Millions of People to Keep Health Care, as Obamacare Repeal Stalls

House Speaker Paul Ryan of Wis. arrives on Capitol Hill in Washington, D.C. on March 24, before a showdown on the Republican health care bill. AP Photo by J.Scott Applewhite

House Speaker Paul Ryan of Wis. arrives on Capitol Hill in Washington, D.C. on March 24, before a showdown on the Republican health care bill. AP Photo by J.Scott Applewhite
WASHINGTON (AP) — In a humiliating setback, President Donald Trump and GOP leaders pulled their “Obamacare” repeal bill off the House floor on March 24 after it became clear the measure would fail badly.

It was a stunning defeat for the new president after he had demanded House Republicans vote on the legislation on the date, threatening to leave “Obamacare” in place and move on to other issues if the vote failed. The bill was withdrawn minutes before the vote was to occur.
The president’s gamble failed. Instead Trump, who campaigned as a master deal-maker and claimed that he alone could fix the nation’s health care system, saw his ultimatum rejected by Republican lawmakers who made clear they answer to their own voters, not to the president.
Republicans have spent seven years campaigning against former President Barack Obama’s health care law, and cast dozens of votes to repeal it in full or in part. But when they finally got the chance to pass a repeal bill that actually had a chance to get signed, they couldn’t pull it off.
What happens next is unclear, but the path ahead on other priorities, such as overhauling the tax code, can only grow more daunting.
And Trump is certain to be weakened politically, a big early congressional defeat adding to the continuing inquiries into his presidential campaign’s Russia connections and his unfounded wiretapping allegations against Obama.
The development came on the afternoon of a day when the bill, which had been delayed a day earlier, was supposed to come to a vote, come what may. But instead of picking up support as March 24 wore on, the bill went the other direction, with some key lawmakers coming out in opposition.
Congressman Rodney Frelinghuysen of New Jersey, chairman of a major committee, Appropriations, said the bill would raise costs unacceptably on his constituents. Rep. Barbara Comstock of Virginia, a key moderate Republican, and GOP Rep. David Joyce of Ohio also announced “no” votes.
The defections raised the possibility that the bill would not only lose on the floor, but lose big.
In the face of that evidence, and despite insistence from White House officials and Ryan that March 24 was the day to vote, leadership pulled back from the brink.
The GOP bill would have eliminated the Obama statute’s unpopular fines on people who do not obtain coverage and would also have removed the often-generous subsidies for those who purchase insurance.
Republican tax credits would have been based on age, not income like Obama’s, and the tax boosts Obama imposed on higher-earning people and health care companies would have been repealed. The bill would have ended Obama’s Medicaid expansion and trimmed future federal financing for the federal-state program, letting states impose work requirements on some of the 70 million beneficiaries.
Hank Adcock on his farm in Blount County, Alabama in February, 2017.
Hank Adcock, a farmer in Nectar, Alabama, would have seen his monthly health care premiums soar from $110 to $1,150 if the American Health Care Act became law. That would have been more than 50 percent of his annual income. He is seen on his farm in February 2017. Photo by Mike Kane for Equal Voice News

The nonpartisan Congressional Budget Office said the Republican bill would have resulted in 24 million additional uninsured people in a decade and lead to higher out-of-pocket medical costs for many lower-income and people just shy of age 65 when they would become eligible for Medicare. The bill would have blocked federal payments for a year to Planned Parenthood.
Democrats were uniformly opposed. “This bill is pure greed, and real people will suffer and die from it,” said Rep. Pramila Jayapal of Washington state.
Reaction from organizations that support the Affordable Care Act was swift following the abrupt pulling of the American Health Care Act from the House floor.
Ron Pollack, executive director of Families USA, called the lack of a vote a “tremendous development” especially given that people “made their outrage heard in the halls of Congress.”
“It means that seniors, children, people with disabilities, and working families who rely on the Medicaid safety net will be protected. And the benefit guarantees – like mental health and maternity care – will continue to be provided,” he said in a statement.
In Alabama, Arise Citizens’ Policy Project issued a statement, saying the American Health Care Act also would have put essential health care protections at risk for tens of millions of people, in addition to the 24 million people who would have lost their insurance.
“Everyday Alabamians must keep up the pressure on lawmakers to strengthen the Affordable Care Act and make quality health coverage a reality for everyone,” Jim Carnes, the Arise policy director, said in a statement.
Americans, Pollack added, will now expect the Trump administration to “faithfully” implement the Affordable Care Act and Medicaid.
Associated Press writer Alan Fram co-wrote this report. Matthew Daly, Kevin Freking, Mary Clare Jalonick, Richard Lardner, Stephen Ohlemacher, Vivian Salama, Ricardo Alonso-Zaldivar, Ken Thomas and Equal Voice News contributed to this report.

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