USA TODAY International Edition

RYAN SEES EXTENDED OBAMACARE TRANSITION

It’s a long process to make sure ‘ no one is worse off’ in changes

- Craig Gilbert

House Speaker Paul Ryan said Monday he envisions an extended transition from Obamacare that ensures “no one is worse off” after Congress votes to repeal the program.

The speaker declined to say how long it would take Republican­s to design a replacemen­t so the millions of people covered by the Affordable Care Act could be transition­ed off it.

“It will clearly take time. It took them about six years to stand up Obamacare. It’s not going to be replaced come next football season,” he said in an interview with the Journal Sentinel.

Ryan said there will be an early repeal vote next year, but after that, “clearly there will be a transition and a bridge so that no one is left out in the cold, so that no one is worse off. The purpose here is to bring relief to people who are suffering from Obamacare so that they can get something better.”

Some Republican­s have suggested it would take years to replace the health care law.

Critics and some analysts have predicted that a GOP strategy of quickly voting to repeal the program but delaying its effective end date would create chaos and disruption for the people in it.

Ryan rejected that idea, saying, “Obamacare is failing and failing quickly,” and “there is nowhere to go but up with respect to Obamacare.”

Ryan addressed other issues:

MEDICARE

No decisions have been made on Republican plans for a Medicare overhaul, he said.

“We haven’t addressed that. That’s an unresolved issue. I haven’t even spoke with the president- elect about that,”

Ryan said.

Ryan has long advocated huge changes to Medicare for people 55 and under, converting the entitlemen­t program into a system where beneficiar­ies use government subsidies to help them buy private health insurance.

“We have a future of insolvency with Medicare that needs to be addressed. How and when we address that is something we will decide later,” Ryan said.

President- elect Donald Trump has expressed resistance to big entitlemen­t changes. The speaker said, “I have no doubt that he wants to save Medicare for future seniors.” FIRMS THAT MOVE JOBS Asked whether he had any concerns about Trump’s threats of retributio­n and tariffs against U. S. companies that move production to other countries, Ryan declined to comment directly.

“We can get at what he’s talking about through smart tax reform. What his concern is is legitimate — American companies are moving overseas, are shifting headquarte­rs and factories overseas,” said Ryan, who blamed “our terrible tax code” for much of that.

Asked about Trump’s talk of tariffs and penalties, Ryan indicated he supported a different approach: “Like I said, I think we can get at the goal here, which is to keep American businesses American, build things in America and sell them overseas — that can be properly addressed with comprehens­ive tax reform.” VOTER FRAUD CLAIMS In an interview Sunday on 60 Minutes, Ryan was asked about the president- elect’s claim on Twitter that he would have won the national popular vote if it weren’t for the “millions of people who voted illegally.”

Ryan declined on 60 Minutes to either endorse or repudiate Trump’s claim, saying, “I have no knowledge of such things … it doesn’t matter to me.”

Asked Monday about the impact of Trump’s claims on the public’s faith in elections, Ryan said, “I’m not going to spend my time commenting on the latest tweets. I can’t back up that claim. I’m not focused on it. He won the election. I’m focused on getting things done.” CHECKS AND BALANCES Ryan said he is convinced, based on lengthy conversati­ons with the president- elect, that Trump agrees with the view of Republican­s in Congress that “Obama overreache­d dramatical­ly with executive power, and we want to restore the separation of powers.”

Asked whether he expects Trump to take a less expansive view of executive power than President Obama, Ryan said, “I do.”

Ryan suggested that critics who fear an “authoritar­ian” Trump presidency are reacting to his “effective use of the bully pulpit” and overlookin­g his shared concern with GOP lawmakers over “Obama’s abuse of executive privilege and power.”

 ?? GETTY IMAGES ?? Paul Ryan
GETTY IMAGES Paul Ryan

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