Wednesday, September 13, 2017
WASHINGTON (AP) — Senators on Wednesday rolled out competing plans for the nation's health care system, with a group of GOP senators making a last, long-shot effort to undo Barack Obama's Affordable Care Act and independent Sen. Bernie Sanders proposing universal government-run coverage.
Despite opposition and little time, Sens. Lindsey Graham, R-S.C., and Bill Cassidy, R-La., proposed legislation that would do away with many of the subsidies and mandates of the 2010 law and instead would provide block grants to the states to help individuals pay for health coverage.
"If you believe repealing and replacing Obamacare is a good idea, this is your best and only chance to make it happen because everything else has failed except this approach," Graham told reporters.
The senators said that some states would get more money to provide health care than they get through the current system. They are modeling their effort after the welfare reform legislation passed under President Bill Clinton in the 1990s. They said states are better equipped than Washington to determine how best to meet the needs of their residents.
They also acknowledged they have an uphill battle to get the bill passed before Oct. 1 when the GOP effort to repeal the law loses its protection against Democratic filibusters.
"To my Republican colleagues, don't let the health care debate die. Don't leave the field with your tail between your legs. Keep fighting," Graham said.
President Donald Trump lauded the senators' effort, but it was unclear how much energy the White House was actually putting into the health care drive with GOP attention shifting to a tax overhaul.
"Inaction is not an option, and I sincerely hope that Senators Graham and Cassidy have found a way to address the Obamacare crisis," Trump said.
The White House issued the statement after Graham used the news conference to urge Trump to "pick up the phone" and round up support from governors.
"Tell them this matters to you, that you weren't kidding about repealing and replacing Obamacare, that you actually meant it," Graham said. "So Mr. President, help us because we're trying to help you."
Sanders, the Vermont independent who caucuses with Democrats, was unveiling legislation that would allow Americans to get health coverage simply by showing a new government-issued card. Consumers also would no longer owe out-of-pocket expenses like deductibles.
But Sanders' description of his measure omitted specifics about how much it would cost and final decisions about how he would pay for it.
In an interview, Sanders said Tuesday his measure would likely be paid for in a "progressive way." Aides said it would likely be financed by income-adjusted premiums people would pay the government, ranging from no premiums for the poorest Americans to high levies on the rich and corporations.
The measure has no chance of becoming law with President Donald Trump in the White House and Republicans controlling Congress. But it embodies a push to universal coverage that eluded Obama's 2010 law and is a tenet of the Democratic Party's liberal, activist base.
"I think in a democracy, we should be doing what the American people want," Sanders said, citing polls showing growing support for the concept.
He released his bill hours after the Census Bureau said the proportion of uninsured Americans fell to 8.8 percent last year, the lowest figure on record.
Sanders calls his bill Medicare for All, and it would expand the health insurance program for the elderly to cover all Americans. It would be phased in over four years, and people and businesses would no longer owe premiums to insurers.
The measure would make health care less expensive and less complicated for many people and businesses. It would cover the 28 million Americans remaining uninsured despite Obama's law.
Yet some Democrats fear Sanders is exposing them to a lose-lose choice. Don't support Sanders' plan and Democrats risk alienating the party's liberal, activist voters, volunteers and contributors. Back it and they'll be accused by Republicans of backing a huge tax increase and government-run health care, and taking away employer-provided coverage for half the country that many people like.
At least 16 Senate Democrats had signed onto Sanders' bill by late Tuesday, including four potential 2020 presidential contenders besides Sanders: Kamala Harris of California, Massachusetts' Elizabeth Warren, New York's Kirsten Gillibrand and Cory Booker of New Jersey.
To cover themselves, several Democrats were introducing their own bills that expand coverage without going as far as Sanders, including possible presidential aspirants Sens. Chris Murphy of Connecticut and Ohio's Sherrod Brown. Several Democrats facing tough re-elections next year in GOP-leaning states say they want to focus on strengthening Obama's existing law, including Montana's Jon Tester and Missouri's Claire McCaskill.
"We welcome the Democrats' strategy of moving even further left," said Katie Martin, spokeswoman for the Senate GOP's campaign organization.
Graham and Cassidy have struggled for weeks to round up sufficient support for their package, although Sens. Ron Johnson, R-Wis., and Dean Heller, R-Nev., signed on. It would cut and reshape Medicaid, disperse money spent under Obama's law directly to states and erase Obama's penalties on people who don't purchase coverage.
No. 3 Senate GOP leader John Thune of South Dakota said Graham and Cassidy would need "a double-double bank shot" to prevail, a joking reference to an impossible basketball shot.
A third effort, a bipartisan attempt to shore up individual insurance markets around the country, is showing early signs that the sides are having problems reaching agreement.
Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., hope to reach a deal on continuing for at least a year the federal payments to insurers that Trump has threatened to halt. Republicans are also insisting on easing the Obama law's coverage requirements, which Democrats oppose.
Alexander said Tuesday that Republicans want "real state flexibility" to let insurers offer "a larger variety of benefits and payment rules."