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For Republican leaders, one loaded phrase represents the difference between the party they are and the party they wish to be: “repeal and replace.” Since 2010, Republicans have pledged to repeal and replace President Obama’s Affordable Care Act — promising a legislative backflip that would please conservatives who despise the law’s every word and moderates who want to keep some of its benefits. (Fahrenthold and Johnson, 8/18)

Ohio Gov. John Kasich, a candidate for the 2016 Republican presidential nomination, has a plan to replace the Affordable Care Act, but there's one part of the controversial health care law that he'd keep. "You shouldn't be able to lose your health care because of a pre-existing condition," Kasich told CBS News Chief White House Correspondent Major Garrett. "That's really, really critical." (8/18)

[Florida Sen. Marco] Rubio said America must fully utilize its energy resources — and repeal and replace Obamacare with a health care law that allows every American to buy health insurance, with pre-tax money, from companies from any state. (Ryan, 8/18)

GOP presidential hopeful Scott Walker has long said he wants to repeal President Obama's signature Affordable Care Act, but on Tuesday morning he detailed how he would replace the law. Walker's health care plan calls for lowering the cost of health insurance by reducing regulation of the industry, providing tax credits to offset the cost of private insurance plans and allowing people to shop for plans across state lines. He also wants to restructure Medicaid, the government-provided health insurance for the poor and disabled. (Johnson, 8/18)

The credits would be based on age, and consumers could then decide what plan to purchase, if they opt to buy health insurance at all. “On my very first day as president of the United States, I will send legislation to the Congress to once and for all repeal Obamacare entirely,” Mr. Walker said in a speech in Minnesota. (Rappeport, 8/18)

“It’s all about freedom,” Mr. Walker said Tuesday while introducing his proposal at a campaign event in Minnesota. “Putting freedom back in the hands of patients and families to make decisions about your health care and about your money.” Mr. Walker said his plan is akin to a “tax cut of about a trillion dollars. (Epstein and Armour, 8/18)

Scott Walker became the first top-tier Republican candidate Tuesday to release a plan to replace Obamacare, but conservative rivals said it is too liberal and would create a new entitlement. ... Speaking at a machine parts shop outside of Minneapolis, Walker also said he would sign an executive order to undo what he calls the “special deal for Congress,” which allows the federal government to pay a portion of Hill staffers’ and members’ health insurance as their employer. The provision has raised the ire of conservatives but repealing it would raise insurance costs for staffers on Capitol Hill. (Haberkorn and Cheney, 8/18)

Walker’s proposal to repeal and replace President Obama’s healthcare law hews to general conservative ideas for expanding health coverage with Medicaid block grants to states and a simplified system of federal aid to Americans to buy insurance. But the plan lacks many key details, including specifics on how it would be paid for. Any healthcare law that offers subsidies to tens of millions of Americans for health coverage, as Walker proposes to do, would probably cost hundreds of billions of dollars. (Bierman and Levey, 8/18)

And Mr. Walker noted, in the course of previewing his Tuesday health care speech, that he refused to expand Medicaid in Wisconsin with money offered by the Affordable Care Act. He noted that “a couple of the other governors in this race went the opposite direction.” (Martin, 8/18)

Wisconsin Gov. Scott Walker assailed Republicans in Congress on Tuesday for failing to repeal Obamacare while unveiling his own plan to repeal and replace the law. The GOP presidential candidate, who has been lagging in recent polls, decried GOP leaders in Washington who have had control over both chambers of Congress since January but have yet to send a bill to President Obama getting rid of the health care law. (Slack, 8/18)

He cast his plan, Tuesday, in terms of a broken promise from Congressional Republicans to repeal Obamacare. "People all across this country are fed up with Washington, I feel your pain, I'm fed up with Washington, too," Walker said. "I think about this, we were told by Republican leaders during the campaign cycle last year that we just needed a Republican Senate to be elected to repeal Obamacare. Well here we sit, you know both chambers of the United States Congress have been controlled since January by Republicans and yet there's not a bill on the president's desk to repeal Obamacare." (LoBianco, 8/18)

