Obamacare Repeal Isn’t Dead, House Conservatives Insist

Despite “fake news” claims that Republicans’ chance to repeal and replace Obamacare ends Saturday, that isn’t necessarily true, a conservative House member said Tuesday.

Obamacare repeal plan is “not dead on September 30th,” @RepThomasMassie says.

“Go back and look at the name of the Obamacare reconciliation vehicle in 2010,” Rep. Thomas Massie, R-Ky., told reporters during lawmakers’ monthly Conversations With Conservatives event on Capitol Hill, referring to how Democrats pushed through the health care law without a single Republican vote.

Democrats combined education and health care, and “they did student loan reform, they used some of the savings on the Obamacare tweaking that they did,” Massie said.

“So you can absolutely do two things at once. It’s not dead on September 30th,” he said of dismantling Obamacare.

On Saturday, however, time runs out for Senate Republicans to use their current filibuster-blocking budgetary device to pass a bill to replace Obamacare with 50 votes.

The GOP has only 52 seats in the 100-seat upper chamber, and Massie’s fellow Kentucky Republican, Sen. Rand Paul, is one of four GOP votes against the latest version of the so-called Graham-Cassidy bill. The others are Susan Collins of Maine, Ted Cruz of Texas, and John McCain of Arizona.

The co-sponsors, Sens. Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, conceded Tuesday that their effort is done for now.

“We haven’t given up on changing the American health care system. We are not going to be able to do that this week,” Senate Majority Leader Mitch McConnell, R-Ky., told reporters Tuesday. “But it still lies ahead of us, and we haven’t given up on that.”

Massie also questioned the structure thus far of House and Senate Republicans’ unsuccessful bills to repeal and replace Obamacare, and how they seemed to cater to congressional Democrats, none of whom appears willing to vote for repeal.

“Why is it that every GOP repeal and replace bill includes a trillion-dollar federal health care program?” Massie said. “Who are we negotiating with if [Democrats] are not going to vote for it?”

>>> Commentary: How the GOP Could Make Graham-Cassidy a Success

Rep. Andy Biggs, R-Ariz., told reporters that repeal and replace legislation isn’t  “totally dead.” He said he hopes to have the opportunity to vote to repeal Obamacare in the near future.

“I would really love the chance at least once in my lifetime to repeal it,” Biggs said.

Rep. Andy Harris, R-Md., showed support for the Graham-Cassidy bill during the event, despite saying the legislation has flaws.

“There’s no piece of legislation that’s ever going to be perfect,” Harris said. “But if this [is] the only piece of legislation we could get, it does accomplish the defederalization of the Affordable Care Act.”

Harris said his reasons for supporting the bill include its plan to take money that would have been sent directly to Medicaid and give it to states in the form of block grants for health care. He said he liked the bill’s reversal of “the increase in Medicaid, which is an out-of-control spending plan.”

The post Obamacare Repeal Isn’t Dead, House Conservatives Insist appeared first on The Daily Signal.

How the GOP Can Make Graham-Cassidy a Success

This weekend, Republican senators released a new version of “Graham-Cassidy,” their latest effort to undo Obamacare’s damage.

It’s far from clear the bill can get enough votes to pass, but negotiations continue behind closed doors.

Here at Heritage, we have kept close track of the major bills Congress has considered to provide relief from Obamacare’s mandates.

Like the previous House and Senate health bills and the earliest versions of Graham-Cassidy, this version falls short of fully repealing Obamacare and replacing it with a new patient-centered system.

But as the chart below illustrates, Graham-Cassidy provides regulatory relief and gives states the ability to get out from under some of Obamacare’s most costly insurance mandates.

This latest version of the Graham-Cassidy bill also repeals the individual and employer mandate tax penalties in Obamacare and provides Medicaid reform. These provisions are good: As we’ve pointed out, it’s critical to free states from the Obamacare insurance mandates.

However, a significant concern that we previously noted remains in the current version of Graham-Cassidy.

Specifically, the block grant program in the bill is written such that states could use the money to simply expand government health programs. In the worse case, this could result in transferring up to 8 million people (half of the people in the individual market) from private coverage into government-run programs with no consumer choice.

To be consistent with the sponsors’ intent, the bill should be modified to ensure that any state using federal dollars to subsidize health insurance allows recipients to purchase the coverage of their choice in a competitive private market.

Maintaining and expanding consumer choice of coverage is the difference between a patient-driven system and a program that puts first the needs of providers and special interests.

The post How the GOP Can Make Graham-Cassidy a Success appeared first on The Daily Signal.

Think Obamacare Is Bad? ‘Medicare for All’ Would Make Things Even Worse.

As Republican senators look to scrape together the votes for a deal on health care, Sen. Bernie Sanders, I-Vt., is pushing his own proposal.

He calls it “Medicare for All,” and it has already garnered support from 16 Democratic senators.

As nice as Medicare for All may sound, Sanders’ proposal is a classic example of a bait and switch. Once the consumer is lured by the slogan, he is suddenly hooked by a reality far less enticing.

Contrary to what Sanders’ proposal implies, today’s Medicare is a giant, government-mandated health savings account that is funded by retirees. The latest data show that 55.5 million Americans are enrolled. The retirees paid into the system for years while working, and now the trust pays them in retirement years in the form of medical care.

How can we offer those same benefits to the 268 million Americans who have not paid in fully and are not yet retired?

We can’t—and Sanders knows it. His proposal is structurally impossible, if by “Medicare” he means the program as it exists today. It would be more accurate to call his plan “Medicaid for All.” Medicare is the bait—Medicaid is the switch.

But is the Medicare bait really that attractive in the first place? Let’s look at how the program actually works.

Medicare claims that it only spends 2 percent of Medicare funds on administrative costs, leaving the impression that the other 98 percent goes to patient care.

But that’s not so. Two percent is just the internal administrative cost. Medicare’s total spending on administration, bureaucracy, regulation, compliance, oversight, and review amounts to at least 31 percent of Medicare revenue overall, and more likely 40 percent.

Wasteful spending at this level would send any business into bankruptcy, and that is precisely where Medicare is headed. The Congressional Research Service predicts the Medicare trust fund will go insolvent by 2029. The trust fund is simply a big bank that keeps your contributions until you retire. But when that bank runs out of money, retirees will no longer receive care.

Most rational people would try to withdraw their money from a bank before it closes its doors. Unfortunately, you can’t do that with Medicare. Even though you paid into the program, it only pays you back in the form of medical benefits.

And even those benefits are getting harder to receive. More and more doctors are refusing to accept Medicare insurance, especially after Obamacare cut the already-low doctor reimbursement schedules even lower.

Despite having Medicare benefits, average wait time to see a family physician has risen to 122 days. That’s four months to find out if your belly pain is gas or cancer.

In response, medical practices are expanding to provide things like direct primary care and concierge medicine, which refuse to take insurance and accept cash only, Their growth is proof that government health insurance fails to deliver care.

