Republican senators are hunkering down in a last-ditch attempt to prevent their own divisions from pushing their healthcare plan to oblivion, introducing a bill to repeal Obamacare without a replacement.
Yet after a face-to-face lecture from President Donald Trump, around two dozen of them staged a nearly three-hour bargaining session Wednesday night to resolve disputes over repealing and replacing President Barack Obama's healthcare law. And no one offered specific examples of any progress.
"We still do have work to do to get to a vote of 50, but people are committed to continuing that work," said Sen. John Barrasso, a member of the GOP leadership who hosted the meeting in his office.
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Reviving the legislation will require party leaders to win support from at least 50 of the 52 GOP senators, a threshold they've been short of for weeks. Aiming to finally resolve the issue, Senate Majority Leader Mitch McConnell says he'll force a vote on the legislation early next week.
Also attending Wednesday's private meeting were Health Secretary Tom Price and Seema Verma, the Medicaid and Medicare administrator. It was interrupted by prayer after the lawmakers learned that Sen. John McCain, had a cancerous brain tumor.
Earlier Wednesday at the White House, Trump told them they must not leave town for their August recess without sending him an "Obamacare" repeal bill to sign.
"I'm ready to act," Trump said, foisting the responsibility on Republican lawmakers, not himself. During last year's presidential campaign he had declared repeatedly it would be "so easy" to get rid of the Obama law.
I will be having lunch at the White House today with Republican Senators concerning healthcare. They MUST keep their promise to America!
— Donald J. Trump (@realDonaldTrump) July 19, 2017
Earlier in the week, the latest Senate GOP healthcare plan collapsed, leading Trump to call for simply letting Obama's law fail.
McConnell has failed repeatedly to come up with a bill that can satisfy both conservatives and moderates in his Republican conference. Two different versions of repeal-and-replace legislation fell short of votes before coming to the floor, pushing him to announce Monday night that he would retreat to a repeal-only bill that had passed Congress when Obama was in office.
But that bill, too, died a premature death as three GOP senators announced their opposition on Tuesday, one more than McConnell can lose in the closely divided Senate. Further complicating that approach, the Congressional Budget Office released an analysis Wednesday reaffirming its earlier findings that the repeal-only bill would mean 32 million additional uninsured people over a decade and average premiums doubling.
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And a new AP-NORC poll found that Americans overwhelmingly want lawmakers of both parties to work out healthcare changes, with only 13% supporting Republican moves to repeal the Obama law absent a replacement.
At the White House lunch, the discussion was not simply about repealing "Obamacare" but also how to replace it as Republicans said that after seven years of promises, they could not let their efforts die without one last fight.
"Failure on this would be catastrophic, and we're not going to fail," said Sen. Ted Cruz.
McConnell announced that the Senate would vote next week to open debate, and "I have every expectation that we will be able to get on the bill" — although no one seemed quite sure what bill it will be.
Trump's sudden re-resolve to get "Obamacare" repeal-and-replace passed came after he's been on all sides of the issue in a whiplash-inducing series of remarks over recent days and weeks, supporting repeal and replace, straight repeal, and finally doing nothing so "we'll just let Obamacare fail," as he declared on Tuesday.
As I have always said, let ObamaCare fail and then come together and do a great healthcare plan. Stay tuned!
— Donald J. Trump (@realDonaldTrump) July 18, 2017
Yet for all the determined rhetoric Wednesday, the basic divisions haven't changed in the Senate, where conservatives like Rand Paul of Kentucky want legislation that fully repeals the Obama law while moderates like Susan Collins of Maine want something incompatible with that, a more generous bill that provides for Americans including those who gained Medicaid coverage under the Affordable Care Act.
Until Senate Republicans can find a compromise, it's unlikely any healthcare bill will pass.
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