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Friday, Mar 3 2017

Full Issue

Different Takes On The Issues In Play As GOP Lawmakers Wrestle With Obamacare

Opinion writers review the strategies and ideas being advanced as the debate over what to do with the health law continues.

It鈥檚 a goat on a bridge eating a flaming rug pulled from a collapsing sand castle! Yes, of course, I鈥檓 talking about the Affordable Care Act, which you may also know as Obamacare. Killing the health insurance law is a top priority of Republicans in the White House and Congress. As they try to achieve that, it has brought out some lively and figurative language. Many imagine the health law as a pioneer homestead. Others as a marauding farm animal. Still others direct their rhetoric to its complexity. Just this week, Kevin Brady, the House Ways and Means Committee chairman, described the G.O.P. challenge as akin to a Rubik鈥檚 Cube. (Margot Sanger-Katz, 3/3)

President Trump鈥檚 hilariously candid revelation that 鈥渘obody knew that health care could be so complicated鈥 may be remembered as the most succinct summary of the Republicans鈥 dilemma as they try to fulfill their endlessly repeated promise to repeal and replace the Affordable Care Act. And now that things are about to get specific, what had been a dangerous situation for them is about to turn into a nightmare. (Paul Waldman, 3/2)

Have you seen the House GOP's Obamacare replacement bill? Neither have most lawmakers! And they're resorting to some seriously creative tactics to find it. The House GOP has been keeping its draft Obamacare replacement plan under lock and key. Literally. Like, hidden away in a basement. (Sy Mukherjee, 3/2)

Unfortunately, instead of working across party lines as we have in New Hampshire to promote healthy communities and a stronger economy, many in Washington are focused on a partisan agenda of repealing the Affordable Care Act and Medicaid expansion 鈥 an agenda that would pull us backward. There鈥檚 also been talk of turning the traditional Medicaid program into a block grant or instituting per capita caps 鈥 which is really just code for a massive cut to the federal support New Hampshire鈥檚 Medicaid program receives. These dangerous cuts would shift costs to states, forcing them to cut eligibility, services and provider payments. (Sen. Maggie Hassan, D-N.H., 3/3)

Could California have its own single-payer health insurance system providing coverage for all residents? A bill has been introduced in the state Legislature that would do just that 鈥 and its chances of success could be vastly improved by President Trump and the Republican-controlled Congress. Thanks, guys! First, a little history lesson. Stick with me because this is important. (David Lazarus, 3/3)

During his recent address to Congress, President Trump earned a standing ovation for once again declaring that, in place of Obamacare, Americans should have 鈥渢he freedom to purchase health insurance across state lines. 鈥滺ere鈥檚 the dirty little secret: Obamacare already gives Americans this freedom. Dirtier still: When Republicans propose 鈥渁cross state lines鈥 legislation, they鈥檙e really talking about reducing states鈥 sovereignty to make their own regulatory decisions. So much for states鈥 rights. (Catherine Rampbell, 3/2)

As Congress and the Trump administration move forward with plans to repeal and replace the Affordable Care Act (ACA), they are looking for proven state-led reforms that maintain access for those with pre-existing conditions in the current exchange market while also lowering premiums for everyone buying insurance in the individual market. (Joel Allumbaugh, Tarren Bragdon and Josh Archambault, 3/2)

Devicemakers have long complained that their business has been negatively affected by an excise tax placed on their devices by the Affordable Care Act. A think tank has now crunched the numbers on how the tax affected U.S. jobs. (Adam Rubenfire, 3/2)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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