House Speaker Paul D. Ryan (R-Wis.) He tried to quell a revolt on the right against the Republican proposal to revise the Affordable Health Care Act, which describes the plan as a “conservative wish list” that will deliver on-year GOP campaign promises to reform the health care system.
“This is the covenant that we made with the American people when we finished on a repeal and replacement plan in 2016,” Ryan said at a news conference Wednesday on Capitol Hill.
“I have no doubt we will pass this because we’re going to keep our promises,” he said.
At the same time, the Ryan effort has faced another blow when a powerful lobby group for doctors rejected the law known as the law on the American health care, on the grounds that it could lead many Americans to lose their health insurance .
“We can not support the AHCA as drafted because of the expected decline in health insurance coverage and the potential damage it has caused to the vulnerable populations of patients,” American Medical Association CEO James L. Madara, a physician, wrote in a letter to the leaders of the monitoring committee to work on the bill.
Changes highlighted high stock faced Ryan as the committee’s work has not begun. Republican leaders face stiff opposition in its motion to the left and right, while Democrats downplay this plan is expected toll on vulnerable population groups and conservative Republicans say that is not far enough pulling back the items Affordable Care Act. Moderate Republicans and key stakeholders in the health care industry, including hospitals, also pushed back on the plan since it was released on Monday.
The most imminent and serious threat to the criticism from conservative lawmakers and advocacy groups such as the Heritage Action for America, FreedomWorks and the growth of the club which has a great influence on the production of “no” votes through the right flank and Ryan’s conference. The speaker may lose only 21 Republican votes, if the American health care bill is to pass, and opponents have already promised to use that leverage to force change in the bill.
For journalists, Ryan downplayed the revolt conservative, describing it as a temporary reaction from Republicans who have never in office under the control of the unified GOP.
“We’re going through the inevitable growing pains of being an opposition party to be a party of government,” he said. “It ‘a new feeling, a new system for the people.”
Ryan also sought to turn off complaints that the bill was released without a cost estimate from the Congressional Budget Office, calling the situation “very common” and promising the number next week would be available.
“This is a monumental exciting conservative reform,” he said of the plan, in an attempt woo critics on the right. “I’ve been working on this for 20 years. This is exciting. This is what we dreamed of doing.”
Ryan has one important ally in his corner – the president of Trump, who wants House bill approved quickly and without major changes, and warned that failure to do so will cause problems for the Republicans at the ballot box.
The White House has spent a few days of orientation skeptical conservative in for-the-scenes “charm offensive,” said Sen. Rand Paul (R-Ky.), Who emerged as the chief Bill skeptic.
“Every conservative, that’s not publicly come out, it was called the White House and to attract and wooed from the White House to give up,” Paul said in an interview on MSNBC’s “Morning Joe” on Wednesday at the time.
“But if conservatives to stick together … we will have the strength and the negotiations,” he said. “Because I do not think they have the numbers to pass this at this time.”
Meanwhile, at noon Wednesday the two committees of the House working on the bill were already experiencing such skirmishes party expected to dominate over the next few weeks.
At a meeting of the Committee on Ways and Means of the House, Democrats moved immediately to lambaste both the bill and the process that produced it.
Rep. Richard Neal (D-Mass.), Ranking Democrat on the ways and means, called the bill “a $ 170 billion offer from taxes for the rich”, which also absorbs the federal trust fund to pay claims to Medicare hospital two years sooner than projected.
“Let’s call this the plan is,” Neal said, “a plan to create chaos in the insurance market, which directly impacts the patients and providers, hurts hospitals, the communities they serve and their regional economies.”
Rep. Lloyd Doggett (R-Texas) offered a motion to postpone the hearing for a week to allow new hearings on the bill and examine the CBO report on the bill. The motion was rejected in a vote the party line straight.
In the Committee on Energy and Commerce of the House, Democrats involved in another protest as procedural questioned why most had restricted most members of one minute, instead of three-minute speeches.
Lawmakers from both parties lamented the lack of a CBO score on the bill, which would indicate how many Americans would win or lose coverage under the new plan, and the impact on the federal budget.
Earlier in the day, an aide to the Republican House pushed back on this criticism in an email to journalists, writing that score “is not necessary” and leadership “will display a score that fight our goals before the account will to the ground. ”
The official noted that other bills, including the 21st Century Act and Cures 2,015 bill reauthorization and Medicare Insurance Program Child Health, had initial reservations without a CBO score.
White House Budget Director Mick Mulvaney downplayed concerns about the cost estimate missing, predicting it would come on Monday.
“We all know that [the project] will score positive in helping the deficit, to spend less money, something that conservatives should be in solidarity with” Mulvaney said on MSNBC. “So I hear all the talk about the CBO score. The only question about CBO: what is going to be really good or is it going to be great when that number eventually out”?
Mulvaney noted that, since the plan’s health care is being considered under a special budget procedure known as reconciliation, can not increase the federal deficit after a period of 10 years.
Ryan has highlighted three steps in which health care reforms will be received: first, through special budgeting procedure, which is called harmony, from which it is part of the current measures; So, through the rules of the Health and Human Services Department; And finally, for the passage of other bills which will require large support and may include the ability to buy insurance among states, priority for conservatives
Nevertheless, Republican senators complained that the process is already running very quickly under the plans of the House.
“I do not think we need to present the law on Monday and there is an opportunity to revise it on Wednesday,” Sen. Tom Cotton (R-Ark) said on “Morning Joe”
“I want to correct it. I do not want to get it fast and whatever house the Senate will definitely send to the Senate, he will not be bailed.”
Many Republican senators complained Tuesday afternoon that Trump does not fully understand the slow motion of the Senate or its concerns.
A Republican senator said, “If [past] is months or even a year, then it should be so,” said a Republican senator who talks on the condition of not printing because the talks are going on.
The senators also said that who is managing this process, there is confusion and if the administration figures are there, then Trump has the right to speak on this issue.