Another candidate, Louisiana Governor Bobby Jindal, who laid out his healthcare policy ideas last year, criticized Walker's plan. He said Walker was accepting the premise of Obamacare and "merely quibbling over the details." (Heavey, 8/18)

Wisconsin Gov. Scott Walker proposed a replacement to President Obama’s health care law Tuesday at a Brooklyn Center machine shop, using an important policy speech to establish an early political foothold in a neighboring state he hopes can boost his Republican presidential prospects. ... Walker noted how, as Wisconsin governor, he rejected federal Medicaid dollars offered under the new law, and increased the income threshold under which a family of four is eligible for coverage under Medicaid. Over the same period, Minnesota, under DFL Gov. Mark Dayton, has increased public coverage availability for low-income residents. (Condon, 8/18)

When Wisconsin Gov. Scott Walker came to Minnesota to unveil his alternative to the Affordable Care Act, he did not mention that health premiums are a lot lower in Minnesota than they are in Wisconsin. (Zdechlik, 8/19)

Wisconsin Gov. Scott Walker vowed Tuesday to seek a replacement for President Barack Obama's signature health care law on his first day in the White House, trying to draw a sharp contrast with Republicans in Congress who have yet to act on a repeal. (Spicuzza and Stein, 8/18)

Walker planned to begin implementing the expanded program on Sept. 1, but lawmakers will ask a judge to put a temporary halt in place until the courts can decide a bigger question — whether the governor has the authority to accept federal funds for the expansion without a vote of the Legislature. In the 10-1 vote Tuesday, Democrat Rep. Sam Kito was the only lawmaker on the Legislative Council who voted not to sue. Senate Majority Leader John Coghill (R-North Pole) said the governor has violated the state constitution by acting independently. (Maxwell, 8/18)

The Alaska Legislature on Tuesday said it will sue Gov. Bill Walker to block his move last month to expand the public Medicaid health care program without lawmakers’ approval. Following a private discussion Tuesday morning, a Republican-controlled House-Senate committee voted 10-1 to spend up to $450,000 on two law firms to represent the Legislature in a suit against the governor. (Herz, 8/18)

A committee of House and Senate lawmakers voted Tuesday to sue Gov. Bill Walker over his effort to expand Medicaid in Alaska, with Republican legislative leaders calling it a separation-of-powers issue. The Legislative Council vote followed a closed-door executive session in Anchorage. The vote was 10-1, with Rep. Sam Kito III, D-Juneau, dissenting. Walker called the council's actions disappointing and said he is not wavering in his position. Walker moved to expand Medicaid coverage to people ages 19 to 64 who are not caring for dependent children, not disabled and not pregnant, and who earn up to 138 percent of the federal poverty level. (Bohrer, 8/19)

Utah Democrats told Hirsche's story and others' at a news conference Tuesday in an effort to prod Gov. Gary Herbert and Republicans in the Legislature to reach a resolution before the next legislative session starts in January 2016 — and to do it out in the open, rather than behind closed doors. Democrats blame the so-called "Gang of Six" — including Herbert, Lt. Gov. Spencer Cox and GOP lawmakers — for failing to reach a deal to expand Medicaid under the Affordable Care Act. The group missed a self-imposed July 31 deadline. And although the gang's members say they hope to reach a deal before the 2016 Legislature opens, Democrats worry that may be too late for some Utahns who don't make enough to pay for subsidized health care, but make too much to qualify for Medicaid. (McDonald, 8/18)

Democratic leaders expressed frustration that lawmakers are being called into a special session Wednesday to deal with relocating the state prison but not what they called a life-and-death issue: Medicaid expansion. "It says that economic development is taking priority over the lives of our citizens of Utah. And that shouldn't be the case," Utah Democratic Party Chairman Peter Corroon said. (Riley Roche, 8/18)

