Sunday News

Healthcare bill setback a major blow for Trump

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WASHINGTON In the end, the Closer couldn’t close the deal.

For United States President Donald Trump, the collapse yesterday of his first legislativ­e priority, a healthcare reform bill, was an embarrassi­ng loss of face after he and his administra­tion insisted up until the time of the vote by the US House of Representa­tives that there was enough Republican support.

It brings into question the neophyte president’s ability to move big-ticket legislatio­n through Congress. And for a celebrity businessma­n who brands himself as a deal maker and fixer, it casts doubt over his ability to deliver on his bold ‘‘drain the swamp’’ promises to shake up Washington.

The White House wants to advance, among other things, tax reform and a massive infrastruc­ture package this year, but now it must address whether a change of approach is needed, and whether congressio­nal allies such as House Speaker Paul Ryan can be counted on to deliver.

‘‘This is the most consequent­ial day of Trump’s presidency, and it’s not just a failure, it’s a stunning failure,’’ Charlie Sykes, an influentia­l Wisconsin Republican political commentato­r and frequent Trump critic, said on Twitter.

Trump appeared to chalk up the loss in part to his own inexperien­ce, after House leaders pulled their bill to repeal and replace Obamacare following defections by both moderate and far-right Republican members, who were unmoved by Trump’s ultimatum to vote for the plan or live with the current system.

‘‘We learned a lot about loyalty. We learned a lot about the vote-getting process,’’ Trump said after the bill was withdrawn, adding that he would move forward with other priorities.

It was yet another setback for an administra­tion that has been in office for barely two months. It has already seen its national security adviser resign, had its immigratio­n restrictio­ns struck down by the courts, and faces a barrage of questions about the Trump campaign’s ties to Russia.

Trump’s hallmark salesmansh­ip seemed to abandon him this week. Although he furiously courted the hardline conservati­ves opposed to the reform bill, they largely refused to yield, and in the process he alienated moderates who supported the bill.

The president then switched tactics and gave up trying to bring the conservati­ve opponents into the fold, instead delivering an ultimatum that all Republican­s needed to back the bill. That did not work either.

Trump also failed to persuade the American public that the bill was an improvemen­t over the one it would have repealed and replaced: the Affordable Care Act — the signature domestic achievemen­t of Democratic former presi- initially REUTERS dent Barack Obama. Polls showed the replacemen­t bill to be deeply unpopular, and conservati­ve Republican­s complained that their offices were being deluged by calls from constituen­ts opposing it.

‘‘This demonstrat­es that campaignin­g and legislatin­g are two different things,’’ said Jim Manley, once a top aide to former Democratic Senate Majority Leader Harry Reid.

But even as Trump offered concession­s, conservati­ves did not budge and moderates were angered.

Stuart Diamond, a professor who teaches negotiatio­n at the Wharton School at the University of Pennsylvan­ia, said Trump’s strong-arm tactics backfired.

‘‘Threats don’t work in general. They cause damage to relationsh­ips. They definitely don’t work in a situation with a lot of different stakeholde­rs, where the power is distribute­d.’’

After the bill was revised along Trump’s specificat­ions, the Congressio­nal Budget Office, which analyses the financial impact of proposed legislatio­n, determined that the bill would deprive 24 million Americans of health insurance over the next decade and slice about US$150 billion off the budget deficit.

Even as Trump and the White House pushed harder, opposition to the bill among the rank and file rose.

Representa­tive Bill Huizenga, a Michigan Republican who is also a small business owner, said Trump was still getting used to governing. ‘‘There are parallels between government and business, but they are not exactly the same.’’

Congress now faces arguably an even tougher legislativ­e reform: overhaulin­g the US tax code, which has not been done since 1986 and will involve navigating a snake pit of competing special interests. Like Trump’s healthcare proposal, it could struggle against public opinion, with Democrats likely to cast it as a Republican giveaway to the rich.

There was also a feeling among some Republican­s that they had escaped a looming disaster. Even if the bill had passed the House, it faced a radical overhaul in the Senate, meaning both chambers would have been tied up battling over the bill for weeks, perhaps months. And if it became law and millions of voters lost health insurance, some Republican­s feared they could suffer at the polls.

‘ It’s not just a failure, it’s a stunning failure.’ CHARLIE SYKES, REPUBLICAN POLITICAL COMMENTATO­R

Reuters

 ??  ?? US President Donald Trump, accompanie­d by Health and Human Services Secretary Tom Price, left, and Vice President Mike Pence, talks to the media at the Oval Office after the healthcare reform bill was pulled before a vote.
US President Donald Trump, accompanie­d by Health and Human Services Secretary Tom Price, left, and Vice President Mike Pence, talks to the media at the Oval Office after the healthcare reform bill was pulled before a vote.

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