So Sanders is using Medicare as bait. Now consider the switch.

Medicaid is a government-supported, government controlled form of health care that poses no cost to the patient. While that may sound good, it is an ongoing disaster.

The medical outcomes for Medicaid patients have been called a “humanitarian catastrophe.” Access to care is so bad that people die waiting for care. Surgical outcomes for Medicaid recipients are inferior to those who have no insurance at all.

This is the quality of care Sanders’ proposal would foist on the nation. His plan, which he proudly describes as single-payer, calls for the following:

  • Provision of all necessary medical care for 323 million Americans;
  • Additional government-mandated benefits, such as long-term care, no-charge public college tuition, and paid family leave;
  • Taxes on all Americans to cover the trillions in new costs;
  • An increase in the national debt—possible double;
  • A 6.2 percent increase in insurance premiums paid by employers; and
  • Increases in income, capital gains, and estate taxes.

Sanders estimates this proposal would cost a minimum of $1.5 trillion, while the Tax Policy Center says costs could reach up to $15.3 trillion—all to be paid through higher taxes, higher premiums, and more debt.

Is there a single American who wants more of those things?

Keep in mind that the goal of health care policy should be better health outcomes. That is not what universal Medicaid would provide.

Americans should reject Sanders’ bait-and-switch proposal, which would only worsen access and quality of care for more Americans while raising our tax burden. What we need is patient-controlled health care. Only that will produce the outcomes that we all want.

The post Think Obamacare Is Bad? ‘Medicare for All’ Would Make Things Even Worse. appeared first on The Daily Signal.

We Hear You: Why Republicans Haven’t Kept Their Promise to Repeal Obamacare

Editors’s note: With the Senate once again on the brink of a vote to partially repeal and replace Obamacare through the Graham-Cassidy bill, it’s a good time to share more emails from some in The Daily Signal’s audience who don’t like what they see, especially in Republicans’ actions. You can join in by writing letters@dailysignal.com—Ken McIntyre

Dear Daily Signal: The people gave Congress and President Trump the mandate for conservative policies and the repeal of Obama’s Gordian knot of liberal, big government mess, especially Obamacare, when we elected Trump and a GOP majority in both houses of Congress.

And while Trump has started making progress on some goals on deportation of illegal immigrants, betterment of the military, and re-emerging on the world stage as a world power and military leader, Congress had done nothing.

It has become clear that Republicans in Congress have no intention of repealing Obamacare, and only want to sit in their cozy chairs and collect their salaries, which they’ll soon be voting on to raise again. I have worked for 30 years hoping to bring about change from within the Republican Party. The tea party was a hopeful moment, but turned out to be a flash in the pan.

I recently quit my affiliation with the GOP and joined the Constitution Party. It is a fledgling party, to be certain, but a group of well-educated and motivated individuals. The only hope left to keep the republic is to repeal and replace the Republican Party. They have been failing the people for too long.Gordon H. Hoffman Jr.,  Baltimore


We all know Obamacare should never have been passed, but it was, along with many other dishonest acts under President Obama. Americans are putting themselves in debt to keep health insurance they do not need or does not work for them. Some have dropped insurance, some pay the penalty rather than put themselves deeper in debt, while all we hear is there will be millions without insurance without Obamacare.

Americans should be told Obamacare will be repealed and not exist any longer, to ensure they find individual coverage. Government should be out of the insurance business, and that would solve many problems.

People had so much faith in who they elected to Congress, but now have little if any trust that they are who we voted for. It appears they are working only for the lobbyists who are greasing their palms, and actions are speaking much louder than words. I am trying very hard not to lose faith; I am a glass half full, not half empty.Phyllis Blum

Republicans got their jobs on the promise of repealing Obamacare. They had many chances to defund the government and they didn’t. Now they have the House, the Senate, and the executive branch, and their first responsibility is to keep their word and repeal.

I don’t want government having anything to do with my health care.  Repeal now and let the chips fall where they may.

We have had over seven years to get our act together. Now it is time to keep promises. We need to go back to health care the way it was before Obama “cared.” We should be able to go across state lines to buy insurance.  There should be no mandate to carry insurance.

If people are forced into buying health insurance, they should at least be able to enter some kind of health insurance savings group where they get money back for every month they don’t use their insurance.  I didn’t have health insurance until I turned 65, and Medicare was taken from my Social Security.

I was way better off paying as I went for my doctor bills. I led a healthy lifestyle and I saved plenty by paying for my own health care as I went along.  If people have to buy insurance, they will want to use it to get their money’s worth.Susan Rose


Thank you for posting comments from readers about the truth of congressional Republicans (“We Hear You: The Failure of Republicans to Repeal or Replace Obamacare“). Most are RINOs and  embarrassing. We’ve been totally lied to.

The Republicans are nothing more than Democrats, and all of the previous votes to repeal Obamacare were a show. Every one of those Republicans must be exposed and shown for who they really are. Americans need to see all of their donations from Planned Parenthood and their supporters, as well as insurance companies, AARP, and others who profited from Obamacare at our expense.

Mitch McConnell is such an embarrassment. And to think that President Trump was trying to do something nice and connect with the Senate majority leader by appointing his wife as commerce secretary. Well, we must get rid of McConnell and Paul Ryan, who are really Democrats posing as conservatives.Rachel Janzen

Once again, a spot-on article from Fred Lucas about real cronyism in Washington, D.C. (“How Trump Could Force Congress and Its Staff to Live Under Obamacare“). How members of Congress can so blatantly pull an end run around the provisions of the Obamacare law and exempt themselves and their staffers is way beyond me.

I wrote to my congressional folks over a year ago, and guess what–I got no replies to any of my three letters. So, once again, go get ’em.  Put the pressure on the White House to reverse the Office of Personnel Management decision and lump these folks in with the rest of us “deplorables.”–Arthur S. Catullo, Cmdr., USN (Ret.), Jacksonville, Fla.


Absolutely do not exempt Congress from Obamacare . This whole scenario is such a farce. John McCain is not the only RINO in this; he just gets the attention.Shirley


We the people need to start a petition to cancel the health care the House and Senate have and make it  the  same we have. How long do you think it would take them to pass a health care bill then?Susan Penn


Let’s see that our president knows we the people support his use of the pen to force Congress to live the way we have to live, without the exemptions they have given themselves. It is disgraceful that they can sidestep laws like Obamacare. All my friends, even the Dems and liberals, agree with me on this one.Beatrice


You alert people to so much.  Please run an article on the so-called death panels built into Obamacarethe issue of caps and the independent payment board. According to an opinion piece I read in The Wall Street Journal, time is running out to repeal this.

Please give this some attention so that your readers can contact their representatives if they wish to do so.  I think when the words “death panel” are used, most people think they refer to doctors being paid for end-of-life counseling. That isn’t the issue at all.John Stocks

Regarding Jarrett Stepman’s commentary, “How Obamacare Is Eroding Private Insurance,” my husband and I are both self-employed, and we have two college-age sons. Though thankful to Obamacare to be able to keep our sons on my insurance (supplemental insurance offered by colleges is exorbitant and just a money maker),  we indeed “make too much money” for Obamacare yet not enough actually to be able to use the insurance we pay for.

