By Dan Calabrese ——Bio and Archives--September 22, 2017
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Republicans are scrambling to pass Lindsey Graham and Bill Cassidy’s health-care bill before Sept. 30, when the clock expires on the budget procedure that allows the Senate to pass legislation with 51 votes. The bill would devolve ObamaCare funding to the states, which could seek waivers from the feds to experiment within certain regulatory boundaries, and it also repeals the individual and employer mandates and medical-device tax. The left spent weeks declaring this dead on arrival, but now that Republicans appear close to a majority here come the tweets. The Graham-Cassidy proposal “eliminates protections for people who are or ever have been sick. GONE. Insurers back to denying coverage for the sick,” Connecticut Democrat Chris Murphy claimed this week.
In fact, a state that receives a waiver from ObamaCare’s regulations must show plans that retain access to “adequate and affordable” coverage for people with pre-existing conditions. ObamaCare’s rules are not the only way to do this, despite the claims of Jimmy Kimmel. The Affordable Care Act’s price restrictions have in practice degraded the quality of care for the ill and sent insurers shopping for healthy patients who are more profitable. States could set up high-risk pools, for example. These pools subsidize care for those who need costly treatment without concealing the expense across healthy patients, who may drop coverage if they can’t afford it. This can lower premiums for everyone.Conservative purists will offer all kinds of complaints about this bill, but their problem really should be with Senate Republicans who couldn't come to a consensus on any other form of ObamaCare repeal. To some degree that includes Lindsey Graham, although he was at least willing to vote for so-called "skinny repeal" unlike McCain, Collins and Murkowski. Those three so far have been the real villians in this. I put the focus more on the Senate because if not for the need to comply with Senate reconciliation rules, the House could have been a lot more ambitious in what it chose to pass.
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