Republicans know this. Many have heard from constituents facing chronic or deadly illness who are desperate to preserve their access to health care for their children or themselves. But a defeat would be a bitter and damaging blow to Trump and his party. It would allow insurers to cover fewer benefits and repeal tax boosts on wealthier people that help finance the statute's expanded coverage.
"I would like to delay", said Sen. The idea was a relatively late addition to Trump's talking points. And he says the conversation about the new bill hasn't focused enough on the proposed changes to Medicaid.
Under the Senate plan, because that cap would increase only at the rate of inflation, states might bear a growing share of medical costs, which have historically increased faster than inflation. But he said it was time to act.
Well, it's hard to say that you like the uniforms of the team that's got the guns pointed at you, trying to kill you.
Trump said Senate Democratic leader Chuck Schumer criticized the GOP bill before knowing what was in it.
In a "Fox & Friends" interview that aired yesterday, Trump was asked how he can accomplish his health care reforms with the progressive darling trumpeting that "people will die" as a result. Ron Wyden, D-Ore. Four Republicans announced Thursday they could not support it as written.
"Low-income people will end up paying higher premiums for plans that have bigger deductibles, compared to today", said Larry Levitt of the nonpartisan Kaiser Family Foundation, commenting on the Senate bill. "But I think they're going to get there", Trump said of Republican Senate leaders. "We'll have to see".
Just before the bill was made public, 10 insurance executives who provide Medicaid plans wrote to Senate leadership to express concern about cuts to the program.
Sen. Susan Collins, R-Maine, said seven to eight other senators including herself were troubled by provisions that she believes could cut Medicaid even more than the House version.
Not only would the GOP legislation scale back coverage through the insurance markets and phase out the Medicaid expansion, it would also make fundamental changes to the broader Medicaid program.
House GOP bill: Premium subsidies are keyed to age, not income. Though Trump lauded its passage in a Rose Garden ceremony, he called the House measure "mean" last week.
It's actually possible that the CBO will find the Senate bill leaves fewer people uninsured than the House bill did, just because of the way the different features would interact. This is something that the bill's authors are likely to include later but in the near term will worsen the score expected to be released by the Congressional Budget Office next week. The proposal would impose long-term federal spending cuts on the program. The enhanced federal financing that pays for the expansion would disappear entirely in 2024.
The measure largely uses people's incomes as the yardstick for helping those without workplace coverage to buy private insurance.
Such penalties, which Medicare has long relied on to keep that system financially sound, are widely viewed as critical to functioning insurance markets because they induce younger, healthier people to get coverage.
"Folks with health coverage cards but no care because they can't afford the deductible", Health Secretary Tom Price said on CNN, making the rounds on Sunday morning news shows to promote the Senate Republican plan. How would it work under this Senate bill?
At the summit Sunday, Cornyn reportedly said, "It's going to be close". If they were to vote "no", and if Democrats hold together and vote "no", the bill would fall two votes short of passing.