The stealth Republican force behind Obamacare repeal – Politico
Republican town halls are erupting with protests as Americans fret over the future of their health insurance. But listen to Lamar Alexander for a few minutes, and you might think not a single bad thing will come of the GOPs plan to rip apart Obamacare and stitch together a replacement.
The folksy Tennessee senator is quietly prevailing upon Republican lawmakers to take a deep breath when it comes to rewriting the health care law that controls a sixth of the American economy. His goal, in a nutshell: to reassure millions of Americans that Republicans arent trying to snatch away their health insurance.
Story Continued Below
His message: As long as were smart and deliberate, it will all be fine. It might take awhile, but we got this.
There are a lot of generals in this administration theyre taught in the war college to think it all the way through, Alexander says. We ought to do that as we try to repair the damage caused by Obamacare. We need to think all the way through to the end.
Tamping down expectations about a quick fix let alone delivering a solution is a monumental task, of course. Its one Alexander is most comfortable leading in private. If theres a softer side to Republicans plans to gut the law, its best represented by Alexander, a lawmaker who so loves cutting a deal that he voluntarily left the top ranks of Republican leadership to better work with Democrats.
A former governor and two-time presidential candidate, Alexander stalks the halls of the Capitol with a small card filled with bullet points about the health care law, pressing it into the hands of Republicans to alert them to the scope of the problems with the nations insurance coverage. Just as he ran for governor by walking across the state in his trademark black-and-red checked flannel shirt, Alexanders goal is to buttonhole enough GOP lawmakers until the whole party is on the same page.
It hasnt been easy. Daily Senate Republican lunches regularly erupt in disagreement over strategy; its now mid-February without a clear path forward, after years of Republican show votes to repeal the law.
Which is fine by Alexander. Republicans came back to Washington in January ready to repeal Obamacare before Inauguration Day. The chairman of the Senate Health, Education, Labor and Pensions Committee was one of the first lawmakers to call on Republicans not to scrap Obamacare until a replacement is ready to go.
Thats now the GOPs mantra.
What Im trying to do is to make sure that we think carefully, Alexander said. Were moving from a position repeal and replace to governing. Its a little more complicated.
Still, its unclear how the GOP will respond to Alexander's more centrist approach. Conservatives inside and outside Congress have already grown frustrated with the GOPs plodding pace toward repealing the law.
While the knives have not yet been turned on Alexander, its clear the partys right flank is eager to follow through on its years-long vow to deep-six the health care law.
We need to move expeditiously to honor the promises we made to voters, said Sen. Ted Cruz (R-Texas). This election in many ways was a referendum on Obamacare.
But in a 30-minute interview with Alexander in his Capitol Hill office packed with artifacts from early settlements in Appalachia, from animal pelts to Sam Houstons walking stick he talks instead about a safe approach. Implementing a replacement in full, he said, could take as long as four years.
Rather than use the GOPs well-worn talking points, he has his own. Democrats and Republicans are fighting like the Hatfields and McCoys, he says, while relying on Obamacare will soon be like having a bus ticket in a town with no buses running.
He doesnt throw out red meat, either, a quality that makes some Democrats open, in theory, to working with Alexander, even though the repeal vote will surely fall along party lines. They like that Alexander tried to be productive during the Obama administration and has carried his pragmatism into the Trump presidency.
Hes one of the most thoughtful members we have, said Sen. Tom Carper (D-Del.).
While they respect Alexanders bipartisan bona fides, Democrats say his rhetoric about building a bridge from Obamacare papers over the reality of stripping health insurance coverage from millions of people.
Alexander is close with both Senate Majority Leader Mitch McConnell and Minority Leader Chuck Schumer, which along with his committee chairmanship gives him clout with both parties.
At a time when there is such tension in the chamber, Lamar is one of those people who can disagree with you without being disagreeable, Schumer said.
Still, there are nearly 300 Republicans in Congress who want a piece of the debate, and many are already competing for attention over their own replacement plans.
Alexander doesnt want to go that route. He says he wont even introduce his own bill. Instead he wants to see what Trump and Health and Human Services Secretary Tom Price propose, then help craft a bill to reconcile the differences.
He also believes Republicans should focus on the biggest problems first. At the top of the list is flagging insurance exchanges, which are suffering from high premiums and low competition, even if they represent just 4 percent of those insured in the United States.
Thats where we need to send in the rescue team, Alexander says.
From there, he wants Republicans to turn to Medicaid expansion which Republicans will keep and potentially even broaden, he says before eventually addressing problems with the countrys patchwork of employer-sponsored health care plans. In essence, Alexander is trying to triangulate an approach that can become law.
