Paul Ryan Isn’t Even Trying to Pass a Health Care Bill Anymore

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The LA Times reports that House Republicans have steadfastly refused to reach out to Democrats in an effort to pass their health care bill. This is no surprise. They’re well aware of how they suckered Democrats in 2009, killing months of time in “talks” even though none of them ever planned to support Obamacare. They figure Democrats would do the same to them, and they’re right.

But then we get this:

And senior House Republicans and White House officials have almost completely shut out doctors, hospitals, patient advocates and others who work in the healthcare system, industry officials say, despite pleas from many healthcare leaders to seek an alternative path that doesn’t threaten protections for tens of millions of Americans.

….Health insurers, who initially found House Republicans and Trump administration officials open to suggestions for improving insurance markets, say it is increasingly difficult to have realistic discussions, according to numerous industry officials. “They’re not interested in how health policy actually works,” said one insurance company official, who asked not to be identified discussing conversations with GOP officials. “It’s incredibly frustrating.”

Another longtime healthcare lobbyist, who also did not want to be identified criticizing Republicans, said he’d never seen legislation developed with such disregard for expert input. “It is totally divorced from reality,” he said.

It’s increasingly obvious that Republicans aren’t actually trying to pass a health care bill. They just want to be able to tell their base that they tried. And President Trump wants to erase the taste of defeat from the first health care bill.

If House Republicans were serious, they’d engage with the health care industry. They haven’t. If they were serious they’d care about the CBO score. They don’t. If they were serious they’d be crafting a bill that could pass Senate reconciliation rules. They aren’t even trying. If Senate Republicans were serious they’d be weighing in with a bill of their own. They aren’t wasting their time.

In the beginning, I think Paul Ryan really did want to pass something, mainly so that it would make his tax cut plan easier to pass. But he’s given up on that. At this point he just wants a piece of paper that gets 218 votes and demonstrates that the Republican caucus isn’t hopelessly inept. He knows it will be DOA in the Senate, but at least it will get health care off his plate once and for all. Then he can move on to cutting taxes on the rich, which is what he really cares about. And he’ll have no trouble rounding up votes for that.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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