McCain’s ‘No’ Not the Worst Thing in the World

Shocker!  Like every other Obamacare repeal bill before it, McCain is against it!

Senator John McCain of Arizona announced on Friday that he would oppose the latest proposal to repeal the Affordable Care Act, leaving Republican leaders with little hope of succeeding in their last-ditch attempt to dismantle the health law and fulfill their longstanding promise to conservative voters.

Who could have seen this coming?       

Right leaning reaction to this has been pretty scathing, just like it was last July when McCain did exactly the same thing.  My view on this is that although McCain’s no vote has zero to do with healthcare and 100% about giving Trump a big FU before he dies, in a backhanded way he’s doing the GOP a favor. The real villains in this story are the GOP leadership, McConnell and Ryan. They know what a real Obamacare repeal should be because the House came up with one in 2013, the Options Act. It was vetted by conservative think tanks and Tea Party groups. If they really wanted to “repeal and replace,” they could have used that as a starting point. Instead, they didn’t care about Obamacare repeal at all; they wanted to cut Medicaid to get funds to finance tax cuts without it effecting long term deficit projections. Reforming Medicaid is not a bad thing, but it has nothing to do with repealing and replacing Obamacare; Medicaid was around long before Obamacare. All of the GOP bills were terrible and none of them repealed and replaced Obamacare.

In terms of fixing healthcare, it seems the GOP is a lost cause.  The only avenue I see is Trump taking it out of Congress’s hands and creating a Presidential commission to come up with a repeal and replacement plan.  Of course I nominate my plan as a template for America’s new healthcare model.

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What Should Trump Do Next About Healthcare?

For those of you who were really expecting John McCain to come through and vote for the “skinny repeal” senate GOP healthcare bill…

Otter’s wise words ring true.  But it’s not like McCain didn’t warn you. He stated he opposed the bill when he voted to allow it to go up for debate.  So I’m not mad at McCain. He did exactly what I expected him to do, preen for the cameras, virtual signal for his media friends, and toss a big FU to the Republican Party.  It’s the same thing he’s been doing for years.  So why the surprise?

In fact, I think McCain did the GOP, and Trump, a favor. The various GOP “repeal and replace” bills were all terrible anyway as I recounted here.  None of them fixed the real problems with the individual insurance market or the exchanges.  So why should Republicans get their hands dirty in a rush to get anything passed when they will own the results?  And since none of their bills fixed the problem, the results will be pretty bad.

And of course, as time goes on, I’m less and less sure that the House and Senate leadership really wanted any bill to pass.  It seems like it would have been fairly easy to buy off most of the dissenting senators by simply allowing the people on the Medicaid Expansion to keep their plans, as I suggested back in June.  Did Mitch McConnell really think Lisa Murkowski was going to vote get rid of Medicaid expansion and reduce the federal contribution to Medicaid, when half of her state is on some version of Medicaid?  How did he think she and the other senators who are from states that have a large dependency on Medicaid would vote?  But if your real goal is to deliver Trump a failure, what better way than provide a sure fire failure of a bill that’s doomed to fail?  Admittedly I don’t have any evidence that they sunk the bill on purpose, but if not, they truly are incompetents.

So what now?  I think at this point, Trump should recognize that of the many enemies he has in DC, the Republican lead Congress is definitely part of them. And to that end, he should remove the healthcare issue from their hands.  And how to do this?  Form a Presidential commission to put together a health care plan, a “terrific” one which meets Trump’s criteria for a healthcare replacement bill.  Nothing of Trump was reflected in the Congressional bills but this is being viewed as Trump’s failure.  Taking the issue from Congress and giving it a Presidential commission removes the issue for this year, and allows both Trump and the Congress to move onto other issues.  What happens when the commission finishes a Trump approved health care plan is another story, but it moves the issue from the failed column to “pending.”