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href=”http://www.npr.org/people/1930203/ron-elving”>Ron Elving\u003c/a>\u003cbr />\u003ca href=”https://npr.org”>NPR\u003c/a>\u003c/strong>","isLoading":false},"byline_stateofhealth_354410":{"type":"authors","id":"byline_stateofhealth_354410","meta":{"override":true},"slug":"byline_stateofhealth_354410","name":"\u003ca href=\"http://khn.org/news/author/julie-rovner/\">\u003cstrong>Julie Rovner\u003c/strong>\u003c/a>\u003c/span>","isLoading":false},"byline_stateofhealth_353504":{"type":"authors","id":"byline_stateofhealth_353504","meta":{"override":true},"slug":"byline_stateofhealth_353504","name":"Gisele Grayson and Nancy Shute","isLoading":false},"byline_news_11535275":{"type":"authors","id":"byline_news_11535275","meta":{"override":true},"slug":"byline_news_11535275","name":"Arnie Seipel","isLoading":false},"byline_news_11535298":{"type":"authors","id":"byline_news_11535298","meta":{"override":true},"slug":"byline_news_11535298","name":"\u003cstrong> Associated Press \u003c/strong>","isLoading":false},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"cfeibel":{"type":"authors","id":"11314","meta":{"index":"authors_1591205172","id":"11314","found":true},"name":"Carrie Feibel","firstName":"Carrie","lastName":"Feibel","slug":"cfeibel","email":"cfeibel@KQED.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Carrie Feibel is a former health editor at KQED, where she has also reported for radio and online. Her stories have appeared on the national NPR shows \u003cem>Morning Edition\u003c/em>, \u003cem>All Things Considered\u003c/em>, and \u003cem>Here & Now\u003c/em>, and on the national website, Kaiser Health News. Her print career included stints at the \u003cem>Houston Chronicle\u003c/em>, \u003cem>The (Bergen) Record,\u003c/em> and the Associated Press in New York City. A native of St. Louis, Feibel attended Cornell University, and earned a master's in journalism from Columbia University.","avatar":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twitter":"KQEDHealth","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["administrator"]}],"headData":{"title":"Carrie Feibel | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfeibel"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_356393":{"type":"posts","id":"stateofhealth_356393","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"356393","score":null,"sort":[1500486172000]},"guestAuthors":[],"slug":"trumps-big-repealing-deal-8-takeaways-on-the-senates-health-care-meltdown-moment","title":"Why 'Repeal and Replace' Collapsed: 8 Takeaways on the Senate's Health Care Meltdown","publishDate":1500486172,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>President Trump has summoned all Senate Republicans to the White House on Wednesday for a debrief on the state of health care legislation effort in their chamber. Based on the week so far, the meeting may be more like a \u003cem>post\u003c/em> \u003cem>mortem\u003c/em>.\u003c/p>\n\u003cp>The Senate still \u003ca href=\"http://www.cnn.com/2017/07/18/politics/mcconell-repreal-and-replace-obamacare-not-successful/index.html\">reportedly\u003c/a> plans a vote next week on repealing the Affordable Care Act without a replacement plan. But it appears the GOP leadership will not have the votes it needs to bring even that fallback version of their legislation to the floor.\u003c/p>\n\u003cp>So what happened after seven years of prioritizing the promise to repeal Obamacare? And what does it all mean for what's next?\u003c/p>\n\u003cp>\u003cstrong>1. The president was AWOL\u003c/strong>\u003c/p>\n\u003cp>Few major legislative changes happen without the active support of the White House. We now have another demonstration of why this is true, albeit a demonstration in reverse.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump made the decision to bet the first months of his presidency on a quick \"repeal-and-replace\" strategy. That decision is now being widely second-guessed. But Trump also failed to put shoulder to the wheel at any stage of the process. Unwilling to engage in the substantive issues, he famously decried the difficulty he had previously denied: \u003ca href=\"http://www.cnn.com/2017/02/27/politics/trump-health-care-complicated/index.html\">\"Nobody knew health care could be so complicated.\"\u003c/a> He then praised the House bill at a self-congratulatory ceremony \u003ca href=\"http://www.cnn.com/2017/06/13/politics/trump-senators-health-care-white-house-meeting/index.html\">only to trash it later as \"mean\"\u003c/a> while speaking with GOP senators.\u003c/p>\n\u003cp>When the bill came to the Senate, \u003ca href=\"https://twitter.com/realDonaldTrump/status/884363456849342464\">Trump tweeted his hope that it would be \"beautiful,\"\u003c/a> (that comment was made \u003ca href=\"http://www.latimes.com/politics/washington/la-na-essential-washington-updates-trump-says-he-hopes-senate-health-care-1498095617-htmlstory.html\">about a week after the president said the Senate bill would have \"heart\" and that he wanted more money for the GOP health care plan\u003c/a> — presumably to provide more care for everyone at a lower cost). But in the critical days when the bill's fate hung in the balance, he was more often tweeting about his various media feuds than about the bill. And on the night the final collapse came, he was finally meeting with senators for dinner — but all of them were already \"yes\" votes.\u003c/p>\n\u003cp>\u003cstrong>2. The president wasn't the problem\u003c/strong>\u003c/p>\n\u003cp>Trump seems to have wanted to show up for the trophy ceremony, not for the game. But even if he had plunged into the trenches, his presence there might not have made the difference. Because the real challenge here was not the politics or the process but the problem itself.\u003c/p>\n\u003cp>Health care is on its way to being a fifth of the total economy, and the Affordable Care Act, aka \"Obamacare,\" is now part of its warp and woof. Ripping it out would disrupt the health care system's delivery of care and payment alike. Replace was always the hard part of repeal-and-replace, and we simply do not have a consensus on how to do it — even among Republicans. After the past few months, one is tempted to say \u003cem>especially\u003c/em> among Republicans.\u003c/p>\n\u003cp>\u003cstrong>3. Health care politics are explosively dangerous\u003c/strong>\u003c/p>\n\u003cp>People are always anxious about their health, their care and its cost, but when they actually get sick, lose their coverage or find their premiums rising, they get scared and angry. Politically, it is often enough just to make them \u003cem>fear\u003c/em> \u003cem>those things might happen\u003c/em>.\u003c/p>\n\u003cp>Democrats found that out eight years ago, before they even got their bill across the finish line. The issue eventually flipped control of Congress. But now the Republicans come with plans to take insurance away from a far \u003cem>larger\u003c/em> number of people and still no guarantee that the insurance will cost less or cover as much. That's why \u003ca href=\"http://www.npr.org/2017/06/28/534612954/just-17-percent-of-americans-approve-of-republican-senate-health-care-bill\">polls show the country prefers Obamacare to the GOP repeal bills by 2-1.\u003c/a> This was going to give Republicans a case of cold feet no matter how hard Trump worked the bill.\u003c/p>\n\u003cp>\u003cstrong>4. The Senate sorcerer's hat has been knocked off\u003c/strong>\u003c/p>\n\u003cp>Mitch McConnell is the Senate majority leader and a past master of process and hardball politics. But his mythical status as a magician now looks more like a memory.\u003c/p>\n\u003cp>In fairness, McConnell followed a game plan that has worked in the past and that worked as recently as this spring in the House. He fashioned a bill primarily to please the conservatives who dominate his caucus, then refined it to further accommodate holdouts on the right. His plan for holdouts in the moderate camp called for picking them off one at a time, earmarking billions for specific states or needs such as opioid abuse.\u003c/p>\n\u003cp>At closing, the idea was to cast the last holdouts as preservers of Obamacare, traitors to the party and enemies of the state. (The president's Twitter finger was a fearsome threat in this regard.) But as it turned out, more than a few conservatives saw too much of Obamacare surviving, while moderates were still worried about Medicaid cuts. McConnell's magic was not potent enough.\u003c/p>\n\u003cp>\u003cstrong>5. Obamacare in some form is here to stay\u003c/strong>\u003c/p>\n\u003cp>Democrats in 2009 and 2010 did not necessarily want to protect and preserve the private health insurance industry. Many of them would have preferred a \"public option\" format as a faster track to single-payer \"Medicare for all.\" But to cobble together the votes to prevail, they went for a hybrid model of public-private insurance, which in the 1990s had been a Republican-proposed compromise alternative.\u003c/p>\n\u003cp>This time around, the mirror image dilemma occurred for the GOP. Their most conservative cadre wanted full repeal of the Obamacare regulations and taxes and a rollback of Medicaid expansion as quickly as possible. Their more pragmatic senators feared the fallout from dumping millions off Medicaid. Even Sen. Shelley Moore Capito, whose West Virginia voters went overwhelmingly for Trump, had to think about having 30 percent of her state's families now on Medicaid. Other GOP senators were primarily fixated on the plight of those with pre-existing conditions, assured of affordable insurance for the first time under Obamacare.