Author Topic: What comes after the ACA?  (Read 1336548 times)

John Galt incarnate!

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Re: What comes after the ACA?
« Reply #6000 on: April 05, 2020, 10:37:48 AM »



There's already a lawsuit in progress mentioned above attempting to dismantle it completely, and we might not get a ruling for about a year

The Court will hand down its opinion no later than June 30, 2021.

pecunia

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Re: What comes after the ACA?
« Reply #6001 on: April 05, 2020, 11:18:51 AM »
Yep - I think this thing will be the big heavy straw that breaks the camel's back.  This thing is affecting all of us. 

Preventive medicine can include the stockpiling of supplies.  I'll bet most of this stuff has a good long shelf life.  This is one example of the ounce of prevention. 

It's in the interest of National Security.  The US needs a healthy populace to fight it's wars.

It won't help with this one, but nature is not through creating new forms of sickness.  The country can be a little smarter for the next one.

EscapeVelocity2020

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Re: What comes after the ACA?
« Reply #6002 on: June 25, 2020, 09:59:11 PM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.

bacchi

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Re: What comes after the ACA?
« Reply #6003 on: June 25, 2020, 10:53:14 PM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.

Ha. If that happens, Trump may as well stop campaigning. He'd be done.

jim555

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Re: What comes after the ACA?
« Reply #6004 on: June 26, 2020, 04:22:09 AM »
A Case That Should Have Been Laughed Out of Court May Kill Obamacare
https://www.theatlantic.com/ideas/archive/2019/12/affordable-care-acts-unconstitutional-flaw/603871/


talltexan

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Re: What comes after the ACA?
« Reply #6005 on: June 26, 2020, 06:59:01 AM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.

Ha. If that happens, Trump may as well stop campaigning. He'd be done.

Republicans may think they're done anyway, and be trying for this in case it takes another six or eight years for them to get back into power.

pecunia

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Re: What comes after the ACA?
« Reply #6006 on: June 26, 2020, 09:03:36 AM »
All this fighting over a zero dollar tax and the outcome may be to take health care away from millions of people.  That means unnecessary deaths, you know.  Dollars count more to these people than lives.  They ain't right somehow.

Exflyboy

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Re: What comes after the ACA?
« Reply #6007 on: June 26, 2020, 11:48:33 AM »
I sure hope the Dems will be screaming about this in the run up to November!

It lost them the house last time so hopefully this will get this bunch of assholes (sorry I have no other words) out of office.

I'm also tired of the USA looking like idiots to the rest of the World.

John Galt incarnate!

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Re: What comes after the ACA?
« Reply #6008 on: June 26, 2020, 02:48:14 PM »
This post instances "reliance interest," one of the criteria I've cited upthread that the  Supreme Court will weigh when it decides whether or  not to overturn the ACA.

In United States Department of Homeland Security, et al. v. Regents of the University of California, et al. (2020), the DACA opinion handed down earlier this month, C.J. Roberts obliquely expressed the relevance of reliance interest to the young-adult immigrants  currently covered by DACA.

Referring to an argument submitted by an amicus, Roberts noted that the young-adult  immigrants had “enrolled in degree programs, embarked on careers, started businesses, purchased homes, and even married and had children."

This consequential constellation of major life decisions leaves no doubt of the immigrants' reliance on DACA, a reliance  well understood by Roberts as evidenced by his reference below to "the hardship to DACA recipients."


We address only whether the agency complied with the procedural requirement that it provide a reasoned explanation for its action.

Here the agency failed to consider the conspicuous issues of whether to retain forbearance and what if anything to do about the hardship to DACA recipients.

