It took former President Barack Obama and his Democrats more than a year to pass the Affordable Care Act, a slow and painstaking process that allowed plenty of time for a fierce backlash to ignite, undermining the law from the very start.
Republicans are trying to avoid that pitfall as they attempt to fulfill years' worth of promises to repeal and replace Obama's law.
After going public with their long-sought bill on Monday, House Republicans swiftly pushed it through two key committees. They hope to pass the legislation in the full House during the week of March 20 before sending it to the Senate and then, they hope, to President Donald Trump all before Congress can take a recess that could allow town hall fury to erupt.
Democrats are crying foul, accusing Republicans of rushing the bill through before the public can figure out what it does. Republicans dispute the criticism, arguing that their legislation enshrines elements of a plan House Republicans worked on for months last year and campaigned on under House Speaker Paul Ryan, R-Wis.
"We offered it up in June. We ran on it all through the election. And now we've translated it into legislation," Ryan said.
Yet after seven years of Republican promises to undo Obama's signature health law and without ever uniting behind a plan to achieve that, the fact that they produced a bill at all came as something of a surprise.
And now, after months of confident predictions that Republicans would not be able to get their act together on health care, Democrats find themselves wondering anxiously whether the GOP could actually succeed in wiping away those arduous months of work from the dawn of the Obama administration.
"Nobody believed Republicans had a bill," said the No. 2 House Democrat, Steny Hoyer of Maryland, "until Monday night."
It's a far cry from eight years ago, when Democrats held countless hearings and debated at length, in public and private, how to enact the most significant changes to the nation's health care system in a generation.
While Republicans are not trying for bipartisan support on their repeal bill, Democrats spent arduous months in the Senate with a bipartisan working group of three Republican and three Democratic senators, known as the Gang of Six, trying to agree on a bipartisan bill. That effort ultimately failed.
The GOP legislation is 123 pages long. The Affordable Care Act rang in at more than 900 pages.
"We held hearings and we just spent seemingly endless hours working it over very different from what the Republicans are doing," said Rep. Sander Levin, D-Mich.
To be sure, creating an enormous federal program requires more time and effort than jettisoning some pieces of an existing one while replacing others with new, or in some cases retooled, conservative-friendly solutions.
The GOP legislation would eliminate the current mandate that nearly all people in the United States carry insurance or face fines. It would use tax credits to allow consumers to buy health coverage, expand health savings accounts, phase out an expansion of Medicaid and cap that program for the future, end some requirements for health plans under Obama's law, and scrap a number of taxes.
Republicans have proceeded thus far without official estimates on how much the bill will cost or how many people will be covered, though it's expected to be millions fewer than under Obama's law. The Congressional Budget Office estimates are expected Monday, and that could affect Republicans' chances.
Despite the momentum claimed by GOP leaders and the White House, deep divisions remain in their party. Conservatives argue that the legislation doesn't do enough to uproot the law. Other Republicans express qualms about the impact on Medicaid recipients in their states. Some Republicans accuse Ryan and House GOP leaders of moving too quickly.
"We should have an open process, we should allow all of the members to amend legislation, within reason," said GOP Rep. Justin Amash of Michigan, a perennial leadership foe.
But Democrats paid a price for their lengthy process, and there was second-guessing even then over the length of time Obama allowed the Senate's Gang of Six group to spend in its ultimately fruitless quest. As the months dragged on, public opposition grew. Over Congress' August recess in 2009, that rage overflowed at town halls that spawned the tea party movement, which would take back GOP control of the House the next year.
There's little question that if the GOP process were to drag out for months, especially over a long congressional recess, a similar dynamic could emerge, especially given the consumer and senior groups that have lined up against the legislation and the energized Democratic base already on display at marches and town halls this year.
If Republicans succeed in shoving the bill through this month, such opposition will have less time to make itself known.
Instead, even some congressional Republicans are expressing some amazement at finding themselves, eight years later, undoing the law Democrats forged through those many months of turmoil and debate.
"I'm pleasantly surprised," said GOP Rep. Joe Wilson of South Carolina, who gained notoriety for yelling "You lie!" at Obama during a health care speech to Congress in 2009.