One potential hurdle is Alexanders lack of a relationship with President Donald Trump, whom he met for only the second time this month. But he has deep ties with Price and House Speaker Paul Ryan: During the interview, Alexander repeatedly stressed that the three of them are on the same page. Those relationships have given other Republicans confidence in Alexanders role.
Thats the key guy, said Sen. John McCain (R-Ariz.).
Of course, Capitol Hill is a very turf-conscious place. Alexanders committee has jurisdiction over only a small part of health care. The Senate Finance Committee controls the major levers, such as taxes, subsidies and Medicaid. The committees and their staffs have been working together but Finance Chairman Orrin Hatch (R-Utah) is protective of his jurisdiction.
Sen. Lamar Alexander wants to see what President Donald Trump and Health and Human Services Secretary Tom Price propose, then help craft a bill to reconcile the differences. | M. Scott Mahaskey/POLITICO
He doesnt have much to do with it, Hatch said of Alexander. He takes a great interest in it, and Im glad he does, and I want to get his best ideas.
Hatch is urging the Congress to quickly repeal Obamacares taxes that fund subsidies for lower-income Americans on the exchanges. But here again Alexander urges caution: If Republicans repeal taxes now, how can they be sure theyll have the revenue needed to pay for their replacement plan?
Most Republicans are going to be reluctant to reduce taxes now and then raise taxes later, he said.
With enough divisions among Republicans to fill a book, the GOP is starting with almost entirely partisan tactics. Alexander and other powerful Republicans want to use budget reconciliation to repeal and replace as much of the law they can on a party-line vote in the Senate, while looking to Price to write regulations to begin changing the law.
Once Republicans have settled their own issues, eventually theyll need the cooperation of Senate Democrats to begin passing new insurance provisions. And the Senate is fraught with tension: Many Democrats are angry at Alexander for helping Trump confirm Betsy DeVos as education secretary, and theres almost no appetite for collaboration on health care.
Alexanders first hearing on the subject degenerated into a series of speeches. Democrats blasted Republicans for taking away peoples insurance. Republicans grandstanded about how bad Obamacare is.
The witnesses were good, but the senators were not that good, Alexander said. Its going to take awhile.
See the rest here:
The stealth Republican force behind Obamacare repeal - Politico
- Democrats and Republicans in Congress worried that Gabbard might leak information to Syria - NBC News - December 8th, 2024 [December 8th, 2024]
- Opinion | What Republicans and Democrats Get Wrong About Crime - The New York Times - December 8th, 2024 [December 8th, 2024]
- Republicans (Quietly) Disagree With Trump on the Fed - POLITICO - December 8th, 2024 [December 8th, 2024]
- Republicans eye cutting Social Security, Medicare and Medicaid and extending billionaire tax cuts - MSNBC - December 8th, 2024 [December 8th, 2024]
- One idea that has Democrats and Republicans in sync - Harvard Gazette - December 8th, 2024 [December 8th, 2024]
- Concerns about Hunter Bidens Pardon Ring Hollow as Republicans Sidelined Congressman Cohens Constitutional Amendment that Would Have Limited Pardons -... - December 8th, 2024 [December 8th, 2024]
- Republicans sink attempts to force release of Gaetz report - Roll Call - December 8th, 2024 [December 8th, 2024]
- Republicans weigh in on preemptive pardons in unintentionally funny ways - MSNBC - December 8th, 2024 [December 8th, 2024]
- What does the Texas House speaker do and why are Republicans fighting? - The Texas Tribune - December 8th, 2024 [December 8th, 2024]
- 'We're going to gut the fish': Republicans give details from closed-door meetings with DOGE's Musk, Ramaswamy - Fox News - December 8th, 2024 [December 8th, 2024]
- Democrats flip final House seat of the 2024 elections, narrowing Republicans' majority - NBC News - December 8th, 2024 [December 8th, 2024]
- Column | Hill Republicans are mad that other federal workers also work remotely - The Washington Post - December 8th, 2024 [December 8th, 2024]
- North Carolina Republicans close in on enacting bill that weakens incoming Democratic governor - The Associated Press - December 8th, 2024 [December 8th, 2024]
- Will Trump and Republicans quash the FBI headquarters move to Maryland, pivot to Virginia instead? - Virginia Mercury - December 8th, 2024 [December 8th, 2024]
