Indian Country politics and public policy

Commentary by Mark Trahant

Good morning.
No post this morning, but a couple of thoughts before the House vote on the plan to repeal & replace the Affordable Care Act.
President Trump has made this an either, or vote for House members. With the president or not? Are they more worried about a primary from Trump supporters or their own constituents? As I wrote yesterday, Alaska’s Rep. Don Young will be worth watching on that score. This bill is terrible for Alaska. And a “yes” vote will be risky come election time. Or will Trump supporters use this an opportunity to take on Young in the primary?
Second point (and future stories) If this is end of repeal and replace, then the action will shift (as it already has) to the rule making process. Secretary Tom Price has a lot of power to make deals with the states on how ACA is implemented (and for that matter, Medicaid).
Third. It’s really interesting to see the new round of leaks coming from the White House. They were against this whole thing from the beginning, see. Blame is directed to Paul Ryan. (Trump’s news favorite Brietbart even calls this bill RyanCare.) So the question is what does this do to Ryan’s speakership going forward (if he continues in office)? As I wrote the budget divisions ahead are even greater than those that surfaced in the health care policy debate.
That’s it for now. Working on something not-Trump-related for the weekend. — Mark

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