In the largest measure, the basic problem is in 2009 Harry Reid passed the ObamaCare legislation in the Senate with 60 votes. The House then passed the exact same bill, and the Democrats moved to immediate reconciliation to remove the House concerns (Gator-Aid, Cornhusker Kickback, Louisiana Purchase etc.).
In 2017 the Republican congress are attempting to repeal and replace that ObamaCare legislation with only 52 Senate votes available, well, maybe.
Unfortunately for the GOP there are not even 52 votes for repeal. Portman, Thune, Collins, Murkowski, Graham, McCain, Blunt, Cochran, Cornyn, Hatch, McConnell and others, are not necessarily on board; that’s 11. (Leaving only 41).
No amount of byzantine rule changes surrounding “reconciliation” are going to overcome that factual vote hurdle. In 2009 Senator Reid started with 60 votes. In 2017 Senator McConnell starts with 52.

So anything coming from the House of Representatives has to keep this reality in mind. Even if support or opposition is based on ideological principle, it still has to pass – or it’s moot.
There’s no doubt the Paul Ryan proposal holds the worst U.S. CoC aspects demanded by Tom Donohue. Heck, Donohue poured a lot of lobbying money into the entire architecture in ’09/’10 and he’s paid republicans in congress hundreds of millions to make sure his interests in keeping ObamaCare around are protected. Ryan is big GOPe and he’s supported by the Big Club.
And, as much as Paul Ryan is beholden to Donohue to retain some form of ObamaCare, so too are the Rand Paul / Ted Cruz types paid by billionaires like Cary Katz (Conservative Review); who want an abject repeal without compromise. (more…)
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