Senate Republicans all but admitted defeat Tuesday in their seven-year quest to overturn the Affordable Care Act, acknowledging that they lacked the votes to make good on their vow to “repeal and replace” President Barack Obama’s signature legislative accomplishment.
Hours after GOP leaders abandoned a bill to overhaul the law known as Obamacare, their fallback plan — a proposal to repeal major parts of the law without replacing them — quickly collapsed. A trio of moderate Republicans quashed the idea, saying it would irresponsibly snatch insurance coverage from millions of Americans.
“I did not come to Washington to hurt people,” tweeted Sen. Shelley Moore Capito (R-W.Va.), who joined Sens. Susan Collins (Maine) and Lisa Murkowski (Alaska) in opposing immediate repeal.
Senate Majority Leader Mitch McConnell (R-Ky.), who spent weeks trying to knit together his fractious caucus in support of the original GOP legislation, said he would nonetheless schedule a vote “early next week” on the repeal plan. But he appeared to acknowledge that it seemed doomed.
“This has been a very, very challenging experience for all of us,” McConnell told reporters. “It’s pretty obvious that we don’t have 50 members who can agree on a replacement.”
The collapse of the effort marks a devastating political defeat for congressional Republicans and for President Trump, who had pledged to roll back the Affordable Care Act on “Day One” of his presidency.
It also leaves millions of consumers who receive health insurance through the law in a kind of administrative limbo, wondering how their care will be affected now that the program is in the hands of government officials who have rooted openly for its demise.
On Tuesday, Trump told reporters in the White House’s Roosevelt Room that he now plans to “let Obamacare fail. It will be a lot easier.” That way, he said, his party would bear no political responsibility for the system’s collapse.
“We’re not going to own it. I’m not going to own it,” the president said. “I can tell you the Republicans are not going to own it. We’ll let Obamacare fail, and then the Democrats are going to come to us” to fix it.
But Trump’s comments appeared to ignore the many Republican lawmakers who are anxious about depriving their constituents of federal benefits on which they now rely. The president invited all 52 Republican senators to join him for lunch Wednesday at the White House to try to get the repeal effort back on track.
Senate leaders have been struggling to devise a plan to overhaul Obamacare since the House passed its version of the legislation in May, a flawed bill that some House members openly invited the Senate to fix. With just 52 seats, McConnell could afford to lose the support of only two members of his caucus — and even then would rely on Vice President Pence to break the tie.
The measure he produced would have scaled back key federal insurance regulations and slashed Medicaid deeply over time. But it did not go far enough for many conservative Republicans, who wanted to roll back more of the ACA’s mandates on insurers.
And the bill went much too far for many moderates, especially Republicans from states that had taken advantage of the ACA’s offer to expand Medicaid eligibility. The bill would have cut Medicaid funding and phased out its expansion in 31 states and the District of Columbia. Some senators worried that their states would be saddled with the unpalatable choice of cutting off people’s health coverage or shouldering a massive new financial burden.
“This is the Senate. Leadership sets the agenda, but senators vote in the interests of their states,” said Sen. Marco Rubio (R-Fla.).
Sen. Orrin G. Hatch (R-Utah) offered a blunt assessment of why the effort fell short: “We are so evenly divided, and we’ve got to have every Republican to make things work, and we didn’t have every Republican,” he said.
Two Republicans — Collins, a moderate, and conservative Sen. Rand Paul (Ky.) — declared late last week that they could not support the latest version of the bill. Late Monday night, as six of their colleagues talked health-care strategy with Trump over dinner at the White House, conservative Sens. Mike Lee (Utah) and Jerry Moran (Kan.) announced that they, too, would oppose the bill, and the measure was dead.
Senate Majority Whip John Cornyn (R-Tex.), whose job is to count votes, said he had “no idea” Lee was defecting until he left the White House meeting — though he had gotten a heads up from Moran.
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