The 19 states that have chosen not to expand Medicaid under the health care law could be hindering their abilities to care for those living with mental illnesses, according to a Psychiatric Services in Advance report. If all the states undertook an expansion by 2020, health centers would have nearly $230 million in additional revenue, according to the report. On top of that, the study found nationwide expansion could provide an estimated $11.3 million for mental health services and $1.6 million for substance abuse services that year. (Evans, 8/18)

More than 7,000 customers of Connecticut’s health insurance exchange must provide additional documentation to maintain their coverage or the tax credits that subsidize their premiums – a process that has already led to confusion and, in some cases, lost coverage or subsidies, exchange CEO Jim Wadleigh said Tuesday. (Levin Becker, 8/18)

Wal-Mart Stores Inc.’s took a hit from the Affordable Care Act during the second-quarter. The Bentonville, Ark.-based retailer said its pharmacy business had reduced margins, which hurt earnings at the U.S. business. Much of that was due to fewer customers paying for drugs with cash, which has higher margins, said Greg Foran, head of Wal-Mart’s sprawling U.S. operations. Fewer cash payments reflect “a marketplace shift in which more customers are now benefitting from greater drug insurance coverage,” he said, during a pre-recorded earnings conference call. (Monga, 8/18)

With biotechnology drugs generating an estimated $60 billion in annual sales set to have lost patent protection by the end of next year, Medicare's plans to buy lower cost, copycat versions of the medicines are becoming a hot topic for patient advocacy groups and some in Congress, Administrators of the big health program are in the midst of staking out reimbursement policies for so-called biosimilars, with a 2016 payment rule for physicians serving as one of the chief vehicles. The Food and Drug Administration in March approved the first such product for sale in the United States: a Novartis AG copy of Amgen Inc.’s Neupogen, for helping people on chemotherapy fight infections. (Young, 8/18)

Amgen Inc. reached a $71 million settlement with 48 states related to allegations that the biotechnology company made unsubstantiated marketing claims about blockbuster drugs Aranesp and Enbrel, according to several state attorneys general. In a statement on Tuesday, Amgen said the settlement with the states resolves some of the same issues addressed in Amgen’s December 2012 settlement with the federal government related to the company’s marketing practices. (Stynes, 8/18)

Amgen Inc. has agreed to pay $71 million to settle allegations by 48 state attorneys general that it improperly marketed two of its blockbuster drugs. The agreement announced Tuesday brings an end to a difficult chapter in the history of the Thousand Oaks biotech, which pleaded guilty in 2012 to a federal criminal charge related to similar allegations and paid $762 million in criminal penalties and civil settlements. (Pfeifer, 8/18)

The approval of the controversial drug, flibanserin, which the FDA twice rejected before and now will be marketed as Addyi, comes with a series of conditions reflecting the agency’s concerns about serious side effects. These include a boxed warning that highlights the risks of low blood pressure and fainting in patients who drink alcohol while taking the drug, as well as a requirement that doctors complete a training course before being allowed to prescribe it. (Schulte and Dennis, 8/18)

The drug — Addyi from Sprout Pharmaceuticals — is actually the first drug approved to treat a flagging or absent libido for either sex. Viagra and other drugs available for men are approved to help achieve erections, or to treat certain deficiencies of the hormone testosterone, not to increase desire. (Pollack, 8/18)

The decision follows a public campaign challenging the agency to close a widening gap between the number of drugs available for men’s sexual health and those available to women. ... Clinical trials presented to the FDA showed that compared with pre-menopausal women who got a placebo, those who took flibanserin reported a modest but measurable rise in sexual desire and increased their number of “sexually satisfying encounters” by roughly one per month, from a median of two to three to between 2 1/2 and four. (Healy, 8/18)

The controversial decision was hailed by some doctors and advocates as a long-sought victory for women's health, but was condemned by others as irresponsible and dangerous. ... The medicine is to be taken daily to treat premenopausal women suffering from hypoactive sexual desire disorder, which is essentially a sudden, unexplained loss of any desire to have sex. (Stein, 8/18)

But the agency’s decision on Tuesday — which follows a well-orchestrated advocacy campaign financed by the drug’s maker, Sprout Pharmaceuticals — comes with a requirement that the company take steps to ensure doctors prescribe flibanserin carefully and make women aware of its health risks. (Karlin, 8/18)