\u003c/p>\n\u003cp>\u003cstrong>6. \u003c/strong>\u003cstrong>Opposition is easy; governing is hard\u003c/strong>\u003c/p>\n\u003cp>The GOP Senate caucus is home to profound ideological diversity. That can be a wonderful thing when all are united in opposition to the governing party. It is a far different creature when it must be united in order to pass things. So the divisions have now been vividly exposed by the coming of a Republican president.\u003c/p>\n\u003cp>Yes, in 2015 it was easy for the Senate GOP to be unified in repealing Obamacare without a replacement. But no one doubted President Barack Obama would veto that. Now, Republican votes alone can make laws happen, and the prospect arises of voters not liking those laws.\u003c/p>\n\u003cp>\u003cstrong>7. The health care issue will not go away\u003c/strong>\u003c/p>\n\u003cp>For more than a decade now, one major party or the other has been agitating for big changes in health care and insurance. The ever-escalating costs of high-tech care and the near-constant debate in the media guarantee the issue's salience will continue to grow. The average American wants good health care and has been increasingly promised \"the best.\" But we often do not focus on the cost until necessity arises. Nor do we realize the true cost and reality of insurance coverage. As this changes, health care will demand more political attention, not less.\u003c/p>\n\u003cp>\u003cstrong>8. Surprise: The idea of \"single-payer\" is gaining ground\u003c/strong>\u003c/p>\n\u003cp>Even without the friendly label of \"Medicare for all,\" government-guaranteed health care single-payer polls better today than it has for generations. Democrats are increasingly likely to favor it as a logical extension of current programs for children, retirees and lower-income families. Among Republicans, however, it is still \"socialized medicine\" and it remains anathema — just as when it was first proposed in the late 1940s.\u003c/p>\n\u003cp>But with escalating costs and political wrangling, more people are realizing that the health care system is a series of economic and political choices. The basic choice is between a for-profit health insurance industry that needs to make money (and has the power to raise premiums) and a single-payer system based on taxation and government regulation. This already exists as Medicare and the States Children's Health Insurance Program (S-CHIP) for the youngest. Those programs are both popular and enjoy bipartisan support in Congress. But extending them to cover the generations from young adulthood to seniority remains the key battleground in health care politics.\u003c/p>\n\u003cp>Seven years ago, an open microphone caught Vice President Joe Biden congratulating President Obama on the passage of the health care bill that would define their legacy. \u003ca href=\"http://www.mediaite.com/tv/joe-biden-drops-f-bomb-during-historic-health-care-signing/\">Biden's salty choice of words is more politely repeated by the initials \"BFD.\"\u003c/a> But his assessment of the moment's importance was far from wrong. Seven years from now will we remember the events of this week as a matching bookend for Biden's BFD?\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n","blocks":[],"excerpt":"President Trump seems to have wanted to show up for the trophy ceremony, not for the game. But even if Trump had plunged into the trenches, his presence there might not have made the difference.","status":"publish","parent":0,"modified":1533585974,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1474},"headData":{"title":"Why 'Repeal and Replace' Collapsed: 8 Takeaways on the Senate's Health Care Meltdown | KQED","description":"President Trump seems to have wanted to show up for the trophy ceremony, not for the game. But even if Trump had plunged into the trenches, his presence there might not have made the difference.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why 'Repeal and Replace' Collapsed: 8 Takeaways on the Senate's Health Care Meltdown","datePublished":"2017-07-19T17:42:52.000Z","dateModified":"2018-08-06T20:06:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"356393 https://ww2.kqed.org/stateofhealth/?p=356393","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/19/trumps-big-repealing-deal-8-takeaways-on-the-senates-health-care-meltdown-moment/","disqusTitle":"Why 'Repeal and Replace' Collapsed: 8 Takeaways on the Senate's Health Care Meltdown","nprImageCredit":"Carlos Barria","nprByline":"\u003cstrong>\u003ca href=”http://www.npr.org/people/1930203/ron-elving”>Ron Elving\u003c/a>\u003cbr />\u003ca href=”https://npr.org”>NPR\u003c/a>\u003c/strong>","nprImageAgency":"Reuters","nprStoryId":"537948116","nprApiLink":"http://api.npr.org/query?id=537948116&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/2017/07/19/537948116/trumps-big-repeal-deal-8-thoughts-on-the-senate-s-meltdown-moment?ft=nprml&f=537948116","nprRetrievedStory":"1","nprPubDate":"Wed, 19 Jul 2017 09:24:00 -0400","nprStoryDate":"Wed, 19 Jul 2017 05:00:00 -0400","nprLastModifiedDate":"Wed, 19 Jul 2017 09:24:53 -0400","path":"/stateofhealth/356393/trumps-big-repealing-deal-8-takeaways-on-the-senates-health-care-meltdown-moment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Trump has summoned all Senate Republicans to the White House on Wednesday for a debrief on the state of health care legislation effort in their chamber. Based on the week so far, the meeting may be more like a \u003cem>post\u003c/em> \u003cem>mortem\u003c/em>.\u003c/p>\n\u003cp>The Senate still \u003ca href=\"http://www.cnn.com/2017/07/18/politics/mcconell-repreal-and-replace-obamacare-not-successful/index.html\">reportedly\u003c/a> plans a vote next week on repealing the Affordable Care Act without a replacement plan. But it appears the GOP leadership will not have the votes it needs to bring even that fallback version of their legislation to the floor.\u003c/p>\n\u003cp>So what happened after seven years of prioritizing the promise to repeal Obamacare? And what does it all mean for what's next?\u003c/p>\n\u003cp>\u003cstrong>1. The president was AWOL\u003c/strong>\u003c/p>\n\u003cp>Few major legislative changes happen without the active support of the White House. We now have another demonstration of why this is true, albeit a demonstration in reverse.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump made the decision to bet the first months of his presidency on a quick \"repeal-and-replace\" strategy. That decision is now being widely second-guessed. But Trump also failed to put shoulder to the wheel at any stage of the process. Unwilling to engage in the substantive issues, he famously decried the difficulty he had previously denied: \u003ca href=\"http://www.cnn.com/2017/02/27/politics/trump-health-care-complicated/index.html\">\"Nobody knew health care could be so complicated.\"\u003c/a> He then praised the House bill at a self-congratulatory ceremony \u003ca href=\"http://www.cnn.com/2017/06/13/politics/trump-senators-health-care-white-house-meeting/index.html\">only to trash it later as \"mean\"\u003c/a> while speaking with GOP senators.\u003c/p>\n\u003cp>When the bill came to the Senate, \u003ca href=\"https://twitter.com/realDonaldTrump/status/884363456849342464\">Trump tweeted his hope that it would be \"beautiful,\"\u003c/a> (that comment was made \u003ca href=\"http://www.latimes.com/politics/washington/la-na-essential-washington-updates-trump-says-he-hopes-senate-health-care-1498095617-htmlstory.html\">about a week after the president said the Senate bill would have \"heart\" and that he wanted more money for the GOP health care plan\u003c/a> — presumably to provide more care for everyone at a lower cost). But in the critical days when the bill's fate hung in the balance, he was more often tweeting about his various media feuds than about the bill. And on the night the final collapse came, he was finally meeting with senators for dinner — but all of them were already \"yes\" votes.\u003c/p>\n\u003cp>\u003cstrong>2. The president wasn't the problem\u003c/strong>\u003c/p>\n\u003cp>Trump seems to have wanted to show up for the trophy ceremony, not for the game. But even if he had plunged into the trenches, his presence there might not have made the difference. Because the real challenge here was not the politics or the process but the problem itself.\u003c/p>\n\u003cp>Health care is on its way to being a fifth of the total economy, and the Affordable Care Act, aka \"Obamacare,\" is now part of its warp and woof. Ripping it out would disrupt the health care system's delivery of care and payment alike. Replace was always the hard part of repeal-and-replace, and we simply do not have a consensus on how to do it — even among Republicans. After the past few months, one is tempted to say \u003cem>especially\u003c/em> among Republicans.\u003c/p>\n\u003cp>\u003cstrong>3. Health care politics are explosively dangerous\u003c/strong>\u003c/p>\n\u003cp>People are always anxious about their health, their care and its cost, but when they actually get sick, lose their coverage or find their premiums rising, they get scared and angry. Politically, it is often enough just to make them \u003cem>fear\u003c/em> \u003cem>those things might happen\u003c/em>.\u003c/p>\n\u003cp>Democrats found that out eight years ago, before they even got their bill across the finish line. The issue eventually flipped control of Congress. But now the Republicans come with plans to take insurance away from a far \u003cem>larger\u003c/em> number of people and still no guarantee that the insurance will cost less or cover as much. That's why \u003ca href=\"http://www.npr.org/2017/06/28/534612954/just-17-percent-of-americans-approve-of-republican-senate-health-care-bill\">polls show the country prefers Obamacare to the GOP repeal bills by 2-1.\u003c/a> This was going to give Republicans a case of cold feet no matter how hard Trump worked the bill.\u003c/p>\n\u003cp>\u003cstrong>4. The Senate sorcerer's hat has been knocked off\u003c/strong>\u003c/p>\n\u003cp>Mitch McConnell is the Senate majority leader and a past master of process and hardball politics. But his mythical status as a magician now looks more like a memory.