Trump delivers bizarre speech in Baltimore during Democratic debate

While the Democratic presidential candidates debated in Houston on Thursday night about environmental policy, the role of racism in American society, health care access, and other issues, President Donald Trump gave a speech to a House Republican retreat in Baltimore. The contrast between the president and the Democrats who are vying to take his job was remarkable.

Perhaps the clearest distinction came as Trump resurrected his fake middle-class tax cuts while Democrats had a detailed conversation about how to provide affordable health care to more people without dramatically raising taxes — within minutes of each other.

“We’re now working on a tax cut for middle-income people that is going to be very, very inspirational,” he told House Republicans, bringing up an idea he hyped just before last November’s midterm elections, only to forget about it as soon as it came and went. “It’s going to be something that I think it’s what everybody is looking for. We’ll be announcing it sometime in the next year.”

While one can pick holes in the tax plans offered by Democrats, at least they’re coherent plans. Trump, on the other hand, is offering soundbites that he thinks will play well with voters without seemingly having any intention of following through.

But Trump has a long history of this sort of thing. On Tuesday, for instance, he vowed that Republicans “will always protect patients with preexisting conditions,” despite the fact that two years ago he wholeheartedly embraced health care legislation that would’ve resulted in millions of people losing coverage. Trump even mocked the late Sen. John McCain during his speech for voting against it.

That was par for the course in Trump’s more than hour-long speech, during which he made a number of outlandish and self-refuting claims. He began by bragging about the move his administration made earlier in the day to repeal an Obama-era rule meant to limit pollution in America’s rivers, lakes, streams, and wetlands. But a short time later, he seemed to accidentally admit that rules of that sort have helped the country’s water remain relatively clean.

“The Clean Waters act didn’t give you clean waters — by the way, today we have the cleanest air, we have the cleanest water that we’ve ever had in the history of our country,” Trump said, falsely, combining two statements that directly contradict each other.

When he wasn’t contradicting himself or gaslighting, Trump offered hyperbolic commentary about MS-13 (“They take young women. They slice them up with a knife. They slice them up — beautiful, young.”), Democratic presidential candidates (“They’re gonna take your money, they’re gonna take — and very much hurt — your families.), and expressed his now-familiar ignorance about wind energy.

“If you happen to be watching the Democrat debate and the wind isn’t blowing, you’re not going to see the debate … ‘the goddamn windmill stopped!’” he said.

Trump even took aim at the city that was hosting the House Republican retreat, characterizing Baltimore as a city that has “been destroyed by decades of failed and corrupt rule.” He closed by promising some sort of major federal action unless Los Angeles and San Francisco take quick action to clean up homelessness.

The spectacle was dark, and at times brutal. Republicans, as they have mostly done since Trump became the Republican nominee for president in 2016, cheered.

Meanwhile, in Houston, Democratic presidential candidates took a few potshots at each other and, of course, at Trump — but they also got deep into the weeds of policy and outlined their respective visions of an America where immigrants are treated with respect, the climate crisis is taken seriously, and claims about health care proposals are backed up with actual plans.

The difference couldn’t have been clearer. Then again, it was just as clear in 2016.

[Vox]

Trump Claims Only Republicans Can Pull Off Preexisting Condition Protections Already Available in Obamacare

Donald Trump told his rally-goers dozens of insane lies, but one lie really stood out, claiming, “The Democrats’ vision on healthcare is deception and disruption … patients with pre-existing conditions are protected by Republicans much more so than were protected by Democrats who can never pull it off.”

One problem. Obamacare, passed by Democrats, contains protections for people with preexisting medical conditions and this is the same law Republicans tried to repeal 70 times and Trump’s own DOJ is currently trying to dismantle in courts today.

Doctors Could Refuse to Treat People Based on Race and Age Under Trump’s New Rule

A new Trump administration proposal would change the civil rights rules dictating whether providers must care for patients who are transgender or have had an abortion. News stories have mainly focused on how the proposal might affect LGBTQ rights and abortion rights, but the sweeping proposal has implications for all Americans, because the Department of Health and Human Services seeks to change how far civil rights protections extend and how those protections are enforced.