“It’s not for everybody,” said Dr. Lisa Larkin, director of the women’s health center at the University of Cincinnati. “Not all women who have low desire have a biologic basis. We understand that very clearly. But there’s a subgroup of patients where biology really is the issue and it’s that group of patients who will be candidates for this medication.” Addyi can cause a severe drop in blood pressure and a loss of consciousness, risks that increase when taken with alcohol and other medications that impede the drug’s breakdown in the body. (Pugh, 8/18)

Federal health officials on Tuesday approved the first-ever prescription drug intended to treat women suffering from a lack of sexual desire, ending a vigorous debate over the drug's fate. ... Here's a look at the new drug from Sprout Pharmaceuticals. (8/18)

A small drugmaker from North Carolina may succeed next week where many of the world's largest pharmaceutical companies have failed: in winning approval for the first drug to boost women's sexual desire. The husband-and-wife team that founded Sprout Pharmaceuticals is not new to the pharmaceutical business or even to marketing drugs to people frustrated with their sex lives. The couple's previous company, Slate Pharmaceuticals, sold an implantable testosterone pellet to men with low levels of the hormone. But Slate's marketing push ran afoul of federal rules, making misleading, unsupported statements about the benefits of testosterone therapy while downplaying risks. In fact, when the Food and Drug Administration held a meeting examining the overprescribing of testosterone last year, it played Slate's commercial as an example of inappropriate marketing. That record worries Sprout's critics, who see a troubling pattern in the aggressive tactics it has used to urge the FDA to approve the women's desire drug, which was previously rejected twice because of lackluster effectiveness and side effects such as nausea, dizziness and fainting. (Perrone, 8/18)

Male doctors are more than twice as likely to have legal action taken against them than their female counterparts, a recent study found. The study, published last week in the journal BMC Medicine, affirms a well-established trend for the first time on a global level. It also shows that the disparity has not changed over the course of 15 years, despite a growing presence of women in the field. (Gebelhoff, 8/18)

In July 2013, California urogynecologist Andrew Cassidenti received an email from an entrepreneur named Otto Fisher, who had a proposition. Fisher was looking for surgeons to perform operations to remove pelvic mesh implants from women. Intrigued, Cassidenti responded. In a phone call, Fisher said he needed doctors to operate at outpatient centers in California and Las Vegas. Fisher said he could guarantee Cassidenti $2,500 for every surgery the doctor performed, “whether it took five minutes or two hours,” or even if the doctor did not remove any mesh, according to the surgeon’s sworn court statement recounting the conversation. (Frankel and Dye, 8/18)

California lawmakers on Tuesday announced a second attempt at passing right-to-die legislation this year after an earlier measure stalled amid religious opposition and hesitant Democrats. The new bill allowing doctors to prescribe terminally ill patients life-ending drugs was introduced in a special legislative session on health care financing convened by Gov. Jerry Brown. (Nirappil, 8/18)

California lawmakers revived legislation Tuesday that would allow doctors in the state to prescribe life-ending drugs to terminally ill patients who wish to hasten their deaths. (Gutierrez, 8/18)

California lawmakers on Tuesday reintroduced a bill to legalize assisted suicide that had stalled amid opposition from the Catholic church and disability rights activists, as leaders among majority Democrats vowed to make its passage a priority. In a move that made clear that lawmakers sought support from Latino Catholics who might be concerned about church opposition, backers of the bill showcased support from top Latino politicians at a news conference on Tuesday, some of whom spoke dramatically in Spanish of the pain and suffering experienced by people with terminal cancer and other illnesses. (8/18)

Arkansas will resume its push to terminate coverage for thousands of Medicaid beneficiaries who haven't verified their income, Gov. Asa Hutchinson said Tuesday, despite complaints that many being kicked off the program still qualify. Hutchinson said the Department of Human Services has eliminated a backlog of responses from Medicaid recipients trying to prove they still qualify for coverage. The Republican governor had ordered a two-week pause in the terminations so DHS officials could process thousands of responses they had received. (DeMillo, 8/18)