Our premium for health insurance (Anthem Blue Cross Blue Shield, Bronze, no dental or vision) is $1,500 a month with an annual deduction of $10,000 per person and $20,000 family.  I am finding that I cannot afford to go to the doctor when I need to because it literally costs me the complete out-of-pocket costs.

The only benefit is that if we go “in network” we will have the “negotiated” rate billed.  Though that isn’t even the real case, as physicians billing companies are masters at breaking out the charges  into subcategories (sort of like peeling an onion), so one ends up getting a lot of duplicate charges and that is passed on to the consumer.

The consumer must be very diligent to evaluate every doctor’s bill and every explanation of benefits to make sure charges are accurate.  It is expensive, exhausting, and frustrating.  I am quite aggravated with being forced by law to pay for others to have insurance when I  cannot effectively use my own for the benefit of my family.

I think it is ludicrous that our leaders in Congress (a true dichotomy) on both sides of the aisle can’t seem to do the job they were hired to do. If my progress performance was on par with theirs, I would have been fired. Hey, now, there is an idea: Let’s toss them all and start over again.  Pretty sure the Founding Fathers never intended politics to be a lifelong employment opportunity.

Please keep up the pressure. The Heritage Foundation does good work.Melissa Turrisi


I am using this opportunity to vent my anger and disgust at our so-called Congress. They make laws that don’t apply to them. They are immune to prosecution for their violations. They have a golden parachute retirement program and health care. The rhetoric they spew about protecting citizens of their states is nothing but lies.

When they talk about citizens without health insurance who may not have expanded Medicaid any longer, they fail to mention this was a windfall entitlement from Obamacare that suddenly appeared for able-bodied citizens who otherwise wouldn’t have insurance in the first place.

Republicans have fallen into the same pit as the Democrats, expecting their election campaign funding to come from their favorite lobbyists, who are deciding how they vote. They will never receive a dime from me again.

Come the next election, I will vote for the candidate who has the best haircut or color of tie. There is little difference between parties anymore. I don’t expect any astounding revelation when it comes to tax reform either.

I am 76 years old and on limited income, with no COLA in Social Security for several years.  My wife has Alzheimer’s, with me being the primary caregiver. But life is good because we have our Lord. All of the above is to be expected because this nation abandoned God a long time ago.Charles Fickling

Why not a “universal health care policy” written by the government and offered by all the insurance companies across state lines? The insurance companies would bargain with hospitals, doctors, pharmacies, and other health care providers for the best prices, and we would all benefit from the savings. The only government involvement would be to insure compliance.Dan O’Toole


Excellent chart on  the differences among Republicans’ Obamacare repeal/replace bills in Jarrett Stepman’s commentary, “7 Years of Promising Obamacare Repeal Leaves Republicans Just Once Option.” Concise, comprehensive, and easy to grasp quickly.

The president and vice president needed to have a blow-up or power point of this chart for their meetings with the 52 Republican senators. It seems the crybaby repeal-and-only-repeal  folks  just like to throw childish temper tantrums. We have the opportunity to start reform now.Liana Silsby, Ft. Lauderdale , Fla.


In a recent interview with Tucker Carlson on Fox, Dr. Charles Krauthammer explained how he would fix the health care problem.  His point, which I’ve never heard brought up by any senator in any interview, was the high cost of insurance on doctors for malpractice and how it affects medical costs. His suggestion is to reform the tort laws,  protecting doctors from frivolous lawsuits so they may do their jobs rather than just making lawyers rich. The government would save billions of dollars with that alone.John McAlpin


As with any provider, expenses dictate the charged fees. In medical cases, legal amounts to an inordinate dollar amount compared to other free world countries. Malpractice insurance, medical equipment, pharmacy, litigation, excessive monetary settlements and fees, and so on. Tort reform should be the primary issue to resolve.Mike Dahly

Work and Dignity

Dear Daily Signal: Thanks to Jarrett Stepman for his commentary article, “Why the Left Is Wrong About Welfare Reform.”  I hope it can be the start of a change in the conversation about welfare and work, and the nature of work itself.

We want people to work because, as a country, we count on this money to keep our economy going.  Steve Smoot, in his talk to the World Congress of Families in 2009, stated that 70 percent of our gross domestic product is driven by individual consumer spending.

So how can we have a robust economy if people are on government assistance programs footed by taxpayer dollars?  This adds further drag to our economy.  We want to grow the private sector.  This frees up our tax dollars for spending in the economy.

I don’t believe our young people are getting these basic economic principles taught to them.

We want welfare recipients (like all our citizens) to work because our country values the skills and talents they possess.  We must make good use of these skills and talents where there is a fit.

The “talking points” from the left seem to paint work as drudgery.  When people aren’t working, what are they doing?  Are they spending their idle time in less worthy pursuits?

Treating people with dignity should be incorporated into our goals.  How are people being treated with dignity when they are living in poverty and reliant on the government?

Moving people to self-sufficiency, where they provide for themselves and their own families, is where we need to go.  Ideally, growing private sector jobs–as President Trump is doing–is going to help get us there.

This latter model is the basis for Catholic Charities’ transitional housing program, designed to move people from homelessness to self-reliance in two years.  The program’s success, however, relies on the ability of people to get a job that allows them to provide for their needs and those of their family.

Thanks for your honest and insightful reporting.Katie Goryl


I enjoyed Genevieve Wood’s interview with J.D. Vance (“‘Hillbilly Elegy’ Author Outlines Ways to Increase Opportunity“).  I recently read his book with great appreciation for his life experiences. He is so right on about what this country needs. Less government and more family involvement. Not just in Appalachia, but everywhere.

The bottom line is, good people, whether successful or not, need a healthy, stable, loving family environment. It all starts from within the home, and thankfully, J.D. had grandparents who ruled with both love and strict discipline. Without proper role models, most of us are doomed.

When I see the violent looters and thugs who protest our government, I can pretty much guarantee you that they come from chaotic, unstable home environments. This behavior would not even occur to most of us.

I raised two daughters and am in my 60s now. I think I am a pretty cool grandma. I am blessed with good health and love to be active with my seven grandkids. With involved parents, strict discipline and lots of love, I pray that they will all grow up to be healthy, well adjusted adults. Regardless of what directions their careers take them, my prayer is that they are kind, considerate adults who can make a difference in some way.

Anyone can make a baby, but it takes a lot of work to make a good person. J.D. Vance is definitely one of those success stories.Lynne Plaxton

This and That

Genevieve Wood’s piece on Hurricane Harvey is so heartwarming, and I am ever so grateful to see it (“Hurricane Harvey Brings Out the Best in Americans“).  It is the true picture of what Texas and the USA are all about. God gave us this country to do his work, and we will never stop taking care of it.

