Barring a miracle, it’s looking more and more as though Graham-Cassidy is dead, and with it, TrumpCare. Despite White House occupant Donald Trump doing everything he could to keep the hope of repeal alive, the bill is now almost certainly not going to pass. In fact, it doesn’t seem likely to even get voted on.
Susan Collins, who also voted no on previous versions of TrumpCare, joins with Republican colleagues Rand Paul and John McCain in opposition to the bill. Because Republicans have only 52 seats, passing the bill is now impossible.
‘Healthcare is a deeply personal, complex issue that affects every single one of us and one-sixth of the American economy. Sweeping reforms to our health care system and to Medicaid can’t be done well in a compressed time frame, especially when the actual bill is a moving target. Today, we find out that there is now a fourth version of the Graham-Cassidy proposal, which is as deeply flawed as the previous iterations. The fact that a new version of this bill was released the very week we are supposed to vote compounds the problem.
‘I have three major concerns with both the proposal that we were discussing last week and the newest version that was put together this weekend.
‘First, both proposals make sweeping changes and cuts in the Medicaid program. Expert projections show that more than $1 trillion would be taken out of the Medicaid program between the years 2020 and 2036. This would have a devastating impact to a program that has been on the books for 50 years and provides health care to our most vulnerable citizens, including disabled children and low-income seniors.
‘Second, both bills open the door for states to weaken protections for people with pre-existing conditions, such as asthma, cancer, heart disease, arthritis, and diabetes. Some states could allow higher premiums for individuals with pre-existing conditions, potentially making their insurance unaffordable. States could also limit specific categories of benefits for Affordable Care Act policies, such as eliminating coverage for mental health or substance abuse treatment.
‘Third, physicians, patient advocates, insurers, and hospitals agree that both versions of this legislation would lead to higher premiums and reduced coverage for tens of millions of Americans.
‘The CBO’s analysis on the earlier version of the bill, incomplete though it is due to time constraints, confirms that this bill will have a substantially negative impact on the number of people covered by insurance.
‘There has been some discussion that the new version of the bill includes additional money for my home state of Maine. The fact is, Maine still loses money under whichever version of the Graham-Cassidy bill we consider because the bills use what could be described as a “give with one hand, take with the other” distribution model. Huge Medicaid cuts down the road more than offset any short-term influx of money. But even more important, if Senators can adjust a funding formula over a weekend to help a single state, they could just as easily adjust that formula to hurt that state. This is simply not the way that we should be approaching an important and complex issue that must be handled thoughtfully and fairly for all Americans.’
The bill was broadly hated by the American people, doctors, hospitals, insurers, and other medical organizations. In fact, pretty much the entire medical community came out in strong opposition to the bill. The only people who support the bill are Republican politicians and those who want “ObamaCare” repealed out of spite for the name rather than the legislation, and don’t care what it is replaced with.
Senator Collins, thank you. You did the right thing for your constituency and the American people today.
You can watch her make remarks on the bill below via WaPo:
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