\u003c/p>\n\u003cp>In fairness, McConnell followed a game plan that has worked in the past and that worked as recently as this spring in the House. He fashioned a bill primarily to please the conservatives who dominate his caucus, then refined it to further accommodate holdouts on the right. His plan for holdouts in the moderate camp called for picking them off one at a time, earmarking billions for specific states or needs such as opioid abuse.\u003c/p>\n\u003cp>At closing, the idea was to cast the last holdouts as preservers of Obamacare, traitors to the party and enemies of the state. (The president's Twitter finger was a fearsome threat in this regard.) But as it turned out, more than a few conservatives saw too much of Obamacare surviving, while moderates were still worried about Medicaid cuts. McConnell's magic was not potent enough.\u003c/p>\n\u003cp>\u003cstrong>5. Obamacare in some form is here to stay\u003c/strong>\u003c/p>\n\u003cp>Democrats in 2009 and 2010 did not necessarily want to protect and preserve the private health insurance industry. Many of them would have preferred a \"public option\" format as a faster track to single-payer \"Medicare for all.\" But to cobble together the votes to prevail, they went for a hybrid model of public-private insurance, which in the 1990s had been a Republican-proposed compromise alternative.\u003c/p>\n\u003cp>This time around, the mirror image dilemma occurred for the GOP. Their most conservative cadre wanted full repeal of the Obamacare regulations and taxes and a rollback of Medicaid expansion as quickly as possible. Their more pragmatic senators feared the fallout from dumping millions off Medicaid. Even Sen. Shelley Moore Capito, whose West Virginia voters went overwhelmingly for Trump, had to think about having 30 percent of her state's families now on Medicaid. Other GOP senators were primarily fixated on the plight of those with pre-existing conditions, assured of affordable insurance for the first time under Obamacare.\u003c/p>\n\u003cp>\u003cstrong>6. \u003c/strong>\u003cstrong>Opposition is easy; governing is hard\u003c/strong>\u003c/p>\n\u003cp>The GOP Senate caucus is home to profound ideological diversity. That can be a wonderful thing when all are united in opposition to the governing party. It is a far different creature when it must be united in order to pass things. So the divisions have now been vividly exposed by the coming of a Republican president.\u003c/p>\n\u003cp>Yes, in 2015 it was easy for the Senate GOP to be unified in repealing Obamacare without a replacement. But no one doubted President Barack Obama would veto that. Now, Republican votes alone can make laws happen, and the prospect arises of voters not liking those laws.\u003c/p>\n\u003cp>\u003cstrong>7. The health care issue will not go away\u003c/strong>\u003c/p>\n\u003cp>For more than a decade now, one major party or the other has been agitating for big changes in health care and insurance. The ever-escalating costs of high-tech care and the near-constant debate in the media guarantee the issue's salience will continue to grow. The average American wants good health care and has been increasingly promised \"the best.\" But we often do not focus on the cost until necessity arises. Nor do we realize the true cost and reality of insurance coverage. As this changes, health care will demand more political attention, not less.\u003c/p>\n\u003cp>\u003cstrong>8. Surprise: The idea of \"single-payer\" is gaining ground\u003c/strong>\u003c/p>\n\u003cp>Even without the friendly label of \"Medicare for all,\" government-guaranteed health care single-payer polls better today than it has for generations. Democrats are increasingly likely to favor it as a logical extension of current programs for children, retirees and lower-income families. Among Republicans, however, it is still \"socialized medicine\" and it remains anathema — just as when it was first proposed in the late 1940s.\u003c/p>\n\u003cp>But with escalating costs and political wrangling, more people are realizing that the health care system is a series of economic and political choices. The basic choice is between a for-profit health insurance industry that needs to make money (and has the power to raise premiums) and a single-payer system based on taxation and government regulation. This already exists as Medicare and the States Children's Health Insurance Program (S-CHIP) for the youngest. Those programs are both popular and enjoy bipartisan support in Congress. But extending them to cover the generations from young adulthood to seniority remains the key battleground in health care politics.\u003c/p>\n\u003cp>Seven years ago, an open microphone caught Vice President Joe Biden congratulating President Obama on the passage of the health care bill that would define their legacy. \u003ca href=\"http://www.mediaite.com/tv/joe-biden-drops-f-bomb-during-historic-health-care-signing/\">Biden's salty choice of words is more politely repeated by the initials \"BFD.\"\u003c/a> But his assessment of the moment's importance was far from wrong. Seven years from now will we remember the events of this week as a matching bookend for Biden's BFD?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/356393/trumps-big-repealing-deal-8-takeaways-on-the-senates-health-care-meltdown-moment","authors":["byline_stateofhealth_356393"],"categories":["stateofhealth_15","stateofhealth_14","stateofhealth_1"],"tags":["stateofhealth_38","stateofhealth_2995","stateofhealth_2808","stateofhealth_3131","stateofhealth_2519","stateofhealth_2865","stateofhealth_365"],"featImg":"stateofhealth_356396","label":"stateofhealth"},"stateofhealth_354410":{"type":"posts","id":"stateofhealth_354410","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"354410","score":null,"sort":[1499983375000]},"guestAuthors":[],"slug":"senate-health-bill-still-short-on-yays-but-leaders-vow-vote-next-week","title":"GOP Health Bill Still Short On ‘Yays’ But Leaders Vow Vote Next Week","publishDate":1499983375,"format":"standard","headTitle":"Kaiser Health News | State of Health | KQED News","labelTerm":{"term":3007,"site":"stateofhealth"},"content":"\u003cp>Senate Republican leaders Thursday released their revised bill to “repeal and replace” the Affordable Care Act, but they acknowledged that furious days of negotiation have not yet secured the 50 votes necessary to pass the measure over unanimous Democratic objections.\u003c/p>\n\u003cp>Sen. John Cornyn (R-Texas) the No. 2 GOP leader, told reporters that while backers of \u003ca href=\"https://www.budget.senate.gov/bettercare\">the measure\u003c/a> did not yet have the GOP votes needed, “we will by the time we vote.”\u003c/p>\n\u003cp>The revised draft was presented to Republican senators at a closed meeting Thursday morning. Among its many provisions, it would cap federal funding for the Medicaid program, covers more than 70 million low-income Americans, and give states authority to waive insurance regulations in the ACA.\u003c/p>\n\u003cp>Senate Majority Leader Mitch McConnell (R-Ky.) has been struggling for more than two weeks to satisfy holdouts from both wings of the party. Conservatives complain that the \u003ca href=\"http://khn.org/news/senate-health-bill-would-revamp-medicaid-alter-aca-guarantees-cut-premium-support/\">draft bill unveiled last month\u003c/a> did not go far enough to repeal many of the ACA’s regulations, while moderates argue that structural changes and cuts to the Medicaid program for the poor are too deep.\u003c/p>\n\u003cp>So far, two of the 52 Republican senators have declared they will not even vote for the preliminary motion that would begin formal debate: conservative Rand Paul of Kentucky and moderate Susan Collins of Maine. “Still deep cuts to Medicaid,” Collins tweeted. “Will vote no on” motion to proceed to the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Collins told reporters separately that she cannot support the bill, and criticized Senate leaders for the way they produced it. Such a fundamental change to Medicaid should have a full set of legislative hearings, she explained. Even fully repealing the ACA would not cap spending for Medicaid in the way the Senate bill is proposing. “Repealing Obamcare would not change the underlying Medicaid program,” she said.\u003c/p>\n\u003cp>The ACA expanded Medicaid, but the Senate changes would cut it back well beyond that expansion.\u003c/p>\n\u003cp>One more “no” vote would stop the bill in its tracks, even with a potential tie-breaking vote from Vice President Mike Pence. Several moderate senators emerged from the closed meeting saying they were still undecided, including Shelley Moore Capito (R-W.Va.) and Lisa Murkowski (R-Alaska).\u003c/p>\n\u003cp>Leaders did, however, apparently satisfy some of their more conservative members by making some changes proposed by Ted Cruz (R-Texas). Cruz touted after the meeting that the legislation includes provisions to allow people to use tax-preferred health savings accounts to pay insurance premiums (which are currently banned). It would also allow anyone to purchase a plan that covers only catastrophic health expenses (which the ACA limits to those under age 30) and permit insurers to offer plans that do not conform to many of the regulations in current law. Those rules include the ACA’s requirements for coverage of specific health benefits as well as bans on insurers charging sick people more and limiting out-of-pocket costs.\u003c/p>\n\u003cp>Senate leaders offered to spend more money on people who could be adversely affected by the insurance changes, including an additional $45 billion to combat opioid abuse, but moderates said it does not solve the problem.\u003c/p>\n\u003cp>“There’s money,” Collins told reporters, “but too many uses for that money.”