Arkansas will lift the suspension on Medicaid verifications and terminations, Gov. Asa Hutchinson said Tuesday during a news conference at the state Capitol. In addition, an agreement has been reached to provide pharmacy benefits for 30 days to certain individuals covered by two insurance carriers — Blue Cross Blue Shield and Centene — who have been sent a notice of termination. (Riddle, 8/18)

Gov. Doug Ducey’s plan to tighten eligibility requirements for some enrolled in Arizona’s Medicaid program drew questions and concerns at a public meeting Tuesday. Critics said it would harm access to care for low-income residents with no evidence that it would save taxpayers money. (Alltucker, 8/18)

CMS officials last week approved California's Drug Medi-Cal waiver, opening the door for the state to dramatically change the way mental health services are delivered in Medi-Cal. (Gorn, 8/18)

All five managed-care plans serving poor and disabled Ohioans on Medicaid score average when it comes to how happy patients are with their doctors. Medicaid officials released the state’s first report card of managed-care plans on Tuesday. It’s a tool they hope will help beneficiaries choose coverage that works best for them and their families. (Candisky, 8/18)

A new review by a nonprofit health organization shows that the largest share of Kentucky's Medicaid population lives in the impoverished eastern portion of the state. The Foundation for a Healthy Kentucky has embarked on a three-year study of how the federal Affordable Care Act is affecting Kentucky. The group released its first report on Tuesday. About a quarter of the state's population is now on Medicaid after the state decided to expand the program's eligibility requirements. Eastern Kentucky accounts for 32 percent of the Medicaid recipients while 25 percent live in western Kentucky. Nineteen percent live in Louisville, 16 percent live in Lexington and 8 percent live in northern Kentucky near Cincinnati. (8/19)

A subsidiary of Philadelphia-based AmeriHealth Caritas was one of four companies selected by Iowa officials to participate in the management of the state's $4.2 billion Medicaid program, which serves about 560,000, officials announced Tuesday. AmeriHealth and the other winners - units of Anthem Inc., UnitedHealth Group Inc., and WellCare Health Plans Inc. - will compete statewide for Medicaid beneficiaries under the program, which starts Jan. 1, 2016. Iowa officials picked four of 10 health insurer applicants that completed the process. (Brubaker, 8/19)

Ask Sam Lindsey about the importance of Northern Cochise Community Hospital and he’ll give you a wry grin. You might as well be asking the 77-year-old city councilman to choose between playing pickup basketball—as he still does most Fridays—and being planted six feet under the Arizona dust. Lindsey believes he’s above ground, and still playing point guard down at the Mormon church, because of Northern Cochise. Last Christmas, he suffered a severe stroke in his home. He survived, he said, because his wife, Zenita, got him to the hospital within minutes. If it hadn’t been there, she would have had to drive him 85 miles to Tucson Medical Center. (Ollove, 8/18)

Anchorage's two largest hospitals are continuing their struggle over the limited share of emergency room beds that can be built in the next several years, with both Alaska Regional Hospital and Providence Alaska Medical Center filing appeals over the state's recent allocation decision. An oversupply of emergency room beds tends to push up health care costs, so most U.S. states, including Alaska, have laws limiting the capacity of emergency rooms, as well as other medical services and facilities. Until the year 2022, no more than 13 beds can be added anywhere in the Municipality of Anchorage, according to the state Department of Health and Human Services. (Falsey, 8/17)

When Parkland Memorial Hospital moves across Harry Hines Boulevard, it will bring along about 600 patients, 11,000 employees and countless pieces of medical equipment. What hospital leaders don’t want to transport is the controversy that has dogged Dallas County’s public hospital for the past four years. That will be impossible. While Parkland satisfied many of the issues that threatened its federal funding, it remains under continued scrutiny by the federal government. The Dallas County public hospital is two years into a five-year corporate integrity agreement that has focused on billing problems and patient-safety concerns. (Jacobson, 8/18)

