Orlando Sentinel

Senator: Trump setting health system ‘on fire’

Republican­s counter Democrat, saying president seeks deal

- By Paul Kane

WASHINGTON — Democrats accused President Donald Trump of trying to sabotage the nation’s health care system through his decision to halt payments to insurers, while Republican­s countered Sunday that Trump is just pushing for a hard bargain.

Trump’s decision, announced Friday after months of criticizin­g the payments as an insurance industry bailout, will throw in doubt the private insurance exchanges that are part of the Affordable Care Act. Democrats vowed to use year-end negotiatio­ns on the federal agency budgets as a leverage point to reinstate the payments, threatenin­g to pin the political blame on Republican­s if premiums skyrocket next year.

“This is the equivalent of health care arson. He is literally setting the entire health care system on fire just because the president is upset that the United States Congress won’t pass a repeal bill,” Sen. Chris Murphy, D-Conn., said on “Fox News Sunday.”

But Sen. Lindsey Graham, R-S.C., who has played golf twice with Trump in the last week, said the president called Sen. Lamar Alexander, RTenn., Saturday and is “encouragin­g him to get a bipartisan deal that would have some flexibilit­y” from the existing law.

“I hope that we can get a deal between Sen. Alexander and Patty Murray that would allow us to continue the payments, but get reform,” Graham said on CBS’ “Face the Nation,” referencin­g the chairman and ranking Democrat on the health committee.

The standoff comes as Trump heads to a potentiall­y pivotal meeting Monday with Senate Majority Leader Mitch McConnell, R-Ky., with whom the president has publicly clashed since the Senate’s failed vote in late July to repeal the ACA.

Advisers say the one-onone talk is meant to get both sides in agreement heading into the crucial fall and early winter legislativ­e session as they tackle issues on health care, immigratio­n and federal spending, among others.

Alexander and Murray, D-Wash., have been in negotiatio­ns over ways to stabilize the ACA markets ever since Republican­s failed in their bid to repeal, almost outright, the 2010 health law in late July. The bipartisan duo have signaled that they are close to a deal, but Republican­s have been demanding some reforms to the ACA, and conservati­ves in the House have grown wary of the talks, vowing to oppose anything that they view as a bailout.

“The president is not going to continue to throw good money after bad, give $7 billion to insurance companies unless something changes about Obamacare that would justify it,” Graham said, trying to explain Trump’s announceme­nt.

But some moderate Republican­s, as well as GOP governors who support the ACA, view those payments as vital and contend that without them, millions will lose insurance and those that do not will pay dramatical­ly more for coverage.

“What the president is doing is affecting the ability of vulnerable people to receive health care right now. This is not a bailout of the insurers. What this money is used for is to help low-income people afford their deductible­s and their co-pays so that their health care is available to them,” said Sen. Susan Collins of Maine, one of three Republican senators to vote against the July ACA repeal effort.

“These certainly are very disruptive moves that will result in smaller numbers of people being insured, that will make it more difficult for low-income people to afford their out of pocket costs, and that will destabiliz­e the insurance market,” she said.

Sen. Bill Cassidy, R-La., who worked with Graham last month on a last-ditch effort to repeal the ACA, defended Trump’s actions, saying “the president’s not gutting the Affordable Care Act.”

 ?? ALEX BRANDON/AP ?? Sens. Patty Murray, D-Wash., left, and Lamar Alexander, R-Tenn., have discussed ways to stabilize ACA markets.
ALEX BRANDON/AP Sens. Patty Murray, D-Wash., left, and Lamar Alexander, R-Tenn., have discussed ways to stabilize ACA markets.

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