 That dual failure raises doubts about whether the agency appreciated the scope of its discretion or exercised that discretion in a reasonable manner.
« Last Edit: June 26, 2020, 02:57:47 PM by John Galt incarnate! »

Exflyboy

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Re: What comes after the ACA?
« Reply #6009 on: June 26, 2020, 02:59:25 PM »
Yeah its pretty clear that administration doesn't GAF about anyone who isn't rich. So hopefully even the conservative leaning Supreme Court has some sense of decency left.

jim555

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Re: What comes after the ACA?
« Reply #6010 on: June 26, 2020, 06:45:13 PM »
The whole suit is bunk.  The objection is the individual mandate is unconstitutional.  Robert's said it isn't a mandate (last time) because you have a choice whether or not to follow the mandate by paying the tax for not having insurance.  So now the tax has been lowered to $0 for not having insurance.  How is anything mandated if there is no penalty?  It isn't a mandate, it is a suggestion at this point.  This suit should have been thrown out for wasting the court's time.

Even if they agree many parts of the ACA have nothing to do with insurance, like the Medicaid expansion, closing the donut hole, etc..  I doubt they completely strike down the entire law.  I think they don't want to get near this hornets nest and are only taking this up to kill the suit and provide clarity.
« Last Edit: June 26, 2020, 06:48:40 PM by jim555 »

Mr. Green

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Re: What comes after the ACA?
« Reply #6011 on: June 26, 2020, 10:47:31 PM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.
Well you gotta give them credit for sticking to their guns. Lol

Not really, though it is pretty astounding that they're still beating that drum given the current situation. I think Ron White said it best. "You can't fix stupid."

Exflyboy

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Re: What comes after the ACA?
« Reply #6012 on: June 27, 2020, 06:18:56 AM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.
Well you gotta give them credit for sticking to their guns. Lol

Not really, though it is pretty astounding that they're still beating that drum given the current situation. I think Ron White said it best. "You can't fix stupid."

Well "Darlene" with most of her teeth living in her falling down trailer in West Virginia thinks he's the best President we've ever had!

Not sure what I'm missing?..:)

pecunia

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Re: What comes after the ACA?
« Reply #6013 on: June 27, 2020, 07:54:08 AM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.
Well you gotta give them credit for sticking to their guns. Lol

Not really, though it is pretty astounding that they're still beating that drum given the current situation. I think Ron White said it best. "You can't fix stupid."

Well "Darlene" with most of her teeth living in her falling down trailer in West Virginia thinks he's the best President we've ever had!

Not sure what I'm missing?..:)

Yep - Gettin' sick in West Virginia gives you more of the meaning of when John Denver said it was "Almost Heaven."  Darlene knows that Trump and his boys are just trying to help people get to Heaven sooner, that's all.

Exflyboy

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Re: What comes after the ACA?
« Reply #6014 on: June 27, 2020, 10:12:46 AM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.
Well you gotta give them credit for sticking to their guns. Lol

Not really, though it is pretty astounding that they're still beating that drum given the current situation. I think Ron White said it best. "You can't fix stupid."

Well "Darlene" with most of her teeth living in her falling down trailer in West Virginia thinks he's the best President we've ever had!

Not sure what I'm missing?..:)

Yep - Gettin' sick in West Virginia gives you more of the meaning of when John Denver said it was "Almost Heaven."  Darlene knows that Trump and his boys are just trying to help people get to Heaven sooner, that's all.

You see silly me I just clearly didn't get it!

So that why they don't wear masks at crowded Trump rallies then?..:)

American GenX

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Re: What comes after the ACA?
« Reply #6015 on: June 27, 2020, 10:59:27 AM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.

This is pretty much expected.  This has been their stance for a while - that the entire ACA should be thrown out.  Remember, they had also been filing briefs for the Supreme Court not to take the case in the first place and let it work its way through the lower courts on appeal first.  SCOTUS took the case anyway.

Mr. Green

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Re: What comes after the ACA?
« Reply #6016 on: June 27, 2020, 12:43:44 PM »
Unbelievable -  Trump administration asks Supreme Court to invalidate Obamacare

Quote
(CNN) - In the midst of a global pandemic with the presidential election just months away, the Justice Department asked the Supreme Court on Thursday to invalidate the Affordable Care Act, the landmark health care law that enabled millions of Americans to get insurance coverage and that remains in effect despite the pending legal challenge.
Well you gotta give them credit for sticking to their guns. Lol

Not really, though it is pretty astounding that they're still beating that drum given the current situation. I think Ron White said it best. "You can't fix stupid."

