A Note on Impetus

#SomethingTerrific | #WhatTheyVotedFor

There is always this:

Sen. John Kennedy, a Republican freshman from Louisiana, said yesterday that he likes the idea of turning health care over to the states—the core rationale behind the pending Graham-Cassidy proposal—but he’s not entirely comfortable with the direction some blue states might take.

“If you give California and New York a big chunk of money, they’re gonna set up a single-payer system,” the GOP senator said. “And I wanna prevent that.”

It’s curious. Republicans only seem to like turning over authority to states and local governments when they’re confident states and local governments will govern in a conservative way.

(Benen)

Perhaps a bit more directly:

Perhaps the oddest thing about the last-ditch Republican plan to repeal Obamacare is that it is being sold not as a repeal of Obamacare—which is popular—but instead as a rebuke to a law that does not yet exist. “If you want a single-payer health-care system, this is your worst nightmare,” Lindsey Graham has boasted of his plan. “Hell no to Berniecare.” Graham’s weird promise that his plan “ends single-payer health care” has somehow taken hold, to the point where Republicans appear to believe it would foreclose even public debate on left-wing alternatives. The bill “stops us from having conversation in the future about Medicare for all,” claims Senator Tim Scott.

(Chait)

The Donald Trump Show (Full of It)

#SomethingTerrific | #WhatTheyVotedFor

It very nearly sounds like a dare, to write a serious analysis of Donald Trump’s tantrum in Phoenix. John T. Bennett steps up, for Roll Call.

Trump uttered the term “health care” just twice, even as he spent time during his working vacation to call for Senate Republicans to vote again on a health care overhaul bill. He devoted over 400 spoken words Tuesday night to health care, but a large portion of that came as part of a call for Senate GOP leaders to alter the chamber’s rules so legislation could pass with 51 votes.

(At no point, however, did the president explain how that would help pass the GOP health care bill, which died under a 51-vote rule after falling a vote short.)

Challenges are as challenges will; the article is laden with bits like that.

____________________

Image note: President Donald Trump reacts to the song as he arrives at a rally at the Phoenix Convention Center, Tuesday, 22 August 2017, in Phoenix, Arizona. (Photo: Alex Brandon/AP Photo)

Bennett, John T. “Legislative Agenda Takes Back Seat to Trump’s ‘Beautiful Apartment'”. Roll Call. 23 August 2017.

The Avoidance of Stupidity (McConnell Mix)

#SomethingTerrific | #WhatTheyVotedFor

This ought to be a striking note from Axios:

Senate Republicans are working to finish their draft health care bill, but have no plans to publicly release it, according to two senior Senate GOP aides.

“We aren’t stupid,” said one of the aides.

Then again, this is the twenty-first century, and these are Congressional Republicans.

Terrific (Heroes and Villains)

#SomethingTerrific | #WhatTheyVotedFor

“While the leaders of the ruling political party have convinced themselves that they are heroes, in reality they are villains and enemies of the American people.”

―Chauncey DeVega

What? He’s got a point. Salon:

As the Republicans voted to steal away health insurance from the sick, children, pregnant women, the poor, elderly, babies and people with pre-existing medical conditions in order to give millionaires and billionaires like themselves more money, they reportedly played the theme song to the movie “Rocky” and found inspiration from George C. Scott’s Oscar-winning performance as Gen. George S. Patton. On one hand, these are just curious details that help to paint a picture of what happened that day in Congress. But they also tell us a great deal about how the Republicans who voted to overturn the Affordable Care Act see themselves in history.

____________________

Image note: Photo by Kevin Lamarque/Reuters.

DeVega, Chauncey. “Despite their twisted fantasies, Republicans are nothing like Rocky or George Patton—they are political terrorists”. Salon. 8 May 2017

Terrific (Nobody Dies)

#SomethingTerrific | #WhatTheyVotedFor

Let us try a compromise: Just don’t call him “pro-life”. Or, perhaps, we should begin in the moment, as Kristine Phillips tells it for the Washington Post:

A conservative Republican congressman from Idaho is drawing criticism for his response to a town-hall attendee’s concerns about how his party’s health-care bill would affect Medicaid recipients.

“You are mandating people on Medicaid to accept dying,” the woman said.

“That line is so indefensible,” said Rep. Raúl R. Labrador, a member of the influential House Freedom Caucus. “Nobody dies because they don’t have access to health care.”

The boos instantly drowned him out.

The congressman from Idaho’s First Congressional District and founding member of the House Freedom Caucus might have discovered a new apex for the absolute value of conservative political rhetoric. To the other, tempting as it seems to wonder if e’er so thoughtless bovine excrement was spoken, we do happen to be speaking both of Congress and conservatives, so, yeah, actually, lots. Still, though, Rep. Labrador reminds without question the challenge of abiding no integrity.

Terrific (Whip It)

#SomethingTerrific | #WhatTheyVotedFor

Coming ’round the circle, Lindsey McPherson and Erin Mershon of Roll Call:

House Chief Deputy Whip Patrick T. McHenry of North Carolina said Monday evening that Republicans are “very close” to winning the support needed to pass their health care overhaul. One place he might want to look: his own whip team. At least seven members said Monday they remain undecided.

