Martha McSally stood up in GOP conference meeting and said let's get this "fucking thing" done.
— Erica Werner (@ericawerner) May 4, 2017
Yes, direct quote — per members and aides.
The heart of the bill is the same one that was polling at under 20 percent and failed two months ago: a near-trillion dollar tax cut for wealthy investors, financed by cuts to insurance subsidies for the poor and middle class. They have added a series of hazily defined changes: waivers for states to allow insurers to charge higher rates to people with preexisting conditions and to avoid covering essential health benefits, and a pitifully small amount of money to finance high-risk pools for sick patients.
The implications of these changes are vast. The Brookings Institution notes that if a single state eliminated the cap on lifetime benefits for a single employee, then employers in every state could actually follow suit, thus bringing back a horrid feature of the pre-Obamacare system, in which people who get hit with expensive treatment suddenly discover that their insurer will no longer pay for their care. This would affect not only those getting insurance through Medicaid or the state exchanges, but also through their job.
The ambiguity of the details is the strategy. Republican leaders have been “assuring centrists that the Senate would make changes to allay their concerns and insisting that few states would actually use the waivers allowing higher premiums for pre-existing conditions,” reports The Wall Street Journal. Sean Spicer says it would be “literally impossible … to do an analysis of any level of factual basis.” Representative Fred Upton told reporters that if the Congressional Budget Office says the bill is underfunded he will push for more money — after it passes his chamber.
They are rushing through a chamber of Congress a bill reorganizing one-fifth of the economy, without even cursory attempts to gauge its impact. Its budgetary impact is as yet unknown. The same is true of its social impact, though the broad strokes are clear enough: Millions of Americans will lose access to medical care, and tens of thousands of them will die, and Congress is eager to hasten these results without knowing them more precisely. Their haste and secrecy are a way of distancing the House Republicans from the immorality of their actions.