President Donald Trump final week insisted that Republicans would transfer this yr to “repeal and replace” the Affordable Care Act. Or presumably not. Senate Majority Leader Mitch McConnell made it clear the GOP Senate didn’t plan to spend time on the hassle so long as the House is managed by Democrats. So, the president modified his tune. At least for the second.
Meanwhile, states with legislatures and governors that oppose abortion are racing to move abortion bans and get them to the Supreme Court, the place, they hope, the brand new majority there’ll overturn or cut back the present proper to abortion.
This week’s panelists are Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Anna Edney of Bloomberg News and Alice Miranda Ollstein of Politico.
Also, Rovner interviews KHN’s Paula Andalo, who wrote the newest “Bill of the Month” function a couple of very costly knee brace.
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Among the takeaways from this week’s podcast:
Although Trump’s political base might assist his actions to undermine your complete federal well being regulation, Republican lawmakers are flummoxed. They are hesitant to take up the trigger as a result of Democrats used the problem so successfully in opposition to Republicans in final fall’s election. They additionally know that many Republicans like key provisions of the well being regulation, comparable to its closing of the doughnut gap within the Medicare drug profit, letting grownup youngsters keep on mother and father’ plans as much as the age of 26 and defending individuals with preexisting circumstances. The unveiling this week of a brand new Democratic well being initiative — Medicare X — alerts an rising push by get together moderates to maneuver away from progressives’ name to dramatically reshape American well being care with a “Medicare-for-all” system. Medicare X is a a lot smaller initiative that may permit some individuals to purchase in to the Medicare system, however it could be rolled out step by step over plenty of years. In different ACA information, a federal choose struck down the administration’s rules permitting small companies to affix affiliation well being plans, saying it was an finish run to keep away from the well being regulation. Thousands of individuals might be affected by the choice, and Labor Secretary Alex Acosta mentioned he’ll resolve by the tip of the May whether or not to enchantment. Anti-abortion activists in lots of states are pushing new legal guidelines to check whether or not the retirement final summer season of Justice Anthony Kennedy has left the Supreme Court extra prepared to show again the Roe v. Wade resolution. Among the kinds of instances going ahead are state legal guidelines that may ban abortions as soon as a fetal heartbeat might be decided, which frequently occurs about six weeks right into a being pregnant or earlier than many ladies even know they’re pregnant. Despite a stiff rejection final week by a federal choose who overturned the Trump administration’s permission for work necessities within the Medicaid enlargement authorised in Arkansas and Kentucky, federal officers mentioned that Utah might go ahead with a plan to start out work necessities as a part of a partial enlargement. Supporters of the ACA insist that enlargement must be for anybody incomes as much as 138% of the federal poverty stage. But the problem is hard for Democrats, a few of whom say a partial enlargement is healthier than none.
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Plus, for further credit score, the panelists suggest their favourite well being coverage tales of the week they assume you must learn too:
Julie Rovner: Vox.com’s “The Doctor’s Strike That Nearly Killed Canada’s Medicare-for-All Plan, Explained,” by Sarah Kliff
Rebecca Adams: CQ Roll Call’s “Legal Challenges Are Threatening Trump Administration Changes to the ACA,” by Sandhya Raman
Anna Edney: The Baltimore Sun’s “Baltimore Mayor Pugh to Take Leave of Absence in Midst of ‘Healthy Holly’ Book Controversy” by Ian Duncan and Yvonne Wenger
Alice Miranda Ollstein: The New York Times’ “Rituals of Honor in Hospital Hallways,” by Dr. Tim Lahey
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