I thank God for your honest, unbiased reporting that keeps us in balance.  We need you desperately to stay the course and overcome the evil that so many delight in spewing daily. God bless all at The Daily Signal and Heritage.Shirley Sclafani


Thank you to Jarrett Stepman for the excellent commentary article about Louisiana’s disgraceful jettisoning of history (“Louisiana Democrats Purge Thomas Jefferson, Who Acquired Louisiana“). Here in Arkansas, the Democrats have replaced their Jefferson-Jackson Dinner with the “Clinton Dinner” (gag).

In order to preserve the memory of our third president (Arkansas was also part of the Louisiana Purchase), I am considering renaming our Reagan-Rockefeller event (named after President Reagan and Arkansas Gov. Winthrop Rockefeller, and his son, Lt. Gov. Win P. Rockefeller) as the Jefferson-Reagan-Rockefeller event.Mark Johnson, chairman, Pulaski County Republican Committee


I know White House correspondent Fred Lucas’ heart is broken because Democrats want to impeach Trump (“Democrats Hatch Plans A, B, and C to Impeach Trump“). Both parties, and their ideological allies, have always put politics and their interests above the nation. I’m not sure Lucas is writing what he writes because he has to earn a living or he really believes in what he writes.

Republicans are equally vicious, or more so, in attacking and coming up with one-liners like “death panels” and so on. Republicans spent a great deal of time trying to sabotage Hillary Clinton using Benghazi, and The Daily Signal was complicit with its writings. Now Democrats are trying to undermine Trump, and your hearts are hurting. I am speechless!Ash Patel


So many of us would love to see President Trump do as he said: Drain that swamp. Our vote is for the president to cut all the perks of Congress, who think they are so above the real people. The people are sick to death of their superior attitude. We love The Daily Signal; keep up the good work. God bless you.Jenny King


Thanks for letting us know that President Trump is cracking down on the Veterans Administration. We have no complaints here in Wisconsin. But the VA’s way of doing business with workers through a union is an eye-opener. And the accounting of payoffs to quiet those who are to be dismissed is really out and out blackmail.

A few bad apples spoil a barrel of good ones. The media should have this on the front page. But they won’t publish anything good about Trump. Sad state of affairs.Carol Crowe


Agriculture as a whole would be better off if government never had gotten in it.  I’m an 80-year-old retired farmer who farmed for 45 years without their programs.  It’s time for those takers of our tax money to be weaned off and a real supply and demand take place.Joe Mahaffey


If the Defense Department continues to spend on green energy projects, then should the Trump administration divert funds from the Energy Department to fund those projects (“Most of Obama’s Green Policies Persist at Defense Department“). Since we have the National Renewable Energy Laboratory in Golden, Colorado, is the Defense Department’s green energy program a duplicate, and one or the other should be killed?Richard R. Allen, Colorado Springs, Colo.

How Are We Doing?

Dear Daily Signal: I am neither a radical nor a liberal, just an old, blind, and disabled woman, retired from six decades of teaching and counseling. In all sincerity, I want to thank Kelsey Harkness for her reporting. It’s refreshing to see individuals and groups who still believe in presenting unbiased facts for the public to read and decide upon for themselves.

With the hundreds of emails I get, I automatically delete a lot because of the challenge of “reading,” since I am blind. I love our country, am a little skeptical and critical of how the American society as a whole is handling the legacy we forged for them, but I see hope in people like Kelsey Harkness. The Daily Signal is the best thing I read.Joanne R. Scheafnock

Progressive ideology promotes racism and intolerance. Progressives use the same playbook as did the Bolsheviks.Robert Menzel

Why do we never see  representative of The Daily Signal as a guest on TV programs such as “Lou Dobbs Tonight” or “Hannity?”M.D. Barber

Thank you for the detailed update on what is going on regarding immigration in our country. We of course do not get this in the mainstream media. It’s why I support The Daily Signal. Keep up the great work.Kathy Griggs

You people are complete and utter a——s. Your group has done more to undermine the integrity of the United States than any white supremacist.Steve Rippe

Thank you to Fred Lucas for his reporting. Our great country needs this platform to propel the truth, against the evils of the mainstream media. God bless all that The Daily Signal is doing to ensure that truth stands front and center in the news today.Lori Mattia 

Thank you for the awesome job you guys do. I am so elated to finally find a news source that keeps me posted on daily events without all the lies, hate, and venom that is being spewed from other media sources. You are brave, honest, and true patriots. It gives me hope that not everyone is completely insane. Keep up this valuable and very good work.Allison Fuentes

The post We Hear You: Why Republicans Haven’t Kept Their Promise to Repeal Obamacare appeared first on The Daily Signal.

Jimmy Kimmel Knows Comedy, Not What Ails Obamacare, Conservatives Say

Jimmy Kimmel may be a funny man, but he doesn’t understand Obamacare, according to a U.S. senator who the late-night TV host slammed this week as dishonest in describing a Republican alternative to the health care law.

Sen. Bill Cassidy, R-La., one of the chief authors of legislation to partially repeal Obamacare, sought to make himself clear Thursday morning on a friendlier show.

“Jimmy doesn’t understand, not because he’s a talk show host–[but] because we’ve never spoken,” Cassidy said on “Fox and Friends”  of Kimmel’s contention that Senate Republicans’ bill would abandon Americans with pre-existing medical conditions.

“He’s only heard from those on the left who are doing their best to preserve Obamacare,” Cassidy said of Kimmel and his appraisal of the bill. “He’s not heard from me, because we’ve not spoken.”

Cassidy apparently meant they haven’t talked about the details of his bill. The legislation, drafted with three fellow Republican senators–Lindsey Graham of South Carolina, Dean Heller of Nevada, and Ron Johnson of Wisconsin–would repeal Obamacare’s mandates requiring individuals to obtain health insurance and larger employers to offer it.

Other conservatives came to Cassidy’s defense on the particulars of the so-called Graham-Cassidy legislation.

In his own interview with “Fox and Friends” Thursday morning, Mike Needham, chief executive officer of Heritage Action for America, the lobbying affiliate of The Heritage Foundation, said Kimmel’s estimation of the Graham-Cassidy bill was incorrect.

“What Section 106 of the bill says is that every single state has to make sure that there continues to be affordable access for people with pre-existing conditions,” Needham said, adding:

The entire thing is kind of what is wrong with the way we talk about policy in this country, I am sure Jimmy Kimmel is a nice guy, I am sure he is very well intentioned, but he is both wrong on what this bill does, and he doesn’t understand. There’s a whole bunch of conservative ideas as to how we can take care of people with pre-existing conditions.

President Donald Trump, who announced he would sign the Graham-Cassidy bill, tweeted Wednesday night:

Graham, co-sponsor of the bill, also came to Cassidy’s aid in the pop culture battle:

Conservative commentator Ben Shapiro, whose daughter received care at Children’s Hospital Los Angeles for a heart condition similar to that of Kimmel’s son, said the entertainer isn’t an authority on health insurance just because his son had a major medical issue.

