Rand Paul to GOP: Pass a 'Clean Repeal Like We Promised'

Rand Paul to GOP: Pass a 'Clean Repeal Like We Promised'

Typically, a party in full control of government would look to the president for guidance in settling its internal divisions, but on health care, Republicans are unlikely to get a clear signal from Trump.

Even as McConnell worked behind-the-scenes to find a way to allay the concerns of conservatives, who didn't believe the bill went far enough to repeal Obamacare, and centrists, who anxious about Medicaid cuts and the 22 million more people who would be uninsured under the plan, Trump took to Twitter.

Trump - who for months has insisted that repeal and replace must occur simultaneously - glommed onto Sasse's idea in a tweet on Friday. On Friday, Trump tweeted, "If Republican Senators are unable to pass what they are working on now, they should immediately REPEAL, and then REPLACE at a later date!"

McConnell has been working to make deals with members of both factions in order to finalize a rewritten bill lawmakers can vote on when they return to the Capitol the second week of July. There is, but it's one over the fundamental responsibility of government to enable (almost) everyone to have some sort of health coverage, be it private insurance, public insurance or some mix of the two. Senators Ben Sasse and Rand Paul, who had been calling for separating the two processes, welcomed it, while others such as Susan Collins opposed it.

Later, in early May, Trump hailed a bill narrowly approved by House Republicans that the CBO said would leave 23 million Americans without insurance by 2026, only to spurn it recently as too "mean" to many Americans.

Marc Short, Trump's director of legislative affairs, appearing on Fox News Sunday, said: "Our preference is to pass the bill the Senate has right now".

Fewer than one in five Americans approve of the Senate health care bill, according to an NPR/PBS Newshour/Marist poll released Wednesday, and 55% of Americans disapprove. At the same time, a key House Republican, Rep. Kevin Brady, chairman of the House Ways and Means Committee, rejected Trump's suggestion, contending that it "doesn't achieve what President Trump set out to do". "I really think the Senate's approach - certainly in the House - of not simply repealing but starting to put into place the elements that can make health care affordable. that should continue to be our goal".

The split between the Affordable Care Act and Obamacare gave Republican leaders a large opportunity: They were in a flawless position to define Obamacare however they liked, and most Republicans (except for a handful of true ideologues and a perhaps larger handful of contrarians) would go along. But now he's going to have to spend even more time trying. In some cases, this is a weaker showing than the much-maligned House bill, the American Health Care Act.

Senate Democrats are staging events aimed at highlighting how the Senate's draft bill could hurt health care delivery in their home states.

Yes, I know, Obamacare is the Affordable Care Act. "Root and branch doesn't mean trimming the hedges, as is now the case", said Andy Roth, vice president for government affairs at the Club for Growth.

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