Missouri's only state-run mental hospital has updated its non-discrimination practices to include gender identity. That's despite the fact that Missouri's legal definition of discrimination does not include or protect sexual orientation or sexual identity. Marty Martin-Forman is chief operating officer for Fulton State Hospital. She says their transgender patients provided the inspiration to make internal policy changes. (Griffin, 8/19)

For much of Cindy Mertz’s tormented childhood, temper tantrums were a reliable method for coping with starvation, filth and abuse. But the screaming and foot-stomping that sometimes worked for a child have wrought terrible consequences for 21-year-old Mertz, who remains intellectually disabled. Three weeks ago, Mertz landed inside a locked Pasco County mental hospital. Her legal guardian has repeatedly demanded that she be released back to a state-funded group home where staff has learned to manage her behavior. The hospital has repeatedly refused. When a family advocate accused the hospital of “kidnapping” Mertz, staff blocked the advocate’s email account. And when a behavior analyst who had worked with Mertz for three years complained that her stay at North Tampa Behavioral Health was making her condition worse, the facility blocked his email, too. (Miller, 8/18)

A computer glitch exposed protected health data or personal information for more than 3,000 Colorado residents who receive state health benefits, Gov. John Hickenlooper's administration revealed Monday. The confidential information was disclosed in letters mailed to wrong addresses between May 25 and July 5 — the second data breach this year involving the Colorado Benefit Management System, the troubled computer system that distributes aid to needy residents. Colorado officials are sending notices to those whose information was disclosed and asking those who received the errant letters to destroy the document. (Frank, 8/17)

Arizona abortion clinics must report to state health officials what happens to the remains of aborted fetuses, under a new temporary rule ordered by Gov. Doug Ducey and approved by Attorney General Mark Brnovich. If the fetal tissue is transferred to another person or entity, except for a funeral home or crematory, health officials must also disclose the identity, any compensation received for the tissue, and whether the patient agreed to the transfer. The questions have been added to forms that clinics are required to file with state health officials. (Sanchez, 8/17)

A Minnesota health insurance company started a public push on Tuesday to maintain its foothold in the state’s public programs. Minnesota contracts with health plans to cover low-income residents on MinnesotaCare and Medical Assistance. A new statewide competitive bidding process is slated to leave out UCare, forcing its 360,000 consumers to pick a new plan and costing the company a sizable portion of its business. (Potter, 8/18)

He thought it was pneumonia. Michael Trost, 52 and seemingly healthy, just wasn’t feeling right. During a chance break at work as a wood finisher, Trost’s wife brought him to an emergency room near where they live at the edge of the Poconos in Dingmans Ferry, Pa. "They’ll give me a chest x-ray and antibiotics and I’ll be on my way," Trost thought. (Gordon, 8/19)

A spaghetti dinner with people in prairie dress and a church service in German is all in a day's work for Kerri Lutjens. The 33-year-old nurse, who doesn't speak German, has spent the past few years gaining the trust of several communities of Hutterites, a deeply religious people with ancestral ties to the Amish who live in insular farming communities in the Plains, Upper Midwest and Canada. Although she provides a broad range of care to the eight South Dakota Hutterite colonies she serves, Lutjens has paid particular attention to vaccinating children in these communities and preventing outbreaks like one in Ohio last year in which 383 people, most of them unvaccinated Amish, got the measles. (Burbach, 8/18)

Nearly two dozen of Maine's top law enforcement and health care officials are joining Republican Gov. Paul LePage this week to develop strategies for combating the state's drug epidemic. Among those expected to attend Thursday's drug summit are Brig. Gen. Gerald Bolduc of the Maine National Guard, Roy McKinney, director of the Maine Drug Enforcement Agency and Bruce Campbell of the Bangor Area Recovery Network. (8/19)

