Trump wants ‘heart’ as Republicans seek to deliver Senate healthcare bill

President, Koch brothers, conservatives and moderates vie to form controversial plan as political pressure rises over proposed Medicaid cut

President Trump has called for an injection of what he called heart into the US Senates healthcare invoice, since at least eight Republican senators continue to express doubts about the agreement before a critical vote today.

In an interview with Fox News Fox and Friends on Sunday, Trump admitted that he had described as mean the House bill to dismantle Barack Obamas Affordable Care Act (ACA), that narrowly passed last month. He said mean was my word, because I wish to see and that I speak from the heart, thats what I wish to see that I wish to find a invoice with heart.

As negotiations within the deeply divided group of Republican senators input their decisive final stages, Trump professed to be tentatively certain that agreement will be achieved.

I dont think theyre that far off, he said. Famous last words, right? However, I think will get there. Cant promise. I think will get there.

As no Democrat will side with the invoice, Republicans will have the ability to adapt the opposition of just two of their 52 senators. Senate majority leader Mitch McConnell is facing a daunting endeavor. The challenge is all the more onerous as conservative qualms about the invoice are themselves cleft into two hostile camps.

From the right of the celebration, four senators Ted Cruz, Ron Johnson, Mike Lee and Rand Paul are undermining their intent to vote against the bill on grounds that it does not go far enough in unpicking the ACA, known colloquially as Obamacare. Johnson, from Wisconsin, went up to to tell NBCs Meet the Press that this weeks vote should be postponed.

I dont have the feedback from constituencies who will not have had sufficient time to review the Senate bill, he said. We should not be voting about this next week.

Paul, from Kentucky, told ABCs This Week he had been willing to back a partial repeal of the ACA, but only if the present Republican draft had been rewritten to eliminate that which he described as big government programs and raise individual freedoms.

Im not voting for something which looks just like Obamacare and still doesnt fix the basic flaws, Paul stated.

On the flip side, moderate side of this Republican divide, at least a second four senators Susan Collins, Cory Gardner, Dean Heller and Lisa Murkowski will also be showing signs of profound skepticism that could crystallize into no votes. Their hesitations are focusing in on provisions to cut back more than $800bn in the Medicaid budget by phasing out the expansion of this program which had brought healthcare coverage to an extra 11 million adult Americans.

The removal of such a massive swathe of subsidy may have devastating effects on vulnerable groups like older people in nursing homes, folks fighting with opioid addiction and people with disabilities.

Trumps White House consultant, Kellyanne Conway, made a rare return to the Sunday political shows to claim on ABC that the $800bn cut to Medicaid was not actually a cut but a shift in forecasts.

We dont see them as cuts, its slowing the rate of growth in the future and obtaining Medicaid back to where it had been, she said.

These Orwellian word games aren’t very likely to be sufficient to bring the moderate holdouts on board. Collins, from Maine, told the exact same show she had been doubtful that the bill could pass this week, adding that she had been very concerned regarding the proposals impact on older people and also the most vulnerable.

You cant take over $800bn from the Medicaid program, not anticipate that its likely to have an impact on a rural nursing home that relies on Medicaid to get 70\% of the costs of its patients, ” she said.

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