In a piece published Wednesday in The Daily Wire, Shapiro wrote:

It’s absurd on a logical level: having a child with a heart condition doesn’t make you an expert on health care anymore than it makes you an expert on heart surgery. I should know–as I’ve said before, and only in response to Kimmel’s invocation of his own son, my daughter received open heart surgery at a year-and-a-half old at CHLA, at the hands of the same magnificent doctor Kimmel used.

So by this logic, my opinion should be treated with precisely the same kind of moral weight Kimmel’s is. But I don’t think that the fact that my daughter had her heart fixed at CHLA is what grants me credibility to talk about health care.

Joe Walsh, a former Republican congressman from Illinois, said Kimmel’s comments show he is out of touch with mainstream America.

According to Cassidy’s website, the Graham-Cassidy bill would give states the freedom to waive Obamacare regulations, protect patients with pre-existing conditions, and provide block grants to states by “equalizing the treatment between Medicaid expansion and non-expansion states through an equitable block-grant distribution.”

A former Republican senator and presidential candidate, Rick Santorum of Pennsylvania, also helped draft the Graham-Cassidy bill, which is expected to go to a Senate vote next week, Politico reported.

“This guy, Bill Cassidy, he just lied right to my face,” Kimmel said on Tuesday night’s show, referring to Cassidy’s appearance nearly four months ago, adding:

For lots of people, the bill will result in higher premiums, and as far as lifetime caps go, the states can decide on that, too—which means there will be lifetime caps in many states…Not only did Bill Cassidy fail the Jimmy Kimmel test, but he failed the Bill Cassidy test, too.

The comedian and host of ABC’s “Jimmy Kimmel Live!” was referring to a comment Cassidy made on the show in late May. “We’ve got to have insurance that passes the Jimmy Kimmel test,” the Louisiana Republican said then.  

Also on Tuesday night’s show, Kimmel said the Graham-Cassidy bill actually is contrary to the “Kimmel test,” which, he said, is: “No family should be denied medical care, emergency or otherwise, because they can’t afford it.”

Kimmel previously announced on air in May that his son, Billy, was diagnosed with a heart condition and underwent successful surgery.  He said Tuesday night that under the “current plan,” meaning Obamacare, his son’s medical treatment would be covered.

“Our current plan protects Americans from these [insurance] caps and prevents insurance providers from jacking up the rates for people who have pre-existing conditions of all types, and Senator Cassidy said his plan would do that too,” Kimmel said.  

>>> Jimmy Kimmel’s Moving Story Shows Why Private Charity Trumps Government

Then, on Wednesday night’s show, Kimmel slammed Cassidy and the Senate bill again, saying:

Oh, I get it. I don’t understand because I’m a talk show host. Then help me out, which part don’t I understand? Is it the part where you cut $243 billion from federal health care assistance? Am I not understanding the part where states would be allowed to let insurance companies price you out of coverage for having pre-existing conditions?

Cassidy also replied on Twitter to criticism distributed by National Public Radio:

Ed Haislmaier, a senior research fellow in The Heritage Foundation’s Center for Health Policy Studies, told The Daily Signal in an interview Thursday that Kimmel’s comments were misinformed.

“The bill does retain prior law,” Haislmaier said of the Graham-Cassidy legislation, adding:

It doesn’t change prior law on [pre-existing conditions] and … a lot of this was dealt with before Obamacare. …

    In terms of the actual Graham-Cassidy bill, they specifically say that they have to cover…they have to explicitly use the money in a way that makes sure that people with pre-existing conditions have access to health care. So it reinforces that.

The post Jimmy Kimmel Knows Comedy, Not What Ails Obamacare, Conservatives Say appeared first on The Daily Signal.

What Needs to Change in the Graham-Cassidy Health Care Bill

Since January, Republicans in Congress have been working on efforts to repeal and replace Obamacare using the budget reconciliation vehicle.

As a last-ditch effort to utilize this legislative vehicle before it expires on Sept. 30, Congress looks likely to vote next week on the Graham-Cassidy health bill that partially repeals and replaces parts of Obamacare.

While this bill falls short of fully repealing Obamacare and replacing it with a new patient-centered system, it is probably the last viable attempt to begin unwinding Obamacare’s glaring failures. The Graham-Cassidy bill has some critical issues the Senate must fix in order to ensure it improves the status quo, but it is certainly a bill worth fixing.

What the Bill Does

The Graham-Cassidy bill repeals the individual and employer mandate tax penalties in Obamacare, provides Medicaid reform, and empowers states to design health care subsidies and insurance rules that work for their residents.

These provisions are a good first step in addressing Obamacare’s damage and allowing states to pursue reforms of their insurance markets and Medicaid programs.

However, the bill retains the Obamacare levels of spending as well as major Obamacare taxes, including taxes that directly drove up the cost of health care.

The bill keeps the spending to create a state block grant program, which will be funded with all of the current federal Obamacare spending for subsidizing exchange coverage through tax credits and cost-sharing reductions, and about 75 percent of the current Obamacare funding for expanding Medicaid to cover able-bodied adults.

The upside of this framework: It transfers to states the responsibility to ensure that individuals who do not have employment-based health coverage can access insurance. This is a significant reversal from Obamacare’s top-down, federal government-centric approach.

The Critical Fixes Needed

The Senate needs to make changes to the block grant program in order to fulfill the sponsors’ stated intent of promoting “market-based solutions.”

As written, nothing would prevent states from using the money to simply expand government health programs, which could result in transferring up to 8 million people (half of the people in the individual market) from private coverage into government-run programs with no consumer choice.

To guarantee patients have choice and options in health insurance, the Senate should change Graham-Cassidy to preclude states’ ability to use the new block grants to force individuals into a government-run program that lacks choice.

Specifically, the Senate should delete language that allows states to spend the new federal grant funding to (1) expand Medicaid, (2) pay medical providers directly for providing services, and (3) contract with managed-care plans to cover specified groups.

Any of these options would inherently result in adding more people either to existing programs or to new programs that are effectively government-controlled monopolies without consumer choice.

Without such changes, states are likely to spend the funding in ways that expand the number of people in government health care programs rather than providing subsidies to help recipients purchase the coverage of their choice in a competitive private market with a variety of different plan options.

The pattern of the Obamacare Medicaid expansion and the Children’s Health Insurance Program before it show that, with very few exceptions, states historically have used federal funding for health insurance coverage simply to expand one-size-fits-all government programs.

Liberals are pushing for more government control of health care through a single-payer system, which would be a disaster. So it is imperative now more than ever for policymakers to continue to promote access to mainstream private insurance for more Americans, rather than open the door to additional government program expansions.

Improving the Status Quo

If the Senate makes the recommended changes mentioned above in the block grant program, the Graham-Cassidy bill will provide an improvement over the status quo.

