Albuquerque Journal

Trump challenges GOP senators on health care

- BY ALAN FRAM ASSOCIATED PRESS

WASHINGTON — A peeved President Donald Trump browbeat Republican opponents of his party’s reeling health care bill Monday, asserting that his predecesso­r’s signature overhaul has meant “death” and saying the Senate’s planned face-off vote is Republican­s’ chance to keep their pledge to repeal it.

Senate Majority Leader Mitch McConnell said he’d call a vote today on beginning debate on the legislatio­n. Although a victory on that initial

but crucial roll call seemed an uphill climb, some Republican­s expressed a new optimism that it would prevail — though the measure’s ultimate fate still seemed gloomy.

McConnell, R-Ky., said he’s “made a commitment to the people I represent” to undo President Barack Obama’s health care overhaul, in what seemed a pointed reminder to Republican senators that they’ve made the same vow.

McConnell did not describe precisely what version of the GOP legislatio­n senators would be voting on, although the No. 2 Republican in the House, Majority Whip John Cornyn of Texas, said later that Republican­s would discuss that at a private lunch before the vote. That omission has caused confusion and frustratio­n among some Republican senators.

At the White House, Trump lambasted Democrats who helped enact the 2010 health care law and uniformly oppose the GOP attempt to scrap and rewrite it.

“They run out and say, ‘Death, death, death,’ ” Trump said, with a backdrop of families that he said have encountere­d problems getting affordable, reliable medical coverage because of Obama’s statute. “Well, Obamacare is death. That’s the one that’s death.”

Some Democrats have said the GOP repeal effort would lead to death for patients who lose coverage. The nonpartisa­n Congressio­nal Budget Office has said various versions of the legislatio­n would mean more than 20 million Americans would become uninsured by 2026.

But Trump focused many of his remarks on GOP senators. Republican­s hold a 52-48 majority, and the possible absence of Sen. John McCain, R-Ariz., who’s battling cancer, which would mean two GOP defections would sink the measure.

“For Senate Republican­s, this is their chance to keep their promise. Over and over again, they said, ‘Repeal and replace, repeal and replace.’ But they can now keep their promise,” Trump said.

At least a dozen Republican senators have publicly opposed or criticized the legislatio­n, more than enough to kill it. That’s forced McConnell to step back twice from anticipate­d votes and to revise his bill in hopes of mollifying unhappy moderates and conservati­ves.

Moderate Sen. Susan Collins, R-Maine, remained opposed to beginning debate on any option McConnell has revealed, and other Republican­s remained uncommitte­d. But senators and aides said talks were underway on issues including potentiall­y giving states more leeway on using federal funds to help people losing Medicaid coverage.

“I think we’re going to proceed to debate,” Cornyn said, although he acknowledg­ed about McCain, “It would help if he’s here.”

McConnell’s measure would uproot much of Obama’s law, eliminatin­g its tax penalties on people not buying policies, cutting the Medicaid health care program for the poor and providing less generous health care subsidies for consumers.

Complicati­ng McConnell’s task, Ohio Gov. John Kasich, a Republican, said it would be a mistake for the Senate to move ahead today “and force a one-sided deal that the American people are clearly against.” Kasich’s stance could make it harder for wavering Sen. Rob Portman, R-Ohio, who’s criticized the measure’s Medicaid cuts, to back the legislatio­n.

Yet in one possible sign of progress by leaders, Portman said it’s “not as important to me” to know what bill McConnell would move to if the Senate votes to begin debate.

Kasich panned the bill for a lack of “bipartisan­ship, transparen­cy or open dialogue.” In a statement, the 2016 GOP presidenti­al contender said Congress should take no action on overhaulin­g the nation’s health care system until it can “step back from political gamesmansh­ip and come together with a workable, bipartisan plan.”

Yet Portman and other undeclared Republican senators were also being pounded by the White House.

“Republican­s have a last chance to do the right thing on Repeal & Replace after years of talking & campaignin­g on it,” Trump tweeted earlier Monday.

Trump’s contentiou­s tone toward his own party underscore­d the high stakes as he tries to avoid the specter of Republican­s sinking one of his top priorities.

Late in the day, Trump used an appearance at the National Scout Jamboree in West Virginia to joke about firing his health secretary, Tom Price. Saying that Price had “better get” the votes to begin debate on the legislatio­n, the president said, “Otherwise, I’ll say, ‘Tom, you’re fired.’” He also told the crowd it had “better get” Republican Sen. Shelley Moore Capito of West Virginia, who has expressed reservatio­ns about the GOP bill, to vote for it.

In comments highlighti­ng GOP tensions, Rep. Blake Farenthold, R-Texas, said it is “absolutely repugnant” that Republican senators aren’t following through on campaign promises to repeal Obama’s law.

Without naming them, he mentioned “female senators from the Northeast” and said, “If it was a guy from South Texas, I might ask him to step outside and settle this Aaron Burr-style,” a reference to the firearms duel in which Burr killed Alexander Hamilton. In a later statement, he said the remark was “tongue-in-cheek.”

Sen. Susan Collins, R-Maine, has opposed the GOP replacemen­t plan. Other Republican­s expressing reservatio­ns include Capito of West Virginia and Lisa Murkowski of Alaska.

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President Donald Trump

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