Senate Majority Leader Mitch McConnell this week revealed Senate’s long-awaited plan to reshape America’s health care system — the fruit of many weeks of work entirely behind closed doors by a group of 13 Republican senators that were selected by the majority leader.
Trump has already thrown his weight behind the plan, tweeting: “I am very supportive of the Senate #HealthcareBill. Look forward to making it really special!”
As the Senate is expected to vote on the latest iteration of the GOP plan next week, we’re tracking what Trump has promised when it comes to health care, from the campaign trail to the Oval Office.
While the Senate bill’s passage could help fulfill Trump’s promise to repeal and replace Obamacare and cut taxes, it would also break a host of promises he made to Americans on health care.
The Senate bill would make sweeping cuts to Medicaid, get rid of the individual mandate, and eliminate Obamacare’s taxes on the wealthy and insurers. It would also prevent federal funds from reimbursing Planned Parenthood for any health services it provides.
The plan’s effects will become more clear when the non-partisan Congressional Budget Office (CBO) releases its analysis of the bill early next week.
Promise: Health care for all
“I am going to take care of everybody. I don’t care if it costs me votes or not,” Trump said. He added: “The government’s gonna pay for it.”
“We’re going to have insurance for everybody,” he said in an interview with The Washington Post. “There was a philosophy in some circles that if you can’t pay for it, you don’t get it. That’s not going to happen with us.”
While we don’t yet have an analysis of the Senate’s plan, it is clear that if signed into law, the bill would fall well short of Trump’s broad promises to insure everyone. According to the CBO, under the House bill that passed in May — which is similar to the Senate bill — 23 million Americans who already have insurance would lose their coverage within a decade.
Promise: Leave Medicaid alone
One specific thing Trump has been clear on, however, is Medicaid. He has been consistent in voicing his opposition to any cuts to the program, which helps to provide coverage to low-income Americans. On the campaign trail, he often touted his promise to not touch Medicaid.
The statement was just one of Trump’s handful of tweets on the subject.
The Senate GOP plan would certainly break Trump’s promise to lay off Medicaid. It makes make deep cuts to the program, ending its expansion under Obamacare and capping future payments.
Promise: Lower costs
But if the analysis of the Senate bill is similar the House bill’s, this promise might also be broken. The CBO found that while the House bill would decrease health care premiums for healthier, younger Americans, it could drastically increases costs for sicker, older citizens.
Promise: Repealing and replacing Obamacare
If the Senate bill passes, it keeps alive the possibility of repealing Obamacare.
The bill would repeal Obamacare’s individual mandate, drastically cut back federal support of Medicaid, and eliminate Obamacare’s taxes on the wealthy, insurers and others — which would be one promise kept.