Montreal Gazette

Trumpcare passes House by razor-thin margin

- BY ALAN FRAM AND ERICA WERNER

WASHINGTON • Relieved Republican­s muscled their health care bill through the House Thursday, taking their biggest step toward dismantlin­g the Obama health care overhaul since Donald Trump took office. They won passage only after overcoming their own divisions that nearly sank the measure six weeks ago.

Beaten but unbowed, Democrats insisted Republican­s will pay at election time for repealing major provisions of the law. They sang the pop song “Na Na Hey Hey Kiss Him Goodbye” to the GOP lawmakers as the end of the voting neared.

The measure skirted through the House by a thin 217-213 vote, as all voting Democrats and a group of mostly moderate Republican holdouts voted no. A defeat would have been politicall­y devastatin­g for Trump and Speaker Paul Ryan.

Passage was a product of heavy lobbying by the White House and Republican­s leaders, plus late revisions that nailed down the final supporters needed. The bill now faces an uncertain fate in the Senate, where even GOP lawmakers say major changes are likely.

“Many of us are here because we pledged to cast this very vote,” Ryan said. He added, “Are we going to keep the promises that we made, or are we going to falter?”

Leaders rallied rank-andfile lawmakers at a closeddoor meeting early Thursday by playing “Eye of the Tiger,” the rousing 1980s song from the “Rocky III” film.

Republican­s have promised to erase Barack Obama’s law since its 2010 enactment, but this year — with Trump in the White House and in full control of Congress — is their first chance to deliver. But polls have shown a public distaste for the repeal effort and a gain in popularity for Obama’s statute, and Democrats — solidly opposing the bill — said Republican­s would pay a price in next year’s congressio­nal elections.

“You vote for this bill, you’ll have walked the plank from moderate to radical,” said House Minority Leader Nancy Pelosi, warning Republican­s that voters would punish them. “You will glow in the dark on this one.”

The bill would eliminate tax penalties in Obama’s law which has clamped down on people who don’t buy coverage and it erases tax increases in the Affordable Care Act on higher-earning people and the health industry. It cuts the Medicaid program for low-income people and lets states impose work requiremen­ts on Medicaid recipients. It transforms Obama’s subsidies for millions buying insurance — largely based on people’s incomes and premium costs — into tax credits that rise with consumers’ ages.

 ?? ANDREW HARNIK / THE ASSOCIATED PRESS ?? House Speaker Paul Ryan greets guests as he walks to the House Chamber on Capitol Hill Thursday. The Republican health care bill passed a House vote Thursday in a victory for Ryan, after an early version was rejected six weeks ago.
ANDREW HARNIK / THE ASSOCIATED PRESS House Speaker Paul Ryan greets guests as he walks to the House Chamber on Capitol Hill Thursday. The Republican health care bill passed a House vote Thursday in a victory for Ryan, after an early version was rejected six weeks ago.

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