U.S. Sen. Dick Durbin provided a fairly blunt reply to the proposition that the War on Drugs failed. “By some measure, it has failed,” said Durbin, D-Ill. “If the measure is the cost of drugs on the street, it has failed. But when we look at the individual lives saved, there are certainly heroic great stories to be told. But we have to be honest about what works and what doesn’t.” Before hosting a roundtable discussion Monday in Granite City on heroin abuse, Durbin extolled the virtues of drug treatment –- and the increasing availability of drugs like Naloxone that reverses a heroin overdose. (Rosenbaum, 8/17)

New York is using $8 million in federal funding to expand screenings for colorectal cancer. Gov. Andrew Cuomo's office announced the move on Monday. The Democratic governor's office says the state sees nearly 10,000 new cases of the disease and 3,000 colorectal cancer deaths each year. The expanded screening program will focus on underserved and high-need areas in New York City, Syracuse, Buffalo, Rochester and the North Country. The screenings will be carried out by local health care providers. The money will also support efforts to promote screenings, which Cuomo notes can help doctors identify colorectal cancer early enough for successful treatment. (8/18)

A nursing home being sued by Attorney General Hector Balderas has filed a lawsuit alleging Balderas has violated the state’s public records law by refusing to release communications between his office and two out-of-state law firms working with the AG. In the lawsuit filed in state District Court in Albuquerque, Bloomfield Nursing Operations LLC alleges Balderas’ office has either improperly denied or partly denied the company’s requests for documents, or has not produced them in a reasonable amount of time as required by the state Inspection of Public Records Act. (Baker, 8/18)

We interrupt the Donald J. Trump summer jam for something slightly more substantive: the emerging debate in the Republican field about how to wind down ObamaCare and repair health-care markets. Scott Walker rolled out a pragmatic center-right plan on Tuesday, and the other candidates ought to follow the Wisconsin Governor’s lead with their own proposals. (8/18)

Obamacare gives federal money to poor people to help them get health insurance. Scott Walker, Wisconsin’s governor, has a replacement plan. It would give federal money to old people instead. There are many, many other differences between Obamacare and Mr. Walker’s plan, announced Tuesday in a white paper and a policy speech. But that difference points to the key similarity between the plans, and the most consequential change. (Margot Sanger-Katz, 8/18)

Obamacare promised that it was for the middle class. In practice, it has overwhelmingly been a program for the poor and near-poor. Its two main features were a Medicaid expansion for everyone earning up to 133 percent of the federal poverty line and exchange policies for anyone else who wasn't eligible for employer insurance or another government program. As it turns out, exchange policies have been extremely popular among people whose policies are heavily subsidized, but not so popular with anyone who has to pay a significant chunk of the bill. This was basically a poverty program that was sold by playing to the anxieties of middle-class people worried about losing their health insurance. The Republican plan is, in fact, a program for the middle class. As such, it will be much less generous toward the poor. It will redistribute money upward, from those struggling very hard to ordinary Joes who are not rich, but not quite so desperate either. (Megan McArdle, 8/17)

ObamaCare was forced on the American people by Democrats who think the government knows best, chief among them, Hillary Clinton. The seeds of this destructive law were first planted by Clinton in the early 90s as part of her failed health care plan, HillaryCare, and in her 2008 campaign’s health care proposal. Although Clinton’s health care proposals failed, many of their central provisions — including the individual mandate and harsh penalties for those who don’t purchase insurance — succeeded in making their way into ObamaCare. (Gov. Scott Walker, 8/18)

[Walker's plan offers] every nostrum promoted by the conservative and libertarian lobbies (the Heritage Foundation is cited several times), none of which has been shown to make much of a dent in the nation's population of the medically uninsured and a few of which would work against that goal, is in there. To be fair, Walker threw in a couple of novel curves. Let's take them up first. The most notable is a provision to convert the income-based premium subsidies provided under the Affordable Care Act to a system based on age. According to Walker's breakdown, the subsidies would range from $900 a year for those 0-17 years old, up to $3,000 for those 50-64. The payments are only for those without employer-sponsored insurance. (Michael Hiltzik, 8/18)