\u003c/p>\n\u003cp>Democrats remained steadfastly opposed to the measure. “The meat of this bill is exactly the same as it was before, and in some ways, they’ve somehow managed to make it even worse,” said Minority Leader Chuck Schumer (D-N.Y.).\u003c/p>\n\u003cp>Even if leaders round up the needed votes, there are still a number of obstacles between this draft bill and President Donald Trump’s signature. They include:\u003c/p>\n\u003cp>\u003cstrong>Procedural Restrictions\u003c/strong>\u003c/p>\n\u003cp>Republicans are trying to pass their health bill using a \u003ca href=\"http://khn.org/news/a-guide-to-budget-reconciliation-the-byzantine-rules-for-disassembling-the-health-law/\">special budget process\u003c/a> that lets them avoid a filibuster and the usual requirement to get 60 votes for passage. But strict rules govern what can and cannot be included in such a “budget reconciliation” bill. Democrats this week are arguing to the \u003ca href=\"https://www.theatlantic.com/politics/archive/2017/06/this-one-senate-staffer-could-sink-the-gops-health-care-plan/532296/\">Senate parliamentarian\u003c/a> that many sections of the bill should not be allowed, including those that would impose abortion restrictions and modify the private insurance regulations included in the ACA.\u003c/p>\n\u003cp>\u003cstrong>Cost Estimates\u003c/strong>\u003c/p>\n\u003cp>The Congressional Budget Office is the official scorekeeper for Congress. It said the \u003ca href=\"https://www.cbo.gov/publication/52849\">first version of the Senate bill\u003c/a> would result in 22 million more uninsured people by 2026.\u003c/p>\n\u003cp>CBO is expected to offer its score of the bill next week, but some \u003ca href=\"http://thehill.com/policy/healthcare/341904-senate-gop-may-not-use-cbo-to-score-cruz-amendment\">Senate Republicans\u003c/a> on Thursday said that rather than wait for that, they might ask the Department of Health and Human Services to do it instead. That would be likely to produce a number more favorable to Republicans.\u003c/p>\n\u003cp>Democrats saw that option as a partisan play by Republicans. “It’s gaming the score,” said Sen. Sherrod Brown (D-Ohio). “Why don’t they just have the score written in McConnell’s office by his staff?”\u003c/p>\n\u003cp>\u003cstrong>House Passage\u003c/strong>\u003c/p>\n\u003cp>Whatever the Senate produces must be acceptable to a majority of the House, or else the two chambers could get bogged down in weeks or months of negotiations. But changes that would make the Senate bill more acceptable to moderates there would likely not be able to get through the more conservative House. Leaders are walking a thin tightrope.\u003c/p>\n\u003cp>On the other hand, Republicans continue to be driven by the imperative of keeping their seven-year promise to overturn the health law.\u003c/p>\n\u003cp>“Virtually every Republican in this body has supported the effort to repeal and replace Obamacare more or less since the day it was signed into law,” Senate Finance Committee Chairman Orrin Hatch (R-Utah) said on the floor. “This legislation, while far from perfect, would fulfill the vast majority of those promises.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Senate GOP leaders released their revised bill to 'repeal and replace' Obamacare, but they acknowledged that furious days of negotiation have not yet secured the 50 votes necessary.","status":"publish","parent":0,"modified":1499986727,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1002},"headData":{"title":"GOP Health Bill Still Short On ‘Yays’ But Leaders Vow Vote Next Week | KQED","description":"Senate GOP leaders released their revised bill to 'repeal and replace' Obamacare, but they acknowledged that furious days of negotiation have not yet secured the 50 votes necessary.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"GOP Health Bill Still Short On ‘Yays’ But Leaders Vow Vote Next Week","datePublished":"2017-07-13T22:02:55.000Z","dateModified":"2017-07-13T22:58:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"354410 https://ww2.kqed.org/stateofhealth/?p=354410","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/13/senate-health-bill-still-short-on-yays-but-leaders-vow-vote-next-week/","disqusTitle":"GOP Health Bill Still Short On ‘Yays’ But Leaders Vow Vote Next Week","nprByline":"\u003ca href=\"http://khn.org/news/author/julie-rovner/\">\u003cstrong>Julie Rovner\u003c/strong>\u003c/a>\u003c/span>","path":"/stateofhealth/354410/senate-health-bill-still-short-on-yays-but-leaders-vow-vote-next-week","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Senate Republican leaders Thursday released their revised bill to “repeal and replace” the Affordable Care Act, but they acknowledged that furious days of negotiation have not yet secured the 50 votes necessary to pass the measure over unanimous Democratic objections.\u003c/p>\n\u003cp>Sen. John Cornyn (R-Texas) the No. 2 GOP leader, told reporters that while backers of \u003ca href=\"https://www.budget.senate.gov/bettercare\">the measure\u003c/a> did not yet have the GOP votes needed, “we will by the time we vote.”\u003c/p>\n\u003cp>The revised draft was presented to Republican senators at a closed meeting Thursday morning. Among its many provisions, it would cap federal funding for the Medicaid program, covers more than 70 million low-income Americans, and give states authority to waive insurance regulations in the ACA.\u003c/p>\n\u003cp>Senate Majority Leader Mitch McConnell (R-Ky.) has been struggling for more than two weeks to satisfy holdouts from both wings of the party. Conservatives complain that the \u003ca href=\"http://khn.org/news/senate-health-bill-would-revamp-medicaid-alter-aca-guarantees-cut-premium-support/\">draft bill unveiled last month\u003c/a> did not go far enough to repeal many of the ACA’s regulations, while moderates argue that structural changes and cuts to the Medicaid program for the poor are too deep.\u003c/p>\n\u003cp>So far, two of the 52 Republican senators have declared they will not even vote for the preliminary motion that would begin formal debate: conservative Rand Paul of Kentucky and moderate Susan Collins of Maine. “Still deep cuts to Medicaid,” Collins tweeted. “Will vote no on” motion to proceed to the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Collins told reporters separately that she cannot support the bill, and criticized Senate leaders for the way they produced it. Such a fundamental change to Medicaid should have a full set of legislative hearings, she explained. Even fully repealing the ACA would not cap spending for Medicaid in the way the Senate bill is proposing. “Repealing Obamcare would not change the underlying Medicaid program,” she said.\u003c/p>\n\u003cp>The ACA expanded Medicaid, but the Senate changes would cut it back well beyond that expansion.\u003c/p>\n\u003cp>One more “no” vote would stop the bill in its tracks, even with a potential tie-breaking vote from Vice President Mike Pence. Several moderate senators emerged from the closed meeting saying they were still undecided, including Shelley Moore Capito (R-W.Va.) and Lisa Murkowski (R-Alaska).\u003c/p>\n\u003cp>Leaders did, however, apparently satisfy some of their more conservative members by making some changes proposed by Ted Cruz (R-Texas). Cruz touted after the meeting that the legislation includes provisions to allow people to use tax-preferred health savings accounts to pay insurance premiums (which are currently banned). It would also allow anyone to purchase a plan that covers only catastrophic health expenses (which the ACA limits to those under age 30) and permit insurers to offer plans that do not conform to many of the regulations in current law. Those rules include the ACA’s requirements for coverage of specific health benefits as well as bans on insurers charging sick people more and limiting out-of-pocket costs.\u003c/p>\n\u003cp>Senate leaders offered to spend more money on people who could be adversely affected by the insurance changes, including an additional $45 billion to combat opioid abuse, but moderates said it does not solve the problem.\u003c/p>\n\u003cp>“There’s money,” Collins told reporters, “but too many uses for that money.”\u003c/p>\n\u003cp>Democrats remained steadfastly opposed to the measure. “The meat of this bill is exactly the same as it was before, and in some ways, they’ve somehow managed to make it even worse,” said Minority Leader Chuck Schumer (D-N.Y.).\u003c/p>\n\u003cp>Even if leaders round up the needed votes, there are still a number of obstacles between this draft bill and President Donald Trump’s signature. They include:\u003c/p>\n\u003cp>\u003cstrong>Procedural Restrictions\u003c/strong>\u003c/p>\n\u003cp>Republicans are trying to pass their health bill using a \u003ca href=\"http://khn.org/news/a-guide-to-budget-reconciliation-the-byzantine-rules-for-disassembling-the-health-law/\">special budget process\u003c/a> that lets them avoid a filibuster and the usual requirement to get 60 votes for passage. But strict rules govern what can and cannot be included in such a “budget reconciliation” bill. Democrats this week are arguing to the \u003ca href=\"https://www.theatlantic.com/politics/archive/2017/06/this-one-senate-staffer-could-sink-the-gops-health-care-plan/532296/\">Senate parliamentarian\u003c/a> that many sections of the bill should not be allowed, including those that would impose abortion restrictions and modify the private insurance regulations included in the ACA.\u003c/p>\n\u003cp>\u003cstrong>Cost Estimates\u003c/strong>\u003c/p>\n\u003cp>The Congressional Budget Office is the official scorekeeper for Congress. It said the \u003ca href=\"https://www.cbo.gov/publication/52849\">first version of the Senate bill\u003c/a> would result in 22 million more uninsured people by 2026.