Well "Darlene" with most of her teeth living in her falling down trailer in West Virginia thinks he's the best President we've ever had!

Not sure what I'm missing?..:)

Yep - Gettin' sick in West Virginia gives you more of the meaning of when John Denver said it was "Almost Heaven."  Darlene knows that Trump and his boys are just trying to help people get to Heaven sooner, that's all.

You see silly me I just clearly didn't get it!

So that why they don't wear masks at crowded Trump rallies then?..:)
All he'd have to do is pass around some kool-aid at one of those rallies and that would be that!

sherr

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Re: What comes after the ACA?
« Reply #6017 on: June 27, 2020, 05:03:13 PM »
All he'd have to do is pass around some kool-aid at one of those rallies and that would be that!

Fun historic fact: it was actually Flavor Aid.

jim555

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Re: What comes after the ACA?
« Reply #6018 on: June 29, 2020, 08:28:56 PM »
The House passed HR 1425 Patient Protection and Affordable Care Enhancement Act today.  It is an ACA improvement bill.  So it will sit and die since Republicans are out to kill the ACA, not make it better.

https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR1425-RCP116-56.pdf


seattlecyclone

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Re: What comes after the ACA?
« Reply #6019 on: June 29, 2020, 10:57:15 PM »
The House passed HR 1425 Patient Protection and Affordable Care Enhancement Act today.  It is an ACA improvement bill.  So it will sit and die since Republicans are out to kill the ACA, not make it better.

https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR1425-RCP116-56.pdf



That would be a big deal for early retirees if passed into law. It would eliminate the subsidy cliff for people over 400% of the poverty level, set subsidies at 100% of the second-cheapest silver plan for people under 150% of the poverty line, and increase maximum subsidies for everyone who qualifies for them now.

Paul der Krake

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Re: What comes after the ACA?
« Reply #6020 on: June 29, 2020, 11:06:56 PM »
...and just one election away from being law.

seattlecyclone

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Re: What comes after the ACA?
« Reply #6021 on: June 29, 2020, 11:34:40 PM »
...provided the Democrats win the White House and the Senate and get the Senate Democrats to sign on to the bill and abolish the filibuster. The first three each individually seem more likely than not at this point, the last one is a wild card, and it's a lot of things that would have to line up just right.

rantk81

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Re: What comes after the ACA?
« Reply #6022 on: June 30, 2020, 06:45:21 AM »
An interesting article I saw.... comes as no surprise to me, unfortunately...

https://qz.com/work/1874630/how-us-health-insurers-spread-lies-about-canadas-health-system/

Quote
Last week, former health insurance executive Wendell Potter tweeted a confession that went briefly viral before disappearing again into the news cycle ether. But his mea culpa deserves more attention.

Potter, who left Cigna where he was a vice-president of communications in 2008, wrote that in his previous career, he was among those in the health insurance industry who spent huge sums to convince Americans that Canada’s single-payer system was “awful.”

iris lily

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Re: What comes after the ACA?
« Reply #6023 on: June 30, 2020, 08:00:10 AM »
The House passed HR 1425 Patient Protection and Affordable Care Enhancement Act today.  It is an ACA improvement bill.  So it will sit and die since Republicans are out to kill the ACA, not make it better.

https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR1425-RCP116-56.pdf



That would be a big deal for early retirees if passed into law. It would eliminate the subsidy cliff for people over 400% of the poverty level, set subsidies at 100% of the second-cheapest silver plan for people under 150% of the poverty line, and increase maximum subsidies for everyone who qualifies for them now.

My group of friends were bitching and moaning about the ACA  over the weekend.

