GOP opposition puts Senate health care bill in jeopardy

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Senate Majority Leader Mitch McConnell says the plan, which he calls a discussion draft, will stabilize insurance markets and cut costs to consumers.

As he has multiple times since the ACA's passage in 2010, Obama conceded that the bill was less than ideal and vowed to support any Republican-backed bill that "is demonstrably better than the improvements we made to our health care system, that covers as many people at less cost".

Paul, speaking only for himself, said the bill did not repeal enough of Obamacare, pointing to core elements of the GOP bill such as its tax credits and stabilization fund as "new entitlements". Medicaid expansion covers 14 million people in 30 states and the District of Columbia.

"This is not a huge surprise", said Young, whose research and teaching interests focus on health law and healthcare management. And because California is a high-cost state, premiums and deductibles are likely to spike for some middle-class families. Medicaid funding would be capped on a per-person basis. The Senate bill would phase out the expansion of Medicaid, but more slowly than the House, ending it by 2024. Because states have to balance their budgets every year, unlike the federal government, many will struggle to compensate for reductions in federal aid caused by a spending cap. The reason is simply that too many otherwise healthy people will simply wait until they get sick to sign up.

Shares of hospital companies and health insurers rose on the bill's release, with the overall S&P 500 healthcare sector closing up 1.1 percent at an all-time high.

Those cuts are especially cruel at a time when an aging population will increasingly depend on Medicaid, including for nursing home care, and when states need Medicaid to combat opioid addiction.

Senate Republicans and their allies will make the excuse that all of these had to be left out under the Senate's reconciliation rules, which only require 51 votes to pass instead of 60 votes. "We believe that health care is a basic human right, and we will get out there and fight for it".

That's Mr. Hyde. Now for Dr. Jekyll.

Paul issued a statement Thursday saying he wasn't ready to vote in favor of the new bill because it doesn't fully repeal Obamacare.

"The devil is in the details, and now that we've seen the bill, it's understandable why Senate leaders have kept it hidden behind closed doors", says Betsy Imholz, special projects director for Consumers Union, the policy and mobilization arm of Consumer Reports. It would provide flat age-based tax credits for the purchase of private health insurance ranging from $2,000 to $4,000 per year that would be capped at upper-income levels.

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