"Many of them have already left, and many of them as you know have already given us their vote".
House speaks Paul Ryan of Wis. discusses the Republican agenda as he faces reporters during a news conference on Capitol Hill in Washington, March 30, 2017. He made the same promises. One reason rates are beginning to rise is because of a Republican bill that blocked risk corridor payment to insurers to help insurers cover costs for patients who are sicker than expected.
"I want to make sure there is no denial of coverage based upon a pre-existing condition", he said. They did it over and over again.
After the debacle in Congress over repealing and replacing the Affordable Care Act, it's time to stop calling it "Obamacare".
Keehan, who heads an organization of more than 600 hospitals and 1,400 long-term care and other health facilities in the United States, said "maintaining health care coverage is not a problem either party can solve alone at this point, but it is solvable with bipartisan efforts".
It would be a breach of faith, but also a revealing window into what Republicans who support this measure think the world should look like. The Affordable Care Act isn't screwing them over. They attacked Trump and the Republicans unmercifully.
Politically speaking, it's hard to know how serious this effort is.
Now that lawmakers have withdrawn the American Health Care Act, Congress must "seize this moment to create a new spirit of bipartisanship" and make "necessary reforms" in existing health care law to address access, affordability, life and conscience, said three USA bishops' committee chairmen.
Freedom Caucus members said the Republican bill was too similar to Obamacare, while moderate Republicans balked at some of the changes conservatives sought. "They're much closer to the people they represent".
The Trump-Ryan plan would have repealed the insurance mandate, dropped the requirement to cover things like pregnancy, birth control, child birth, preventive care, mental health and treatment for addiction. That's when Republicans will defend their congressional majorities, so GOP successes on issues like tax cuts and infrastructure that affect the economy and jobs could overshadow their health care dud. Members of the Freedom Caucus are also looking for the White House to give states the ability to opt out of the community ratings provision, which now protect consumers from insurers charging higher premiums to individuals based on their their medical history or gender. The wonky term for this is "community rating", because it means everybody in the community is paying the same price, regardless of health status. The community rating provision requires that insurance companies charge the same price to people who are the same age.
"If you say, 'This is Obamacare, it's failing, ' people can say, 'Well, we elected you to fix it, '" said Tom Davis, a former Republican congressman from Virginia who headed the House GOP's campaign committee. But the insurance market that existed before the Affordable Care Act offers some clues. All 13 states with the highest proportion of people getting federal subsidies for their insurance premiums voted for him last November, according to federal data.
"If we don't get what we want, we will make a deal with the Democrats", he said.
This is the hurdle that sunk the first Republican plan, and we don't know if there is a strategy yet for overcoming it in this new debate. That seems to be on the table but there are also reports that it might not be in the final plan.
But states ran these programs in the old days and they were famously poor substitutes for what most Americans would consider standard coverage.
Conservatives have long argued that the two regulations drive up premiums, and some of them have reacted favorably to the proposal.
The supposed virtue of these changes is that they would "lower costs".