- The GOP's post-election challenge: Turning Trump voters into full-fledged Republicans: From the Politics Desk - NBC News - December 8th, 2024 [December 8th, 2024]
- House Republicans organize for coming session with Mia Costello as minority leader - Must Read Alaska - December 8th, 2024 [December 8th, 2024]
- Republicans Block Democrats Efforts to Force Release of Gaetz Ethics Report - The Wall Street Journal - December 8th, 2024 [December 8th, 2024]
- Republicans locked down a trifecta for 2025. They'll still have to walk a tightrope in Congress. - USA TODAY - December 8th, 2024 [December 8th, 2024]
- Post-election, Democrats are gloomy about the economy and Republicans are optimistic - Axios - December 8th, 2024 [December 8th, 2024]
- Trump transition: Pete Hegseth meets with Republicans amid drinking allegations - NBC News - December 8th, 2024 [December 8th, 2024]
- New Poll Shows Boost of Confidence in Military Driven by Republicans and Trump's Election - Military.com - December 8th, 2024 [December 8th, 2024]
- Republicans, not Democrats, hold fate of Trump nominees in their hands - The Washington Post - November 28th, 2024 [November 28th, 2024]
- Joy Reid sends message to Republicans ahead of Thanksgiving: 'Make your own dinner, MAGA' - Fox News - November 28th, 2024 [November 28th, 2024]
- Clean Energy Advocates and Businesses Wrestle With an Uncertain Future as Republicans Target IRA Funds - InsideClimate News - November 28th, 2024 [November 28th, 2024]
- In WA state Legislature, Democrats and Republicans are sticking with their leaders - Washington State Standard - November 28th, 2024 [November 28th, 2024]
- Trump promised to boost oil and gas. But what do other Republicans think? - WWNO - November 28th, 2024 [November 28th, 2024]
- Iowa Republicans form House higher education committee for long overdue review - Higher Ed Dive - November 28th, 2024 [November 28th, 2024]
- Republicans to file contest lawsuit over 21 missing ballots in Scott County - ABC 6 News KAAL TV - November 28th, 2024 [November 28th, 2024]
- Republicans push back against Democrats' claims that Trump intelligence pick Gabbard is compromised - The Associated Press - November 28th, 2024 [November 28th, 2024]
- Republicans Ponder: What if the Trump Tax Cuts Cost Nothing? - The New York Times - November 28th, 2024 [November 28th, 2024]
- Why Republicans think their Senate majority could last the decade: From the Politics Desk - NBC News - November 28th, 2024 [November 28th, 2024]
- Republicans Big Tax Challenge Is Fitting All Their Priorities in One Bill - The Wall Street Journal - November 28th, 2024 [November 28th, 2024]
- Vying to be next governor, Republicans wrangle over Trump - NJ Spotlight News - November 28th, 2024 [November 28th, 2024]
- Sarah McBride on bathroom issues: It is an attempt to distract by Republicans - POLITICO - November 28th, 2024 [November 28th, 2024]
- Republicans suddenly think the economys great and the election wasnt rigged - POLITICO - November 17th, 2024 [November 17th, 2024]
- Big voter turnout this year benefited Republicans, contradicting conventional political wisdom - The Associated Press - November 17th, 2024 [November 17th, 2024]
- A study found that Xs algorithm now loves two things: Republicans and Elon Musk - The Verge - November 17th, 2024 [November 17th, 2024]
- Cole says Republicans should be working with Trump to try and achieve his objectives - The Hill - November 17th, 2024 [November 17th, 2024]
- What They Are Saying: Republicans Disgusted by Trumps Ultra-MAGA Gut Punch With Gaetz Pick - Democrats.org - November 17th, 2024 [November 17th, 2024]
- The Disturbing Reason Senate Republicans Might Greenlight All of Trumps Nominees - Slate - November 16th, 2024 [November 16th, 2024]
- House elections produced a stalemate. Can Republicans figure out how to work with a thin majority? - The Associated Press - November 16th, 2024 [November 16th, 2024]
- House Republicans applaud Trump's picking Kennedy to lead HHS -- with a few concerns - ABC News - November 16th, 2024 [November 16th, 2024]
- Trump is already testing Congress and daring Republicans to oppose him - The Associated Press - November 16th, 2024 [November 16th, 2024]
- Republicans Are Leaving Office for Trump Posts. How Will the Vacancies Be Filled? - The New York Times - November 16th, 2024 [November 16th, 2024]
- Republicans retain their hold of the House, clinching full control of Congress - NPR - November 16th, 2024 [November 16th, 2024]
- NY Republicans may kill congestion pricing in Congress if Trump can't nix the tolls - Gothamist - November 16th, 2024 [November 16th, 2024]
