At Party Retreat, GOP Still Searching For Health Law Consensus
PHILADELPHIA, Pa. 鈥斅燫epublicans from the House, Senate and White House gathered in Philadelphia this week searching, among other things, for some agreement on how exactly to 鈥渞epeal and replace鈥 the federal health law. By the end of the second day of the three-day retreat, however, it was clear they were not yet singing from the same hymnbook.
House and Senate Republican leaders did seem to settle on a timing strategy for overhauling the Democrats鈥 health care law that could take them through the summer, even if they were light on specifics.
鈥淲e don’t want to set arbitrary deadlines on things,鈥 said House Speaker Paul Ryan, R-Wis. 鈥淲e want to move quickly, but we want to get things right.鈥
Rank-and-file Republicans said they are coalescing around a strategy that would not have a single replacement for the Affordable Care Act. Instead they foresee a combination of changes they can make to the law through a budget bill that only requires 51 votes in the Senate, regulatory action and executive orders by the Trump administration, and individual bills addressing smaller aspects of the health system that will follow later.
鈥淚f you鈥檙e waiting for another 2,700-page bill to emerge, you鈥檙e going to have to wait until the sun doesn鈥檛 come up, because that鈥檚 not how we鈥檙e going to do it,鈥 Rep. Greg Walden, R-Ore., who is the chairman of the House Energy and Commerce Committee, told reporters, referring to the length of the Affordable Care Act. 鈥淭here鈥檚 no single fix. There鈥檚 no single plan.鈥
Rep. Marsha Blackburn, R-Tenn., earlier also described the idea of separate 鈥渂uckets鈥 consisting of fast-track budget legislation, administrative action by Trump officials and more traditional legislation. 鈥淲e鈥檙e looking forward to being very busy until August,鈥 she said.
Some of the individual bills Blackburn mentioned are those Republicans have pursued for years, such as allowing health insurance to be and in an effort to deter doctors from practicing 鈥渄efensive medicine鈥 to avoid being sued. Rep. Tom Price, R-Ga., whom Trump has nominated to run the Department of Health and Human Services, has been a leading advocate of some of these GOP proposals.
According to the passed by both chambers earlier this month, House and Senate committees were supposed to finish work on their partial-repeal bills by Jan. 27. That will not happen, as none of the committees in question has even begun work yet.
And Senate Majority Leader Mitch McConnell, R-Ky., said he was pleased that the House has recognized that the Senate will move more slowly due to its other obligations to vet and vote on President Donald Trump鈥檚 nominees for the cabinet and other posts.
鈥淲hat the speaker has done, which I entirely concur with and the administration is on board with, is to lay out a game plan through the August recess of what we want to try and accomplish,鈥 McConnell told reporters.
But while the members of Congress insisted that they were on the same page as Trump, that was not clear from the speeches delivered by the president and Vice President Mike Pence Thursday.
For his part, the president stuck to his desire for legislation sooner rather than later. 鈥淲e have to take care of the American people immediately, so we can鈥檛 wait,鈥 he told the group.
Pence reiterated the idea that overhauling and replacing the law needs to be done at the same time. 鈥淧resident Trump has made it very clear: We need to end this law’s burden on hard-working families and business, and simultaneously replace it with a better plan, based on free-market principles and choice,鈥 he said, according to the pool report of the speech, which was not open to the media and not broadcast.
And it remains unclear if the Trump administration will submit its own plan or let Congress work its will. 鈥淚鈥檒l leave that up to them to announce,鈥 Walden said.
Meanwhile, in a light rain, a group of several thousand protestors marched to within a block of the hotel in the center of the city where the Republicans were meeting, chanting 鈥淧hilly hates Trump,鈥 and 鈥淔acts are facts and lies are lies.鈥
Among the marchers were patients who have benefitted from the health law and don鈥檛 want to see it disbanded.
鈥溾業f they take away the 鈥榊ou can鈥檛 be turned down for having a pre-existing condition,鈥 I will probably not be able to get health insurance,鈥 said Nancy Lowell, 58, a food service manager from Philadelphia who was diagnosed with cancer last year.
Lowell, who said her cancer was treated with surgery, fears losing her insurance because 鈥淚 still have to get a high resolution MRI annually, and without insurance that costs over $11,000. Just that one test.鈥
And 31-year-old Andrea Tsurumi, a freelance illustrator also from Philadelphia, said she 鈥渄oesn鈥檛 know鈥 what she will do if the law no longer offers her affordable coverage.
She said the availability of the insurance without employer-provided coverage enabled her to become an illustrator in the first place. 聽鈥淚鈥檓 terrified I鈥檓 going to have to give up my profession and find some sort of job to provide health care for my family,鈥 she said.