 Person A was in a motorcycle accident, bad broken limb. No insurance. He is an attorney and is 50 years old, so not starting out. “Why doesn’t he have an ACA policy?” I ask. Because, ya know, that was supposed to solve most all problems. “That is too expensive!!!” The chorus said.

Included in the chorus was a  couple who does not have any health insurance. Too expensive they say.

Also in the chorus was a woman who had an ACA policy before she aged into Medicare.  “ it didn’t cover anything!!!” She said. I inquired and she said she had a silver policy.

All of these people, every one of them, pulls the blue lever when they vote. They are professional, educated people.

So what is my point here? It is this: people, they be wanting Nanny G to pay for everything. Ya’ll who think  the ACA is the bomb are not recognizing the very real phenomena of citizens who eschew the wonderful program of the ACA.

 Me— I was happy to have it available after my COBRA insurance ran out, and as an early retiree with low income and high net worth, it was a sweet deal cost-wise. We never put it to the test for real coverage although his cataract surgery was put off until Medicare because the ACA deductible was higher. But let me say, as a not-blue voter,
I was happy to have it to essentially protect my assets.

« Last Edit: June 30, 2020, 11:56:44 AM by iris lily »

ctuser1

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Re: What comes after the ACA?
« Reply #6024 on: June 30, 2020, 08:12:51 AM »
The House passed HR 1425 Patient Protection and Affordable Care Enhancement Act today.  It is an ACA improvement bill.  So it will sit and die since Republicans are out to kill the ACA, not make it better.

https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR1425-RCP116-56.pdf



That would be a big deal for early retirees if passed into law. It would eliminate the subsidy cliff for people over 400% of the poverty level, set subsidies at 100% of the second-cheapest silver plan for people under 150% of the poverty line, and increase maximum subsidies for everyone who qualifies for them now.

My group of friends were bitching and meaning about the ACA  over the weekend.

 Person A was in a motorcycle accident, bad broken limb. No insurance. He is an attorney and is 50 years old, so not starting out. “Why doesn’t he have an ACA policy?” I ask. Because, ya know, that was supposed to solve most all problems. “That is too expensive!!!” The chorus said.

Included in the chorus was a  couple who does not have any health insurance. Too expensive they say.

Also in the chorus was a woman who had an ACA policy before she aged into Medicare.  “ it didn’t cover anything!!!” She said. I inquired and she said she had a silver policy.

All of these people, every one of them, pulls the blue lever when they vote. They are professional, educated people.

So what is my point here? It is this: people, they be wanting Nanny G to pay for everything. Ya’ll who think  the ACA is the bomb are not recognizing the very real phenomena of citizens who eschew the wonderful program of the ACA.

 Me— I was happy to have it available after my COBRA insurance ran out, and as an early retiree with low income and high net worth, it was a sweet deal cost-wise. We never put it to the test for real coverage although his cataract surgery was put off until Medicare because the ACA deductible was higher. But let me say, as a not-blue voter,
I was happy to have it to essentially protect my assets.

ACA has a real issue for people earning > 4X poverty wage but not in six figures. The subsidy cliff makes it unaffordable for many people.

The primary reason IMO that does not get as much attention as the subsidy cliff is that ACA had to jettison the more "socialist" measures other countries would use to hammer down the medical costs in order to get people like Joe Lieberman (who was the senator representing me at that time) to vote for it.

There are high earning folks (maybe the attorney in your example) who are plain irresponsible and deserve whatever consequences come their way.

Maybe someday we will get truly "socialist" (or is it "communist"? forgot what Faux news is calling it now) healthcare that will take care of things that needs to be improved in Obamacare.

American GenX

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Re: What comes after the ACA?
« Reply #6025 on: June 30, 2020, 02:29:57 PM »
There are various other issues as well.  Some affect regular employer provided insurance as well.  Read some pages back in this thread about balance billing.  It's not a guarantee of protecting your assets.  But I certainly prefer it to the alternative, how things were before ACA.

