to themselves and their staff. A spokesperson for Rep. Tom MacArthur (R-N.J.) who authored this amendment confirmed this was the case: members of Congress and their staff would get the guarantee of keeping this Obamacare regulations. Health law expert Tim Jost flagged me to this particular issue.

Do we all understand, then, that when Republicans tell us government doesn’t work, they’re not arguing political theory but, rather, making a promise?

The Elephant in the Ointment

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(sigh) This feels familiar:

Here we go again. President Donald Trump and House Speaker Paul Ryan (R-Wis.) say their proposals for repealing and “replacing” the Affordable Care Act will be ready really, really soon. Next month, in fact.

And they swear this won’t be like the other million times Republicans have made the same promise and failed to follow through.

Trump and Ryan made their comments at separate news conferences on Thursday, a few hours apart. Ryan’s came after a closed-door House meeting in which he and his lieutenants presented the broad brushstrokes―again―of what they are calling a “repeal plus” strategy.

(Young and Cohn)

So, a couple things go here. Like a personal note: This was disappointing. When the first chyrons broke, it seemed at least as if everyone was gearing up to finally have it out about the mythical Republican plan. And for at least a few minutes, readers and pundits tried to pretend they were. But that leads to the second, which might have something to do with Congressional Republican leadership, because apparently “repeal plus”, the replacement for “repeal and delay”, which was the longer, lazier route compared to prior advocacy for “repeal and replace”―and we keep getting signs this approach isn’t working―is probably a better name than “repeal and stumble around”.