US House Republicans vote to replace Obamacare, Senate battle looms
WASHINGTON: The US House of Representatives on Thursday narrowly approved a bill to repeal and replace Obamacare, handing Republican President Donald Trump a victory that could prove short-lived as the healthcare legislation heads for a likely battle in the Senate.
The vote to undo major parts of former president Barack Obama’s signature domestic achievement, which enabled 20 million more Americans to get health insurance, was Trump’s biggest legislative win since he took office in January, putting him on a path to fulfilling one of his key campaign promises as well as a seven-year quest by Republican lawmakers.
It marked a reversal of fortune for the Republican president who suffered a stunning defeat in late March when House Republican leaders pulled legislation to scrap Obamacare after they and the White House could not resolve the clashing interests of Republican moderates and the party’s most conservative lawmakers.
Trump has called Obamacare a “disaster” and congressional Republicans have long targeted the 2010 law, formally known as the Affordable Care Act, calling it government overreach.
But despite holding the White House and controlling both houses of Congress, Republicans have found overturning Obamacare politically perilous, partly because of voter fears, loudly expressed at constituents’ town-hall meetings, that many people would lose their health insurance as a result.
With Thursday’s 217-213 vote, Republicans obtained just enough support to push the legislation through the House, sending it to the Senate for consideration.
No Democratic voted for the bill.
Democrats say it would make insurance unaffordable for those who need it most and leave millions more House members uninsured. They accuse Republicans of seeking tax cuts for the rich, partly paid for by cutting health benefits.
The legislation, called the American Health Care Act, is by no means a sure thing in the Senate, where the Republicans hold a slender 52-48 majority in the 100-seat chamber and where only a few Republican defections could sink it.
As Republicans crossed over the vote threshold to pass the bill, Democrats in the House began singing “Na na, na na na na, hey hey hey, goodbye,” a rowdy suggestion that Republicans will lose seats in the 2018 congressional elections because of their vote.
Within an hour of the vote, Trump celebrated with House lawmakers in the White House Rose Garden.
“I went through two years of campaigning and I’m telling you, no matter where I went, people were suffering so badly with the ravages of Obamacare,” Trump said. “We are going to get this passed through the Senate. I am so confident.”
Later, after travelling to New York, Trump told reporters there could be changes to ensure passage by senators.
“It could change a little bit. It could be maybe even better. It’s a very good bill right now. Premiums are going to come down substantially. Deductibles are going to come down,” he said.
The treatment of people with “preexisting” conditions was one of the central issues in the House debate on the bill and is sure to resurface in the Senate.
The Republican bill passed on Thursday would allow states to opt out of those provisions.
While insurers could not deny people insurance because of preexisting conditions, they would be allowed to charge them as much as they want.