Roger Severino, the director of the HHS Office for Civil Rights, has been candid about his intentions to overturn an Obama-era rule that prohibited discrimination based on gender identity and termination of a pregnancy. In 2016, while at the conservative Heritage Foundation, he co-authored a paper arguing the restrictions threaten the independence of physicians to follow their religious or moral beliefs. Supporters of the approach say it protects the freedom of conscience, but opponents say it encourages discrimination.

His office unveiled the proposed rule on May 24, when many people were focused on the start of the long Memorial Day holiday weekend.

The rule is the latest Trump administration proposal to strip protections for transgender Americans, coming the same week another directive was proposed by the Department of Housing and Urban Development that would allow homeless shelters to turn away people based on their gender identity.

The public was given 60 days to comment on the HHS proposal. Here’s a rundown of what you need to know about it.

What would this proposal do?

Fundamentally, the proposed rule would overturn a previous rule that forbids health care providers who receive federal funding from discriminating against patients on the basis of their gender identity or whether they have terminated a pregnancy.

The Trump administration proposal would eliminate those protections, enabling providers to deny these groups care or insurance coverage without having to pay a fine or suffer other federal consequences.

That may mean refusing a transgender patient mental health care or gender-confirming surgery. But it may also mean denying patients care that has nothing to do with gender identity, such as a regular office visit for a bad cold or ongoing treatment for chronic conditions like diabetes.

“What it does, from a very practical point of view, is that it empowers bad actors to be bad actors,” Mara Keisling, executive director of the National Center for Transgender Equality, told reporters.

The proposal would also eliminate protections based on sexual orientation and gender identity from several other health care regulations, like non-discrimination guidelines for the health care insurance marketplaces.

Does it affect only LGBTQ people?

The proposal goes beyond removing protections for the LGBTQ community and those who have had an abortion.

It appears to weaken other protections, such as those based on race or age, by limiting who must abide by the rules. The Trump proposal would scrap the Obama-era rule’s broad definition of which providers can be punished by federal health officials for discrimination, a complicated change critics have said could ease requirements for insurance companies, for instance, as well as the agency itself.

And the proposal erases many of the enforcement procedures outlined in the earlier rule, including its explicit ban on intimidation or retaliation. It also delegates to Severino, as the office’s director, full enforcement authority when it comes to things like opening investigations into complaints lodged under the non-discrimination rule.

Why did HHS decide to change the rule?

The Obama and Trump administrations have different opinions about whether a health care provider should be able to refuse service to patients because they are transgender or have had an abortion.

It all goes back to a section in the Affordable Care Act barring discrimination on the basis of race, color, national origin, age, disability or sex. President Barack Obama’s health officials said it is discrimination to treat someone differently based on gender identity or stereotypes.

It was the first time Americans who are transgender were protected from discrimination in health care.

But President Donald Trump’s health officials said that definition of sex discrimination misinterprets civil rights laws, particularly a religious freedom law used to shield providers who object to performing certain procedures, such as abortions, or treating certain patients because they conflict with their religious convictions.

“When Congress prohibited sex discrimination, it did so according to the plain meaning of the term, and we are making our regulations conform,” Severino said in a statement. “The American people want vigorous protection of civil rights and faithfulness to the text of the laws passed by their representatives.”

Much of what the Office for Civil Rights has done under Severino’s leadership is to emphasize and strengthen so-called conscience protections for health care providers, many of which existed well before Trump was sworn in. Last year, Severino unveiled a Conscience and Religious Freedom Division, and his office recently finalized another rule detailing those protections and their enforcement.

The office also said the proposed rule would save about $3.6 billion over five years. Most of that would come from eliminating requirements for providers to post notices about discrimination, as well as other measures that cater to those with disabilities and limited English proficiency.

