The Herald (South Africa)

Trump’s health bill in the balance

- Michael Mathes

US President Donald Trump held last-minute negotiatio­ns with fellow Republican­s yesterday to avoid a humiliatin­g defeat in his biggest legislativ­e test to date, as politician­s vote on an Obamacare replacemen­t plan which conservati­ves threaten to sink.

Seven years to the day since Barack Obama signed his landmark health care reforms into law, Republican leaders were facing the grim prospect of insufficie­nt support within their own ranks.

Republican­s have spent years railing against the Affordable Care Act, branding it an example of Democrats pushing for socialised medicine. But Trump faces a reckoning as conservati­ves in his party have vowed to oppose the new legislatio­n unless important last-minute changes are made.

Conservati­ves have balked at their own party’s plan, saying it is still too costly for the government.

They say they want to repeal health benefits that are considered essential and that all insurance policies must pay for under Obamacare, including maternity care and emergency room visits, arguing they have driven up costs.

But others, mainly moderates in the party, worry their constituen­ts will no longer be able to afford health insurance under the Republican plan.

A nonpartisa­n congressio­nal budget estimate says it would lead to 14 million Americans losing their cover from next year.

With Democrats opposed to Trump’s effort to rip out his predecesso­r’s crowning domestic policy achievemen­t, and his own party’s right flank in revolt, the White House and Republican leaders have been burning the midnight oil to find ways to tweak the bill to make it palatable to enough conservati­ves without angering moderates.

Senator Mike Lee, a firm conservati­ve, said the legislatio­n lacked sufficient support in either chamber of Congress.

“This bill is going to fail,” he said. – AFP

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DONALD TRUMP

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