DaMa

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Re: What comes after the ACA?
« Reply #6026 on: June 30, 2020, 07:34:05 PM »
An interesting article I saw.... comes as no surprise to me, unfortunately...

https://qz.com/work/1874630/how-us-health-insurers-spread-lies-about-canadas-health-system/

Quote
Last week, former health insurance executive Wendell Potter tweeted a confession that went briefly viral before disappearing again into the news cycle ether. But his mea culpa deserves more attention.

Potter, who left Cigna where he was a vice-president of communications in 2008, wrote that in his previous career, he was among those in the health insurance industry who spent huge sums to convince Americans that Canada’s single-payer system was “awful.”

He wrote an entire book about it:  Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans

jim555

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Re: What comes after the ACA?
« Reply #6027 on: July 01, 2020, 09:25:04 PM »
Voters in Oklahoma narrowly approved a ballot measure Tuesday night to expand Medicaid to eligible adults who need health insurance. Oklahoma is now the 37th state to expand Medicaid under the Affordable Care Act; coverage will begin a year from now, on July 1, 2021.

https://www.npr.org/sections/health-shots/2020/07/01/886307241/oklahoma-votes-for-medicaid-expansion-over-objections-of-republican-state-leader

pecunia

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Re: What comes after the ACA?
« Reply #6028 on: July 02, 2020, 04:52:36 AM »
An interesting article I saw.... comes as no surprise to me, unfortunately...

https://qz.com/work/1874630/how-us-health-insurers-spread-lies-about-canadas-health-system/

Quote
Last week, former health insurance executive Wendell Potter tweeted a confession that went briefly viral before disappearing again into the news cycle ether. But his mea culpa deserves more attention.

Potter, who left Cigna where he was a vice-president of communications in 2008, wrote that in his previous career, he was among those in the health insurance industry who spent huge sums to convince Americans that Canada’s single-payer system was “awful.”

He wrote an entire book about it:  Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans

How did the Cigna human resources people find a guy or girl to replace him?  Were there interview questions like, "Do you have a conscience?"  Did they interview at a place like San Quentin?

talltexan

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Re: What comes after the ACA?
« Reply #6029 on: July 02, 2020, 07:39:09 AM »
The House passed HR 1425 Patient Protection and Affordable Care Enhancement Act today.  It is an ACA improvement bill.  So it will sit and die since Republicans are out to kill the ACA, not make it better.

https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR1425-RCP116-56.pdf

Here we have this national health crisis, and Nancy Pelosi is wasting everyone's time by...trying to improve health care?

exit2019

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Re: What comes after the ACA?
« Reply #6030 on: July 03, 2020, 01:04:21 PM »
...and just one election away from being law.

The House passes a lot of things with the knowledge the Senate will either water it down or kill it.

pecunia

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Re: What comes after the ACA?
« Reply #6031 on: July 03, 2020, 07:18:26 PM »
...and just one election away from being law.

The House passes a lot of things with the knowledge the Senate will either water it down or kill it.

I think Moscow Mitch just kind of ignores a lot of the stuff sent alo0ng by the House.

zolotiyeruki

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Re: What comes after the ACA?
« Reply #6032 on: July 03, 2020, 08:29:24 PM »
...and just one election away from being law.

The House passes a lot of things with the knowledge the Senate will either water it down or kill it.

I think Moscow Mitch just kind of ignores a lot of the stuff sent alo0ng by the House.
Yup, and Harry Reid did exactly the same thing when the roles were reversed.

seattlecyclone

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Re: What comes after the ACA?
« Reply #6033 on: July 03, 2020, 09:01:05 PM »
...and just one election away from being law.

The House passes a lot of things with the knowledge the Senate will either water it down or kill it.

I think Moscow Mitch just kind of ignores a lot of the stuff sent alo0ng by the House.
Yup, and Harry Reid did exactly the same thing when the roles were reversed.

Yep, and this is exactly why recent presidents have taken to finding how far they can stretch the law through executive orders instead of waiting for Congress to legislate. Aside from semi-mandatory bills to keep paying for the government, Congress basically doesn't pass bills anymore.