Republicans don't have votes to pass healthcare bill: Sen. Paul

The numbers behind Medicaid

Allowing individuals to pay premiums from tax-sheltered accounts may create incentives for employers to stop offering coverage, say some independent analysts. But the House struggled to pass its version of the bill, and the Senate has had even more troubles.

"It would also jeopardize the very existence of our rural hospitals and our nursing homes, which not only provide essential care to people in rural America but also are major employers in the small communities in which they are located", she added. Two powerful members of the insurance industry lobby, for example, sent a letter to McConnell saying that an amendment from Sen.

Either way, Congress gets top-notch health care, all while they're trying their best to remove that option for everyone else.

. They could offer skimpier policies that don't offer maternity, mental health and prescription drugs. The law also requires the same premium rates for sick and healthy people. "Cruz's approach is not the answer", Collins said. "But we have no choice but to try to come to the rescue of the millions of people who are being failed as a result of the problems of Obamacare", he said. But it's not clear how those backstops would work, and the federal funding eventually would end.

"We think it is unworkable", said Justine Handelman, top Washington lobbyist for the BlueCross BlueShield Association.

I also wrote that McCain should show that he still has some "clout".

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On Meet the Press on Sunday, Senate Majority Whip John Cornyn said that the motion to bring the bill to the floor will go forward just as soon as McCain can stuff himself back into his suit. Under current law, they can only be used to cover out-of-pocket costs, such as deductibles and copayments.

But some analysts say McConnell risks undermining workplace coverage. The danger here is threefold: More debate will intensify opposition; the GOP will be less prepared to shift gears to deal with issues like the budget and debt limit in September; and the rest of the GOP's legislative agenda will become less and less viable. "My idea was always to replace it with freedom, legalized choice, legalized affordable insurance, allow people to join associations to buy insurance". "That may lead some employers to consider whether or not they want to continue to offer health insurance".

They argue, "Medicaid is a successful program". What I didn't count on was that it would get worse, "tweeted Andy Slavitt, who ran Medicare, Medicaid and the Affordable Care Act for President Obama". No one - least of all lawmakers from low-income states where Medicaid clients are huge voting blocs - has the political will to alienate that many people.

The administration has launched an all-out push to convince the likes of Doug Ducey of Arizona and Brian Sandoval of Nevada, but the state executives have been wary of the latest version of the draft, which made no structural changes to phasing out the Medicaid expansion and cutting future Medicaid spending. The ACA's individual and employer mandates are repealed, federal funds to support the ACA's Medicaid expansion are gradually removed, and federal support for Medicaid will move to a per-person (capitation) model rather than the covered service reimbursement model now in place. It is estimated that 15 million fewer people will be covered by Medicaid by 2026.

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