The rule would also save providers money that might instead be spent handling grievances from those no longer protected.

The office “considers this a benefit of the rule,” said Katie Keith, co-founder of Out2Enroll, an organization that helps the LGBTQ community obtain health insurance. “Organizations will have lower labor costs and lower litigation costs because they will no longer have to process grievances or defend against lawsuits brought by transgender people.”

Why does this matter?

Research shows the LGBTQ community faces greater health challenges and higher rates of illness than other groups, making access to equitable treatment in health care all the more important.

Discrimination, from the misuse of pronouns to denials of care, is “commonplace” for transgender patients, according to a 2011 report by advocacy groups. The report found that 28 percent of the 6,450 transgender and gender non-conforming people interviewed said they had experienced verbal harassment in a health care setting, while 19 percent said they had been refused care due to their gender identity.

The report said 28 percent had postponed seeking medical attention when they were sick or injured because of discrimination.

Critics fear the rule would muddy the waters, giving patients less clarity on what is and is not permissible and how to get help when they have been the victims of discrimination.

Jocelyn Samuels, the Obama administration official who oversaw the implementation of the Obama-era rule, said that for now, even though the Trump administration’s HHS will not pursue complaints against those providers, Americans still have the right to challenge this treatment in court. Multiple courts have said the prohibition on sex discrimination includes gender identity.

“The administration should be in the business of expanding access to health care and health coverage,” Samuels told reporters on a conference call after the rule’s release. “And my fear is that this rule does just the opposite.”

[VICE]

Trump Knocks McCain Again for Saving Obamacare During NRA Convention Speech

President Donald Trump made a dig at late Senator John McCain for voting against an Obamacare repeal bill, which ultimately killed Republican efforts to remove the ACA.

“We got the individual mandate, the absolute worst part of ObamaCare eliminated,” Trump said while bragging about his accomplishments to a raucous crowd gathered in Indianapolis for this year’s National Rifle Association convention. “Now we’re going for the rest.”

“And we had it [repealed] except for one vote,” he added, referencing the infamous McCain vote that saved Obamacare. “You know what I’m talking about.”

The crowd responded to Trump’s McCain jab with cheers and applause.

In nearly an hour long interview on Sean Hannity‘s Fox News show last night, Trump ripped McCain for doing the GOP “a tremendous disservice” and “the nation a tremendous disservice, tremendous, and it’s unfortunate.”

“He went thumbs-down at the very last moment and I thought it was a disgraceful thing to do and very, very bad for our country and bad for health care,” he added. “It was done and then John McCain, at the very last moment, late in the evening, went thumbs-down and everybody said, ‘What was that?’”

During his NRA speech, Trump also warned the audience that “socialists and far left Democrats want to destroy everything that we’ve done.” He went on to say that Democrats want to ban “new guns and confiscating existing guns from law-abiding citizens.”

“What they don’t tell you is, the bad guys aren’t giving up their guns and you’re not going to be giving up your guns either,” he added.

[Mediaite]

Trump says GOP senators are working on an Obamacare replacement and it will be ‘spectacular’

President Donald Trump announced Thursday that a team of GOP senators is ready to give health care another shot after nearly a decade of promising and failing to repeal and replace the Affordable Care Act.

But he added the caveat that he’s in no rush to get it done.

Trump resurrected the issue this week after the Justice Department, in a court filing Monday, said it supported the full elimination of President Barack Obama‘s signature legislative achievement. The president’s assertion that Republicans would become “the party of health care” surprised some Republicans, who thought they’d missed their chance to replace the law.

Republicans experienced an embarrassing defeat during Trump’s first year in office when they failed to make good on their campaign promise to end Obamacare. The closest they got to dismantling it was to eliminate the penalty on people who didn’t purchase health care.

Instead, the White House used executive actions to chip away at the law, while 20 governors from red states challenged it in court.

Trump named Sens. John Barrasso of Wyoming, Bill Cassidy of Louisiana and Rick Scottof Florida as the point people on Capitol Hill crafting the legislation.