See the original post:
GOP acts fast on health care, aims to avoid ire Dems faced - ABC News
- How good is fish for your diet? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- What foods have both fiber and protein? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Is There Evidence That Acupuncture Works? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- What are some good fiber foods? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Can Green Tea fight HIV infection? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Quality of GNC Supplements [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- The Gene Smart Diet [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Tips for eating in a vegetarian lifestyle [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Regarding the Starting of a new diet regimen [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Thoughts on Dropping Weight [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- What do doctors think about vitamin E supplements? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- What herbs or supplements are commonly used for depression? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Is there a safe way to lose a lot of weight? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Diets that promise you will lose weight [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Are Fish Toxins Linked to Diabetes? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Can Plastic Surgery Help Migraines? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Weight Loss Surgery Eradicates Diabetes Symptoms [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Found: A Gene That Controls Fat Cells [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Sugars and Starches, what's the difference? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Improving your health with a serving of nuts? [Last Updated On: November 8th, 2009] [Originally Added On: November 8th, 2009]
- Is Your Diet Causing You To Be Depressed? [Last Updated On: December 13th, 2009] [Originally Added On: December 13th, 2009]
- Placebo Effect: Magnetic Bracelet Therapy [Last Updated On: December 13th, 2009] [Originally Added On: December 13th, 2009]
- Does serotonin promote sleep? [Last Updated On: December 13th, 2009] [Originally Added On: December 13th, 2009]
- Decreased energy levels - Overeating, Sleep, Nutrition [Last Updated On: February 1st, 2010] [Originally Added On: February 1st, 2010]
- When will the body begin to cannibalize muscle tissue? [Last Updated On: February 7th, 2010] [Originally Added On: February 7th, 2010]
- Foods that are high in antioxidants [Last Updated On: February 7th, 2010] [Originally Added On: February 7th, 2010]
- Editorial: Reduce health care costs by cutting administrative overhead [Last Updated On: April 1st, 2012] [Originally Added On: April 1st, 2012]
- Health Care Winners: Centene, Onyxx [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Dan Morain: Nurses union puts politics ahead of health [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- What's next if Obamacare falls? [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Global Managed Health Care Services Industry [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Immigration Fight Echoes Health-Care Case at High Court [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Medical Centers Lead Workplace Wellness Effort [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- The next health care overhaul? Look to employers [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Capital BlueCross Hosts Community Health Care Forums Focused on Managing Costs While Maintaining Quality [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- County committee to look at area health care [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- President Obama Calls on Students to Tell Congress: #DontDoubleMyRate - Video [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Sen. Coburn: Competition in Health Care to Allocate Resources - Video [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- Jesse Kelly health care - Video [Last Updated On: April 25th, 2012] [Originally Added On: April 25th, 2012]
- PHC Vision Statement (short version) - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- The Bioeconomy Blueprint Panel - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Providence Health Care's Vision Statement - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Department of Health and Human Services: Minority Health Blogger Townhall - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Health care worker accused of stealing identities of brain i - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Health Care Reform, Part 1 of 3 | KYVE Insiders Roundtable - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Health Care Reform: The ACA and Beyond - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Is Broccoli Like Health Insurance? - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Did Obama make a mistake on health care? - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- How Democrats Lie About Health Care - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Toobin on Health Care: This was a "judicial hissy-fit" - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- President Obama says health care law will stand - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Obama Defends Health Care Law From 'Judicial Activism' - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Obama Healthcare Individual Mandate - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- President Obama attacks Supreme Court on health care - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Raw Audio: High Court Dissects Health Care Act - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Health care on trial - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Final Day of Health Care Law Arguments Before Supreme Court - Video [Last Updated On: April 30th, 2012] [Originally Added On: April 30th, 2012]
- Feds to put up $1.9B for Oregon health overhaul [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Scuttling health care act will freeze Medicare, White House warns [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- U.S. Health Care Spending High, But Quality Lags: Report [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Yes, the Health-Care Mandate Is About Liberty [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Health center gets $1M federal grant [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Health-care reform panel considers exchange options for Va. [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Hmong health care gap focus of Healthy House dinner [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Walsh-led health bill to be unveiled [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- Ontario health system confusing for ailing seniors, study finds [Last Updated On: May 4th, 2012] [Originally Added On: May 4th, 2012]
- 'Health Care Deserts' More Common in Black Neighborhoods [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- With federal money, Oregon kicks health care reform into high gear [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- Nurse practitioners tackling more 'doctor' tasks [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- Konza Prairie Health Center Receives $4.5 Million Grant [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- Alberta wages hurting Sask. health care [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- House releases plan to cut growth of Massachusetts health spending in half [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- Mass. House Will Unveil Bill Seeking To Rein In Health Costs [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- President Obama Welcomes the Kentucky Wildcats - Video [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- President Obama Speaks on College Affordability - Video [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- My First Job: Gene Sperling - Video [Last Updated On: May 5th, 2012] [Originally Added On: May 5th, 2012]
- Health-care costs worry near-retirees [Last Updated On: May 7th, 2012] [Originally Added On: May 7th, 2012]
- Massachusetts Institutes Health-Care Price Controls. Is America Next? [Last Updated On: May 7th, 2012] [Originally Added On: May 7th, 2012]
- Massachusetts Moves Toward Health-Care Price Controls. Is America Next? [Last Updated On: May 7th, 2012] [Originally Added On: May 7th, 2012]
- GOP plan boosts Pentagon, cuts social programs [Last Updated On: May 7th, 2012] [Originally Added On: May 7th, 2012]