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	<title>
	Comments on: Trump and the timing of the Obamacare reform attempt	</title>
	<atom:link href="https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/feed/" rel="self" type="application/rss+xml" />
	<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/</link>
	<description>A blog about political change, among other things</description>
	<lastBuildDate>Thu, 30 Mar 2017 14:09:39 +0000</lastBuildDate>
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		<title>
		By: Big Maq		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189838</link>

		<dc:creator><![CDATA[Big Maq]]></dc:creator>
		<pubDate>Thu, 30 Mar 2017 14:09:39 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189838</guid>

					<description><![CDATA[@TommyJay - yes, rather disappointing that trump didn&#039;t use his megaphone to reach the public directly (instead of using it to talk about issues that distract).

Also rather disappointing that the GOP didn&#039;t have a plan already in hand that was more true to the principles they ran on, and that they didn&#039;t seem quite as willing to go to bat to build support for it (perhaps because they were still debate what should be in the thing!).]]></description>
			<content:encoded><![CDATA[<p>@TommyJay &#8211; yes, rather disappointing that trump didn&#8217;t use his megaphone to reach the public directly (instead of using it to talk about issues that distract).</p>
<p>Also rather disappointing that the GOP didn&#8217;t have a plan already in hand that was more true to the principles they ran on, and that they didn&#8217;t seem quite as willing to go to bat to build support for it (perhaps because they were still debate what should be in the thing!).</p>
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		<title>
		By: Big Maq		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189837</link>

		<dc:creator><![CDATA[Big Maq]]></dc:creator>
		<pubDate>Thu, 30 Mar 2017 14:05:24 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189837</guid>

					<description><![CDATA[&lt;em&gt;&quot;Trump’s “deals” are in this mode and they benefited him and not his business partners. But successful politics requires relationship building and at least the appearance of trust. 
...
We have to depend on the ideologically committed members of congress to keep this out in front, even as we depend on more realistic members to sand off the rough edges of ideology.&quot;&lt;/em&gt; - DirtyJobsGuy

Very zerang and interesting point!

It helps that these members of Congress come from &quot;safe&quot; districts.

But, what makes those districts &quot;safe&quot; to begin with?

Either the members were able to sell their ideology to the folks in their districts, and on their ability to represent that while in office, or the district was predisposed to someone of their ideology (i.e. they were convinced by prior members, or by action at the state and federal party levels).  Probably a mix of both.

Bottom Line:  It all circles back to the choices people make, as Congressional elections do a reasonable job of representing an &quot;average&quot; of what the folks in the district are looking for.
.

Certainly hear much less about how other billionaires &quot;screwed&quot; people in the process of running their empires vs trump - much of which predates his run for the presidency.

trump also has some of the weakest arm&#039;s length arrangements one could imagine.  It MAY be enough to be legal, but it is very debatable whether it follows the spirit and ethics of what is needed.
.

Zerangi (the sound, and the connotations) reminds me of &quot;Ferengi&quot; from Star Trek - which could arguably be a left biased representation of Capitalism gone wrong.]]></description>
			<content:encoded><![CDATA[<p><em>&#8220;Trump’s “deals” are in this mode and they benefited him and not his business partners. But successful politics requires relationship building and at least the appearance of trust.<br />
&#8230;<br />
We have to depend on the ideologically committed members of congress to keep this out in front, even as we depend on more realistic members to sand off the rough edges of ideology.&#8221;</em> &#8211; DirtyJobsGuy</p>
<p>Very zerang and interesting point!</p>
<p>It helps that these members of Congress come from &#8220;safe&#8221; districts.</p>
<p>But, what makes those districts &#8220;safe&#8221; to begin with?</p>
<p>Either the members were able to sell their ideology to the folks in their districts, and on their ability to represent that while in office, or the district was predisposed to someone of their ideology (i.e. they were convinced by prior members, or by action at the state and federal party levels).  Probably a mix of both.</p>
<p>Bottom Line:  It all circles back to the choices people make, as Congressional elections do a reasonable job of representing an &#8220;average&#8221; of what the folks in the district are looking for.<br />
.</p>
<p>Certainly hear much less about how other billionaires &#8220;screwed&#8221; people in the process of running their empires vs trump &#8211; much of which predates his run for the presidency.</p>
<p>trump also has some of the weakest arm&#8217;s length arrangements one could imagine.  It MAY be enough to be legal, but it is very debatable whether it follows the spirit and ethics of what is needed.<br />
.</p>
<p>Zerangi (the sound, and the connotations) reminds me of &#8220;Ferengi&#8221; from Star Trek &#8211; which could arguably be a left biased representation of Capitalism gone wrong.</p>
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		<title>
		By: TommyJay		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189361</link>

