Cheers, because there are grand hopes that this turkey is a godsend, propelling the jettisoning of ACA, starting over with what is really needed, Medicare for All.  Sort of like, Susan Sarandon positing that Trump will be more likely to usher in the "revolution" immediately, as opposed to what Hillary would bring.  

Yes, just as all the good Trump will bring by being a bad president, wonderment in health care will be had by the shock therapy planned by Bill and Lindsey.

  Flexibility--states, starting in 2020, get block grants to replicate ACA or to pursue something totally different at their discretion. Maybe 50 different ways..The FU plan:(Flexibility and Uncertainty) for all.  States can decide whom to cover and how, or if.

 But a consistency is the rollback of Obamacare protections, each state decides benefits  that must be covered or if a customer's pre-existing conditions should be protected from higher prices.

The individual markets from now until 2020, when the states have to administer a new health program, (good luck, South Dakota) have no guard rails for stabilization. The tax penalty for refusal to buy insurance is eliminated, critical to the concept of insurance (shared risk).  Blue states with low numbers of uninsured, receive reductions in federal funds; red states see increases (a selling point for the likes of Ted Cruz).  

As with other Republican iterations, Lindsey/Bill's bill shoots past the damage done to ACA Medicaid and goes after the 1965 Medicaid model, reducing benefits and increasing loads on states (they get some and lose a lot).

 And, for those who could care less since they get their insurance at work, there is a little something there for them, too. State flexibility permits annual or lifetime limits on coverage, and eliminates ACA penalties for employers who do not offer their workers affordable coverage.

For the GOP to be extolling the benefit of more money going to states so they can cover and support more of their residents is the height of dishonesty.  These are states that refused the federal money under the ACA to expand Medicaid, which would have covered more of their residents - so, in what universe will these same states take the extra money under Graham-Cassidy and make health care more affordable for those living on the edge?  If they cared, why did they refuse to expand Medicaid?

Because, poor people.  

It's a block grant, and if people don't know by now, there is no mandate that block grants be spent for the purpose for which they were originally disbursed.  They can be used to close budget gaps, with no benefit going to people who were led to believe by these lying politicians that finally, there was some relief heading their way.  The money could go wherever the state legislatures decided it would best be used.

McCain is almost certainly a no.  so is Murkowski.  and i think there will be others.

this seems completey insane.  its said this is happening because of "pressure from the white house" as a result of pressure from doners.

maybe its just a 'fine, you want another vote?  you got it.  enjoy it.'

America's Health Insurance Plans was even more pointed. The legislation could hurt patients by "further destabilizing the individual market" and could potentially allow "government-controlled single payer health care to grow," said Marilyn B. Tavenner, the president and chief executive of the association. Without controls, some states could simply eliminate private insurance, she warned.

"If you want a single-payer health-care system, this is your worst nightmare. Bernie, this ends your dream of a single-payer health-care system for America."

Whenever I go through extreme stress the only way I can get beyond it is to have a couple of hours of crying after it has passed. I haven't been able to do that yet. It was making make up impossible last night.

So.....

That's all folks.