Trump leaves McConnell to handle Senate bill on health care

When Trump suggested on Twitter in late May that Republicans should change the Senate rules to a simple majority vote to speed up the process, McConnell told the president to leave Senate business to him, according to three people familiar with the conversation.

That could mean weeks to come of negotiations to craft a bill that would not only satisfy the hardline conservatives in the Freedom Caucus, but also moderate Senate Republicans who are already wavering on a Senate bill that is less conservative than the AHCA. His biggest concern involves dismantling the Medicaid expansion he enacted in Louisiana, which has given insurance coverage to 430,000 people. The bill would replace its individual insurance coverage with new subsidies and requirements and cut federal funding for Medicaid.

"They're not real expensive drugs, but it's the kind of thing that you don't want the cost of them to be a barrier", for lower income workers, she said.

And, if the Senate bill strips as many people's insurance as the House bill was projected to ― the CBO still has not yet scored the Senate bill, which was remained a secret up until this week ― it could mean a total of approximately 217,000 additional deaths over the next ten years. As five conservatives are now against the bill.

"I've done in five months what other people haven't done in years", Trump said in an interview that aired Friday on Fox News Channel's "Fox & Friends".

The KFF poll notes that "proposed Medicaid changes were not initially a major point of discussion surrounding consideration of the House bill... which may partly explain why many respondents were unaware of its effect".

Alaska Gov. Bill Walker, a Republican-turned-independent, said in a statement Thursday that he is still reviewing the Senate plan, but had some worries about how it might affect his vast and sparsely populated state, where health care costs are high. The Senate bill would eliminate the enhanced federal funding for the program by 2024, probably resulting in low-income adults being kicked off the rolls. "So, we have 142 pages to go through", she said. It also would end tax penalties on people who don't buy insurance policies and on larger firms that don't offer coverage to workers, while phasing out the extra money given to states that expanded their Medicaid programs to offer insurance to the working poor.

"If they do to Medicaid what they're trying to do, it's not just a health care adverse outcome, we will be a different country, we'll be a different society, because we won't be taking care of people that most of us believe we should take care of", Casey told reporters in the Pennsylvania Capitol after he led a rally against the bill.

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If he winds up voting for the newly released Senate version, which largely mimics the hugely unpopular House bill despite prior assurances from Cassidy and some of his peers that it wouldn't, I suspect the answer will be yes.

We represent the hospitals in MI that serve many of our state's sickest kids.

Instead, with the Senate bill, Americans get the same structure of the ACA with all the same problems made worse.

On Thursday, Toomey released a statement in response to concerns about cuts, saying "No one now covered by Obamacare will have the rug pulled out from under them". They said the measure missed delivering a GOP promise to Americans "to repeal Obamacare and lower their health care costs".

"The Freedom Caucus strongly supports going to conference with the Senate on healthcare legislation", the source said. It may also make it harder to see a doctor since fewer physicians may be willing to take a pay cut to see Medicaid patients.

The Senate health bill would weaken protections for people with pre-existing conditions.

"The Better Care Reconciliation Act will further exacerbate this problem by substantially reducing the tax credits available to assist individuals in purchasing insurance", Zumbrun wrote. If so, he might be waiting until the last minute to introduce the continuous-coverage language, so Democrats have less time to raise the issue with the Senate parliamentarian.

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