Discussion: Republicans Buy Time In Case That Could Destabilize Obamacare

Finally, the RepubliCANTs are having to face their own fricking music!

Heard an elderly man in Iowa reminding Sen Grassley. The man said, “Now you brought up the death panels. Well, I tell you, you will have one huge death panel if you get rid of Obamacare”…or something of that nature. So no, RepubliCANTs CANNOT rescind ACA/ObamaCare, because, he truly CARED!

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Is this the ruling from last year that is on appeal (the appeal carried over from the Obama Administration filing the appeal) the “typo case” that because of the poor wording on one of the lines buried deep in the ACA, the GOP used it to sue?

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This is a different case. The typo case went to the Supreme Court in 2015 and went down 6-3, with the majority ruling that Congress could not reasonably have meant for the law to essentially disable itself the way it would if the typo was taken literally. Roberts wrote the majority opinion and Scalia wrote the dissent.

This case involves whether the president has the power to order the Treasury to pay insurance subsidies if Congress won’t appropriate them, which Obama started doing in 2014.

The fact that the House has asked the court to delay the review of their own victory in the lower court seems less important than the fact that they want to preserve the order staying the effectiveness of the ruling. The stay allows the subsidy payments to continue at a time when they could just as easily drop the case (they brought it, they can dismiss it) and yank the funding on their own whenever they feel like it, since they no longer need the legal challenge for that purpose.

It’s almost as if they are so afraid to actually follow through on their promise to repeal ACA that they need the court to give them cover for their inaction.

Or perhaps it’s completely because they are that afraid …

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Priceless. Republicans are panicking. I’m reminded of St Augustine, “God make me chaste, but not yet”.

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Even simpler…remove the medicare salary tax cap and expand medicare to everybody.

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Obama’s waterloo is finally taking shape.

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They wouldn’t want it getting out that they dropped the case that would have killed obamacare. I also find it amusing the new name of the case is house vs Price

Amen Brother! They are busing in patients from Massachusetts!!!

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Shit…you’d think something was wrong …

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Watching Republican lawmakers being humiliated by their constituents is the only positive thing to come out of Trump’s election. It would truly warm my heart if I could get past the anger at wondering where these folks were before the election.

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7 fucking years of bitching and moaning and they don’t have one god damn thing to replace it with or even a fucking clue which way to go on it. Pretty much sums up what the republican party is all about. All talk and no action

Correction: They are all talk about how what they are going to do will help everyone, then the action they want to take is cutting taxes and all programs. The problem is figuring out how this can be done without getting blamed for the chaos it will create.

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Actually, my money is on a third option: they’ll repeal it and “replace” it with a Market Based Common Sense Solution that their infallible ideology tells them must work involving HSA’s (willfully blind to the reality that an HSA is useless if you got no money to put into it), actuarially impossible high risk pools that they will fund with block grants to the states funding about 10% of what’s needed to make them affordable to the 10% of those who qualify who are allowed into them, the total elimination of Medicaid expansion, and, of course, tax cuts for rich people. Then they’ll sit back and hope/expect that only Those People, the jobless moochers and voters in deep blue states will be hurt.

I wish I was being snarky. I really do think that’s where all the converging forces of durp are going to lead them.

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Cowards. They could accomplish the same thing by withdrawing the suit or by appropriating the money, but no.

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Oops. And, of course, they’re going to “keep all the good parts:” letting kids of people lucky enough to still have insurance stay on their 'rents policy until 26, no rejections for pre-existing conditions and no lifetime caps, without the slightest thing done to address the fact that these things have huge actuarial consequences that have to be paid for somehow. Because Free Markets Fix Everything. Clap harder!

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I know that was a joke but the real funny part is the opposite. A few years after universal health insurance was implemented in MA a study was conducted to determine the impact of the law on emergency room visits in the commonwealth. After all one of the reasons for the law was to reduce people getting health care in emergency rooms where it can cost ten times as much and often is paid for by the state and people who have insurance. Study concluded that indeed emergency room visits had gone down as a result of the law with one notable exception. Turns out hospitals in MA in close proximity of the NH border had seen little or no decrease in emergency room visits. Reason for that turned out to be NH residents going to emergency rooms in MA and not paying their bill. Brings new meaning to the NH state motto “Live free or die”.

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add SOTA federal diagnostic clinics in every metro area and mobile versions in the counties…

that would cap it off as a whole plan… it would lower healthcare costs 70% or thereabouts, because insurance profits and run-around diagnostic costs are the real thieves in medical care, and it is where they reap their most outrageous profits.

it IS that simple, but lost revenues to both the med lab and insurance profiteers precludes such simple sanity.

Public ownership of lifesaving drug patents might be another fundamental money-saver… the point is, healthcare itself doesn’t cost nearly as much as the numbers relate. SO much of that is bad habits and high profits, just removing thyose elements solve so many other issues.

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I spent 46 years working at a teaching hospital/medical school. I know that medical costs can be brought down significantly. Here is a small example. One day my grad student and I were attending a surgery in one of the operating rooms. Just outside the door was a plastic bin crammed full of surgical instruments. The surgeons had a policy of single use of these items… We asked for and took the bin for use in our lab. And then made a regular practice of shipping these things to facilities in Mexico that needed them. Now, my hospital could easily sterilize these instruments again and use them again but they chose to pass the expense on to the insurance companies.
If medical costs were lower perhaps then insurance rates would be lower as well.

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That was the way I read it, too. Perhaps because that sounds exactly like something they’d do.

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