Rand Paul

Schrader Offers Democratic Plan to Repair Obamacare

Oregon Congressman Kurt Schrader and nine other House Democrats offered what they called “real, concrete solutions” to cracks in Obamacare’s individual market health insurance. The plan won’t go anywhere until it’s clear whether Senate Republicans have enough votes to pass their own Obamacare replacement bill, with a vote expected next week.

Oregon Congressman Kurt Schrader and nine other House Democrats offered what they called “real, concrete solutions” to cracks in Obamacare’s individual market health insurance. The plan won’t go anywhere until it’s clear whether Senate Republicans have enough votes to pass their own Obamacare replacement bill, with a vote expected next week.

Led by Oregon Congressman Kurt Schrader, 10 House Democrats have floated a plan to fix Obamacare as Senate Republicans prepare to vote on a revamped alternative that still slashes Medicaid spending by $700 billion.

Schrader said the House Democratic plan proposes “real, concrete solutions that will stabilize and improve the individual market, making Obamacare work better for everyone and getting us closer to universal coverage for all Americans.”

One of the key elements in the Schrader proposal is a $15 billion annual reinsurance fund to pay health insurers that enroll higher-cost, sicker individuals. Obamacare contained a similar reinsurance fund from 2014-2016. The concept is to ease the cost burden for insurers of expensive care for some patients so average premiums for participants in the individual market can be lowered.

Other features include continuation of payments to insurers that offer discounts to low-income patients, changing the enrollment period from November to May to coincide with when taxpayers receive income tax refunds and expanding tax credits for buying insurance based on age, geography and income. The plan calls for robust marketing of health plans with subsidies and drawing bidding areas that provide more competition for underserved rural areas.

"Although we’ve made progress, Members of Congress have to acknowledge that too many Americans still struggle with costs, especially people in the individual market," Schrader said.

Schrader and his colleagues also would allow people nearing retirement age the option to buy into Medicare coverage and permit younger adults to purchase catastrophic health plans that include primary care coverage with anticipated lower premiums.

Oregon Senator Ron Wyden urged a bipartisan approach to stabilize the individual health insurance market. He also encouraged steps to lower prescription drug costs, such as allowing Medicare to negotiate drug prices with pharmaceutical companies.

The first inklings of Democratic willingness to work on cracks in Obamacare came after Senate Majority Leader Mitch McConnell indicated that if a GOP alternative fails to pass, the only avenue left is a bipartisan approach. President Trump and political conservatives have said failing to repeal and replace Obamacare would break a longstanding Republican promise. Kentucky GOP Senator Rand Paul has announced he will oppose the GOP health care bill because it doesn’t go far enough toward repealing Obamacare provisions.

Meanwhile, GOP moderates are worried about the impact of large cuts to Medicaid on elderly and disabled Americans, who consume the largest amount of Medicaid funding. In the revised version of the Senate health care bill, more money is set aside to combat the national opioid crisis in a play to win over some wavering Senate moderates, but it still might not be enough.

Maine Senator Susan Collins, one of the moderates unconvinced by the redrafted plan, pointed out there is a $70 billion math error. The Better Care Reconciliation Act includes an amendment by Texas Senator Ted Cruz that would allow bare-bones health plans also provides $70 billion in federal support for health insurers. Except the $70 billion Cruz would use for this purpose is already allocated in the bill. Tim Jost, a health care law expert and professor at Washington and Lee University, told MSNBC that the bill “gives an additional $70 billion to the states and then the Cruz amendment gives it to insurers that offer compliant plans in addition to noncompliant plans.”

Congressional Republicans are using the budget reconciliation process to replace Obamacare because this procedural is not subject to Senate filibuster rules. But the 52-member Senate GOP majority is thin and only can afford to lose two members to pass its health care legislation. Senate Minority Leader Chuck Schumer has said Democrats would work with Republicans if they dropped the reconciliation process. According to The Hill, some Republican senators, including Lindsey Graham, have entertained informal conversations with Democrats about a bipartisan legislative approach.

The GOP-backed American Health Care Act passed the House earlier this year with a narrow 2-vote margin. The changes under consideration in the Senate, including retaining two taxes imposed by Obamacare, might erode that margin and make a reconsideration vote in the House uncertain. House Minority Leader Nancy Pelosi has not offered to work with Republicans on Obamacare-related legislation. Pelosi did say the Schrader-led proposal offer “promising ideas to put solutions over politics to strengthen the Affordable Care Act and continue to lower costs for seniors and hard-working families.”

Bumper Crop of Candidates for Satire

Hillary Clinton wheeling around Iowa in her Scooby van is just the tip of the satirical iceberg for the latest bumper crop of presidential wannabes.