Even with these recommended changes, many more actions are needed to achieve a truly patient-centered health care system in our country. While this bill allows for more state flexibility, there is still much more to do at the federal level to restore free-market principles in other facets of health policy, including Medicare and the tax treatment of health insurance.

Members of Congress should not be under any illusion that passing Graham-Cassidy relieves them of the burden of continuing to reform our nation’s health care system in a more patient-centered, market-based direction.

This piece was adapted from a recent Heritage Foundation research publication.

The post What Needs to Change in the Graham-Cassidy Health Care Bill appeared first on The Daily Signal.

Bernie Sanders Introduces Single-Payer Health Care

Sen. Bernie Sanders, I-Vt., is pushing a single-payer health care bill that would give Americans health insurance through Medicare.

“Today, we begin the long and difficult struggle to end the international embarrassment of the United States being the only major country on earth not to guarantee health care to all its people,” Sanders said in a statement.

“At a time when millions of Americans do not have access to affordable health care, the Republicans, funded by the Koch brothers, are trying to take away health care from up to 32 million more,” he added. “We have a better idea: guarantee health care to all people as a right, not a privilege, through a Medicare for All, single-payer health care program.”

Sanders proposed financial options for Medicare for All that he said would save families and businesses when it comes to expenses. A couple of the options are for employers to pay a 7.5 percent income-based premium and for households to pay a 4 percent income-based premium.

Sanders, who introduced the bill Sept. 13, also proposed a marginal income tax rate of 40 percent for $250,000 to $500,000; 45 percent for $500,000 to $2 million; 50 percent for $2 million to $10 million; and 52 percent for incomes over $10 million.

Robert Moffit,  a senior fellow in The Heritage Foundation’s Center for Health Policy Studies, said Sanders is proposing a monopoly over the health finance and delivery systems, and this means “there will no longer be any private health insurance.” He said people will not be able to keep their current health insurance plans.

“In order to accomplish this objective, Congress is going to have to impose very heavy taxes,” Moffit said.

Moffit said he doesn’t think a single-payer system will ever be successful unless it either allocates a budget for health care or imposes a price control system. He said the problem is that if demand exceeds the budget, choices will have to be made, such as deciding the people who will receive health care and how they will get it.

Because Sanders’ bill would create a government program, Moffit said, it will also go through congressional deal-makings and interventions.

“You’re talking about a massive politicization of the system where almost every health care decision becomes a political decision,” Moffit said.

The Medicare for All Act of 2017 has been controversial among Republican members of Congress. Phil Novack, press secretary of Sen. Ted Cruz, R-Texas, said Cruz was “strongly opposed to a single-payer system that would put government in control of our health care.”

Sen. Mike Lee, R-Utah, said Americans will receive “inferior health care” if it is in the hands of the government.

“What we find is that when we hand other things over to the federal government, it very often makes a mess of them,” Lee said.

There were also 15 Democratic senators who introduced the legislation with Sanders, including Sens. Al Franken, D-Minn.; Kamala Harris, D-Calif.; and Elizabeth Warren, D-Mass.

If we’re dealing with it in the emergency room, it’s too little, too late and it’s too expensive,” Harris said in a press release. “Let’s give the taxpayers of the United States a better return on their investment, which means Medicare for All.”

Moffit said the Democratic Party he grew up with had moderates and even conservatives, but this bill is a “really sharp turn to the left” in public policy.

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The GOP’s Last-Ditch Effort to Partially Repeal Obamacare

Republican senators are pitching one last-ditch effort to repeal Obamacare regulations before a Sept. 30 deadline.

A bill, drafted by Republican Sens. Lindsey Graham of South Carolina, Bill Cassidy of Louisiana, Dean Heller of Nevada, and Ron Johnson of Wisconsin, along with former Republican Sen. Rick Santorum of Pennsylvania, would repeal both Obamacare’s individual and employer mandates.

The bill, released Sept. 13, would also help give states the freedom to waive Obamacare regulations, protects patients that have pre-existing conditions, and gives block grants to states by “equalizing the treatment between Medicaid expansion and non-expansion States through an equitable block-grant distribution,according to Cassidy’s website.

The bill, according to Ed Haislmaier, a senior research fellow at The Heritage Foundation’s Center for Health Policy Studies, “takes the money that is currently being spent on providing subsidies for people [buying coverage on the exchange], plus most of the money, most of the extra funding, for expanding Medicaid,” Haislmaier said in an interview with The Daily Signal.

This new form of distribution is “designed to change the incentives in the program for the states because that way, if the program has fraud or waste, the state is stuck with the extra spending,” Haislmaier said, adding:

If the state runs the program efficiently and cracks down on fraud and waste, then the state pockets the savings because … how much does the state have to add on top of what the [federal] government gives them under this new design is dependent on how well the state runs the program.

The Graham-Cassidy-Heller-Johnson legislation would also do away with “the inequity of four states receiving 37 percent of Obamacare funds and brings all states to funding parity by 2026,” according to the Louisiana senator’s website.

The four states are New York, Massachusetts, California, and Maryland, according to Cassidy’s office.

Since Republicans are using a procedure known as budget reconciliation, they will need just 51 votes to pass a health care bill, with Vice President Mike Pence empowered to break a tie.

Sen. Lisa Murkowski of Alaska, who joined fellow Republican Sens. Susan Collins of Maine and John McCain of Arizona to block the “skinny repeal” of Obamacare on July 28, told The Huffington Post on Monday that she is currently undecided on the legislation.  

The Hill reported Sept. 6 that McCain has expressed support for the legislation.

Sen. Rand Paul, R-Ky., does not support the legislation.

“This isn’t a repeal,” Paul said Tuesday, adding:

This is keeping Obamacare and redistributing the proceeds. So, this is not a repeal bill. This is sort of, ‘Hey, we’ll take Obamacare, replace it with Obamacare, but we’re going to let the states have a little more power in how we spend it.’

House Speaker Paul Ryan called the legislation “our best, last chance to get repeal-and-replace done,” CNN reported.

If the package passes the Senate, Ryan said he would bring it to the House floor for a vote.

He called the bill “a far greater improvement over the status quo,” CNN reported.

The legislation would need to be voted on by Sept. 30, as the Senate parliamentarian ruled Sept. 1 the ability to use reconciliation expires at the end of this month, the Washington Examiner reported.

Ryan Ellis, a senior tax adviser at the Family Business Coalition, told The Daily Signal in an interview that the legislation gives more freedom to states.

“I think the basic parameters, as I see it—without characterizing it as good or bad, but just sort of looking at it—[as] ‘What does it do?’” Ellis said. “It basically block-grants Obamacare to the states, is the headline that I would explain to somebody in an elevator.”

The idea is more of the federalist persuasion, Ellis said.