“They are going to come up with something really spectacular,” Trump told reporters before heading off to a political rally in Michigan.

Trump also claimed that Republicans “will take care of preexisting conditions better than they’re taken care of now.”

The law makes it illegal for health insurers to deny coverage or raise rates on anyone with a preexisting or current illness. Trump did not expand on how it would be improved.

Trump also sounded triumphant about a lawsuit brought by 20 red states to rule Obamacare unconstitutional. A federal judge in Texas ruled in December that the entire law hinged on the fee imposed on people without health insurance. Since Congress eliminated that mandate in its tax bill, the law is no longer constitutional, the judge ruled. An appeal on that case is pending.

According to Trump, those opposed to the ACA are “winning in the courts.”

Democrats campaigned on this issue in November, warning voters that if the courts invalidate the law, then all of its most popular provisions, like protections for people with preexisting conditions, would go down with it.

The law has become increasingly popular with the public, and Democrats credit voters’ concerns about health care for their winning back the House.

Cassidy, one of the three senators Trump named, was also the architect of a replacement bill in 2017 that would have provided block grants to states to allow them to set the guidelines for their insurers. The Senate never voted on it.

All three have been separately working on health care-related legislation, but Trump claims he has asked them to take on the larger endeavor.

Cassidy and Barrasso were both medical doctors. Scott ran a hospital company, which, notably, was fined $1.7 billion for Medicare fraud when he was at the helm.

Trump said he’s not in a rush to get to health care because he’s waiting to see what the courts will decide. Democrats, who are elated to be talking about health care, argue the exact opposite, and say there should be a replacement in place if the ACA is dismantled because otherwise people lose the consumer protections in the law.

[Chicago Tribune]

President Trump again blasts John McCain, says he was ‘never a fan’ and ‘never will be’

President Donald Trump again criticized the late Sen. John McCain Tuesday, pointing specifically to his vote against repealing Obamacare and saying was “never a fan” and “never will be.”

“I’m very unhappy that he didn’t repeal and replace Obamacare, as you know. He campaigned on repealing and replacing Obamacare for years and then they got to a vote and he said thumbs down,” Trump said. “Plus there were other things. I was never a fan of John McCain and I never will be.”

The president’s comments came during an Oval Office meeting with the president of Brazil and after a series of weekend tweets in which Trump blasted the senator, who passed away battling brain cancer in last August.

Trump accused him of “spreading the fake and totally discredited dossier” and of sending it to the FBI and the media “hoping to have it printed BEFORE the Election.” But the president’s claim is not accurate. McCain wasn’t made aware of the dossier until after the election when he passed it on to the FBI.

The dossier, compiled by former British intelligence officer Christopher Steele, alleged links between the Trump campaign and Russian officials. Along with other explosive allegations, it alleged that Russians held compromising information about Trump that could be used to blackmail him.

On ABC’s “The View” on Monday, McCain’s daughter Meghan fired back at Trump, saying he “spends his weekend obsessing over great men” because “he will never be a great man” like her father.

[ABC News]

Trump falsely claims ‘we actually got rid of Obamacare except for one vote’

President Donald Trump claimed on Thursday that he had abolished President Barack Obama’s health care reform law.

According to BuzzFeed correspondent David Mack, Trump made the remarks during a cabinet meeting on Thursday.

“We actually got rid of Obamacare except for one vote,” the president reportedly said.

In fact, the Affordable Care Act has not been repealed, but Republicans have undermined it by striking the law’s individual mandate.

[Raw Story]

Trump rips McCain hours after signing bill named after him

President Trump hit Sen. John McCain in a speech hours after signing a defense bill named after the Arizona Republican.

Trump, speaking at a New York fundraising event, sarcastically referred to McCain as “one of our wonderful senators,” and referenced McCain’s key vote against a proposed repeal of the Affordable Care Act.