Hillary Clinton wheeling around Iowa in her Scooby van is just the tip of the satirical iceberg for the latest bumper crop of presidential wannabes.

People choose political candidates for lots of reasons, including how well they can be parodied on shows like Saturday Night Live. This year's presidential field looks like a bummer crop of candidates who will provide the ridiculous comments and embarrassing moments that brighten up late-night TV.

Hillary Clinton's official entrance into the presidential sweepstakes over the weekend touched off a wave of negative blasts from political conservatives. But the writers at SNL were licking their chops as the former First Lady headed to Iowa to campaign in a van named "Scooby." You can see the skit take shape.

Clinton faces no serious Democratic challenger so far, so may have to run a shadow-boxing campaign against make-believe opponents. That will be funny to watch on Saturday nights.

Rand Paul entered the race last week and immediately engaged in a series of testy media interviews. This may be a ploy by Paul and his team to "expose" the liberal news media, even though some fellow Republicans thought it "exposed" Paul as an angry candidate. SNL couldn't be happier. It hasn't had a candidate this petulant to parody since Ross Perot.

Ted Cruz was the first candidate to dive officially into the presidential waters. Shunning his home state of Texas as a backdrop, Cruz made his announcement at Liberty University, where, as he often does, Cruz took liberties with facts. His candidacy will excite both SNL and its satirical sister, Fox News.

The latest to join the fray is Marco Rubio, who chose a historic setting in Miami to emphasize his roots from Cuban immigrants. Rubio was one of the key Senate brokers on an immigration reform bill that is anathema to a large chunk of the GOP voters he must now try to woo. The skit almost writes itself of Rubio speaking Spanish to a clump of Iowa farmers.

Soon Jeb Bush is expected to declare his candidacy, unless he plans to turn his sizable campaign warchest into a private hedge fund. The prospect of a Bush III versus Clinton II campaign next fall will inspire all sorts of satire from just about every segment of the political spectrum.

Lindsey Graham, the just re-elected senator from South Carolina who often appears like an aide-de-camp of former GOP presidential nominee John McCain, is exploring a presidential run. It will be too tempting, if he does run, not to spoof him as the grizzled McCain's youthful protege – think Dick Cheney and George W. Bush.

And these are just the big rollers. There are dark horses roaming around the countryside that could add even more comic fizz to the mix. Voters may rue that the presidential election has started, but people who love comedy can wait for the satire to start.

No Nap for a Superpower

Most Americans would like to withdraw from international contretemps, but the rest of the world isn't cooperating. American involvement is in demand across the globe.

Nowhere is American fatigue deeper than with the Middle East. We fought two long, expensive wars and a majority of Americans want to put them in the rear-view mirror. That doesn't seem likely.

Secretary of State John Kerry brokered a deal to audit all the ballots cast in the recent Afghan presidential runoff, avoiding at least for now a splintered national government, which could give the Taliban hiding in the hills an opportunity to make a political or military comeback.

Iraq continues to disintegrate, forcing President Obama, who campaigned on getting America out of the country, to consider going back in. He already has consented to send up to 1,000 military advisers to Iraq and is applying pressure to install a national unity government that can woo back disaffected Sunnis and opportunistic Kurds.

The United States is playing a lead role in fragile, emotionally charged negotiations on Iran's nuclear capabilities. There is a small window for Iran's new government to compromise in return for a significant relaxation of economic sanctions. Direct dialogue with Iran may have side benefits in trying to quell Sunni-led terrorist insurgency in Iraq.

Cherry Blossoms and Compromise Bloom

Suddenly Congress is abloom with cherry blossoms and compromises on gun control and immigration reform, a vote to break a Senate filibuster and a presidential budget proposal that angered both Republicans and Democrats.

Granted most of the activity was in the Senate, which has stirred from paralysis in response to the 2012 election and fast-moving demographic changes that could reshape the nation's electoral map. Even Congressman Paul Ryan — the chief budget warrior in the GOP-controlled House — signaled the possibility of a deal with President Barack Obama, despite Speaker John Boehner calling it a plan for deficit spending forever.

The political fault lines haven't evaporated, but leading Republicans are eager to seize the moment to repair tattered relations with minority voters, who vote heavily Democratic, and suburban voters, who are emerging as the key swing votes in many states. Both constituencies balk at some of the more extreme GOP positions.

GOP ballot box failures with African-American and Latino voters were highlighted in Obama's victory last fall. But more important are signs that more bedrock red states such as Texas and Arizona are seeing a marked shift toward the political middle or beyond. That has led to a new political pliancy by the likes of Senators John McCain of Arizona and Lindsey Graham of South Carolina on immigration.