President Donald Trump speaks at the Department of Energy in Washington on Thursday. (AP Photo/Susan Walsh)

President Donald Trump speaks at the Department of Energy in Washington on Thursday. (AP Photo/Susan Walsh)

Trump urges GOP to repeal Obama law now, replace later

By Alan Fram / Associated Press

WASHINGTON — President Donald Trump urged divided congressional Republicans on Friday to break their logjam over dismantling President Barack Obama’s health care law by “immediately” repealing it and replacing it later, a formula that GOP leaders dismissed months ago as politically unwise.

Trump’s early-morning tweet embraced a sequential approach favored by only a handful of conservatives eager to take quick action on one of the party’s foremost priorities — repealing Obamacare, something Republicans have long promised to do. But his suggestion threatened to sharpen divisions between conservatives and moderates, who are leery of stripping coverage from millions of constituents without something to substitute for it.

“If Republican Senators are unable to pass what they are working on now, they should immediately REPEAL, and then REPLACE at a later date!” Trump tweeted.

Supporters of that idea include Sens. Ben Sasse, R-Neb., and Rand Paul, R-Ky.

House and Senate leaders long ago abandoned initial thoughts of first erasing Obama’s law, and then replacing it.

Such a step-by-step approach would leave Republicans vulnerable to Democratic accusations that they were simply tossing people off coverage without helping them obtain medical care. And the idea would leave unresolved the quandary stumping lawmakers today — how to replace Obama’s system of online insurance markets, tax subsidies and an expanded Medicaid with something that will get enough Republican votes to pass Congress.

A spokesman for Senate Majority Leader Mitch McConnell, R-Ky., declined to comment on Trump’s tweet.

On Thursday, Senate Republicans were considering breaking a stalemate over what their replacement bill should do by preserving a tax boost Obama’s law imposed on high earners. Keeping that tax increase in place was a bid to woo party moderates and rescue their sputtering push to repeal his health care overhaul.

The break from dogma by a party that has long reviled tax boosts — and most things achieved by Obama — underscores McConnell’s feverish effort to rescue the Senate legislation from the brink of possible defeat.

The money from the tax boost would instead be used to bolster proposed health care subsidies for lower-income people.

The change, proposed by Sen. Bob Corker, R-Tenn., would give a more populist flavor to the bill. The nonpartisan Congressional Budget Office says that as the legislation now is written, it would boost out-of-pocket costs for many poor consumers and produce 22 million uninsured people while cutting around $700 billion in taxes over a decade — largely for richer people and the health care industry.

“You’re increasing the burden on lower-income citizens and obviously alleviating the burden on the wealthy. That is not an equation that works,” Corker said. He said he was “very confident” that leaders would address the issue in the updated bill.

Top Republicans also considered an amendment pushed by conservatives to let insurers offer plans with low premiums and scant benefits. To do so, a company would also have to sell a policy that abides by the consumer-friendly coverage requirements in Obama’s 2010 statute, which the GOP is struggling to repeal.

Both proposals were encountering internal Republican opposition, and it was uncertain either would survive.

McConnell postponed a vote on an initial version Tuesday because of opposition from conservatives and moderates alike. By this week’s end, he wants to nail down changes that would assure the bill’s passage after Congress’ weeklong July 4 recess. No more than two of the 52 GOP senators can oppose the measure for him to prevail, and there were no indications he’d achieved that margin as senators left town Thursday.

“We’re kind of at a stalemate right now, I’d say,” said Sen. Shelley Moore Capito, R-W.Va., who with Ohio GOP Sen. Robert Portman and others wants to forestall reductions the measure would make in Medicaid.

The Medicaid program for low-income and disabled people has grown dramatically in their states and others, but the Republican bill would cut it, with reductions growing over time.

Under Corker’s proposal, the bill would retain Obama’s 3.8 percent tax increase on investment income for married couples making more than $250,000 a year and individuals making more than $125,000. Keeping that increase would save $172 billion over 10 years, and moderates want to use that money to make coverage more affordable for poorer consumers.

Conservatives said they opposed the idea, along with the chairmen of Congress’ two tax-writing committees: Senate Finance chairman Orrin Hatch, R-Utah, and House Ways and Means chairman Kevin Brady, R-Texas.

