Andy Slavitt Verified account @ASlavitt 6h6 hours ago
1. Having a lot of conversations today with people on all sides of the Senate health bill jockeying.
Some tweets coming up.
2. I need one more hour because things are evolving quickly. Follow if interested.
3. Let me start with this: the Senate is now trying to sell a bill with very unpopular features but has quite a strategy to do it.
4. The Senate health bill takes away the singular most important protection of the ACA– pre-existing condition protections.
5. Senate bill also eliminates Med expansion, caps it, raises the cost of coverage & millions will lose it. It’s unpopular & getting worse.
6. And the Senate, embarrassingly, exempts themselves so they alone can get essential benefits & pre-ex protections.
7. So, all in all, they have a package of policies that are far from having support from 50 Senators. But they have a plan to get it done..
10. The first part of the strategy is to not focus on the bill but to get past a necessary procedural vote, a Motion to Proceed. Tues/Wed.
11. So the first part of the sales pitch is: if you don’t like it, amend it by voting for the MTP. It’s a clear trap. But an easier sale.
12. The second part of the sales pitch is to win the Sens worried about Medicaid cuts by pitching their governors. All are in RI right now.
13. Pence, Price and Adm. Verma are saying yes you will get less $ (poor people need to go on a diet), but you will get more flexibility.😉
14. Pitch is CMS waivers will make up 4 $800 billion in cuts. I used to run CMS. I can tell you: waivers must be budget neutral. Impossible.
15. The next strategy is to buy every Senator possible. So a bunch of money went to Alaska already. But…
16. The fix was supposed to even take care of a Tribal populations. But didn’t. 👇 Shameful & ineffective.
17. If you don’t believe me that this Alaska buy off doesn’t jibe, listen to someone who knows.
Tierney SneedVerified account @Tierney_Megan
Well Alaska’s top Medicaid official still hates BCRA (tho her office pointed me to the state’s Insurance Division on the Klondike Kickback)
18. Next strategy is 2 use Cruz amendment to be all things to all people when it’s actually horrible for everyone.
19. Some Senators are being told it’s a single risk pool cuz it’s what they want. But it’s a lie. (You’re thinking Ted Cruz? Lie? IKR?)
20. No one understands it or can explain it. But actuaries came out & criticized it today.
21. Somewhat amusingly, others are being told Cruz will be two risk pools because they want it to be that.
22. Because Cruz amendment is a disaster, it provides $ to fix the disaster it creates (huh?). Only not enough.
23. I’ve been spending the day trying to de-code the next part of the strategy. Even worse process moves. 👇
24. We already have a process with no hearings, no committee process, no aim at bi-partisanship. And now it’s going to get worse…
25. HHS will have ASPE, their propoganda arm of late, evaluate the Cruz Amendment instead of the CBO. Yes, they can just decide to do that.
26. In fact, the CBO report coming next week may not represent anything like what could be voted on.
28. Bottom line time. Bad bill. Lots of micro-strategies to get votes, but none to fix the bill.
Source: Think Progress
During his presidential campaign, Donald Trump promised, over and over again, that he would replace Obamacare with “something terrific,” that would “take care of everybody” and be “a lot less expensive” for consumers and the government.
But despite claims by Senate Republican Leader Mitch McConnell (R-KY) that his latest version of Trumpcare would provide “stability” while “improving affordability,” Secretary of Health and Human Services Tom Price made a major admission about the bill Sunday: that the legislation to repeal and replace Obamacare would simply permit insurers return to the ways they used to operate.
On ABC’s This Week, the longtime Obamacare critic was pressed by Jon Karl about a provision in the bill pushed by Sen. Ted Cruz (R-TX), which would allow insurance companies to offer sub-standard plans. Karl noted that not only do more than 10 medical groups and 32 cancer organizations oppose the Trumpcare bill, “a rare joint statement by the biggest insurance companies in the country called the Cruz amendment ‘unworkable in any form’ ‘it would lead to, ‘widespread terminations of coverage.”
Karma and her cousin Irony… they have come.
The Turtle thought that he could cram down the Legislative Evil known as Trumpcare without a full CBO score , especially on the Cruz Amendment.
Then, Country Last up and goes to have surgery. There can’t be a vote without him, and the time it takes for him to recuperate, is time for the CBO to score the Cruz Amendment.😒😒
Please continue to CALL CALL CALL.
Give these Senators nowhere to run. Tell them that stripping away healthcare from MILLIONS so that millionaires and billionaires can get a tax cut is a NO GO.