Senate Republicans complain of disarray in healthcare effort

Last updated on September 25th, 2023 at 08:45 pm

By Susan Cornwell and Amanda Becker

WASHINGTON (Reuters) – U.S. Senate Republicans, scolded by President Donald Trump for failing to overturn Obamacare, tried to salvage their seven-year effort for a new healthcare law on Thursday, but leading senators indicated frustration over shifting goal posts.

Trump on Wednesday told the Senate’s fractured Republican majority to revive a bill to repeal and replace Obamacare that collapsed on Monday after Republicans from both moderate and conservative factions pulled their support.

But after a late-night emergency meeting on how to win over holdouts appeared to yield no progress, senators expressed irritation.

“It really is starting to feel like a bazaar, $50 billion here, $100 billion there, and I feel like it’s losing coherency,” Senator Bob Corker said.

Susan Collins, a moderate who strongly objected to the revised bill, said that Trump contributed to the “lack of clarity” over the next steps.

“The president made very clear yesterday that he wants to see a bill passed,” Collins said. “I’m unclear, having heard the president and read his tweets, exactly which bill he wants to pass and whether he is for just repealing, or repealing and replacing – whether he’s for the Senate bill.”

Trump, who had campaigned heavily on a promise to repeal and replace Obamacare, the signature legislative achievement of former Democratic President Barack Obama, took a hands-off approach to the healthcare debate last week. On Tuesday he suggested that he was fine with letting Obamacare fail. But on Wednesday he switched course and demanded that senators stay in Washington through their planned August recess until they find common ground on healthcare.

The repeal and replace bill crafted by Senate Majority Leader Mitch McConnell would leave 22 million Americans without health insurance coverage by 2026, the nonpartisan U.S. Congressional Budget Office said on Thursday.

Before Trump’s Wednesday lunch with 49 Republican senators, McConnell had planned to hold a straight repeal vote next week, but that appeared doomed with several Republican senators having already said they oppose that approach.

The CBO said on Wednesday that 32 million more Americans would lose their insurance coverage by 2026 under a bill that would repeal much of Obamacare without a replacement. That compares with the more than 20 million who have become insured under Obamacare, as the Affordable Care Act is known.

MCCAIN’S CANCER ADDS PRESSURE

Adding to Republicans’ woes was news late Wednesday that Senator John McCain has aggressive brain cancer. With a narrow 52-48 Republican majority, their fight for votes becomes even more difficult.

McCain, a Republican known for his feisty independence, tweeted, “… unfortunately for my sparring partners in Congress, I’ll be back soon, so stand-by!”

McConnell revealed little of his next steps but said Republicans were not giving up on their efforts to overhaul Obamacare.

“Dealing with this issue is what’s right for the country,” he said on the Senate floor on Thursday. “The fight to move beyond the status quo of Obamacare was certainly never going to be easy. But we’ve come a long way, and I look forward to continuing our work together to finally bring relief.”

The dramatic week at Congress and in the White House was taking its toll.

“I’m getting a little anxious,” Corker said.

Collins said that while it was unclear just what the Senate would be voting on, she was likely to oppose even the procedural motion to bring up either a repeal bill, or a repeal and replace bill.

“My intention, unless the bill is substantially changed, is to vote against the motion to proceed,” Collins said.

Democrats, who are united in their opposition to the Republican efforts and reveled in this week’s deadlock, told Republicans to abandon their healthcare efforts as they appeared no closer to reconciling policy differences after Wednesday’s meeting.

It’s time for Congress to pivot away from the bills that are going nowhere,” said House Minority Leader Nancy Pelosi.

(Additional reporting by Yasmeen Abutaleb; Writing by Mary Milliken; Editing by Jonathan Oatis and Leslie Adler)