White House spokeswoman Sarah Huckabee Sanders said Friday that Trump "hasn't changed his thinking at all" about the struggling health care bill.
"Sources close to Mitch McConnell tell me the Majority Leader is dead serious about forcing a Senate vote on the Obamacare repeal-and-replace bill before the July 4 holiday". That's pretty much what happened, but instead of defining it in a way that made it easy to reach 218 votes in the House and 50 plus the vice president in the Senate, Paul Ryan and Mitch McConnell defined repealing Obamacare as slashing Medicaid, which is a very hard sell to even Republican members of Congress.
Senator Mitch McConnell's clandestine health care bill, crafted in secret by rich white men, did not go over well.
Health industry officials have warned that overturning the existing law, which has extended insurance to roughly 20 million Americans and changed the rules under which insurance is offered across the country, would create chaos in a sector that accounts for one-sixth of the US economy.
"If Congress fails to vote on a replacement at the same time as repeal, the repealers risk assuming the blame for the continued unraveling of Obamacare".
"There would be absolutely no certainty, whatsoever, about anything", Laszewski said.
Two GOP senators who espouse this approach, Rand Paul of Kentucky and Ben Sasse of Nebraska, welcomed Trump's suggestion. The Senate is split 52 Republicans to 48 Democrats. So until and unless Republicans give up that goal, they're not going to even try to work with Democrats.
Fewer than one in five Americans approve of the Senate health care bill, according to an NPR/PBS Newshour/Marist poll released Wednesday, and 55% of Americans disapprove.
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"Delivering meaningful results was never assumed to be easy, but the millions of Americans who placed their confidence in our leadership expect our full and best effort", the 10 senators wrote.
The trouble is that Senate leaders have attracted fire from both sides. Surely, the GOP would not want to wait until repeal to sit down to the hard work of replacement.
Keeping that surtax in place may be a deal-killer for conservatives, most of whom thought the Senate's so-called repeal and replace bill already looked too much like Obamacare. "We are focused on doing that". McConnell's spokesman declined to comment on Trump's tweet.
"Sometimes on deadlines we still don't get things done", he added.
"The message is that they're trying to find more money to throw at the problem", says Dan Holler, Heritage Action's vice president.
The current Senate legislation would repeal parts of Obamacare, roll back its expansion of the Medicaid government healthcare program for the poor, eliminate most of Obamacare's taxes and replace Obamacare insurance subsidies with a system of tax credits to help individuals buy private health insurance.
Republican leaders are aware of the risks that the president and some of the party's lawmakers floated by suggesting not to replace the health care legislation at the same time as its repealed.
Such a step-by-step approach would leave Republicans vulnerable to Democratic accusations that they were simply tossing people off coverage without helping them obtain medical care.