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Viagra online shop http://brynespirit.com The new rules about health care will take effect on Jan. 1. (AP Photo/Gerald Herbert)
What, exactly, were GOP aides supposed to do in the weeks and months following former president Barack Obama's signature health-care law's enactment in March 2010?
They couldn't possibly have had any idea. The Affordable Care Act — and the Republican Party at large — was an unpredictable mix of partisan politics and economic ideas that defied the party's playbook.
The GOP's top brass could have held their collective breath the entire way through 2012 presidential campaign, just hoping Obama would win the presidency. That have provided GOP with a much higher leverage point during the legislative process and probably would have helped House Speaker John Boehner, R-Ohio, win his second term in 2016.
However, a new report
Finasteride buy online usa by the Congressional Budget Office (CBO), nonpartisan scorekeeper for Congress, offers some evidence that Republicans, instead, failed to anticipate the political fallout of American Health Care Act for 2017.
The plan — ultimately passed despite a presidential veto — was so unpopular that its passage was a political blunder for both parties before it became law. The CBO said bill's repeal of the taxes that fund law's mandate Americans buy health coverage was expected to cause 13 million people lose coverage and force insurers to raise premiums by an average of 20 percent next year.
The CBO also said law would increase the number of uninsured people to an estimated 28 million in 2018 and to 33 million in 2020.
[5 key takeaways from Obamacare overhaul's first year]
[Republicans' strategy to repeal and replace Obamacare has taken an ugly turn]
While no CBO score could have forecast the political fallout of an unpopular bill being enacted by the country's first African American president, it's possible that Republicans' lack of foresight contributed to the party's losses in November. After all, Republicans had controlled both chambers of Congress during Obama's first eight years in office. Why would they ever think that Republicans could repeal and replace "ObamaCare"?
Republicans have long had the view that Obama and Democrats were not serious about fixing America's health care system. One of President Trump's key campaign promises was to repeal and sildenafil citrate tablets 100mg price replace Obamacare in his first year.
In the end, Republicans suffered electoral damage in 2014 and 2016 from their support of a government shutdown, forcing their party into a one-year "honeymoon" period, during which many Republicans struggled to get over some of the political and policy divisions inherent in their party's opposition to Obama's health care law.
As we know now, that "honeymoon" period was not brief. Republican leaders now have to focus on the health care system's future rather than defending the status quo. How they handle the debate over health care in 2018 and beyond will have real impact on the GOP's political fortunes:
— Whether the repeal and replace effort fails, or if it succeeds but the number of uninsured remains a significant problem. Obamacare's mandates to buy health insurance and impose a tax penalty for not having coverage, along with other provisions, has helped about 15
sildenafil citrate tablets canada million Americans gain coverage. Some 25 million people have gained health benefits under the law's expansion of Medicaid.
[House GOP leaders make it very clear that they won't
drugstore with free shipping pull a Obamacare repeal]
By any measure, the ACA is a major sildenafil citrate tablets cheap success and represents step toward expanding health care coverage for Americans. Now, the health care system must figure out how to address the unmet health care needs of the millions who would lose coverage, as well the millions who were previously eligible for Medicaid but have not signed up.
— Whether the GOP seeks a legislative fix or simply attempts to pass new legislation replace Obamacare. Democrats are expected to offer their own proposal replace the Affordable Care Act — and it is likely to include several areas in the law, such as allowing insurers to sell coverage across state lines, which is also part of the GOP plan that failed in March.
As the Republicans continue their push for repeal, they will need a strategy that can be.
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