Is is full Obamacare repeal? No, it’s not, but if you ask conservatives in general, if you can’t repeal a program, ‘How do you feel about devolving it to the states?’, most conservatives in general would say that’s a pretty good idea …

If you can’t repeal it as a conservative, how do you feel about letting the states administer it, run it, have it as a second-best option? Historically, that has been a pretty good second-best option for conservatives.

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Governors Urge Greater Flexibility for States in Creating and Implementing Health Care Policy

Five governors—representing both parties and from states across the country—told a Senate committee Thursday that inaction on health care is not an option and lawmakers should look to the states for solutions.

Colorado Gov. John Hickenlooper, a Democrat, praised the successes of Obamacare, but said more work needs to be done.

“Many people are angry  and have a right to be,” Hickenlooper said during the hearing of the Health, Education, Labor and Pensions Committee on stabilizing premiums for individuals in the 2018 insurance market.

He added:

For the 400,000 Coloradans  in the individual marketplace, many continue to struggle. Colorado’s Western  slope—which includes some of our most rural areas—has 14 counties with only one insurer on the exchange. It is also home to some of the highest premiums in the country. A 60-year-old in rural Craig, Colorado, making less than $50,000 will pay over $12,000 per year on premiums alone—around 25 percent of income.

Hickenlooper pointed to funding cost-sharing reduction payments—subsidies designed to reduce out-of-pocket costs for low-income patients who purchase silver-level plans through Obamacare’s exchanges—as a path to a solution.

“Our plan asks you to explicitly fund the cost-sharing reductions at least through 2019,” the Colorado governor said, adding:

 Funding the [cost-sharing reduction] payments for 2018 only will put us right back where we are now in a matter of months. It will foster uncertainty surrounding these payments, threatening to drive up premiums and force insurers out of the market.

Utah Gov. Gary Herbert, a Republican, said he is not keen on cost-sharing reduction payments, but added they should be funded for the time being.

“I personally am not a fan of cost-sharing reduction payments. Nevertheless, in the near term, individual insurance markets need predictability in order to price their products adequately,” Herbert said, adding:

The sudden demise of CSR’s would destabilize Utah’s individual insurance market, putting at risk some 110,000 Utahns who benefit from this program. The transition should include funding for CSR’s to at least 2018 or 2019.

>>> Related: 2 Governors Push Congress for More Money, Leeway Under Obamacare

Montana Gov. Steve Bullock, a Democrat, said cost-sharing reduction payments, which President Donald Trump has tweeted about ending, are essential.  

“The uncertainty surrounding whether the Trump administration will continue to make CSR payments is having a real impact on private markets, and congressional assurance that these payments will continue to occur will meaningfully impact the stability of the market—in Montana, and across the country,” Bullock said.

Dan Holler, spokesman for Heritage Action for America, the lobbying affiliate of The Heritage Foundation, told The Daily Signal in an email that requests for funds have become commonplace.

“Governors pleading for more federal money isn’t new, but in this case it would simply prop up a failed law,” Holler said. “That isn’t fair to taxpayers or those suffering from Obamacare.”

Gov. Bill Haslam of Tennessee, a Republican, said shielding Obamacare’s insurance exchanges from complete collapse includes funding cost-sharing reduction payments.

“Congress should take steps now to prevent the total collapse of the health insurance market by, No. 1, funding cost-sharing reduction payments; two, creating a short-term reinsurance program; and three, providing flexibility to the states,” Haslam said.

The Tennessee Republican also called on Congress to streamline the waiver process for states to opt out of Obamacare provisions.

“A … critical way to provide more stability is to offer flexibility to states to address their unique challenges and circumstances,” Haslam said. “The waiver-approval process should be expedited, and the strict guardrails currently placed upon waiver requests should be loosened in a manner that will attract younger, healthier individuals to the marketplace.”

Obamacare’s “Section 1332 waivers” are described this way by Heritage Foundation health policy expert Robert Moffit in a recent report:  

Section 1332 of Obamacare allows states to apply to the secretary of the Department of Health and Human Services (HHS) and get a ‘waiver’ from 11 statutory provisions, including the individual and employer mandates, the actuarial value mandate that determines coverage levels, the federal rules governing the definition of individual and small-group coverage, and the federal essential health-benefit requirements.

Gov. Charlie Baker of Massachusetts, a Republican, said his state has seen success with the implementation of universal health care in 2006 by then-Gov. Mitt Romney, his fellow Republican.

“Ninety-nine percent of our children and youth, and more than 96 percent of our residents, have health care insurance, the highest percentages in the country,” Baker said.

Baker said he supports the individual insurance mandate that his state imposes, but said states could look at various options of maintaining continuous coverage, whether it is through a mandate or a fine.

“Different states can choose different approaches, or some combination, but if we want to make it easy for people to purchase insurance if they do not have access to it through work, and they don’t qualify for public coverage, we need to nudge them into purchasing coverage, and keeping it,” Baker said.

Part of the solution, according to Utah’s governor, is to give states greater freedom in creating health care policy.

“I believe that the states can do this better for their unique populations than can the federal government,” Herbert said. “That is why I would urge you to consider a health care future that gives back to the states the lion’s share of responsibility. Given the impasse at the federal level, federalism is both prudent policy and prudent politics.”

Whitney Jones, graduate fellow in health policy at The Heritage Foundation, told The Daily Signal in an interview that increased flexibility for states in making health care policy was a common thread.

“In terms of greater flexibility for the states, governors were definitely voicing that desire. They were also voicing the desire for a more streamlined process for applying for the [Section] 1332 waivers and making that easier on their [state insurance] commissioners to do so,” Jones said.  

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Why Lisa Murkowski’s Senate Vote Preserving Obamacare Riles Alaska Conservatives

Some Republicans in Alaska are frustrated that one of their own broke ranks to vote with Senate Democrats against repealing Obamacare.

Lisa Murkowski, Alaska’s senior U.S. senator, was one of three Republicans to join forces with Democrats to defeat the Senate bill that would have prompted a conference with the House on how to repeal the health care law.

“We did have every so often the odd Republican who said that they supported her actions and the odd Democrat who said that they supported her actions, but overwhelmingly calls were in opposition to the votes and largely very frustrated with Obamacare not being repealed,” Joshua Walton, executive director of the Alaska Republican Party, told The Daily Signal in a phone interview.

Murkowski joined Susan Collins of Maine and John McCain of Arizona as the Senate Republicans whose votes July 28 allowed Democrats to block movement toward repeal.

This week, after a break back home, Murkowski is in Washington again as a member of a key Senate committee, listening to state health insurance commissioners and governors talk about the need to “stabilize” premiums in the individual insurance market under Obamacare.

Lance Roberts, ombudsman for the Fairbanks North Star Borough, told The Daily Signal in an interview that conservatives aren’t happy with Murkowski.

“They’re all pretty mad,” Roberts said, adding:

We’ve got our local fair going on right now, and the Republican booth and people come by constantly complaining about what Lisa Murkowski did. She really put us in a bad situation because in Alaska, we are one of the states hit hardest by Obamacare. Our [health insurance] rates have gone up incredibly, driving people to move out of state because the rates are so bad.

