WASHINGTON – Senator John McCain of Arizona announced on Friday that he would oppose the Affordable Care Act, leaving Republican leaders with little hope of succeeding in
For Mr. McCain, it was a slightly less dramatic reprise of his middle-of-the-night thumbs-down that killed the last rehearsal effort in July. This time, the senator, battling brain cancer and confronting his best friend in the Senate, Lindsey Graham of South Carolina, issued a statement saying that he could not "in good conscience" by Senators Graham and Bill Cassidy of Louisiana.
"I believe we could do better together, Republicans and Democrats, and have not really tried it," Mr. McCain said.
The Run-Up is a well- With two other Republican senators likely to vote no, Mr. McCain's opposition to the bill could be fatal. The podcast that makes sense of the most delirious stretch of the 2016 campaign.
Senator Rand Paul, Republican of Kentucky, said this week that he would not vote for the bill because it did not dismantle enough of the Affordable Care Act. And Senator Susan Collins, Republican of Maine, has expressed broad concerns about the legislation, strongly suggesting that she, too, would vote against it, just as she voted in July with Mr. McCain and a third Republican senator, Lisa Murkowski Alaska. Ms. Collins said on Friday that she was "leaning against" the proposal.
For months, Mr. McCain has lamented a Senate legislative process that avoided hearings or formal bill-drafting procedures and excluded Democrats.
"Democrats did when they rammed Obamacare through Congress in 2009," "Mr. McCain said. "
A bill of this magnitude" requires a bipartisan approach, "" Mr. McCain added.
Congressional Budget Office could complete a full analysis of the Graham-Cassidy legislation. The budget office is expected to estimate the cost of the bill early in the week, but it would appear that it would not be possible to complete the analysis of the bill on health insurance coverage or premiums by Sept. 30.
That date is critical because Republicans, who hold 52 seats in the Senate, have until the end of this month to make use of special budget rules that would allow them to pass a bill in the Senate with only a simple majority 60 votes cast.
"Of course, I'm disappointed," Mr. Cassidy said in an interview, "but that does not mean that I'm going to stop working for those folks who can not afford their premiums. We are still working. We are still hoping. "
Mr. Graham, mindful of their long relationship, was gracious. "My friendship with John McCain is not based on how he votes," Mr. Graham said, "but respect for how he's lived his life and the person he is."
Pence was not giving up.
A spokeswoman for the Senate majority leader, Mitch McConnell of Kentucky, declined to comment on whether he would press forward with a vote.
Democrats have a vowed to reaffirm that they can not afford to pay for themselves.
"John McCain shows the same courage in Congress," he said. that he showed when he was a naval aviator, "said Senator Chuck Schumer of New York, the Democratic leader. "
If the bill dies at the hands of Senators McCain, Paul and Collins, it would have been a good idea to have the bipartisan process resumed.
It would be a good idea to make a decision on whether or not to make a decision. to produce any major legislative achievements. Republican lawmakers have promised for seven years to repeat and replace the Affordable Care Act, but they have found that verbally assuring the health law is far easier than actually undoing it,
" It's a loss for Republicans, "said Representative Mark Walker of North Carolina, the chairman of the conservative Republican Study Committee. "I think we're all going to be held accountable to some degree. I do not know.
The Graham-Cassidy Bill would take much of the money provided under the Affordable Care Act and send it to the states, with vast discretion over how to use it for health care or coverage. Medicaid officials.
Under the bill, states would have more authority over how to use federal funds, but most states – including Arizona – would receive less money under the bill than under the Affordable Care Act, according to studies by the Kaiser Family Foundation and
The bill would also give states the ability to opt out of insurance regulations under the health law.
Republican  Proper noun  Noun Republican  Proper noun Republican leaders will now have a chance to change an opponent's mind, but if anything, more opponents could emerge, with Ms. Murkowski on the top of the list. Alaska's governor, Bill Walker, an independent, publicly oppose the bill. In an interview, Mr. Walker said he did not believe any special accommodation could be reached for his state, because the whole structure was so damaging to Alaska.
"Alaska would fare very, very poorly," he said. "
A spokeswoman for Senator Murkowski, Ms. Karina Petersen, said she is still studying the matter. "Senator Murkowski is still focused on how the Alaska bill will impact, specifically.
Gov., "She is a man who is a woman, Doug Ducey of Arizona, a Republican, supports the Graham-Cassidy proposal, and Mr. McCain had made a point of emphasizing that he was keenly interested in the views of
"I take no pleasure in announcing my opposition," Mr. McCain said. "Far from it. The bill's authors are my dear friends, and I think the world of them. I know they are acting consistently with their beliefs and sense of what is best for the country. So am I. "
Mr. McCain said he hoped senators would keep trying to currency a short-term bipartisan solution to some of the plaguing insurance markets under the Affordable Care Act.
Mr. Alexander and Ms. Murray have been working on a bill to stabilize markets by providing money for subsidies paid to insurers so they can reduce out-of-pocket costs for low-income people. Alexander, the chairman of the Senate health committee, and Ms. Murray, the top Democrat on the panel, held four hearings in two weeks and were nearing an agreement on legislation.
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