Las Vegas Review-Journal

ACA repeal shot down

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of West Virginia and Lisa Murkowski of Alaska opposed repealing the current health system without an alternativ­e to provide coverage.

A bipartisan group of governors, including Republican Brian Sandoval of Nevada, also issued a statement that urged the Senate to reject the repeal bill and work to forge a bipartisan solution that stabilizes the insurance markets.

“This could leave millions of Americans without coverage,” the governors wrote. The apparent demise of the

SENATE

way but themselves. House Speaker Paul Ryan corralled the votes needed to pass a measure in the House. It wasn’t easy.

Senate Majority Leader Mitch Mcconnell tried to herd 52 GOP senators behind a Senate version of Trumpcare. Like Ryan, he watched as what was done to woo moderates cost support from the GOP base. What pleased the hard-liners horrified the moderates. Four senators announced they would oppose the Better Care Reconcilia­tion Act, and that was that.

So Mcconnell proposed a vote on a straight-up repeal of Obamacare. That should be a smart move — 52 Republican­s passed such a bill in 2015. But Tuesday three GOP senators scotched that idea, including two senators — Lisa Murkowski of Alaska and Shelley Moore Capito of West Virginia — who voted to repeal Obamacare in 2015. Still, Mcconnell is expected to put a repeal-only measure to a vote next week, and it is expected to fail.

“In some ways, it took everyone by surprise” that the GOP efforts failed, said Center on Budget and Policy Priorities senior fellow Aviva Aron-dine, but “in other ways it seems baked in.” Voters “overwhelmi­ngly didn’t want to see it repealed and replaced.”

Over the past six months, voters started to like the formerly unpopular package. The Kaiser Family Foundation found that 51 percent of voters viewed Obamacare favorably, 41 percent did not.

“It’s hard to get rid of everything,” Tea Party Express chief strategist Sal Russo observed. “Every program has something for somebody.”

Galen Institute senior fellow Doug Badger explained the two facets of the Affordable Care Act — “what you’re taking away from roughly 16 million people who are gaining coverage or what you’re doing to the tens of millions of people” who are priced out of the market or are paying more for less coverage.

“It’s a fight about money,” said Badger.

The ACA gave federal dollars to states that expanded Medicaid coverage to some able-bodied childless adults, which assured the support of governors who opted into that plan. Nevada Gov. Brian Sandoval signed on in order to get coverage for 210,000 Nevadans.

Sandoval joined 10 other governors in a bipartisan statement that urged the Senate to “immediatel­y reject efforts to ‘repeal’ the current system and replace some time later.” At a joint press conference with Sandoval in June, Sen. Dean Heller, R-nev., announced his opposition to the Senate bill. Once legislatio­n has been given life, it is hard to kill.

“I’m all for jockeying to get your position and holding out for one thing or another,” Russo opined, “but at the end of the day, you’ve got to succeed. People will accept progress. What they don’t accept is doing nothing.”

Trump invited all 52 GOP senators to lunch Wednesday at the White House. Maybe he’s learning he needs help to get these things done.

At last year’s Republican National Convention, Trump derided a dysfunctio­nal Washington and crowed, “I alone can fix it.” Tuesday, Trump ceased to be a solo act. Deputy press secretary Sarah Huckabee Sanders chastised Democrats for refusing “to join in fixing the health care problems.”

Trump told reporters, “I’m not going to own it. I can tell you, the Republican­s are not going to own it.”

It was an odd admission coming from a president who threw a celebratio­n in the Rose Garden when the GOP House passed its Trumpcare bill, only to call the measure “mean” a month later.

Contact Debra J. Saunders at dsaunders@reviewjour­nal.com or at 202-662-7391. Follow @Debrajsaun­ders on Twitter.

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