An 11th-hour effort by moderate Republicans to put an extension on the floor for a vote failed Tuesday night.
Trust Me: So Called "Moderate" HOUSE REPUBLICONS Are Far Worse Than So Called "Moderate" SENATE DUMBOCRATS. They Passed The BIG UGLY BUDGET CUTS In The First Place. They Can't Get The Votes To Override MIKE JOHNSON. They Just Put On A Show For Right Wing TV & Media. Millions Will Suffer. Many Will Die. All Republicons Must Go.
Nope, Trump didn't "salvage" Obamacare as J.D. Vance claimed.
Some fact-checking from the vice presidential debate. From NPR.
During his presidency, Trump undermined the Affordable Care Act in many ways — for instance, by slashing funding for advertising and free "navigators" who help people sign up for a health insurance plan on HealthCare.gov. And rather than deciding to "save" the ACA, he tried hard to get Congress to repeal it, and failed.
The Biden administration has reversed course from Trump's management of the Affordable Care Act. Increased subsidies have made premiums more affordable in the marketplaces, and enrollment has surged. The uninsurance rate has dropped to its lowest point ever during the Biden administration.
The Affordable Care Act was passed in 2010 and is entrenched in the health care system. Republicans successfully ran against Obamacare for about a decade, but it has faded as a campaign issue this year.
So just the opposite of what J.D. claimed. The Trump administration didn't save Obamacare, it tried to sabotage and kill it.
People who have a weirdly nostalgic view of the Trump administration forget how he tried to kill Obamacare with help from the Republican majority 115th Congress. From its inception, Republicans in Congress have tried to kill Obamacare 70 times.
Obamacare may not be perfect, but it is superior to what existed previously. The bulk of people who hate it are connected to Big Pharma, for profit medical corporations, and the Republicans who get big campaign contributions from them.
The name Obamacare tells us a lot. It was coined as term of disparagement for the Affordable Care Act by Republicans. But it became so popular that Republicans ended up shooting themselves in the foot by eternally connecting the ACA to the Democratic president who was the driving force behind it.
Trump has had nine years to come up with a viable alternative to Obamacare. But the "stable genius" still can't put together a coherent sentence about what he'd replace it with.
For affordable healthcare, vote Democratic to improve it or vote MAGA Republican to destroy it.
Proposed Rule by the Health and Human Services Department will prohibit coverage of gender-affirming care!
The Department of Health and Human Services have proposed a new rule that would effect the ACA/Centers for Medicare & Medicaid Services. The new rule, among other things, would prohibit issuers of coverage subject to essential health benefits (EHB) requirements from providing coverage for sex-trait modification as an EHB.
They are taking public comments on this new rule that must be received by April 11, 2025. If you haven't submitted a comment yet, I ask that you please do so. Losing my gender-affirming healthcare coverage would be devastating, to say the least, as I would not be able to afford paying out-of-pocket.
Here is the link to the proposed rule and where you can submit a comment:
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability. A Proposed Rule by the Health and Human Services Department on 03/19/2025.
If this advertisement isn’t one of the biggest Told You So moments of 2020, I don’t know what is. For over a decade, republicans, capitalists, wealthy white people, multi-billion dollar corporations, and other regressives, have been fighting to repeal the Affordable Care Act (ACA). In the same decade, womanists, feminists, abolitionists, socialists, leftists, revolutionaries, and other progressives have been fighting for affordable, high-quality, public owned healthcare for all people. We’ve been saying privatized, for-profit healthcare has no place in a true democratic, egalitarian society for the people. republicans have not listened.
Instead, republicans have tried over 50 times to repeal ACA, republicans have refused to expand Medicaid eligibility based on the ACA, republicans have shut down the U.S government over the ACA, and number 45 has signed an executive order eliminating the healthcare mandate thereby weakening the ACA. And don’t get me started on what capitalist corporations have been doing to undermine the ACA.
But in all honesty, republicans and corporations are not the only villains of this story. centrist/capitalist/moderate democrats are also villains. Throughout 2019 and into 2020, they have constantly defended privatized healthcare. They touted myths of people “loving” their privatized healthcare, and said that Medicare-For-All will abruptly force people off private health insurance plans they “love.” Now we are seeing how out-of-touch with reality centrist democrats are. Millions of people are losing their private health insurance anyway, even though Medicare-For-All has not been implemented.
The truth is, every year (or every other year), hundreds and thousands of people lose their private insurance when they are forced to quit their jobs due to toxic work environments or are fired. Also, even with the best private insurance and the best job, the out-of-pocket cost of healthcare is fucking ridiculous and no one (except the incredibly well-off) truly loves their private health care insurance as it is now.
People who defend privatized health care or employment based healthcare, and who fight to destroy the ACA, Medicaid, Medicare or Medicare-For-All, are greedy, anti-life, sociopaths. A for-profit health care system in any form is greedy, anti-life, and sociopathic. Period.
One of the biggest things I wish for 2020 is that there will be even more public revelations of how cognitively dissonant, anti-life, and out-of-touch with reality a pro “for-profit healthcare system” political ideology really is.