\u003c/p>\n\u003cp>CBO is expected to offer its score of the bill next week, but some \u003ca href=\"http://thehill.com/policy/healthcare/341904-senate-gop-may-not-use-cbo-to-score-cruz-amendment\">Senate Republicans\u003c/a> on Thursday said that rather than wait for that, they might ask the Department of Health and Human Services to do it instead. That would be likely to produce a number more favorable to Republicans.\u003c/p>\n\u003cp>Democrats saw that option as a partisan play by Republicans. “It’s gaming the score,” said Sen. Sherrod Brown (D-Ohio). “Why don’t they just have the score written in McConnell’s office by his staff?”\u003c/p>\n\u003cp>\u003cstrong>House Passage\u003c/strong>\u003c/p>\n\u003cp>Whatever the Senate produces must be acceptable to a majority of the House, or else the two chambers could get bogged down in weeks or months of negotiations. But changes that would make the Senate bill more acceptable to moderates there would likely not be able to get through the more conservative House. Leaders are walking a thin tightrope.\u003c/p>\n\u003cp>On the other hand, Republicans continue to be driven by the imperative of keeping their seven-year promise to overturn the health law.\u003c/p>\n\u003cp>“Virtually every Republican in this body has supported the effort to repeal and replace Obamacare more or less since the day it was signed into law,” Senate Finance Committee Chairman Orrin Hatch (R-Utah) said on the floor. “This legislation, while far from perfect, would fulfill the vast majority of those promises.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/354410/senate-health-bill-still-short-on-yays-but-leaders-vow-vote-next-week","authors":["byline_stateofhealth_354410"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_3120","stateofhealth_2808","stateofhealth_2519","stateofhealth_365"],"affiliates":["stateofhealth_3007"],"featImg":"stateofhealth_354412","label":"stateofhealth_3007"},"stateofhealth_353504":{"type":"posts","id":"stateofhealth_353504","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"353504","score":null,"sort":[1499897934000]},"guestAuthors":[],"slug":"cheat-sheet-how-would-the-republican-health-plan-affect-me","title":"Cheat Sheet: How Would the Republican Health Plan Affect Me?","publishDate":1499897934,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>When covering the GOP efforts to repeal and replace the Affordable Care Act, we tend to focus on the big picture: billions of cuts in Medicaid spending, say, or millions fewer people with health coverage.\u003c/p>\n\u003cp>But the real impacts would be felt in states, cities and towns, and they would vary a lot depending on where you live, how old you are and your particular health concerns. Reporters for NPR and NPR member stations across the country have delved into those geographic and demographic impacts; their reporting fuels this Q&A, which you can search by topic and locale.\u003c/p>\n\u003cp>[healthbilleffects]\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Will it change my job-based coverage? What about my pre-existing condition? Will it cover mental illness? Does it cover abortion? This searchable FAQ has answers.","status":"publish","parent":0,"modified":1499897934,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":5,"wordCount":114},"headData":{"title":"Cheat Sheet: How Would the Republican Health Plan Affect Me? | KQED","description":"Will it change my job-based coverage? What about my pre-existing condition? Will it cover mental illness? Does it cover abortion? This searchable FAQ has answers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Cheat Sheet: How Would the Republican Health Plan Affect Me?","datePublished":"2017-07-12T22:18:54.000Z","dateModified":"2017-07-12T22:18:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"353504 https://ww2.kqed.org/stateofhealth/?p=353504","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/12/cheat-sheet-how-would-the-republican-health-plan-affect-me/","disqusTitle":"Cheat Sheet: How Would the Republican Health Plan Affect Me?","nprByline":"Gisele Grayson and Nancy Shute","nprImageAgency":"NPR","nprStoryId":"535851043","nprApiLink":"http://api.npr.org/query?id=535851043&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/07/10/535851043/faq-how-would-the-republican-health-care-bills-affect-you?ft=nprml&f=535851043","nprRetrievedStory":"1","nprPubDate":"Tue, 11 Jul 2017 12:07:00 -0400","nprStoryDate":"Mon, 10 Jul 2017 06:00:00 -0400","nprLastModifiedDate":"Tue, 11 Jul 2017 14:41:51 -0400","path":"/stateofhealth/353504/cheat-sheet-how-would-the-republican-health-plan-affect-me","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When covering the GOP efforts to repeal and replace the Affordable Care Act, we tend to focus on the big picture: billions of cuts in Medicaid spending, say, or millions fewer people with health coverage.\u003c/p>\n\u003cp>But the real impacts would be felt in states, cities and towns, and they would vary a lot depending on where you live, how old you are and your particular health concerns. Reporters for NPR and NPR member stations across the country have delved into those geographic and demographic impacts; their reporting fuels this Q&A, which you can search by topic and locale.\u003c/p>\n\u003cp>[healthbilleffects]\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/353504/cheat-sheet-how-would-the-republican-health-plan-affect-me","authors":["byline_stateofhealth_353504"],"categories":["stateofhealth_15","stateofhealth_14","stateofhealth_1"],"tags":["stateofhealth_294","stateofhealth_3120","stateofhealth_28","stateofhealth_2519","stateofhealth_365"],"featImg":"stateofhealth_353505","label":"stateofhealth"},"stateofhealth_353587":{"type":"posts","id":"stateofhealth_353587","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"353587","score":null,"sort":[1499896820000]},"guestAuthors":[],"slug":"rural-californians-want-price-relief-from-gop-health-bill-but-most-wont-get-it","title":"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It","publishDate":1499896820,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Aaron Albaugh peers out from under the brim of his cowboy hat, surveying the acres of hay fields in front of him. The fourth-generation \u003ca href=\"http://www.frostyacres.net/index.html\">rancher\u003c/a> is raising about 450 cattle this year, in this remote corner of Lassen County.\u003c/p>\n\u003cp>His closest neighbor lives a half mile away. “And that's my brother,” Albaugh says.\u003c/p>\n\u003cp>“If I want to go see a movie, it's 70 miles round trip,\" he adds. \"If I want to go bowling, that's 100 miles round trip.”\u003c/p>\n\u003cp>Living a half day’s drive from civilization, you learn to do without, he explains. If your refrigerator breaks, you put your food on ice until the weekend when you can go buy a new one. With health care, it's the same thing.\u003c/p>\n\u003cp>“Put a Band Aid on it,\" Albaugh says. \"I was raised: ‘You don't need to cry' and 'Suck it up, buttercup.' That's the way I still live, and I try to treat my kids the same way.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So, when people are already used to doing without health coverage, it’s particularly annoying to have the government say you have to buy it, according to Albaugh and many of his neighbors in Lassen, Modoc and Shasta Counties.\u003c/p>\n\u003cp>While Obamacare is largely viewed as a success in California – the state marketplace, \u003ca href=\"http://www.coveredca.com/\">Covered California\u003c/a>, is one of the most financially stable in the country – it hasn’t worked as well for folks in this rural northeast corner of the state.\u003c/p>\n\u003cp>There are two insurers selling plans in each county here, but residents say that hasn’t created enough competition to bring down prices. Plus, a lot of the doctors they’re used to seeing don’t take the marketplace plans.\u003c/p>\n\u003cp>“Being told you have to have insurance you can't afford, and then that doesn't cover what you need? You are stuck,” says Modoc County resident Althia Cline, who decided to forego coverage - and a surgery she needed for her asthma.\u003c/p>\n\u003cp>Just like the movie theater and bowling alley, most medical specialists are miles away. In Modoc County, there’s nowhere to have a baby. Tessa Anklin, who lives in Canby, Calif., gave birth to her son and daughter over the border in Oregon, an hour and a half away from home.\u003c/p>\n\u003cp>Anklin makes about $33,000 a year as a dental receptionist. Her husband does seasonal work baling hay and herding cattle at local ranches. While their kids are covered by Medi-Cal, neither parent gets health insurance through work, and before the Affordable Care Act passed, Anklin and her husband did without coverage for a while.\u003c/p>\n\u003cfigure id=\"attachment_353608\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-353608 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/07/Tessa-front-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Tessa Anklin says Covered California health plans are too expensive for her family. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Two years ago, they bought a plan through Covered California. With a subsidy, they paid just $2 a month for their premium, but their deductible was $10,000.\u003c/p>\n\u003cp>“We paid for all of our medical services and our prescriptions,” she says. “We had no help until we reached the $10,000 deductible. So really, we had nothing.”\u003c/p>\n\u003cp>Then, last year, their monthly premium jumped to $600. The plan was the same, Anklin says, and their household income was the same. But they still faced the same hour and a half drive to see doctors they almost never needed.*\u003c/p>\n\u003cp>Anklin thought of all the other ways she could spend that money.\u003c/p>\n\u003cp>“It makes the car payment. Almost your mortgage payment. Groceries for at least four months,” she says. “That's a big difference, when you think about how little you actually use the health coverage.”