Plan C? Seriously?

Last night, more Republican Senators made it clear that they would not vote to open debate on the latest version of the health care bill.

Within a couple of hours, Majority Leader McConnell announced that he would bring up a bill to repeal the Affordable Care Act, but delay its taking effect for two years, during which time the Congress would need to pass a replacement plan for the president to sign.

This is a bad idea.

The last time the Congress tried something similar was during a budget impasse. They put in place a sequester program that capped budget allocations for both discretionary and defense spending. The theory was that both parties would want to cooperate so they could allocate more money for their budget priorities. The reality was that no agreement was reached and there were some years that Congress didn’t even pass its appropriations bills, but used a series of continuing resolutions to fund the various departments.

This does not give high confidence that Congress would pass a replacement bill before the deadline.

Insurance companies and health care facilities are upset because this would create so much uncertainty for them.

The general public is concerned because the repeal is expected to immediately raise premiums and reduce the number of people who can afford insurance.

There are senators across the political spectrum calling for a new process to begin, involving input from all senators, along with public health professionals and the public, to craft health care reforms that will increase the availability and affordability of health care.

I hope that Senator McConnell will choose to engage in this more cooperative process which is in line with the way the Senate has traditionally operated.

Senate shenanigans

While we have been dealing with our own family health issues, I have also been keeping my eye on the sorry spectacle unfolding in Congress.

Last week, the Senate Republicans made public their version of a health care bill to replace the Affordable Care Act. It was drafted by a small group of the most conservative male red-state Republican Senators, without hearings, public debate, the input of health care experts, and contributions of the other 87 Senators, who are Democrats, Republicans, and Independents.

The bill would cut Medicaid over time, raise deductibles, decrease the comprehensive nature of insurance, increase premiums, make insurance unaffordable for millions of people, and give massive tax cuts to the wealthiest Americans.  It faces major opposition from doctors, nurses, hospitals, insurers, public health organizations and advocates, and the general public.

Still, Majority Leader Mitch McConnell plans a vote on the bill this week. It seems that the main reason is to have the first major piece of legislation enacted in the new administration, not to actually improve medical care access or affordability for the American people.

One of the things that has been most annoying is the Republican members of Congress and some pundits and reporters who equate the current process on this healthcare bill to the process that produced the Affordable Care Act. The Affordable Care Act was passed after almost a year of public discussion, numerous Congressional committee hearings, expert testimony, amendments from both Democrats and Republicans, Congressional debate, floor votes, the creation of a bill to reconcile differences between the House and Senate versions, and a final round of voting with met the 60 vote total in the Senate to avoid filibuster.

Contrast this with the current Republican bill, which was written behind closed doors by a small group of Republicans. There are no hearings, plans for only limited debate, and the invocation of budget bill rules which make it impossible to filibuster.

There are two Republican Senators who are opposing the bill because it will hurt their constituents and other Americans. Four other Senators oppose it as not conservative enough. After the Congressional Budget Office analysis came out yesterday, with projections of 22 million people losing coverage and costs skyrocketing especially for those with low incomes and those who are in their late fifties to mid-sixties. there is hope that Senator McConnell will pull the bill or, at least, slow down the process to allow for more debate and revision and to put the bill under regular order instead of trying to reform healthcare through the budget process.

Many of us are inundating our Senators with pleas to protect and improve our healthcare. We’ll see if they listen.