Arkansas Democrat-Gazette

3 STATE CARE leaders urge bipartisan­ship.

- FRANK E. LOCKWOOD

WASHINGTON — Lawmakers must work together to fix the nation’s flawed public health system, three Arkansas health care leaders said Friday.

Hours after the U.S. Senate defeated an overhaul of the Patient Protection and Affordable Care Act, the Arkansas health profession­als urged elected officials to focus on finding solutions.

“It’s time that the Republican­s and the Democrats got together and represente­d all the people in the United States, not just part of them,” said David Wroten, Arkansas Medical Society executive vice president.

“Health care affects every single person in this country, and it’s too big an issue for partisansh­ip to continue to drive the discussion in Washington. We desperatel­y need the two parties to get together and work on fixing the things in the Affordable Care Act that don’t work,” he said.

Chad Aduddell, chief executive officer of CHI St. Vincent Infirmary in Little Rock, also urged Congress to come together.

“The solutions to health care for our country require more than one political party. It’s not a Republican plan or a Democratic plan. It’s going to require all stakeholde­rs,” he said.

A lot is at stake, he said, noting that health care now accounts for nearly 20 percent of the U.S. economy.

If members of Congress can’t cooperate and if the status quo remains in place, “the system will continue to fail. Costs will continue to rise. Health care delivery systems will ultimately fail. Hospitals will go out of business. Patients will be impacted. It’s an unsustaina­ble model,” he said.

Bo Ryall, president and chief executive officer of the Arkansas Hospital Associatio­n, expressed relief that millions of Americans won’t be giving up health insurance.

“The three plans that were voted on this week, [the Congressio­nal Budget Office] projected that they were going to cut the number of insured by anywhere from, I believe, 16 million to 32 million,” he said.

“Any reduction in those insured patients is a significan­t hit to hospitals,” he said. “It could be devastatin­g to some hospitals to have their uncompensa­ted care … go up significan­tly.”

Like the others, Ryall called for a bipartisan approach.

“I think Congress needs to get together on both sides of the aisle,” he said. “The process needs to start over and everybody needs to try to work together.”

Caitlynn Moses, a founder of Ozark Indivisibl­e, welcomed Friday morning’s vote.

The group had lobbied to keep the Affordable Care Act.

“We are ecstatic over here in Arkansas. Super-excited,” she said.

She praised the senator from Arizona who cast the crucial vote.

“Sen. [John] McCain is a senator that has values and morals and he’s always been a man with integrity. He’s a national hero, and I think he understand­s the importance of the health care vote for millions of people.”

In a written statement, Gov. Asa Hutchinson said that the current system “is badly in need of reform, and there must be change.”

“I am supportive of continuing the effort to fix our current health care system with more flexibilit­y for the states and tools for Arkansas to continue its path of reform while maintainin­g access to affordable health care for our citizens. There are proposals on the table that will accomplish this, but the Senate has not been able to come to an agreement on a way to get there. Last night was an opportunit­y to move a step closer to a new health care bill. Even though the effort failed, I am hopeful the Congress will not give up on reform and that the states will have a strong voice on any new efforts,” he said.

U.S. Rep. French Hill said House members are disappoint­ed that the Senate failed to act. But the Republican from Little Rock said the issue isn’t going away.

“I believe that we should continue to work and continue to talk to our colleagues because the status quo is not an acceptable outcome,” he said.

“The Affordable Care Act is failing and hurting a lot of families and providing uncertaint­y in the insurance markets,” he said.

Although the House is beginning the August recess, its members have been told to be on call, “so that we can come back and work with the Senate on a bill that will lower costs and increase competitio­n and give our states more flexibilit­y,” Hill added.

Spokesmen for U.S. Sens. John Boozman and Tom Cotton — who voted for the legislatio­n — and U.S. Reps. Rick Crawford, Steve Womack and Bruce Westerman said the lawmakers were unavailabl­e for comment Friday.

In a written statement, Cotton promised to continue working to fix the health care system.

“We cannot simply walk away from health care as Obamacare continues its death spiral,” he said.

In a written statement, Boozman said lawmakers can’t give up.

“It’s time to work together to find a way forward that ensures access to quality and affordable care for all Americans.”

In a written statement, Womack said the Senate had failed to “rid the country of the collapsing Obamacare mandates. I am deeply saddened that we have come to this point as a Congress.”

Wroten of the Arkansas Medical Society said a lot is riding on the outcome.

“Everybody is affected. It’s very high stakes. We’ve got careers that depend upon having a health care system that works. People’s lives are in the balance,” he said. said Democrats will push Congress to require the Trump administra­tion to enforce the current individual and employer mandates and fully fund current cost-sharing arrangemen­ts.

The federal government is scheduled to spend roughly $7 billion this year, and $10 billion in 2018, to help pay for consumers’ out-of-pocket health costs, but administra­tion officials have not indicated if they will supply the funds after the end of this month.

“The governors have to speak out on this; they have been speaking out, and we need to listen,” added Carper, a former governor. “The insurance companies themselves, too.”

Sen. Amy Klobuchar, D-Minn., said bipartisan talks, should they occur, ought to also include plans to reduce the cost of prescripti­on drugs.

“That is a steep lift, with the way pharma influences legislatio­n in this town, but maybe this is the opening that we need,” she said.

McConnell said it was time for Democrats “to tell us what they have in mind.” Saying he was backed by most Republican­s, he added, “Bailing out insurance companies, with no thought of any kind of reform, is not something I want to be part of.”

Still, other GOP senators signaled they will oppose bipartisan talks.

“I don’t think the Democrats have any interest in doing anything productive” on health care, said Sen. Ted Cruz, R-Texas.

“Republican senators are going to go home. They’re going to hear from their constituen­ts, and I don’t expect the response to be muted,” Cruz added.

Trump, meanwhile, reiterated his call to “let Obamacare implode.” Informatio­n for this article was contribute­d by Alan Fram, Erica Werner, Ricardo Alonso-Zaldivar and Stephen Ohlemacher of The Associated Press; by Matt Flegenheim­er of The New York Times; and by Ed O’Keefe, Juliet Eilperin, Sean Sullivan, Kelsey Snell and Paul Kane of The Washington Post.

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