- Trump is already testing Republicans, and some seem unwilling to defy him - The Washington Post - November 16th, 2024 [November 16th, 2024]
- Election 2024 highlights: Republicans win House majority of 218 seats - The Associated Press - November 16th, 2024 [November 16th, 2024]
- What Republicans could do with their power as they secure control of House and Senate - PBS NewsHour - November 16th, 2024 [November 16th, 2024]
- Republicans win the House and cement party trifecta for Trump - BBC.com - November 16th, 2024 [November 16th, 2024]
- New York Republicans now have an Elise Stefanik-sized void to fill - POLITICO - November 16th, 2024 [November 16th, 2024]
- Schumer to Republicans: Please dont do to us what we were going to do to you - Washington Examiner - November 16th, 2024 [November 16th, 2024]
- Republicans finally win the coveted trifecta - The Economist - November 16th, 2024 [November 16th, 2024]
- Republicans will retain House majority, CNN projects, completing GOPs dominance of Washington - CNN - November 16th, 2024 [November 16th, 2024]
- What Republicans are saying about Matt Gaetzs nomination for attorney general - The Associated Press - November 16th, 2024 [November 16th, 2024]
- Republicans Maintain House Majority, Clinching Trifecta of Government Control - TIME - November 16th, 2024 [November 16th, 2024]
- WATCH: House Republicans ready to deliver, Johnson says as GOP readies for new Trump era - PBS NewsHour - November 16th, 2024 [November 16th, 2024]
- House Republicans strike deal on motion to vacate, making it harder to oust speaker - ABC News - November 16th, 2024 [November 16th, 2024]
- Republicans Ran a Dysfunctional House. Voters Shrugged and Re-elected Them. - The New York Times - November 16th, 2024 [November 16th, 2024]
- Republicans begin picking their next leaders in Congress - NPR - November 16th, 2024 [November 16th, 2024]
- Republicans Try to Block Counting of Undated Ballots in Pennsylvania - Democracy Docket - November 16th, 2024 [November 16th, 2024]
- Republicans Win Control Of The HouseGiving Trump Unified Government - Forbes - November 16th, 2024 [November 16th, 2024]
- Column: Victorious Republicans are once again falling for the mandate trap - Los Angeles Times - November 16th, 2024 [November 16th, 2024]
- Republicans won the House. Now comes the hard part. - ABC News - November 16th, 2024 [November 16th, 2024]
- As Trump Staffs Up, House Republicans Watch Their Expected Majority Shrink - The New York Times - November 16th, 2024 [November 16th, 2024]
- Could Matt Gaetz Face GOP Revolt? What Senate Republicans Have Said - Newsweek - November 16th, 2024 [November 16th, 2024]
- Republicans on the verge of clinching control of the US House - The Guardian US - November 10th, 2024 [November 10th, 2024]
- Florida Republicans are thrilled about Susie Wiles with one big exception - POLITICO - November 10th, 2024 [November 10th, 2024]
- Women fear Republicans will move to overturn no-fault divorce laws - The Washington Post - November 10th, 2024 [November 10th, 2024]
- Democrats and Republicans agree on one thing: any lessons learned from Trump 2.0 will be immediately forgotten - The Guardian - November 10th, 2024 [November 10th, 2024]
- Republicans win control of the Senate; House remains up for grabs - NBC News - November 10th, 2024 [November 10th, 2024]
- Hill Republicans ready ambitious agenda as they hope for full sweep of Washington - CNN - November 10th, 2024 [November 10th, 2024]
- Republicans will flip the Senate, CNN projects, shifting balance of power in Washington - CNN - November 10th, 2024 [November 10th, 2024]
- Republicans flip the US Senate, ending three years of Democrat control - Al Jazeera English - November 10th, 2024 [November 10th, 2024]
- Republicans reassert their dominance in Texas - The Texas Tribune - November 10th, 2024 [November 10th, 2024]
- For Trump and Republicans in Congress, everything is in play on tax cuts - The Washington Post - November 10th, 2024 [November 10th, 2024]
- With Republicans Claiming the Senate and Possibly the House, Congress Expected to Reverse Course on Climate - InsideClimate News - November 10th, 2024 [November 10th, 2024]
- Missouri voted for abortion-rights amendment and Republicans who vow to overturn it - Missouri Independent - November 10th, 2024 [November 10th, 2024]
- Republicans Make Early Inroads in Their Fight to Keep the House Majority - The New York Times - November 10th, 2024 [November 10th, 2024]
- Harris Tried to Win Over Republicans. Democratic Support Collapsed Instead - Rolling Stone - November 10th, 2024 [November 10th, 2024]