Monday February 18, 2019
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Bobby Jindal clashes with Republican rival over health care

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Washington: All the 17 Republican presidential candidates, including Louisiana’s Indian-American governor Bobby Jindal, want to repeal President Barack Obama’s signature healthcare law, but there is little said about what would come in its place.

An intra-party feud broke out Tuesday over the Affordable Care Act with Wisconsin Governor Scott Walker unveiling a plan to replace “Obamacare” and Jindal immediately attacking it on the campaign trail.

Bobby_Jindal_CPAC_2013_BWalker’s plan “makes the mistake President Obama did of creating a new entitlement programme at a time when we can’t afford the entitlement programmes we’ve got today,” Jindal told a lunch crowd in Le Mars in Iowa, The Advocate newspaper reported.

“I don’t think that Republicans should be offering Obamacare-lite plans,” Jindal told reporters in Le Mars. “It continues this idea of government dependence.”

“For several months now, I’ve been the only candidate to offer a detailed plan,” said Jindal continuing the tirade at a forum in Council Bluffs, Iowa, on Tuesday night. “It’s one thing to give a speech, but it’s another to give details.”

Walker’s plan calls for the creation of a refundable tax credit for individuals who do not have employer-based coverage.

That’s what Jindal has pointed to as an “entitlement” in the plan, though he previously has expressed support for some refundable tax credits for health care, the Advocate noted.

Jindal later challenged Walker to a debate over health care in Iowa, via Twitter and an email blast from his campaign.

“Walker’s plan is getting rave reviews from the conservative movement for being a thoughtful, substantive and viable plan to repeal and replace Obamacare and make health care affordable and accessible for Americans,” Walker’s campaign said in an email to The Advocate

“The refundable health care tax credits the governor includes have been supported by many conservatives because they put health care decision-making in the hands of the American people where it belongs.”

Since 2010, Republicans have pledged to repeal and replace Obamacare. The Republican controlled House “has voted 56 times to repeal or undermine the law, but zero times on a plan to replace it,” the Washington Post pointed out on Tuesday.

All the 17 Republicans candidates too have promised to repeal the law, “but most of them have said relatively little about what they’d put in its place,” the influential newspaper noted.

Front-runner Donald Trump, for instance, has said that his replacement would be “something terrific” and that it would involve making an unspecified deal with hospitals to treat the poor and uninsured.

“We are going to have to work out some kind of a very, very smart deal with hospitals,” he told CNN when asked how.

(IANS)

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House Speaker Nancy Pelosi Pushes Ahead to Build Healthcare Strategy

Pelosi has tapped two committees, Budget and Rules, to handle "Medicare for all." Health care legislation doesn't usually originate in either of them.

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Speaker of the House Nancy Pelosi, D-Calif., takes questions from reporters on Capitol Hill in Washington on Jan. 18, 2019. VOA

House Speaker Nancy Pelosi is laying out her strategy on health care and first up is improvements to “Obamacare” and legislation to lower prescription drug costs. “Medicare for all” will get hearings.

Pelosi and President Donald Trump have been sounding similar themes about the need to address the high drug costs. But her plans to broaden financial help for health insurance through the Affordable Care Act are unlikely to find takers among Republicans.

Either way, Democrats believe voters gave them a mandate on health care in the midterm elections that returned the House to their control.

Pushing her agenda, Pelosi is working from the ground up through major House committees. Her relationships with powerful chairmen and subcommittee chairs stretch back years. She’s “playing chess on three boards at once,” said Jim McDermott, a former Democratic congressman from Washington state, who predicts Pelosi’s most difficult challenge will be “herding new members” impatient for sweeping changes.

Nancy Pelosi, Shutdown, healthcare
U.S. House Speaker Nancy Pelosi holds a news conference at the U.S. Capitol in Washington, Jan. 10, 2019. VOA

Responding to written questions from The Associated Press, Pelosi called the ACA “a pillar of health and financial security,” comparing it to Medicare, Medicaid and Social Security.

“Democrats have the opportunity not only to reverse the years of Republicans’ health care sabotage,” she said, “but to update and improve the Affordable Care Act to further lower families’ premiums and out-of-pocket costs, and expand coverage.”

Legislation from Energy and Commerce Chairman Frank Pallone, D-N.J., Ways and Means Chairman Richard Neal, D-Mass., and Workforce and Education Chairman Bobby Scott, D-Va., would broaden the number of people who can get financial assistance with their premiums under the Obama health law, and undo the “family glitch” that prevents some from qualifying for subsidies. It would also restore the HealthCare.gov advertising budget slashed by Trump and block some of his administration’s health insurance alternatives.

Those issues are separate from legal questions raised by ongoing Republican litigation to overturn the health law. The Democratic-led House has voted to intervene in the court case to defend the law.

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From left, President Donald Trump and House Speaker Nancy Pelosi. VOA

The 2010 health law belonged as much to Pelosi as to former President Barack Obama, said McDermott. “She’s taking `Obamacare’ and very carefully figuring out where you have to support it,” he said.

The House ACA package has little chance as a stand-alone bill. But parts of it could become bargaining chips when Congress considers major budget legislation.

On prescription drugs, Trump and the Democrats are occupying some of the same rhetorical territory, an unusual circumstance that could bring about unexpected results.

Both say Americans shouldn’t have to keep paying more for medications than consumers in other economically advanced countries where governments regulate prices.

The Trump administration has designed an experiment to apply international pricing to Medicare “Part B” drugs administered in doctors’ offices.

Pelosi wants to expand price relief to retail pharmacy drugs that seniors purchase through Medicare’s “Part D” prescription drug benefit, a much bigger move. A bill introduced by leading Democrats would authorize Medicare to negotiate directly with drug companies using international prices as a fallback.

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A person walks by a health care insurance office in Hialeah, Fla. VOA

“President Trump said he’d `negotiate like crazy’ to bring down Medicare prescription drug prices, and since the midterm election he’s spoken about working with Democrats,” Pelosi wrote to AP. “We have an opportunity to enact the tough legislative negotiating authority needed to actually lower prescription drug prices for consumers.”

One of the top Senate Republicans on health care says he’s not inclined to do that. Finance Committee Chairman Chuck Grassley of Iowa says having private insurers negotiate with drug companies has worked.

“Part D is the only federal program I’ve been involved with that has come in under budget,” said Grassley. “If it’s working, don’t mess with it.”

Nonetheless, former Health and Human Services Secretary Mike Leavitt, a Republican, said Medicare is “a good example of places where the administration might surprise.”

“Prescription drug pricing is in a category where both the president and the Democrats have made a commitment,” Leavitt added. “There will be a lot of division, but in the end there is a very good chance they will find a way that they can both claim victory.”

Also Read: Obamacare Unconstitutional: U.S. Federal Judge

But the biggest health care idea among Democrats is “Medicare for all,” and on that, Pelosi is cautious. To those on the left, “M4A” means a government-run health care system that would cover every American. That would require major tax increases and a big expansion of government.

Pelosi has tapped two committees, Budget and Rules, to handle “Medicare for all.” Health care legislation doesn’t usually originate in either of them.

Says Pelosi: “We’re going to have hearings.” (VOA)