DOWN
Banned
https://www.washingtonpost.com/poli...abdafa-e491-11e6-a547-5fb9411d332c_story.html
Press stop if oldPHILADELPHIA Republican lawmakers aired sharp concerns about their partys quick push to repeal the Affordable Care Act inside a closed-door meeting Thursday, according to a recording of the session obtained by The Washington Post.

The recording reveals a GOP that appears to be filled with doubts about how to make good on a long-standing promise to get rid of Obamacare without explicit guidance from President Trump or his administration.

Senators and House members expressed a range of concerns about the task ahead: how to prepare a replacement plan that can be ready to launch at the time of repeal; how to avoid deep damage to the health insurance market; how to keep premiums affordable for middle-class families; even how to avoid the political consequences of defunding Planned Parenthood, the womens health-care organization, as many Republicans hope to do with the repeal of the ACA.

Wed better be sure that were prepared to live with the market weve created [with repeal], said Rep. Tom McClintock (R-Calif.). Thats going to be called Trumpcare. Republicans will own that lock, stock and barrel, and well be judged in the election less than two years away.

Recordings of closed sessions at the Republican policy retreat in Philadelphia this week were sent late Thursday to The Washington Post and several other news outlets from an anonymous email address. The remarks of all lawmakers quoted in this story were confirmed by their offices or by the lawmakers themselves.

Our goal, in my opinion, should be not a quick fix. We can do it rapidly but not a quick fix, said Sen. Lamar Alexander (R-Tenn.). We want a long-term solution that lowers costs.

Sen. Rob Portman (R-Ohio) warned his colleagues that the estimated budget savings from passing the Obamacare repeal bill which could approach a half-trillion dollars is needed to fund the costs of setting up a replacement. This is going to be what well need to be able to move to that transition, he said.

Rep. Pete Sessions (R-Texas) worried that one idea floated by Republicans a refundable tax credit wont work for middle-class families that cant afford to prepay their premiums and wait for a tax refund.

And Rep. John Faso (R-N.Y.,) a freshman congressman from the Hudson Valley, warned strongly against using the repeal of the ACA to also defund Planned Parenthood. We are just walking into a gigantic political trap if we go down this path of sticking Planned Parenthood in the health insurance bill, he said. If you want to do it somewhere else, I have no problem, but I think we are creating a political minefield for ourselves House and Senate.

The concerns of rank-and-file members appeared to be at odds with key congressional leaders and Andrew Bremberg, a top domestic policy adviser to President Trump, who laid out their plans to repeal the ACA using a fast-track legislative process and Trump administration executive actions. However, these leaders acknowledged in Thursdays meeting, as they have before, that the law known as Obamacare cannot be fully undone or replaced without Democratic cooperation.

That and other aspects of the unfinished GOP plan prompted several wary members to urge their leaders to move more deliberately even as the Trump administration appears to be moving ahead with repeal. On Thursday, the White House ordered federal health officials to immediately halt all advertising and other outreach activities for the critical final days in which Americans can sign up for 2017 health coverage through Affordable Care Act marketplaces.

Of particular concern to some Republican lawmakers was the plan to use the budget reconciliation process which requires only a simple majority vote to repeal the existing law, while still needing a filibuster-proof vote of 60 in the Senate to enact a replacement.
The fact is, we cannot repeal Obamacare through reconciliation, said McClintock. We need to understand exactly, what does that reconciliation market look like? And I havent heard the answer yet.