\u003c/p>\n\u003cp>That’s the reason she decided to cancel her health plan this year and go without. But she’ll still have to pay a penalty when the next tax season comes around.\u003c/p>\n\u003cp>“It basically penalizes us one way or the other because we can't afford the coverage,” she says. “So that's kind of difficult, to be that middle-class person.”\u003c/p>\n\u003cp>Anklin says she’d be happy to see Republicans get rid of Obamacare.\u003c/p>\n\u003cp>“To me, it’s no good, if you have to force people to pay yet another something out of their paycheck when they're already trying to survive with what they have,” she says. “It should be an option.”\u003c/p>\n\u003cp>But the Republican repeal and replace plan wouldn’t make things much better for Anklin and her neighbors. Average premiums in California would double under the GOP plan, according to a recent \u003ca href=\"http://www.kff.org/health-reform/issue-brief/premiums-under-the-senate-better-care-reconciliation-act/\">analysis\u003c/a> from the Kaiser Family Foundation. Anklin could end up paying more than $2,000 a month for coverage, according to Kaiser’s \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\">county-by-county projections\u003c/a>.\u003c/p>\n\u003cp>That’s not what she had in mind for a fix.\u003c/p>\n\u003cp>“I'd love that insurance could be more affordable for families that need it, for families that work hard for it,” Anklin says.\u003c/p>\n\u003cp>With the Republican bill now in flux, Democrats have been more willing to admit to Obamacare’s flaws. The Dems agree that the rising costs of marketplace plans are the chief complaint they hear about, too.\u003c/p>\n\u003cp>Democrats have also said if the Republican bill fails, they’d be willing to \u003ca href=\"https://www.statnews.com/2017/07/05/health-care-compromise/\">work together on solutions\u003c/a>, but it’s not clear the parties could agree on one that would help people like Anklin.\u003c/p>\n\u003cp>If they can’t, she says she has no choice but to continue to go without coverage. Financially it makes sense in the short term, but it still worries her.\u003c/p>\n\u003cp>“If I ever have a problem,” she says, “I know I will be paying for the rest of my life.”\u003c/p>\n\u003cp>[audio src=\"http://www.kqed.org/.stream/anon/radio/tcr/2017/07/2017-07-11b-tcr.mp3\" Image=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/07/Aaron-car-768x576.jpg\" Title=\"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It\" program=\"The California Report\"]\u003c/p>\n\u003cp>\u003cem>*Premiums in this region of the state went up an average of 10.6 percent in 2016, according to Covered California's \u003ca href=\"http://www.coveredca.com/news/\" target=\"_blank\" rel=\"noopener noreferrer\">rate booklet\u003c/a>, and most premium increases are matched with an increase in subsidy, so the most likely explanation for why Anklin's premium jumped this much is that she lost her subsidy. This can happen if customers, intentionally or unintentionally, do not check a box on their application form that allows the federal government to verify their income, or, if customers do not file tax returns.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"In far northern Lassen and Modoc counties, residents say Obamacare premiums are unaffordable. But under the proposed Senate bill, insurance premiums would increase even more. ","status":"publish","parent":0,"modified":1500070733,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1134},"headData":{"title":"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It | KQED","description":"In far northern Lassen and Modoc counties, residents say Obamacare premiums are unaffordable. But under the proposed Senate bill, insurance premiums would increase even more. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It","datePublished":"2017-07-12T22:00:20.000Z","dateModified":"2017-07-14T22:18:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"353587 https://ww2.kqed.org/stateofhealth/?p=353587","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/12/rural-californians-want-price-relief-from-gop-health-bill-but-most-wont-get-it/","disqusTitle":"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It","path":"/stateofhealth/353587/rural-californians-want-price-relief-from-gop-health-bill-but-most-wont-get-it","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Aaron Albaugh peers out from under the brim of his cowboy hat, surveying the acres of hay fields in front of him. The fourth-generation \u003ca href=\"http://www.frostyacres.net/index.html\">rancher\u003c/a> is raising about 450 cattle this year, in this remote corner of Lassen County.\u003c/p>\n\u003cp>His closest neighbor lives a half mile away. “And that's my brother,” Albaugh says.\u003c/p>\n\u003cp>“If I want to go see a movie, it's 70 miles round trip,\" he adds. \"If I want to go bowling, that's 100 miles round trip.”\u003c/p>\n\u003cp>Living a half day’s drive from civilization, you learn to do without, he explains. If your refrigerator breaks, you put your food on ice until the weekend when you can go buy a new one. With health care, it's the same thing.\u003c/p>\n\u003cp>“Put a Band Aid on it,\" Albaugh says. \"I was raised: ‘You don't need to cry' and 'Suck it up, buttercup.' That's the way I still live, and I try to treat my kids the same way.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So, when people are already used to doing without health coverage, it’s particularly annoying to have the government say you have to buy it, according to Albaugh and many of his neighbors in Lassen, Modoc and Shasta Counties.\u003c/p>\n\u003cp>While Obamacare is largely viewed as a success in California – the state marketplace, \u003ca href=\"http://www.coveredca.com/\">Covered California\u003c/a>, is one of the most financially stable in the country – it hasn’t worked as well for folks in this rural northeast corner of the state.\u003c/p>\n\u003cp>There are two insurers selling plans in each county here, but residents say that hasn’t created enough competition to bring down prices. Plus, a lot of the doctors they’re used to seeing don’t take the marketplace plans.\u003c/p>\n\u003cp>“Being told you have to have insurance you can't afford, and then that doesn't cover what you need? You are stuck,” says Modoc County resident Althia Cline, who decided to forego coverage - and a surgery she needed for her asthma.\u003c/p>\n\u003cp>Just like the movie theater and bowling alley, most medical specialists are miles away. In Modoc County, there’s nowhere to have a baby. Tessa Anklin, who lives in Canby, Calif., gave birth to her son and daughter over the border in Oregon, an hour and a half away from home.\u003c/p>\n\u003cp>Anklin makes about $33,000 a year as a dental receptionist. Her husband does seasonal work baling hay and herding cattle at local ranches. While their kids are covered by Medi-Cal, neither parent gets health insurance through work, and before the Affordable Care Act passed, Anklin and her husband did without coverage for a while.\u003c/p>\n\u003cfigure id=\"attachment_353608\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-353608 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/07/Tessa-front-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Tessa Anklin says Covered California health plans are too expensive for her family. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Two years ago, they bought a plan through Covered California. With a subsidy, they paid just $2 a month for their premium, but their deductible was $10,000.\u003c/p>\n\u003cp>“We paid for all of our medical services and our prescriptions,” she says. “We had no help until we reached the $10,000 deductible. So really, we had nothing.”\u003c/p>\n\u003cp>Then, last year, their monthly premium jumped to $600. The plan was the same, Anklin says, and their household income was the same. But they still faced the same hour and a half drive to see doctors they almost never needed.*\u003c/p>\n\u003cp>Anklin thought of all the other ways she could spend that money.\u003c/p>\n\u003cp>“It makes the car payment. Almost your mortgage payment. Groceries for at least four months,” she says. “That's a big difference, when you think about how little you actually use the health coverage.”\u003c/p>\n\u003cp>That’s the reason she decided to cancel her health plan this year and go without. But she’ll still have to pay a penalty when the next tax season comes around.\u003c/p>\n\u003cp>“It basically penalizes us one way or the other because we can't afford the coverage,” she says. “So that's kind of difficult, to be that middle-class person.”\u003c/p>\n\u003cp>Anklin says she’d be happy to see Republicans get rid of Obamacare.\u003c/p>\n\u003cp>“To me, it’s no good, if you have to force people to pay yet another something out of their paycheck when they're already trying to survive with what they have,” she says. “It should be an option.”\u003c/p>\n\u003cp>But the Republican repeal and replace plan wouldn’t make things much better for Anklin and her neighbors. Average premiums in California would double under the GOP plan, according to a recent \u003ca href=\"http://www.kff.org/health-reform/issue-brief/premiums-under-the-senate-better-care-reconciliation-act/\">analysis\u003c/a> from the Kaiser Family Foundation. Anklin could end up paying more than $2,000 a month for coverage, according to Kaiser’s \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\">county-by-county projections\u003c/a>.\u003c/p>\n\u003cp>That’s not what she had in mind for a fix.\u003c/p>\n\u003cp>“I'd love that insurance could be more affordable for families that need it, for families that work hard for it,” Anklin says.