US House passes healthcare bill in big win for Trump

Within an hour of the vote, Trump celebrated with House lawmakers in the White House Rose Garden.

On the other side, a GOP group allied with House leadership announced plans to run TV ads thanking Republicans who voted for the repeal bill in key districts.

Just as the vote hit the magic 216 number, signifying passage, House Democrats began singing "Na Na Na Na, Hey, Hey, Hey, Goodbye", waving to their Republican colleagues.

"You own it now!" yelled Rep. Joe Crowley, D-N.Y., as the chant from the 1960s song spread across the Democratic side of the chamber.

"You have every provision of this bill tattooed on your forehead".

The bill's effects are hard to gauge. Lives will be lost, and Congress will regret the vote. A CBO report in March on an earlier iteration of the bill predicted that 24 million fewer people would be covered. "It will be a very different process that will look very different from the one that we just saw unfolding in the House".

Therefore, if a reconciliation bill makes changes to the way Congress gets its healthcare, it might become subject to a 60-vote threshold because it addresses a matter that is supposed to be the purview of a committee that doesn't get to participate in reconciliation this year. It would also repeal taxes imposed by the Affordable Care Act on the wealthy, insurers and drug companies.

Republicans say Obamacare has already reached that level, and needs to be replaced with a system they say will make it possible for the young and healthy to buy cheaper plans by eliminating required benefits and allowing insurers to charge older patients - who typically have more medical problems - much more.

Chris Deaton's piece in The Weekly Standard, headlined "Republicans Shove Health Bill Across Finish Line", is (as the headline implies) less enthusiastic in favor of Trump/RyanCare than is Beutler against it.

YOU DON'T hear much about the United States war in Afghanistan, which at 16 years and counting is the longest USA conflict in the nation's history.

The reason Republicans mostly went along with this fraud is because, as bad as it might get for them next year because they voted for this, it might have been even worse for them if they didn't. "We're going to get this finished".

"Where is their promise that no one is going to lose their insurance?" asked Connecticut Gov. Dan Malloy, chairman of the Democratic Governors Association.

"As the House prepared to vote, Trump tweeted in rapid succession: "I am watching the Democrats trying to defend the 'you can keep you doctor, you can keep your plan & premiums will go down" Obamacare lie, '" he wrote.

It continues the grotesque market distortions that are part and parcel of Obamacare.

The rate of Americans without health insurance has declined, from 18 per cent to 10 per cent, under Obama's 2010 health reform. The president gives me a list of who he thinks would be best to talk to on the list.

But Representative Mark Meadows, who chairs the conservative Freedom Caucus that helped block Trump's first health-care bill, voiced opposition to a revenue neutral approach.

Senate leaders don't like that the measure has not been scored by the Congressional Budget Office, which means it isn't clear how much it will cost. But it's expected several Republicans will demand changes.

A conference committee consisting of both senators and representatives could be appointed to work out the differences between the bills.

But this controversial bill was dangerously close to failing in the House for a second time, and still faces an uncertain reception in the U.S. Senate. Supporters say those states would need to have programs in place to help people pay for expensive medical treatments, including high risk pools.