Also in play was a proposal by Sen. Ted Cruz, R-Texas, to let insurers offer skimpier policies, which conservatives say would lower premiums.

Moderates oppose that, especially if it lets insurers raise premiums on people with pre-existing medical problems.

Republicans also said party leaders agreed to add $45 billion for battling opioids abuse to their bill. They were also considering a proposal by conservatives to let people use tax-advantaged health savings accounts to pay health care premiums.

Associated Press writers Erica Werner, Mary Clare Jalonick, Kevin Freking and Stephen Ohlemacher contributed to this report.

Talk to us

> Give us your news tips.

> Send us a letter to the editor.

> More Herald contact information.

More in Local News

Olivia Vanni / The Herald 
The Mukilteo Lighthouse. Built in 1906, it’s one of the most iconic landmarks in Snohomish County.
The Mukilteo Lighthouse. Built in 1906, it’s one of the most iconic landmarks in Snohomish County. (Olivia Vanni / The Herald)
Mukilteo mayor vetoes council-approved sales tax

The tax would have helped pay for transportation infrastructure, but was also set to give Mukilteo the highest sales tax rate in the state.

Marysville Mayor Jon Nehring gives the state of the city address at the Marysville Civic Center on Wednesday, Jan. 31, 2024, in Marysville, Washington. (Ryan Berry / The Herald)
Marysville council approves interim middle housing law

The council passed the regulations to prevent a state model code from taking effect by default. It expects to approve final rules by October.

x
State audit takes issue with Edmonds COVID grant monitoring

The audit report covered 2023 and is the third since 2020 that found similar issues with COVID-19 recovery grant documentation.

Bothell
Bothell man pleads guilty to sexual abuse of Marysville middle schoolers

The man allegedly sexually assaulted three students in exchange for vapes and edibles in 2022. His sentencing is set for Aug. 29.

Larsen talks proposed Medicaid cuts during Compass Health stop in Everett

Compass Health plans to open its new behavioral health center in August. Nearly all of the nonprofit’s patients rely on Medicaid.

Snohomish County Health Department Director Dennis Worsham on Tuesday, June 11, 2024 in Everett, Washington. (Olivia Vanni / The Herald)
Snohomish County Health Department director tapped as WA health secretary

Dennis Worsham became the first director of the county health department in January 2023. His last day will be July 3.

Logo for news use featuring the municipality of Mukilteo in Snohomish County, Washington. 220118
On second go, Mukilteo City Council votes against sales tax hike

A veto from Mayor Joe Marine forced the council to bring the potential 0.1% sales tax increase back for another vote Monday.

Community members gather for the dedication of the Oso Landslide Memorial following the ten-year remembrance of the slide on Friday, March 22, 2024, at the Oso Landslide Memorial in Oso, Washington. (Ryan Berry / The Herald)
The Daily Herald garners 6 awards from regional journalism competition

The awards recognize the best in journalism from media outlets across Alaska, Idaho, Montana, Oregon and Washington.

Two visitors comb the beach at Kayak Point Regional County Park on Friday, June 14, 2024, in Tulalip, Washington. (Ryan Berry / The Herald)
Nate Nehring and WSU Beach Watchers to host beach cleanup at Kayak Point

Children and families are especially encouraged to attend the event at Kayak Point Regional County Park.

One person dead in single-vehicle fatal crash near Stanwood

A 33-year-old male was found dead at the scene Monday evening with his vehicle partially wrapped around a tree.

Logo for news use featuring Snohomish County, Washington. 220118
Snohomish Regional firefighters respond to nearly 90 calls on the Fourth

While crews stayed busy on Independence Day, it was far more peaceful than other years.

Vehicles travel along Mukilteo Speedway on Sunday, April 21, 2024, in Mukilteo, Washington. (Ryan Berry / The Herald)
Mukilteo approves 84-acre annexation east of Speedway

The annexation of unincorporated land is expected to bring new revenue to the city as it faces budget challenges.

Support local journalism

If you value local news, make a gift now to support the trusted journalism you get in The Daily Herald. Donations processed in this system are not tax deductible.