Republicans decided last fall that they would use their unexpected control of the White House and Congress to quickly repeal the Affordable Care Act and move on, but as their replacement legislation faces yet another delay and continued uncertainty in the Senate, it is clearer than ever that President Trump and "many in Congress dramatically underestimated the challenge of rolling back former President Barack Obama's signature achievement," Politico reports.
Congressional GOP aides now point to the lack of experience, vision, and expertise in the slow-starting Trump White House, while White House aides note that congressional Republicans have been promising to repeal and replace ObamaCare since 2010, long before Trump ran for office. But the fissures in the Republican caucus were clear as early as late January, at a closed-door GOP policy retreat in Philadelphia, Politico says:
House Speaker Paul Ryan laid out a three-pronged approach to scrapping ObamaCare. He wanted to repeal as much of the legislation as possible, eliminate more through deregulation, and then work with Democrats on a replacement, said one former Republican aide. Many Republican lawmakers doubted Democrats would work with them on redoing the health-care law.
The president and one of his former campaign rivals also unexpectedly helped undermine the GOP's repeal plans. Sen. Rand Paul (R-Ky.) said on television the GOP needed a replacement plan if it was going to repeal the law. Then Trump endorsed that requirement. Their comments caused GOP leaders to start from scratch. Now that the Senate's attempt to revamp the health-care law has run into roadblocks — with moderates insisting on protecting coverage for their constituents, while conservatives focus on undoing as much of ObamaCare as possible — both Paul and Trump have suggested going back to a repeal-only bill. [Politico]
One White House aide told Politico that if Trump signs a health-care law by August, all this drama will be forgotten. You can read more about the Republican health-care missteps and inflated expectations at Politico.