Amid the confusion and procedural obscurity surrounding Senate consideration of the FY 2017 budget-reconciliation bill this week, something remarkable is happening that should not be missed: The Republican-controlled chamber is in the process of repudiating two solid years of GOP health-care policy.
Late last night the latest version of the Better Care Reconciliation Act went down to defeat on a procedural vote with no less than nine Republican senators voting to kill it. Lest we forget, the BCRA is really just a variation of the House-passed American Health Care Act. It represents the closest thing Republicans have to a consensus repeal-and-replace plan for Obamacare.
Before the GOP made the fateful decision to develop an Obamacare “replacement,” its big plan was known as “repeal and delay,” based on the legislation Congress passed late in 2015 to simply repeal key elements of the Affordable Care Act with effective dates delayed long enough to allow for future “replacement” legislation. A replica of that 2015 legislation, now known as the Obamacare Repeal Reconciliation Act, is up for a vote in the Senate today. It is universally expected to fail, and in fact is probably only on the floor because Senator Rand Paul and other hard-core conservatives wanted to register a vote for it badly enough to make that a condition for their support of yesterday’s must-pass motion to proceed.
So in less than 24 hours, the 2015–16 and 2017 GOP plans for dealing with Obamacare will be tossed into the dustbin of history. Yes, it is possible that yet another version of BCRA/AHCA — also known as Trumpcare — will emerge from the ashes for another Senate vote or, more likely, will be adopted by a House-Senate conference if the Senate can pass anything. That’s what is behind the talk of a “skinny repeal” bill that simply kicks the can down the road and into a conference where the real decisions will be made.
It’s instructive, though, that all this misdirection and deception are necessary. For seven years Republicans behaved as though getting rid of Obamacare was a fait accompli once they won both Congress and the White House. Now the two main strategies they devised for achieving this no-brainer are going down to defeat in “their” Washington, and can only be revivified, if at all, by stealth. It’s a sign of both intellectual bankruptcy and political fecklessness that does not bode well for the rest of the GOP agenda.