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Pelosi vs. everyone: Dems’ high-wire health care act

On Democrats’ health care conundrum

“Progressives are feeling like they’ve already compromised a lot and given up a lot to get the place we at the moment are. They started with wanting to essentially transfer in direction of a ‘Medicare for All’-style system. Then they lowered their calls for to simply reducing the age of Medicare in order that extra individuals can enroll. And then they lowered that to simply having extra Medicare advantages for individuals. And now even that’s getting chipped away as a result of you’ve got management within the House, led by Speaker Pelosi, saying, ‘We actually must concentrate on making the Affordable Care Act what we initially wished it to be, with the complete Medicaid enlargement and having or not it’s stable within the face of potential future Republican assaults.

“Something I believe cannot be emphasised sufficient is simply what number of lawmakers up on the Hill, Pelosi high amongst them, really feel so tied to the Affordable Care Act. It is their child. They have seen it nearly die and be reborn many instances, they usually simply really feel so invested in ensuring it may final into the longer term, whether or not they’re in energy or not. And they see makes an attempt to redirect funding to different issues as considerably of a menace to that. … Meanwhile, progressives at all times noticed the Affordable Care Act as one thing they kind of settled for. It was not their desire.

“I think one of the big, overarching themes here is that when Democrats are in the minority, they’re able to paper over a lot of these differences by just saying, ‘We’re united against Trump. Trump is trying to repeal the Affordable Care Act. We have to unite to stop them.’ And now that it’s their turn in the majority, all of these divisions and ideological differences about what to actually do on health care are really exposed.” — Alice Miranda Ollstein

On Bernie vs. Nancy … and Nancy vs. everybody

“The typical knowledge in Washington is, ‘Don’t bet against Nancy Pelosi.’ … I’ve lined her for 10 years, and she or he’s been the chief of the occasion for thus lengthy. She’s so used to getting her means. And it is simply actually fascinating to see her having to combat towards an individual who just some years in the past was thought of a gadfly within the Senate. Obviously, Bernie Sanders has this monumental energy on the skin of the Hill, this monumental progressive following across the nation from his run for president. Seeing these two individuals go up towards one another, it is not one thing we regularly see.

“Right now, [Pelosi is] up against Bernie. She’s up against the White House. She’s up against [Senate Majority Leader Chuck] Schumer, who is typically her ally. And it’s going to be really a test of her power here. She’s obviously in legacy mode; she’s going to be retiring in a couple of years, and she sees shoring up Obamacare as one of the final things she wants to do before she leaves Washington. And so she’s going to be fighting for this tooth and nail.” — Rachael Bade

On health care and the 2022 midterms

“There’s numerous strain to no less than prolong the Obamacare subsidies, if not make them everlasting — which is what Pelosi and her allies need — as a result of they’re now set to run out across the midterms. And so if Democrats aren’t in energy after that, you could possibly see thousands and thousands of individuals dropping these subsidies, having extra bother affording a few of these plans. And in order that’s an enormous consideration there.

But it is also, what can they cross that will make a robust argument to take to voters to say, ‘You need to keep us in power because you gave us control of Washington, [the] House, Senate and White House for the first time in a really long time’? And Democrats feel that if they’re not able to really show anything for that — anything concrete — if people are not feeling these policies, they will not see a political benefit. So I think it’s both a consideration of, ‘How do we ensure that these programs won’t get messed with by a future Republican majority?’ But additionally, ‘What can we pass so that there is no future Republican majority, so that we have a strong political argument to make?’” — Alice Miranda Ollstein