		<dc:creator><![CDATA[TommyJay]]></dc:creator>
		<pubDate>Wed, 29 Mar 2017 02:29:21 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189361</guid>

					<description><![CDATA[Neo&#039;s main point is entirely correct, of course.  Trump made these promises.  (And he has a history in conflict with these promises.)

If Starbucks&#039; CEO says he plans to hire thousands of refugees, do you assume that he really wants more refugees accepted into the USA; or do you assume that he simply wants those hipsters that hang out in coffee shops all day, to now hang out in a Starbucks.  CEO&#039;s say things for two primary reasons, to boost sales, and to boost the stock price directly.  And Trump was a CEO.

Maybe Trump really believes in universal healthcare.  Maybe he grew up since he wrote that book.  Maybe he was just being a CEO.

Do people remember that quaint notion that politician&#039;s voting records should be scrutinized prior to re-electing them?  I for one, would really like to see the total repeal of Obamacare passed through the House.  Because I would like to see who in the Senate and Whitehouse takes a stand in support of it.   Who would switch their vote in the Senate?  Who were the phony supporters of repeal in the past?

I know, reality intrudes.  McConnell would let the bill twist in the wind, and it would go down because of a filibuster or cloture vote.  I say do it anyway.]]></description>
			<content:encoded><![CDATA[<p>Neo&#8217;s main point is entirely correct, of course.  Trump made these promises.  (And he has a history in conflict with these promises.)</p>
<p>If Starbucks&#8217; CEO says he plans to hire thousands of refugees, do you assume that he really wants more refugees accepted into the USA; or do you assume that he simply wants those hipsters that hang out in coffee shops all day, to now hang out in a Starbucks.  CEO&#8217;s say things for two primary reasons, to boost sales, and to boost the stock price directly.  And Trump was a CEO.</p>
<p>Maybe Trump really believes in universal healthcare.  Maybe he grew up since he wrote that book.  Maybe he was just being a CEO.</p>
<p>Do people remember that quaint notion that politician&#8217;s voting records should be scrutinized prior to re-electing them?  I for one, would really like to see the total repeal of Obamacare passed through the House.  Because I would like to see who in the Senate and Whitehouse takes a stand in support of it.   Who would switch their vote in the Senate?  Who were the phony supporters of repeal in the past?</p>
<p>I know, reality intrudes.  McConnell would let the bill twist in the wind, and it would go down because of a filibuster or cloture vote.  I say do it anyway.</p>
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		<title>
		By: The Other Chuck		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189349</link>

		<dc:creator><![CDATA[The Other Chuck]]></dc:creator>
		<pubDate>Wed, 29 Mar 2017 02:03:37 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189349</guid>

					<description><![CDATA[Julia, your points are well taken. My thinking is that Trump didn&#039;t really care if it passed. And, its failure would give him an opportunity to use a contentious issue that can&#039;t be resolved within the Republican congress for his own broader agenda. 

If Trump wants to accomplish the revitalization of the American economy and needs bipartisan support for it, what better bargaining chip does he have than the carrot of single payer healthcare? That he opened to door to Democrat involvement immediately after ACHA bombed only confirms this belief.]]></description>
			<content:encoded><![CDATA[<p>Julia, your points are well taken. My thinking is that Trump didn&#8217;t really care if it passed. And, its failure would give him an opportunity to use a contentious issue that can&#8217;t be resolved within the Republican congress for his own broader agenda. </p>
<p>If Trump wants to accomplish the revitalization of the American economy and needs bipartisan support for it, what better bargaining chip does he have than the carrot of single payer healthcare? That he opened to door to Democrat involvement immediately after ACHA bombed only confirms this belief.</p>
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		<title>
		By: Julia		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189242</link>

		<dc:creator><![CDATA[Julia]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 18:09:16 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189242</guid>

					<description><![CDATA[The Other Chuck - not many people put the name Trump in the same sentence as &#039;long held beliefs&#039;!  My take on him is that he wants the win, and would prefer it to be what he wants, but will take what he can get.  And  he&#039;s probably shrugging  off this  debacle  and will come back to it later.