That list includes Republican Reps. Elise Stefanik of New York, David Valadao of California, Kevin Yoder of Kansas, Mario Diaz-Balart of Florida, Rodney Frelinghuysen of New Jersey, Erik Paulsen of Minnesota and Adam Kinzinger of Illinois.

Oh, yeah. Downhill from there.

Terrific (On the Rocks)

#SomethingTerrific | #WhatTheyVotedFor

Robert Pear runs for the New York Times under the headline, “Pushing for Vote on Health Care Bill, Trump Seems Unclear on Its Details”. And the detail there, in turn:

After two false starts on President Trump’s promise to repeal the Affordable Care Act, Trump administration officials are pressing the House to vote on a revised version of the Republican repeal bill this week, perhaps as soon as Wednesday, administration officials said.

And Mr. Trump insisted that the Republican health legislation would not allow discrimination against people with pre-existing medical conditions, an assertion contradicted by numerous health policy experts as well as the American Medical Association.

“Pre-existing conditions are in the bill,” the president said on CBS’s “Face the Nation” on Sunday. “And I mandate it. I said, ‘Has to be.’”

Steve Benen adds, for msnbc:

When Dickerson pressed Trump on whether he’s prepared to “guarantee” protections to those with pre-existing conditions, the president replied, “We actually have – we actually have a clause that guarantees.”

There is no such clause. The Republican bill guts benefits for consumers with pre-existing conditions, clearing the way for states to do the exact opposite of what Trump said yesterday. (GOP leaders have been reduced to telling worried lawmakers that most states won’t take advantage of the option, but under the Republican blueprint, the financial pressure on states to roll back protections like these would be significant.)

#DimensionSteve (Just Another Day)

#wellduh | #WhatTheyVotedFor

From the mixed up files of Steve Benen:

• #somethingterrific: “They’re ready, and arguably eager, to break their commitments, but they’re reluctant to talk about it.”

• #artofthedeal: “It’s apparently Team Trump’s way of effectively saying, ‘Remember, we can re-take this hostage again at some point.'”

• #ruleoflaw: “When a president with autocratic tendencies goes after courts for upholding the law, repeatedly questioning the legitimacy of decisions that go against him, it should make Americans a little nervous.”

• #wellduh: “Never mind the incompetent failures, marvel at the ‘robust agenda of activity.'”

• #wellduh: “Apparently, however, some took Team Trump’s rhetoric quite literally and reportedly started calling the hotline to report crimes committed by aliens—as in, extra-terrestrials.”

• #wellduh: “What he refuses to appreciate is the fact that an American president says something, the world notices.”

• #wellduh: “A woman in North Carolina illegally voted for Trump last year, casting a ballot in her dead mother’s name. A local Republican prosecutor has decided not to bring charges.”

• #compromise: “But what’s striking to me is how much the larger conversation has changed since Obama left office.”

• #wellduh: “We’re occasionally reminded that Sean Spicer isn’t great at his job”.

The Republican Promise (MacArthur’s Exemption Remix)

#SomethingTerrific | #WhatTheyVotedFor

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?

A Whiff of the Racket

#extortion | #WhatTheyVotedFor

The setup, here, is not particularly complex. We can start with blaming Democrats after the collapse of #Trumpcare, which apparently failed to be #SomethingTerrific. It seems a reliable first instinct for Republicans; that is, as Steve Benen notes:

When Donald Trump’s Muslim ban failed miserably in the courts, the president was quick to assign blame—to everyone but himself. Now that the health care plan Trump wanted has also collapsed, he’s desperate to avoid responsibility, though he seems unsure who to point the finger at first.

Trump’s first instinct, evidently, was to call the Washington Post to blame Democrats.

And if the president seems to be engaging in that weird Republican sense of sport by which one simply says enough wrong that there is no reasonable way to address every problem, well, right, he is. That is to say, here we all are a few weeks later, and Mr. Trump is still upset that Democrats won’t do Republicans’ jobs for them. Again, Benen:

The confused president was nevertheless convinced that Democrats should’ve helped him destroy the most significant Democratic accomplishment since Medicare—because Trump said so. Indeed, despite the White House’s previous claims that Republicans would shift their attention towards tax reform, Trump told the Wall Street Journal yesterday that he not only remains focused on health care, he’s also considering a new hostage strategy to force Democrats to give him what he wants.

In an interview in the Oval Office, Mr. Trump said he was still considering what to do about the payments approved by his Democratic predecessor, President Barack Obama, which some Republicans contend are unconstitutional. Their abrupt disappearance could trigger an insurance meltdown that causes the collapse of the 2010 health law, forcing lawmakers to return to a bruising debate over its future.

“Obamacare is dead next month if it doesn’t get that money,” Trump said, referring to cost-sharing reductions. “I haven’t made my viewpoint clear yet. I don’t want people to get hurt…. What I think should happen and will happen is the Democrats will start calling me and negotiating.”
In other words, when the president says he doesn’t “want people to get hurt,” he means he will start hurting people by sabotaging the American health care system unless Democrats take steps to satisfy his demands.

This is a terrible habit. That is, we all know Donald Trump likes a bit of the tough-guy, wannabe mafioso bluff, but he is President of the United States of Amerca, and should not be seen threatening extortion over legislation, full stop.