\u003c/p>\n\u003cp>With the Republican bill now in flux, Democrats have been more willing to admit to Obamacare’s flaws. The Dems agree that the rising costs of marketplace plans are the chief complaint they hear about, too.\u003c/p>\n\u003cp>Democrats have also said if the Republican bill fails, they’d be willing to \u003ca href=\"https://www.statnews.com/2017/07/05/health-care-compromise/\">work together on solutions\u003c/a>, but it’s not clear the parties could agree on one that would help people like Anklin.\u003c/p>\n\u003cp>If they can’t, she says she has no choice but to continue to go without coverage. Financially it makes sense in the short term, but it still worries her.\u003c/p>\n\u003cp>“If I ever have a problem,” she says, “I know I will be paying for the rest of my life.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"src":"http://www.kqed.org/.stream/anon/radio/tcr/2017/07/2017-07-11b-tcr.mp3","image":"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/07/Aaron-car-768x576.jpg","title":"Rural Californians Want Price Relief From GOP Health Bill – But Most Won’t Get It","program":"The California Report","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>*Premiums in this region of the state went up an average of 10.6 percent in 2016, according to Covered California's \u003ca href=\"http://www.coveredca.com/news/\" target=\"_blank\" rel=\"noopener noreferrer\">rate booklet\u003c/a>, and most premium increases are matched with an increase in subsidy, so the most likely explanation for why Anklin's premium jumped this much is that she lost her subsidy. This can happen if customers, intentionally or unintentionally, do not check a box on their application form that allows the federal government to verify their income, or, if customers do not file tax returns.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/353587/rural-californians-want-price-relief-from-gop-health-bill-but-most-wont-get-it","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_15","stateofhealth_14","stateofhealth_1"],"tags":["stateofhealth_2808","stateofhealth_2519","stateofhealth_365","stateofhealth_3125"],"featImg":"stateofhealth_353607","label":"stateofhealth"},"stateofhealth_348224":{"type":"posts","id":"stateofhealth_348224","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"348224","score":null,"sort":[1498603938000]},"guestAuthors":[],"slug":"californias-leaders-warn-health-bill-remains-a-dangerous-threat","title":"Feinstein: Health Care of 14 Million Californians At Risk Under GOP Plan","publishDate":1498603938,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n","blocks":[],"excerpt":"Though Senate Republicans have delayed a vote on their health bill, California Dems are urging people to keep up the pressure.","status":"publish","parent":0,"modified":1498611249,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":452},"headData":{"title":"Feinstein: Health Care of 14 Million Californians At Risk Under GOP Plan | KQED","description":"Though Senate Republicans have delayed a vote on their health bill, California Dems are urging people to keep up the pressure.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Feinstein: Health Care of 14 Million Californians At Risk Under GOP Plan","datePublished":"2017-06-27T22:52:18.000Z","dateModified":"2017-06-28T00:54:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"348224 https://ww2.kqed.org/stateofhealth/?p=348224","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/27/californias-leaders-warn-health-bill-remains-a-dangerous-threat/","disqusTitle":"Feinstein: Health Care of 14 Million Californians At Risk Under GOP Plan","path":"/stateofhealth/348224/californias-leaders-warn-health-bill-remains-a-dangerous-threat","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/348224/californias-leaders-warn-health-bill-remains-a-dangerous-threat","authors":["11314"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_2808","stateofhealth_28","stateofhealth_99","stateofhealth_218","stateofhealth_2519","stateofhealth_2865","stateofhealth_365"],"featImg":"stateofhealth_348225","label":"stateofhealth"},"news_11535275":{"type":"posts","id":"news_11535275","meta":{"index":"posts_1591205157","site":"news","id":"11535275","score":null,"sort":[1498590780000]},"guestAuthors":[],"slug":"senate-gop-leaders-push-off-health-care-vote-after-july-4th","title":"Senate GOP Leaders Push Off Health Care Vote After July 4th","publishDate":1498590780,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week's July Fourth recess, GOP aides confirm to NPR's Susan Davis.\u003c/p>\n\u003cp>\"We're still working toward getting at least 50 people in a comfortable place,\" Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>[contextly_sidebar id=\"ZRTrHV0lrDJshV1rQ5I96AmHTDlvmW9R\"]\u003c/p>\n\u003cp>\"Several of them want more time,\" McConnell added. \"We have a number of different discussions going on, that have been going on for six weeks. They continue.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He made the announcement during Senate Republicans' weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It's expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, \"I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.\"\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can't pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote \"no\" on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\n\u003cp>https://twitter.com/SenatorCollins/status/879472221202391040\u003c/p>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA's expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. \"I need to understand really what we're talking about, with some of the conclusions that we saw yesterday with the CBO score,\" she told MSNBC. \"Taking the time to get it right is where we should be.\"\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, \"We know the fight is not over. That is for sure. We're not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.\"\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week's recess.\u003c/p>\n\u003cp>[contextly_sidebar id=\"VhSZnQ7oBkrgFZuGgGq7e9zxZLKy1E33\"]\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP's most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>\"I would not bet against Mitch McConnell,\" House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill's fate — but before news broke of McConnell's announcement that he was pushing the vote back. \"He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don't know what day —but I have every expectation the Senate will move this bill.\"\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. \"Every Republican senator campaigned on repealing and replacing this law,\" he said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"hapQ6Vi3wewi0oe57liVFWkEYjgs7zWs\"]\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents' plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>\"I'm a 'no' on it unless the bill changes,\" Paul said to reporters on Monday. He has called the bill \"Obamacare Lite\" and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, \"If you're counting on the president to have your back, you need to watch it.\" The president confirmed reports last week that he had privately criticized the House version of the health care bill as \"mean,\" even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week's recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. \"It is important that we have a scorekeeper,\" he said. \"We can always complain about the nature of the score. I think their coverage numbers — there's more to the story than the number implies. Having said that, it's important that we have a referee.\"\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>NPR's Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"President Trump invited Senate Republicans to the White House to continue work on the issue. The bill is expected to undergo changes before a vote in mid-July.","status":"publish","parent":0,"modified":1498599611,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1401},"headData":{"title":"Senate GOP Leaders Push Off Health Care Vote After July 4th | KQED","description":"President Trump invited Senate Republicans to the White House to continue work on the issue. The bill is expected to undergo changes before a vote in mid-July.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Senate GOP Leaders Push Off Health Care Vote After July 4th","datePublished":"2017-06-27T19:13:00.000Z","dateModified":"2017-06-27T21:40:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11535275 https://ww2.kqed.org/news/?p=11535275","disqusUrl":"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/","disqusTitle":"Senate GOP Leaders Push Off Health Care Vote After July 4th","source":"NPR","sourceUrl":"http://www.npr.org/","nprImageCredit":"Jacquelyn Martin","nprByline":"Arnie Seipel","nprImageAgency":"AP","nprStoryId":"534557208","nprApiLink":"http://api.npr.org/query?id=534557208&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/2017/06/27/534557208/senate-gop-leaders-push-off-health-care-vote-after-july-4th?ft=nprml&f=534557208","nprRetrievedStory":"1","nprPubDate":"Tue, 27 Jun 2017 15:39:00 -0400","nprStoryDate":"Tue, 27 Jun 2017 12:13:00 -0400","nprLastModifiedDate":"Tue, 27 Jun 2017 15:39:21 -0400","path":"/news/11535275/senate-gop-leaders-push-off-health-care-vote-after-july-4th","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week's July Fourth recess, GOP aides confirm to NPR's Susan Davis.\u003c/p>\n\u003cp>\"We're still working toward getting at least 50 people in a comfortable place,\" Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Several of them want more time,\" McConnell added. \"We have a number of different discussions going on, that have been going on for six weeks. They continue.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He made the announcement during Senate Republicans' weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It's expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, \"I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.