“ObamaCare, we got rid of the individual mandate, which is the most unpopular aspect,” Trump said. “I would’ve gotten rid of everything, but as you know, one of our wonderful senators said ‘thumbs down’ at 2 o’clock in the morning.”

The comment prompted a small chorus of boos from the audience.

Trump earlier in the day did not mention McCain during his signing of the defense bill, a $717 billion piece of legislation that is officially titled the John S. McCain National Defense Authorization Act for Fiscal Year 2019.

The omission sparked backlash among frequent Trump critics, including former Secretary of State John Kerry, who called it “disgraceful.”

[The Hill]

Trump Celebrates ‘Record’ Sales of Nonexistent Health Insurance Policies

As usual, President Donald Trump is either ignorant or lying about his own policies. This time, it’s so ridiculously obvious that correcting the record might sound fake.

During an event Thursday at Northeast Iowa Community College in Peosta, Trump was very excited to report that “incredible” numbers of people were signing up for association health plans, a form of coverage his administration is making easier to buy. He’s right about one thing: That truly is incredible, in that it’s the opposite of credible.

Trump didn’t use the term ”association health plans” in his remarks, but he did repeatedly praise Alexander Acosta, the secretary of labor, whose department published the regulations governing these policies last month, so it’s clear what Trump is referring to.

“I hear it’s like record business that they’re doing,” Trump said. “We just opened about two months ago, and I’m hearing that the numbers are incredible. Numbers of people that are getting really, really good health care instead of Obamacare, which is a disaster.”

To recap: zero people have actually enrolled in this insurance because it is literally impossible to do so until Sept. 1 at the earliest. And as for Obamacare being a “disaster,” its current problems have a lot to do with Trump himself.

Association health plans are policies that allow small companies in the same industry to band together to buy health benefits for their employees. These already existed before Trump, and before the Affordable Care Act became law in 2010.

President Barack Obama’s administration made them comply with the Affordable Care Act’s rules requiring health plans to provide a minimum, basic set of benefits (things like prescription drugs and maternity care) and limited how insurers could set prices based on the health status of the workers.

The Trump administration is changing that. These association health plans could evade the benefit rules and also charge premiums based on workers ages, occupations and places of business.

Association health plans may save some employees and employers money because they offer skimpier benefits, although those savings could be negated if an employee needs care not covered by her plan and has to pay out of pocket.

And these plans are designed to attract healthy consumers, so the more of them that leave the Affordable Care Act exchanges to join association health plans, the more costly the exchange customer base becomes and the higher premiums for those customers will be.

[Huffington Post]

Trump slashes funding that helps people sign up for Obamacare

The Trump administration is once again slashing funding for a program that helps Americans sign up for Obamacare.

The Centers for Medicare & Medicaid Services announced Tuesday that it would provide only $10 million for the navigator program for this fall’s open enrollment season. The move is the latest effort by the Trump administration to undermine the Affordable Care Act.

This past year, navigators only received $36 million in funding, down from $63 million in 2016. The reduction was paired with a 90% cut in Obamacare’s advertising budget.
The agency once again defended the decrease by saying that navigators, which usually hail from non-profit and community organizations, are not effective. They enrolled less than 1% of consumers who signed up for 2018 coverage in 34 states using the federal exchange, according to CMS.

Navigators say they don’t get credit for all the consumers they help guide through the process but don’t actually sign up. Also, navigators assist people with enrolling in Medicaid, which is not reflected in the numbers.

The Trump administration broadened the opportunity for private sector agents and brokers to assist consumers in signing up last fall. They assisted 42% of enrollees, the agency said.

Navigators applying for funding will also be encouraged to show how they will educate people about the newly expanded alternatives to Obamacare, such as association health plans and short-term plans. The Trump administration is making it easier for Americans to sign up for these policies, which many experts say will weaken Obamacare by siphoning off younger and healthier enrollees. These alternative plans don’t have to provide all of the Affordable Care Act’s consumer protections.

Consumer groups decried the move.

[CNN]

1 2 3