Deep uncertainty and serious divisions within the Republican coalition about the way forward on Obamacare have surfaced in the new Congress, and they’ve put the future of repeal and replace in doubt.
It’s become evident that there is little GOP unity on how much a replacement plan should cost, how to pay for it, whether the Medicaid expansion should be rolled back, or how to fix the individual markets.
Furthermore, there is no evident agreement even on extremely broad questions such as, “What should the goals of the GOP’s replacement plan be?”
Accordingly, many Republicans in both the House and Senate are increasingly fearful about moving to roll back Obamacare too quickly when so little is settled about what comes after it. And their problems are compounded by the fact that while a reasonably comprehensive repeal bill could be rammed through with just 50 Senate votes plus Vice President Mike Pence, a serious replacement bill would need 60 Senate votes, at least eight of which would have to come from Democrats.
It is not impossible that President Trump and the Republican Party will overcome all these problems. But to do so, they will have to come up with consensus answers to these five very serious unsettled questions.
1) What is the goal here? …
2) What will they do about money? …
3) What’s to be done with Medicaid? …
4) How will they try to make the individual markets work better? …
5) Just how committed are they to this thing, anyway?
—Andrew Prokop
The 5 Biggest Disagreements Republicans Have on Obamacare
I hate “funny” business names. They are usually puns. For example, here in the Bay Area, we have