After much hype from his campaign, Wisconsin Gov. Scott Walker unveiled his health-care plan, which — like many of plans out there (including ones like those put out by Sen. Marco Rubio, Rep. Tom Price and Sen. Orrin Hatch) — proposes repealing Obamacare, going to a system of tax credits for those without employer-provided insurance, allowing insurance sales across state lines, high risk pools for the hard-to-insure and block granting Medicaid. Walker did not explain how he is going to pay for it. ... But Walker’s plan just did not seem to live up to the billing. (Jennifer Rubin, 8/18)

But these “plausible” Republican candidates hold views that are dramatically at odds with interests and values of the vast majority of Americans. ... All would repeal Obamacare without giving us a clue of what would replace it. All want to slash spending on shared security programs like Social Security and Medicare. [Former Florida Gov. Jeb] Bush and [Florida Sen. Marco] Rubio have called for raising the retirement age for Social Security. ... Or consider social issues. [Wisconsin Gov. Scott] Walker and Rubio have both flip-flopped to announce that they now oppose all abortion with no exceptions for rape, incest or to protect the life of the mother. Bush supports the act banning abortions after 20 weeks with exceptions for rape, incest and protecting the mother’s life. (Katrina vanden Heuvel, 8/18)

As Minority Leader in the Ohio Senate, I can tell you my job would be a whole lot easier if John Kasich were actually a moderate. Yes, Kasich did make the decision to expand Medicaid, and Democrats in Ohio helped him do it. What you don’t hear, though, is that Kasich refused to set up a state-run insurance exchange due to his opposition to Obamacare — an exchange that could have been tailored to the specific needs of Ohioans. (Joe Schiavoni, 8/18)

It is becoming difficult to escape the conclusion that conservatives would rather fight about abortion than reduce it. Candidates in this month’s Republican presidential debate tripped over themselves to display their pro-life extremism, disavowing exceptions that would permit abortion in cases of rape, incest or even to save the life of the mother — non-starters all in American public opinion. (Dana Milbank, 8/18)

Tuesday, the Alaska Legislative Council, acting on behalf of the legislative branch, voted to file an injunction against the governor for his attempt to expand Medicaid without authorization. The Alaska Constitution is crystal clear: No public funds may be spent outside of the legislative appropriations process. The governor has begun the task of expanding Medicaid by seeking to hire 23 new staff. Administrative costs – just keeping track of the new paperwork burden – will cost millions of state dollars. Having no legal source of cash for this action, the governor has decided to raid the Alaska Mental Health Trust, a fund dedicated to providing care, including substance abuse treatment, to vulnerable Alaskans. We believe his action is unconstitutional and it's simply wrong. (State Sen. Kevin Meyer and State Rep. Mike Chenault, 8/18)

The Obama administration last week announced a big increase in support for community health centers in the latest expansion of a program that has a long bipartisan history and robust bipartisan support today. (8/19)

Last week a small California company that provides human blood, cells and tissues to research scientists bailed on one of its partners, Planned Parenthood. Placerville, Ca.-based StemExpress, which had worked with Planned Parenthood to distribute fetal cells and tissues following abortions at the organization's clinics -- with the full consent of the patients undergoing the procedure -- ended its relationship with the healthcare provider "due to the increased questions that have arisen over the past few weeks." These aren't questions about the legality or ethics of Planned Parenthood's activities, which haven't been legitimately challenged. They're questions about whether the organization's activities can survive a full-scale political onslaught. (Michael Hiltzik, 8/18)

Blacks and whites in New Orleans have very different views of the opportunities available to young people and whether the city is a good place for children to grow up, and the racial divide in how residents view these basic measures is widening. These and other findings of a comprehensive study of New Orleans a decade after Hurricane Katrina highlight the progress that can be made in urban America and the issues underlying our debates about race. (Drew Altman, 8/19)

We Coloradans owe a debt of gratitude to the jurors who acted on our collective behalf, spending weeks on two gruesome and grueling cases: the Aurora theater shooting trial and the Fero's bar murder trial. In the case of the Aurora theater shooting trial, the Arapahoe County court offered psychological counseling to members of that jury. Bravo. (Ross van Woert, 8/18)