Perhaps long held inclinations would be a better phrase?  And who knows how long &#039;long&#039; is.  2000 was a long time ago.  
~~
That said, I think that most people (the normal kind who think about politics 10 minutes a week, not us) would see this either as a Republican eff up / gridlock as normal, or even Republican obstructionism rather than it all being Trump&#039;s fault.

I&#039;d say it was all of the above, personally.]]></description>
			<content:encoded><![CDATA[<p>The Other Chuck &#8211; not many people put the name Trump in the same sentence as &#8216;long held beliefs&#8217;!  My take on him is that he wants the win, and would prefer it to be what he wants, but will take what he can get.  And  he&#8217;s probably shrugging  off this  debacle  and will come back to it later.</p>
<p>Perhaps long held inclinations would be a better phrase?  And who knows how long &#8216;long&#8217; is.  2000 was a long time ago.<br />
~~<br />
That said, I think that most people (the normal kind who think about politics 10 minutes a week, not us) would see this either as a Republican eff up / gridlock as normal, or even Republican obstructionism rather than it all being Trump&#8217;s fault.</p>
<p>I&#8217;d say it was all of the above, personally.</p>
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		<title>
		By: Brian E		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189217</link>

		<dc:creator><![CDATA[Brian E]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 15:37:10 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189217</guid>

					<description><![CDATA[This was a couple comments on an article about the AHCA that are very informative.

----------------

Lynn Burgess: &quot;COBRA is your employer insurance plan and when on COBRA coverage, you continue to be on their billing statement and you remain a part of their group. The premium is paid to the former employer not to the insurance company and it is the same price they were paying for you when employed plus a small fee they can add to cover their administrative costs. So to make COBRA available indefinitely would make the former employer liable to service you indefinitely and that does not work.&quot;

 &quot;The problem is not just continuity of coverage but when you start a new job even if you&#039;ve had continuity of coverage if you have a pre-x condition the new insurance company will not cover that ailment for one year and thus the need for portable insurance that belongs to you and does not change when your employer changes. To be fully functional it would require everyone to buy into the same idea even employers who presently provide coverage who would instead deposit untaxed money to your HSA and you would buy your own insurance. I wrote about it more above if you&#039;re interested in my further explanation.&quot;


tobybrut: &quot;It&#039;s actually even more complicated than that. The premiums don&#039;t actually go to the employer. They go to the employer&#039;s plan administrator, which then distributes the premium to the insurance carrier, so there&#039;s even more red tape than what you indicated. However, a concept similar to this can be proposed that looks the same from an employee&#039;s point of view but may be vastly different behind the scenes.

Portability itself has problems. Even if you passed a mandate that said an individual could leave a company and be guaranteed the right to immediately buy a new policy regardless of pre-existing conditions, how fair is that to the second insurance company? It would make more sense if portability allowed you to buy the same policy from the same insurance carrier. But portability as everyone is talking about permits a newly-unemployed person to buy a policy from any carrier regardless of pre-existing conditions as long as that policy is bought relatively soon. Why does the second carrier have to support pre-existing conditions if that person had never had a policy with them before?

Portability is no longer just portability. It&#039;s now a subsidy for pre-existing conditions, something that so many here abhor, yet those same people strongly support portability.

The only way to truly make it a non-pre-existing conditions mandate would be if employer-provided insurance was not permitted, but that kind of mandate should also be abhorrent to any conservative because it&#039;s an interference in the free market.

One thing I came to like about AHCA was the provision inserted for the Patient and State Stability Fund (PSSF) that removed pre-existing conditions from the general individual insurance market. The problem with ObamaCare was that pre-existing conditions polluted the individual market, pushing up everyone&#039;s premiums. The individual mandate was intended to make up for that by spreading out the risks among more people, but it failed because people simply paid the tax penalty rather than buy insurance they didn&#039;t need or couldn&#039;t use because it was too expensive.