\"\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can't pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote \"no\" on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"879472221202391040"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA's expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. \"I need to understand really what we're talking about, with some of the conclusions that we saw yesterday with the CBO score,\" she told MSNBC. \"Taking the time to get it right is where we should be.\"\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, \"We know the fight is not over. That is for sure. We're not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.\"\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week's recess.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP's most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>\"I would not bet against Mitch McConnell,\" House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill's fate — but before news broke of McConnell's announcement that he was pushing the vote back. \"He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don't know what day —but I have every expectation the Senate will move this bill.\"\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. \"Every Republican senator campaigned on repealing and replacing this law,\" he said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents' plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>\"I'm a 'no' on it unless the bill changes,\" Paul said to reporters on Monday. He has called the bill \"Obamacare Lite\" and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, \"If you're counting on the president to have your back, you need to watch it.\" The president confirmed reports last week that he had privately criticized the House version of the health care bill as \"mean,\" even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week's recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. \"It is important that we have a scorekeeper,\" he said. \"We can always complain about the nature of the score. I think their coverage numbers — there's more to the story than the number implies. Having said that, it's important that we have a referee.\"\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR's Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11535275/senate-gop-leaders-push-off-health-care-vote-after-july-4th","authors":["byline_news_11535275"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_2409","news_20651","news_683","news_3890","news_17286"],"affiliates":["news_253"],"featImg":"news_11535500","label":"source_news_11535275"},"news_11535298":{"type":"posts","id":"news_11535298","meta":{"index":"posts_1591205157","site":"news","id":"11535298","score":null,"sort":[1498590596000]},"guestAuthors":[],"slug":"feinstein-bill-would-cut-care-for-4-million-californians","title":"Feinstein: Health Care Bill Would Cut Coverage for 4 Million Californians","publishDate":1498590596,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It's the most indefensible bill I've actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"ZGTbysN9iZUQZxJxb4OV10sNRNfoCRGg\"]\u003c/p>\n\u003cp>The GOP bill would roll back much of former President Barack Obama’s 2010 health care law, ending a tax penalty for people who don’t buy insurance and allowing states to opt out of requirements that insurers cover certain services.\u003c/p>\n\u003cp>It would phase out extra federal money that California and 30 other states get to expand Medicaid and put annual caps on federal funding for the program.\u003c/p>\n\u003cp>Taxes on the wealthy and medical companies, which funded Obama’s law, would be eliminated.\u003c/p>\n\u003cp>Brown said the bill would eliminate funding for drug treatment, exacerbating homelessness and crime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This thing is bad for people,” Brown said. “Millions and millions of people are going to suffer. That's a crazy thing for elected representatives to inflict on people.”\u003c/p>\n\n","blocks":[],"excerpt":"'It's the most indefensible bill I've actually seen in 24 years in the Senate,' says the state's senior senator.","status":"publish","parent":0,"modified":1498603129,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":296},"headData":{"title":"Feinstein: Health Care Bill Would Cut Coverage for 4 Million Californians | KQED","description":"'It's the most indefensible bill I've actually seen in 24 years in the Senate,' says the state's senior senator.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Feinstein: Health Care Bill Would Cut Coverage for 4 Million Californians","datePublished":"2017-06-27T19:09:56.000Z","dateModified":"2017-06-27T22:38:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11535298 https://ww2.kqed.org/news/?p=11535298","disqusUrl":"https://ww2.kqed.org/news/2017/06/27/feinstein-bill-would-cut-care-for-4-million-californians/","disqusTitle":"Feinstein: Health Care Bill Would Cut Coverage for 4 Million Californians","nprByline":"\u003cstrong> Associated Press \u003c/strong>","path":"/news/11535298/feinstein-bill-would-cut-care-for-4-million-californians","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It's the most indefensible bill I've actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The GOP bill would roll back much of former President Barack Obama’s 2010 health care law, ending a tax penalty for people who don’t buy insurance and allowing states to opt out of requirements that insurers cover certain services.\u003c/p>\n\u003cp>It would phase out extra federal money that California and 30 other states get to expand Medicaid and put annual caps on federal funding for the program.\u003c/p>\n\u003cp>Taxes on the wealthy and medical companies, which funded Obama’s law, would be eliminated.\u003c/p>\n\u003cp>Brown said the bill would eliminate funding for drug treatment, exacerbating homelessness and crime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This thing is bad for people,” Brown said. “Millions and millions of people are going to suffer. That's a crazy thing for elected representatives to inflict on people.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11535298/feinstein-bill-would-cut-care-for-4-million-californians","authors":["byline_news_11535298"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_2409","news_20651","news_274","news_683"],"featImg":"news_11535378","label":"news_72"},"stateofhealth_347981":{"type":"posts","id":"stateofhealth_347981","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"347981","score":null,"sort":[1498522097000]},"guestAuthors":[],"slug":"californians-contemplate-unthinkable-choices-if-gop-health-plan-becomes-law","title":"Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law","publishDate":1498522097,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n","blocks":[],"excerpt":"Congressional Budget Office report predicts 15 million more uninsured in U.S. next year, and 22 million in a decade. ","status":"publish","parent":0,"modified":1498524414,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":448},"headData":{"title":"Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law | KQED","description":"Congressional Budget Office report predicts 15 million more uninsured in U.S. next year, and 22 million in a decade. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law","datePublished":"2017-06-27T00:08:17.000Z","dateModified":"2017-06-27T00:46:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"347981 https://ww2.kqed.org/stateofhealth/?p=347981","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/26/californians-contemplate-unthinkable-choices-if-gop-health-plan-becomes-law/","disqusTitle":"Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law","path":"/stateofhealth/347981/californians-contemplate-unthinkable-choices-if-gop-health-plan-becomes-law","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/347981/californians-contemplate-unthinkable-choices-if-gop-health-plan-becomes-law","authors":["11314"],"categories":["stateofhealth_15","stateofhealth_1"],"tags":["stateofhealth_294","stateofhealth_3120","stateofhealth_3119","stateofhealth_2808","stateofhealth_2519","stateofhealth_365","stateofhealth_3118"],"featImg":"stateofhealth_346838","label":"stateofhealth"},"stateofhealth_347182":{"type":"posts","id":"stateofhealth_347182","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"347182","score":null,"sort":[1498265516000]},"guestAuthors":[],"slug":"blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","title":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","publishDate":1498265516,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n","blocks":[],"excerpt":"Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.","status":"publish","parent":0,"modified":1498268682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":510},"headData":{"title":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer | KQED","description":"Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","datePublished":"2017-06-24T00:51:56.000Z","dateModified":"2017-06-24T01:44:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"347182 https://ww2.kqed.org/stateofhealth/?p=347182","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/","disqusTitle":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","path":"/stateofhealth/347182/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/347182/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","authors":["11314"],"categories":["stateofhealth_1"],"tags":["stateofhealth_294","stateofhealth_3104","stateofhealth_2808","stateofhealth_2519","stateofhealth_3048"],"featImg":"stateofhealth_240358","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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