Houston Chronicle

Poll: Most want Obamacare shored up

3 in 10 Americans want GOP to seek repeal, replacemen­t of health law

- By Alan Fram

WASHINGTON — Message to President Donald Trump and congressio­nal Republican­s: Stop trying to scuttle the Obama health care law, and start trying to make it more effective.

That’s the resounding word from a national poll released Friday by the nonpartisa­n Kaiser Family Foundation. The survey was taken following last month’s Senate derailment of the GOP drive to supplant much of President Barack Obama’s statute with a diminished federal role in health care.

Around 4 in 5 want the Trump administra­tion to take actions that help Obama’s law function properly, rather than trying to undermine it. Trump has suggested steps like halting subsidies to insurers who reduce out-of-pockets health costs for millions of consumers. His administra­tion has discussed other moves like curbing outreach programs that persuade people to buy coverage and not enforcing the tax penalty the statute imposes on those who remain uninsured.

Just 3 in 10 want Trump and Republican­s to continue their drive to repeal and replace the statute. Most prefer that they instead move to shore up the law’s marketplac­es, which are seeing rising premiums and in some areas few insurers willing to sell policies.

Flying in the face of that, hard-line conservati­ves launched an uphill bid Friday to force a fresh House vote to revoke Obama’s law without an immediate replacemen­t. The House Freedom Caucus filed a petition to force a vote if it is signed by 218 lawmakers, which seems unlikely because of GOP divisions and Democratic opposition.

Ominously for the GOP, 6 in 10 say Trump and congressio­nal Republican­s are responsibl­e for any upcoming health care problems since they control government. That could be a bad sign for Republican­s as they prepare to defend their House and Senate majorities in the 2018 elections.

And by nearly 2-to-1, most say it’s good that the Senate rejected the GOP repeal-and-replace bill last month.

Trump has been publicly browbeatin­g Senate Majority Leader Mitch McConnell, R-Ky., to continue trying to pass legislatio­n tearing down Obama’s 2010 overhaul. After using Twitter to blame McConnell for last month’s Senate failure despite years of GOP vows to repeal it, Trump suggested Thursday that McConnell should perhaps step aside if he can’t push that and other legislatio­n through his chamber.

On three separate attempts in late July, McConnell fell short of the 50 GOP votes he needed to pass legislatio­n scrapping Obama’s law. With a 52-48 GOP majority and Vice President Mike Pence available to cast a tie-breaking vote, McConnell has said he’s moving onto other matters unless “people can show me 50 votes for anything that would make progress.”

Strikingly, while large majorities of Democrats and independen­ts back efforts to sustain the statute, even Republican­s and Trump supporters lean toward saying the administra­tion should try making the law work, not take steps to hinder it.

But in other instances, Republican­s and Trump supporters part company with Democrats and independen­ts and strongly back the president’s views.

For example, 6 in 10 Republican­s and Trump backers want the GOP to continue its repeal and replace drive in Congress.

And around two-thirds from those groups want Trump to stop enforcing the tax penalty Obama’s law levies on people who don’t buy coverage. Analysts say that would roil insurance markets because fewer healthy people would buy policies.

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