Part of the trouble on healthcare stems from the factions within the Republican caucus of 52 senators, which provides the GOP's razor-thin margin in the chamber.
The only thing that seems certain - for now - is that the Senate will vote one way or another next week. "But if there's no agreement, then we'll still vote on the motion to proceed but it will be to the 2015 just-repeal bill".
Sen. Jeff Flake, R-Arizona, had steadfastly refused to say how he would vote on the earlier replacement bills, saying only that they had to be fiscally responsible and could not "pull the rug out from under" Arizonans who needed coverage.
Earlier this year, Senators Bill Cassidy of Louisiana and Susan Collins of ME - two skeptics of the Senate Republican legislation - introduced their own bill that, at core, would allow states the option of implementing Obamacare (with its mandates and requirements) or designing their own health systems, with some or none of Obamacare's regulatory structure. Adam Jentleson, who was deputy chief of staff to the former majority leader tweeted a thread of comments Monday night suggesting that Republicans were launching a "coordinated rebellion" against the majority leader.
After being the dominant political party for decades and esssentially representing the Roaring Twenties, Republicans went through considerable soul-searching during the Great Depression and the Second World as the Democrats became the dominant political force in America and the party that brought the welfare state to Washington.
That Obamacare repeal has one or maybe two feet in the grave, depending on how you're counting, is testament to jaw-dropping disarray and bad faith. Trump and Mike Pence spent the last desperate days pretending that robbing Medicaid of $770 billion in projected spending would make the law stronger and better protect the most vulnerable.
For Republicans, that vote was a political two-fer: it delivered a dramatic confrontation with the Obama White House and it proved to voters Republicans were serious about delivering on their promise to end Obamacare.
"It's nearly becoming a bidding process - let's throw $50 billion here, let's throw $100 billion there", said Sen.
So the wealthy 51-year-old Republican donor is planning to actively distance himself from the president, breaking from the GOP leader on issues like diversity and civility, his aides say, and criticizing Trump directly when necessary.
The Foreman Forecast: The Obamacare bet
"Any time you have uncertainty in health insurance, uncertainty translates to risk", he said.
Timothy Michling, a research associate with the nonpartisan nonprofit Citizens Research Council of MI, said although the program has been running smoothly so far, it would be hard for the state to make many tweaks or updates to status quo without knowing whether the federal Medicaid expansion will remain.
Conservative pundits took their swings at McConnell in more direct terms. So conservatives are more likely to go along with him.
A day after the latest version of legislation to replace Obamacare fell victim to squabbling among Republicans who control the Senate, Trump gathered Republican senators for a lunch and shared his views. Next to Trump was Senator Dean Heller of Nevada and Lee was next to Pence.
President Trump summoned Senate Republicans to the White House on Wednesday for a private meeting and, for some, a public reprimand. "And they will have to at some point just say: 'Okay, we tried". It could be an outright repeal of Obamacare.
After the friendly exchange, Trump said, "Look, he wants to remain a senator, doesn't he?"
"Without John McCain, we don't have 50 people to take that vote", Sen.
Supporters of his efforts during the health care reform process, which include his former rival Sen.
"The President hasn't really shown leadership and guidance on what the plan should be, and it's left several different groups to work together to try to fashion one", Turner said. "Stop messing around." He adds: "I think that can happen". "You always have to deal with the same legislators", Noel told ABC News.
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