'Nobody knew health care could be so complicated,' Trump tells governors

Jon Howard
February 28, 2017

"It is this sort of amorphous thing that has yet to gel up, and until it does, we don't know what it will look like". "There are a lot of different factors", the Indiana Republican told IndyStar after attending the National Governors Association winter meeting. But if they do, at least now we have a better idea of just how little they are replacing it with.

The support of Walker, a North Carolina Republican, is important, given that the plan can not be passed in the 435-seat House without nearly unified Republican support, since no Democratic backing is likely.

What Trump and the Republicans don't realize is that the blame Obama card has expired.

OH governor John Kasich, one of Trump's former Republican rivals for the presidential nomination, told the Washington Post he pushed Trump not to cut Medicaid.

Still, Republicans say they must deliver on their promise to voters to nix the 2010 Affordable Care Act, saying the law will collapse on its own without a repeal and consumers will be the ones who suffer.

Tensions have emerged at a meeting of the nation's governors over a Republican proposal for a major overhaul to Medicaid.

While the Trump administration pledged cooperation with the states, some House Republicans are pushing to limit future federal funding to provide care for low-income people in exchange for giving states more flexibility to run their programs.

"The president's going to be very pivotal in this", Representative Dennis Ross, a member of the House GOP whip team, told the Journal. A plan lacking refundable tax credits would be of minimal help to lower-income families, who would be especially in danger of losing their insurance once Obamacare's Medicaid expansion was rolled back. Under block grants, states would receive flat sums with far fewer restrictions than under current federal law.

Sunday and holiday penalty rates to be cut
Australian Council of Trade Union president Ged Kearney said workers on minimum wages relied on weekend penalty rates to survive. However, Australian Retailers Association executive director Russell Zimmerman said the decision would grow the sector.

The federal government so far has fully funded the program, minus some administrative costs, spending around $4 billion a year in MI. A recent report by the consulting firms Avalere Health and McKinsey & Company said the change would create funding gaps for states.

"The bottom line - we're changing it", Trump said. Florida refused to expand Medicaid under the ACA, even though the federal government would have paid for the expansion. But it does not include a work requirement.

"The longer the glide path in order to have the budgets at the state capitol adjust, that's something that I'm sensitive to", New York Republican Tom Reed said. Support for Obamacare has also grown among Americans between 50 and 64 years of age.

The federal government now pays for at least 90 percent of the costs for the Hoosiers newly eligible for Medicaid.

Sen. Rob Portman (R-Ohio), who spoke with Michigan Gov. Rick Snyder (R) last week, said Snyder and others seeking a middle way believe that a combination of moving more Medicaid recipients into managed care plans and having them take personal responsibility for their care with modest fees could cut costs.

Trump's vow to cut the corporate tax rate to 15% or 20% may hinge on the House GOP proposal for a 20% border tax that faces serious opposition in the Senate because it pits big importers like Wal-Mart (WMT) and Best Buy (BBY) against exporters like Boeing (BA) and General Electric (GE).

"Tens of thousands who would not be able to afford their coverage and would lose their coverage", Democratic Governor Jay Inslee of Washington said after the closed-door meeting. "We're working hard to put together a plan that will replace Obamacare and actually be an improvement for health care, be a real reform of the Medicaid system".

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