The PSSF removed the risk from the individual market, so that the roughly 500,000 people with pre-existing conditions who did not have employer-provided insurance could be placed into a high-risk pool financed by the federal government. If a person loses his job and needs to buy insurance, that person could then be guaranteed the opportunity to buy a policy that&#039;s subsidized by the PSSF. Nobody else&#039;s premiums would be affected, completely eliminating ObamaCare&#039;s biggest cost driver.

The second biggest cost driver was the EHB mandates, which were also eliminated by AHCA. With both of the biggest cost drivers of ObamaCare neutralized, premiums were certain to come down.&quot;

_________________

If what these folks are saying is true, and it sounds like they know what they&#039;re talking about, the FC really needs to rethink their opposition to the AHCA.

If the AHCA dealt with two of the largest drivers of premiums-- guaranteed issue and EHB, I&#039;m not sure they are going to get a lot of additional concessions. Yes, they oppose the Medicaid expansion-- but moving it more to the states through block grants is probably as conservative as you&#039;re going to get.

The thrust of this article was re-visiting the Ted Cruz proposal to deal with ACA repeal. 

http://www.redstate.com/patterico/2017/03/27/next-step-repealing-obamacare-ted-cruz-answer/]]></description>
			<content:encoded><![CDATA[<p>This was a couple comments on an article about the AHCA that are very informative.</p>
<p>&#8212;&#8212;&#8212;&#8212;&#8212;-</p>
<p>Lynn Burgess: &#8220;COBRA is your employer insurance plan and when on COBRA coverage, you continue to be on their billing statement and you remain a part of their group. The premium is paid to the former employer not to the insurance company and it is the same price they were paying for you when employed plus a small fee they can add to cover their administrative costs. So to make COBRA available indefinitely would make the former employer liable to service you indefinitely and that does not work.&#8221;</p>
<p> &#8220;The problem is not just continuity of coverage but when you start a new job even if you&#8217;ve had continuity of coverage if you have a pre-x condition the new insurance company will not cover that ailment for one year and thus the need for portable insurance that belongs to you and does not change when your employer changes. To be fully functional it would require everyone to buy into the same idea even employers who presently provide coverage who would instead deposit untaxed money to your HSA and you would buy your own insurance. I wrote about it more above if you&#8217;re interested in my further explanation.&#8221;</p>
<p>tobybrut: &#8220;It&#8217;s actually even more complicated than that. The premiums don&#8217;t actually go to the employer. They go to the employer&#8217;s plan administrator, which then distributes the premium to the insurance carrier, so there&#8217;s even more red tape than what you indicated. However, a concept similar to this can be proposed that looks the same from an employee&#8217;s point of view but may be vastly different behind the scenes.</p>
<p>Portability itself has problems. Even if you passed a mandate that said an individual could leave a company and be guaranteed the right to immediately buy a new policy regardless of pre-existing conditions, how fair is that to the second insurance company? It would make more sense if portability allowed you to buy the same policy from the same insurance carrier. But portability as everyone is talking about permits a newly-unemployed person to buy a policy from any carrier regardless of pre-existing conditions as long as that policy is bought relatively soon. Why does the second carrier have to support pre-existing conditions if that person had never had a policy with them before?</p>
<p>Portability is no longer just portability. It&#8217;s now a subsidy for pre-existing conditions, something that so many here abhor, yet those same people strongly support portability.</p>
<p>The only way to truly make it a non-pre-existing conditions mandate would be if employer-provided insurance was not permitted, but that kind of mandate should also be abhorrent to any conservative because it&#8217;s an interference in the free market.</p>
<p>One thing I came to like about AHCA was the provision inserted for the Patient and State Stability Fund (PSSF) that removed pre-existing conditions from the general individual insurance market. The problem with ObamaCare was that pre-existing conditions polluted the individual market, pushing up everyone&#8217;s premiums. The individual mandate was intended to make up for that by spreading out the risks among more people, but it failed because people simply paid the tax penalty rather than buy insurance they didn&#8217;t need or couldn&#8217;t use because it was too expensive.</p>
<p>The PSSF removed the risk from the individual market, so that the roughly 500,000 people with pre-existing conditions who did not have employer-provided insurance could be placed into a high-risk pool financed by the federal government. If a person loses his job and needs to buy insurance, that person could then be guaranteed the opportunity to buy a policy that&#8217;s subsidized by the PSSF. Nobody else&#8217;s premiums would be affected, completely eliminating ObamaCare&#8217;s biggest cost driver.</p>
<p>The second biggest cost driver was the EHB mandates, which were also eliminated by AHCA. With both of the biggest cost drivers of ObamaCare neutralized, premiums were certain to come down.&#8221;</p>
<p>_________________</p>
<p>If what these folks are saying is true, and it sounds like they know what they&#8217;re talking about, the FC really needs to rethink their opposition to the AHCA.</p>
<p>If the AHCA dealt with two of the largest drivers of premiums&#8211; guaranteed issue and EHB, I&#8217;m not sure they are going to get a lot of additional concessions. Yes, they oppose the Medicaid expansion&#8211; but moving it more to the states through block grants is probably as conservative as you&#8217;re going to get.</p>
<p>The thrust of this article was re-visiting the Ted Cruz proposal to deal with ACA repeal. </p>
<p><a href="http://www.redstate.com/patterico/2017/03/27/next-step-repealing-obamacare-ted-cruz-answer/" rel="nofollow ugc">http://www.redstate.com/patterico/2017/03/27/next-step-repealing-obamacare-ted-cruz-answer/</a></p>
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		By: Ymarsakar		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189194</link>

