Healthcare Lives Another Day, but Does Trump Have a Way to Win?

New Orleans   The Trump Tower has now been reduced to rubble. Ryan’s House is a shambles. Obamacare is now with us “for the foreseeable future,” according to the Speaker.

Right now the Affordable Care Act is better than nothing, but it could be nothing better.

The best news of the Trumpcare debacle and the inability of all of the concessions and arm twisting producing nothing is that it may have taught the President to write off the so-called Freedom Caucus, committee of no way. After having given away the store of all of the essential guarantees of the ACA, even the inclusion of children on parents’ policies until 26, which reportedly even the President understood was past the pale, the no-birds were still flying and demanding more, more and more. They had already pulled the bill so far right that what remains of moderates in the House of Representatives were forced to run from the bill and declare they would vote no. One lesson we can hope that Trump has learned is that these folks don’t negotiate in good faith, and it is worth walking away from their demands and their skinny 30 odd votes in their secret caucus, if you have a job that you want done.

Given the obstinence of the Republicans to countenance any fixes over the last seven years – and, yes, many are needed, as we have argued continually, especially capping deductibles – there might be an opportunity to get something good done if the President, the moderate Republicans, and the Democrats in the House and the Senate finally looked at “repair,” rather than “repeal and replace.” The polling on this recent abomination of a bill, thankfully pulled off the calendar, had indicated only 17% support and 56% opposition with 26% undecided. The Republican effort was failing most miserably among the so-called Trump base where as conservative Wall Street Journal columnist Peggy Noonan wrote that it was 26% “underwater” among non-college educated whites and an amazing 46% “underwater” in the 50 to 64 year old age group where people are more likely to forget to take their pills that day than they are to forget to vote. Trump couldn’t threatened to punish Congressman by mobilizing his base because they were in the bathroom losing lunch at the prospect that they would lose the healthcare they had gained under the Affordable Care Act.

If Trump wants to govern and we want to live through these next couple years, the President needs to stop all of this alt-right baloney and crazy flirting with the far right wing, and get closer to the where real deals are made. Even his former Breitbart Rasputin Stephen Bannon was reportedly disgusted with the concessions and bargaining posture of the far right, and that’s saying a mouthful.

I can remember presidents in Peru getting so low in popularity that they were hardly making it to two-digits. Trump is on his way there and the slope is no longer slippery, but fully greased unless he figures out a way to put the brakes on. Experts estimate that any new Congress only has about 200 days to get anything done for good or evil until mid-term elections suck the votes out of the room. For Trump and his gang 60 of those days are already gone, and we’ll all be counting on the death watch now.

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Pork Barreling and Horse Trading with Ryan’s Healthcare Disaster

New Orleans  They might have the votes, and they might not have the votes to get this mess of a healthcare abomination out of hardcore ideologue and Speaker Paul Ryan’s House, but all signs point to a squeaker that will smell like it crawled out of a dumpster by the time it gets to the Senate.

We already know that the President and his people will say virtually anything without regard to fact or fantasy, and they seem to be using that proclivity in hyper-fashion with recalcitrant House of Representative moderates, saying that the Senate will fix and modify the mess. Most folks on the used car lot that Congress has become would walk away from that lemon.

For the suicidal, largely anonymous so-called Freedom Caucus, they have bent over backwards to take something terrible and make it even more horrid. They want work mandates for Medicaid despite all evidence that establishes that not only are these ineffective, punitive, and needless, but that people need healthcare to get well, so that they can work. Ok, here you go! Some of them want funding of some programs to stop immediately rather than in 2018, so, hey, let’s accelerate the death spiral for another vote or two. Anything goes these days.

And, talk about pork barreling and horse trading for votes in this district or that, and any principles go out the window. Congressman from upstate New York want to push the share of the Medicaid bill from the county coffers to the state for a billion or more, no problem, if these couple of Congressman are Republican and the Governor of New York is a Democrat. Heck, make him pay up. Some coal miners with black lung realizing that they could be hammered by cutbacks in Medicaid that are keeping them alive, no problem, write in an exception for coal miners with black lung.

Are you seeing a pattern here? Even if something emerges, it is going to be jerry-rigged like a Rube Goldberg contraption. They are already asking the American people to pretend this will be some kind of viable health plan, and now they are going to ask us to pretend it will actually work.

No one likes this thing. Republican and Democratic governors are aghast. Doctors, hospitals and the elderly associations are up in arms.

This is clearly no longer an exercise in healthcare policy. This is all about big league politics now. They need to prove on the first bill coming out of the Trump barn that they can win. No matter what or how bad the smell.

Whatever happens in this first vote, no one can believe anymore that this is going to end well.

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Please enjoy Big Boys  from the late great Chuck Berry.

Preservation Hall Jazz Band Santiago.

Thanks to KABF.

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