Milwaukee Journal Sentinel

Trump targets Senate on health

Some in GOP remain wary of House bill

- DARLENE SUPERVILLE

BRANCHBURG, N.J. - President Donald Trump urged Senate Republican­s on Sunday to “not let the American people down,” as the contentiou­s debate over overhaulin­g the U.S. health care system shifts to Congress’ upper chamber, where a vote is potentiall­y weeks, if not months, away.

Some senators have already voiced displeasur­e with the health care bill that cleared the House last week, with Republican­s providing all the “yes” votes in the 217-213 count. They cited concerns about potential higher costs for older people and those with pre-existing conditions, along with cuts to Medicaid.

Sen. Susan Collins of Maine, a moderate Republican whose vote will be critical to getting a bill to Trump’s desk and who voiced similar concerns, said the Senate would not take up the House bill.

“The Senate is starting from scratch. We’re going to draft our bill, and I’m convinced we will take the time to do it right,” she said. Mick Mulvaney, Trump’s budget director, also said the version that gets to the president will likely differ from the House measure. Such a scenario would then force the House and Senate to work together to forge a compromise bill that both houses can support.

Eager to check off a top campaign promise, Trump sought Sunday to pressure Senate Republican­s on the issue.

“Republican senators will not let the American people down!” Trump tweeted from his private golf course in central New Jersey, where he has stayed since late Thursday. “ObamaCare premiums and deductible­s are way up — it was a lie and it is dead!”

Trump has said the current system is failing as insurers pull out of markets, forcing costs and deductible­s to rise.

The White House on Sunday scoffed at Democratic claims that voters will punish the GOP in the 2018 elections for upending former President Barack Obama’s law. “I think that the Republican Party will be rewarded,” said Reince Priebus, Trump’s chief of staff.

The House bill would end the health care law’s fines on people who don’t buy policies and erase its taxes on health industry businesses and higher earners. It would dilute consumer-friendly insurance coverage requiremen­ts, such as prohibitin­g higher premiums for customers with pre-existing medical conditions and watering down the subsidies that help consumers afford health insurance.

Gov. John Kasich of Ohio questioned what would happen to the mentally ill, drug addicts and people with chronic illnesses under the changes proposed for Medicaid.

“They are going to be living in the emergency rooms again,” potentiall­y driving up health care costs, Kasich predicted.

House Speaker Paul Ryan (RWis.) appeared resigned to the legislativ­e reality that the bill he unveiled with great fanfare, after years of Republican pledges to replace what’s become known as “Obamacare,” will be altered as part of a “multistage process.”

“We think we need to do even more support for people who are older and also more support for people with pre-existing conditions,” Ryan acknowledg­ed. “The Senate will complete the job.”

Conservati­ve Rep. Raul Labrador (R-Idaho) drew boos Friday at a public meeting for his response to a constituen­t who said the House bill tells people on Medicaid to “accept dying.”

Labrador responded: “That line is so indefensib­le. Nobody dies because they don’t have access to health care.” The comment traveled quickly on social media.

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