		<dc:creator><![CDATA[Ymarsakar]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 13:28:36 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189194</guid>

					<description><![CDATA[&lt;b&gt;As Steve Bannon said, the Ryan bill was written by the insurance industry.&lt;/b&gt;

If Bannon told Roy to wipe his butt with his other hand, that it would support the fight against the moneyed interests of this toilet paper company...

The categorical truth that isn&#039;t mentioned is that humans deceive and lie. It&#039;s not just the &quot;moneyed interests&quot; that do so.]]></description>
			<content:encoded><![CDATA[<p><b>As Steve Bannon said, the Ryan bill was written by the insurance industry.</b></p>
<p>If Bannon told Roy to wipe his butt with his other hand, that it would support the fight against the moneyed interests of this toilet paper company&#8230;</p>
<p>The categorical truth that isn&#8217;t mentioned is that humans deceive and lie. It&#8217;s not just the &#8220;moneyed interests&#8221; that do so.</p>
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		By: Ymarsakar		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189193</link>

		<dc:creator><![CDATA[Ymarsakar]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 13:24:38 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189193</guid>

					<description><![CDATA[If your master tells you to do something, you do it. That is what many Americans now find themselves in (the so called home of the brave and free), after appointing Trum as their King and Savior.

That&#039;s what you get when you trust in humans, and it is also what Trum gets when he tries to move the might of DC, the capital of evil, using merely his own will.]]></description>
			<content:encoded><![CDATA[<p>If your master tells you to do something, you do it. That is what many Americans now find themselves in (the so called home of the brave and free), after appointing Trum as their King and Savior.</p>
<p>That&#8217;s what you get when you trust in humans, and it is also what Trum gets when he tries to move the might of DC, the capital of evil, using merely his own will.</p>
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		<title>
		By: Brian E		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189092</link>

		<dc:creator><![CDATA[Brian E]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 04:21:32 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189092</guid>

					<description><![CDATA[Something to keep in mind about passage of the ACA vs. AHCA.

Democrats enjoyed a majority of 257-178 in the house and a near filibuster proof majority in the senate of 59-41.

Republicans obviously don&#039;t have that plurality. If they did now, the AHCA would likely have passed.]]></description>
			<content:encoded><![CDATA[<p>Something to keep in mind about passage of the ACA vs. AHCA.</p>
<p>Democrats enjoyed a majority of 257-178 in the house and a near filibuster proof majority in the senate of 59-41.</p>
<p>Republicans obviously don&#8217;t have that plurality. If they did now, the AHCA would likely have passed.</p>
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		<title>
		By: Roy Lofquist		</title>
		<link>https://thenewneo.com/2017/03/27/trump-and-the-timing-of-the-obamacare-reform-attempt/#comment-2189082</link>

		<dc:creator><![CDATA[Roy Lofquist]]></dc:creator>
		<pubDate>Tue, 28 Mar 2017 03:13:40 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=67599#comment-2189082</guid>

					<description><![CDATA[I&#039;m no genius. It&#039;s just that I have been watching the Washington Kabuki for more than 60 years.]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m no genius. It&#8217;s just that I have been watching the Washington Kabuki for more than 60 years.</p>
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