Healthcare is a human right. A true democratic and egalitarian society is a society that invests in the health and well being of all community members, regardless of physical ability, income level, immigration status, gender identity, race, sexuality, incarceration status etc
Yes, by now we all know that the Republicans were able to muscle through TrumpCare (don’t call it by it’s acronym - this is Trumps’ health care bill) by a razor slim margin. And yes, they and Trump are celebrating their huge “win”. But that victory may be very short lived. *puts on my Political Science major hat*
The bill now goes to the Senate, where the Republican majority is much slimmer and even if a healthcare bill makes it through the Senate, it will likely be dramatically changed (since the Democrats will have a lot more pull). If that is the case, the two bills go to a conference committee, who work on trying to resolve the differences between the two bills. The new bill then must go to both the Congress and the Senate to be voted on before heading to Trump’s desk to be signed into law. This fight isn’t over by a long shot.
And even worse for Republicans, once the Congressional Budget Office (CBO) reviews the bill and lets us know exactly how this bill would affect premiums and deductibles, and how many people will lose coverage as a result (not to mention those that will be thrown off of Medicaid), the bill will be even less popular than it already is now (and it’s got even Republican voters hating it).
Then we have the states with the highest percentage of citizens with pre-existing conditions and... you guessed it... they’re all hard core Republican strongholds. And several of them are among the poorest states and get the most Federal aid.
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So in the end, the Republicans in Congress may very well end up choking on this victory. What we, as citizens, need to do is ensure that they pay a very steep price for this vote. And very possibly, at least a few of them will not be there after the 2018 midterm elections. We need to get fired up and stay fired up for the long haul.
We should be scared. We should be angry. But we should also understand what’s going on — and be ready to act.
Around 1:30 a.m. this morning, Senate Republicans voted for budget changes to gut the Affordable Care Act against the vigorous protests of Senate Democrats. Now, we’ve woken up to headlines that the ACA has been repealed and millions of Americans will lose coverage, including those with preexisting conditions and young adult children covered under their parents’ insurance.
Millions of Americans rely on these provisions of the ACA to survive. Understandably, a lot of people are feeling a lot of fear and pain right now.
We should be scared. We should be angry. But there is a LOT of confusion circling the internet right now, and it is causing more fear and anguish than is necessary — and may prevent us from taking the action necessary to save insurance coverage for the millions of Americans who need it. I am not an insurance scholar, but it has become clear from my research that some clarification is necessary and I will do my best to provide it here. Some of this will change as we know more. But here is where we stand.
Understandably, a lot of people are feeling a lot of fear and pain right now.
What happened last night: Senate Republicans voted to gut the budget from portions of the ACA that are funded with taxpayer dollars. They did this because they can pass these budget changes with a filibuster-proof simple majority. That is what they got. Now, House and Senate committees have until January 27 to introduce repeal legislation. This is not a firm date and will likely be bypassed as it’s obvious to us all that the Republicans have no idea how they are going to replace the ACA. But this sets the stage so that when Republicans are ready, they can gut the bill with ease. Also note, this still has to be passed by the House as well, which seems likely to happen tomorrow.
Because only budget changes can be passed in this way, this DOES NOT affect provisions of the ACA that protect coverage of preexisting conditions and coverage of young adult children by their parents. Those are not budget issues, and they require a separate vote; in order to truly gut these provisions, they need to have a replacement plan, and they don’t.
Now, eventually that point will be moot, because the ACA cannot survive long without the budget provisions that pay for it, but we will not see an immediate cessation of coverage for millions of Americans. Also note that these provisions are incredibly popular with Americans of all political parties, and Republicans have made it clear that they do not want to repeal these provisions without a replacement. What magic they will use to do this without paying for it (which is what mandated coverage helped do) is a different question.
It’s obvious to us all that the Republicans have no idea how they are going to replace the ACA.
So please understand, what the Republicans did last night was pave the way for future repeal of the ACA, but this HAS NOT been done yet.
Some of you may have seen statements from Democrat senators saying that the Republicans did indeed vote against protecting coverage of young adult children and those with preexisting coverage, contrary to all that I just said. This is both true and untrue, and I wish that Dems were being clearer about this, because it is scaring the shit out of people.
Last night senate Democrats inserted their own amendments to proactively protect coverage for people with preexisting conditions and adult children covered by their parents. These amendments were struck down, largely on the argument that they were not budget items and therefore did not qualify. THIS WAS NOT a vote against these provisions, it was a vote against protecting the provisions. Yes, this gets senate Republicans on record as being very shitty people, but it does not repeal these important provisions. That requires a separate vote altogether.
I’m laying all of this out because when millions of lives are affected, it is important for us to be as clear as possible. This election has been anxiety producing and heartbreaking for Americans who rely on the ACA for their survival, and I don’t want obfuscation to add to that fear and pain.
I also want us to understand that we still have time to ACT. We need to be calling our representatives (especially the Republican ones) and let them know that a vote to gut the budget for the ACA will be a vote against their reelection. The passage of this budget in the House is not a forgone conclusion. We need to raise holy hell if we want to save our health care.
It is not over, but we have no time to lose. We must band together and fight those who would let our sick and disabled die because of a grudge against a president they hated. Call your representatives today.