President Donald Trump repeatedly has expressed his disappointment in Senate Majority Leader Mitch McConnell, R-Ky., for not rounding up 50 of the 52 Republican senators to move an Obamacare repeal plan to the House with Vice President Mike Pence’s tie-breaking vote.

Russ Millette, elected chairman of the Alaska Republican Party in 2012, told The Daily Signal in an email that Murkowski voted to keep Obamacare for partisan reasons.

“The reason, in my opinion, that she voted for [Obamacare] is that she’s not a Republican, she’s not a conservative, she’s a liberal, pragmatic Democrat,” Millette said, adding:

Lisa did what she had to do to stay in office. The Democrats got her in, the Native vote got her in, and all the people that benefit from the federal government got her in. She is not a conservative, that’s as plain and simple as I can tell you. She voted to stay in power so she can keep power and have money coming in, that’s why she did it.

Murkowski’s father, Frank Murkowski, appointed her to his Senate seat in 2002 after the Republican resigned it to become governor of Alaska. She recently had been chosen majority leader in the Alaska House of Representatives for the 2003–2004 legislative session, but resigned before assuming that office after the appointment by her father.

Amy Demboski, a member of the nonpartisan Anchorage Municipal Assembly, recalled the move by Murkowski’s father in an interview with The Daily Signal.

“He ran for governor of Alaska and he won, and back then, the Alaska law dictated that the governor of the state would appoint the replacement, and he appointed his own daughter,” Demboski said.

After running for and winning a full term in 2004, Murkowski failed to get the Alaska Republican Party’s nomination for re-election in 2010. She lost to tea party candidate Joe Miller.

Murkowski then ran a write-in campaign and prevailed, becoming the first write-in candidate elected to the Senate since Strom Thurmond of South Carolina in 1954, as The New York Times reported.

Re-elected in 2016, Murkowski, 60, is chairman of the Senate Energy and Natural Resources Committee. She also is a member of the Committee on Health, Education, Labor and Pensions, which was scheduled to hear testimony from state insurance commissioners and governors Wednesday and Thursday on how to stabilize premiums in the individual insurance market.

Obamacare has not done the state of Alaska well, said Walton, the GOP’s executive director.  

Premiums for single coverage in Alaska rose to “a whopping $760 per month,” as USA Today reported in May.

“Republicans in Alaska want to see Obamacare repealed very badly,” Walton said:

Obamacare has seen premiums in the states rise by over 200 percent … our health care costs are already more expensive than any other state in the country. So Obamacare has been terrible and Alaskans are very frustrated with that and would like to see it gone.

The Alaska Dispatch News reported that Murkowski said she voted no July 28 on Senate Republicans’ so-called “skinny repeal” of Obamacare because she was not satisfied with how the process was playing out.

“I voted no on the motion to proceed today because I didn’t think that we were ready for the debate,” Murkowski said, adding:

And I have said pretty consistently that process really does matter, particularly when you’re dealing with something that is as direct and personal as health care, something that has an impact on one-sixth of the nation’s economy.  

Murkowski defended her vote in a prepared statement the same day. She said “both sides must do better on process and substance,”  adding:

The Affordable Care Act remains a flawed law that I am committed to reforming with a structure that works better for all Americans. But to do that, the Senate must fully devote itself to an effort to improve the healthcare system in this country, reduce costs, increase access, and deliver the quality of care that our families want and deserve.

Murkowski’s vote didn’t register well with conservatives, including those who aren’t politically active, said Miller, the lawyer, libertarian, and tea party candidate who denied Murkowski the GOP nomination in 2010 and won the primary only to lose the general election to her.

“There are some on the ground in Alaska [who] because of Murkowski’s action have been kind of shaken in their complacency,” Miller said in an interview with The Daily Signal. “There is always a percentage of people that are not all that engaged, who aren’t paying attention, or only seem to get impetus during an election season.”

Murkowski’s office did not respond to requests from The Daily Signal for comment by publication deadline, other than pointing to her July 28 statement.

Miller, who also ran against Murkowski in 2016, said people have told him in person that they were stunned by Murkowski’s vote to keep Obamacare:

I talked to a doctor yesterday, he had just gotten out of an appointment with my wife, and he immediately recognized who I was and said, ‘Oh, Joe Miller,’ and he just began to become so apologetic. He said, ‘I got to tell you how sorry I am about voting for Lisa Murkowski. I thought she was telling the truth when she said she wanted to repeal Obamacare.’

In the 2016 rematch, Murkowski defeated Miller by 15 points, but with nearly 30 percent of the vote the challenger rolled up record support for a Libertarian in a Senate race, Eric Ostermeier reported on his Smart Politics website.

“This marks the third consecutive cycle in which Murkowski won election to the Senate with a majority of voters backing another candidate—a feat never before achieved in U.S. history,” Ostermeier wrote.

If Murkowski chooses to seek re-election in 2022, Miller said, it will be her day of reckoning with Alaska’s voters.

“The real question is, are people going to remember this in 2022?” Miller said. “And part of the problem, of course, is voters have a short-term memory. Murkowski is part of this corrupt machine, she’ll have millions of dollars again in 2022, and she’ll be able to lie yet again; at least, that is kind of the perspective of the more skeptical.”

Murkowski defied McConnell on the Obamacare repeal vote even though the Senate majority leader had helped prop up insurance companies in Alaska, as Salon reported two weeks earlier.

“Health costs in Alaska are significantly higher than the rest of the nation,” it noted.

Miller said voters are likelier to remember Murkowski chose to keep Obamacare at this juncture.

“I think Alaska is waking up,” Miller said, adding:

There has been an awakening under way since the tea party wave in 2010. And I think that that is going to continue, especially as we see the push back by RINOs against the Trump agenda and especially as we continue to see the corruption that the alternative media is letting people know about. I do believe that is going to have an impact and create a level of activism that we haven’t seen before.

But not all Alaskans were disappointed in Murkowski’s vote.

The next day, supporters rallied in Anchorage to thank her. Alaska Dispatch News reported:

Many carried signs expressing gratitude at Murkowski’s ‘no’ vote. Cynthia Parkin, 50, carried a sign that said ‘R=Resist,’ a reference to Murkowski as a Republican.

‘I know Lisa just went against the grain,’ said Parkin, who said she typically votes for Democrats and has not voted for Murkowski in the past. ‘She needs to hear from her constituents.’

Demboski, the Anchorage Municipal Assembly member who also has a radio talk show, told The Daily Signal that conservatives in Alaska will not forget Murkowski’s vote to preserve Obamacare.

“There’s no hiding anymore,” Demboski said, adding:

She can’t hide behind the GOP skirt any more. It is very clear, when the time was right and there was a president in the White House that would have repealed Obamacare, Lisa Murkowski stood with the Democrats.  

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