Senate Sinks Latest Republican Health Care Reform: Harsh Blow for Trump, McCain Played a Crucial Role

Published in la Repubblica
(Italy) on 28 July 2017
by Antonello Guerrera (link to originallink to original)
Translated from by Federica Vavala. Edited by Pam Willey.
The Republicans lost by a vote of 49-51. The version of the reform that was rejected last night was far less drastic than the previous bills.

After a marathon session that lasted for hours, the Senate sank the latest version of the health care reform that would have undone former President Barack Obama’s health care law. This is a catastrophe for Donald Trump. The vote was 49-51, and Sen. John McCain played a crucial role. A few days ago, he was instrumental in reopening the debate on the bill in the Senate, and today he caused one of the greatest defeats for the American president since his election. Two days ago, Trump praised the veteran from Arizona as an “American hero!” Then, a few minutes after the harsh blow in the Senate, he tweeted pithily, “3 Republicans and 48 Democrats let the American people down.” However, he then raised the stakes again on Twitter. “As I said from the beginning, let Obamacare implode, then deal,” Trump wrote.

The version of the health care reform that was rejected was less drastic compared to its predecessors. It is no coincidence that it was called “skinny” – it contained fewer constraints for employees and businesses, more flexibility for individual states, but also the loss of health care coverage for 16 million Americans and a 20 percent increase in insurance rates, according to the House Budget Committee. However, even this watered down version of the reform bill was of no use and Republicans were left empty-handed.

That is because it was a gamble from the very beginning when Trump and Majority Leader McConnell reopened the debate in the Senate by a very narrow vote thanks to McCain and to outside support from Vice President Pence. The risk of failure was very high, though. In that total chaos, everything was left to improvisation, and the Republicans agreed on nothing. On Wednesday, the dissidents from Trump’s party along with all the Democrats rejected the first brutal version of the bill, the one that would have erased Obama’s reform without providing a replacement. On Thursday, the intermediate version was rejected as well, since some still felt it was too drastic. Now, even the “skinny” version has failed, despite Trump’s constant tweets urging his people for unity.

That was the last desperate attempt by the president and McConnell. The slap in the face from the latest defeat is terrible, and it will trigger a reckoning within the party that will likely affect the future of the administration. What will happen now? Before giving the last rites to health care reform, McCain started talking with Democrat senators. This may bode well for two-party agreement during the next bipartisan committee hearings, another complicated and uncertainty-riddled scenario. The only certainty for now is that this was a terrible day for Trump. The health care reform bill has crumbled to dust, Congress has all but deprived him of authority on the Russia sanctions and the threat of the “Russiagate” investigation looms increasingly larger. For the first time, although he will never admit it, Trump is in real trouble.


Usa, Senato affonda anche l'ultima riforma sanitaria repubblicana, batosta per Trump: decisivo McCain

Repubblicani battuti 51-49. La versione della riforma caduta nella notte americana era molto meno drastica rispetto alle precedenti

Dopo una maratona di ore e ore, il Senato americano ha affondato anche l'ultima versione della riforma sanitaria repubblicana per abolire l'Obamacare. Ed è una catastrofe per Donald Trump. 49-51, decisivo il senatore John McCain, qualche giorno fa per riaprire il dibattito della legge al Senato, oggi per condannare il presidente americano a una delle disfatte più grandi dalla sua elezione. Due giorni fa Trump aveva lodato il veterano dell'Arizona ("Sei un eroe"). Adesso, pochi minuti dopo la batosta, è lapidario: "Tre repubblicani e 48 democratici hanno deluso l'America!", ma poi rilancia, ancora una volta: "Facciamo fallire l'Obamacare e poi trattiamo".

La versione della riforma bruciata nella notte americana era molto meno drastica rispetto alle precedenti, non a caso si chiamava 'skinny', stretta, attillata: meno vincoli per lavoratori e aziende, più flessibilità per i singoli Stati, e anche 16 milioni di americani cui sarebbe stata privata la copertura sanitaria e un aumento del 20% del costo delle assicurazioni, secondo la commissione bilancio. Ma anche questa versione annacquata non è servita a niente. E i repubblicani sono rimasti con un pugno di mosche in mano.

Perché è stato un azzardo. Sin dall'inizio, quando Trump e il capogruppo dei repubblicani McConnell hanno fatto riaprire il dibattito al Senato con un voto al fotofinish grazie a McCain e alla stampella esterna del vicepresidente Pence. Ma il rischio di fallimento era altissimo, perché, nel caos totale, è stato affidato tutto all'improvvisazione, i repubblicani non erano d'accordo su nulla. Mercoledì i dissidenti del partito di Trump hanno bocciato, insieme a tutti i democratici, la prima versione brutale che avrebbe abolito la riforma di Obama senza un rimpiazzo. Giovedì quella intermedia, per alcuni ancora troppo drastica. Adesso anche quella skinny, nonostante i tweet continui Trump che esortavano i suoi all'unità.

Era l'ultimo disperato tentativo del presidente e McConnell. Dopo l'ultima sconfitta lo smacco è tremendo e aprirà la resa dei conti nel partito, con probabili conseguenze anche sul futuro dell'amministrazione. Adesso cosa succederà? McCain, prima di dare l'estrema unzione alla riforma, si è messo a parlare coi senatori democratici. Ci potrebbero essere convergenze trasversali nella prossima commissione bilaterale. Altro scenario complicato e pieno di incertezze. L'unica certezza ora è che è stata una giornata terribile per Trump: la riforma sanitaria si è sgretolata, il Congresso lo ha praticamente commissariato sulle sanzioni alla Russia, l'inchiesta Russiagate sempre più minacciosa. Anche se non lo ammetterà mai, Trump è per la prima volta in grossa difficoltà.
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