Healthcare scramble writes new chapter in
Trump's 'Art of the Deal'
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[March 24, 2017]
By Yasmeen Abutaleb, David Morgan and Emily Stephenson
WASHINGTON (Reuters) - In the middle of a
confused three-day scramble by U.S. Republicans to save their plan to
dismantle Obamacare, President Donald Trump telephoned a former
small-town sandwich shop owner from the North Carolina mountains on
Representative Mark Meadows took the call during a meeting of the
Freedom Caucus, a conservative faction of the House of Representatives
he chairs. His talk with Trump thrust Meadows into the eye of a
legislative storm that led to a pivotal vote on the bill being
postponed. Then, late on Thursday after Trump demanded action by the
House, a final vote was set for Friday.
Through it all, Meadows has been a key player in Trump's first major
legislative initiative, an effort as chaotic and unpredictable as his
campaign for the White House, with its ultimate outcome still in doubt
late on Thursday night.
After promising for months as a candidate to repeal and replace
Obamacare, Trump has still not produced his own plan to do so, choosing
instead to support a rollback bill drafted by senior House Republicans,
including House Speaker Paul Ryan.
Financial markets have watched the drama over the bill nervously,
concerned that defeat or delay for it could undermine Trump's ability to
carry through on promises to cut taxes and reduce regulation that have
lifted U.S. stocks for weeks.
In a schism among Republicans who now control Congress and the White
House, moderates oppose Ryan's bill, saying it goes too far. The
non-partisan Congressional Budget Office has estimated it would result
in 24 million fewer Americans having insurance by 2026 than if Obamacare
remained in place intact.
Meadows and the Freedom Caucus don't like it either, but for very
different reasons, making a compromise challenging. They say it doesn't
go far enough to repeal the healthcare law put in place in 2010 by
former Democratic President Barack Obama.
To deal with this problem, Trump stepped in personally earlier this week
to try to win over Meadows and his maverick conservative faction,
according to interviews with dozens of lawmakers and congressional
aides. But, even after marathon phone calls and meetings at the White
House, Trump, who prides himself as a master negotiator, failed to
secure the deal.
Meadows told reporters on Thursday night he still opposed the bill, but
was optimistic that a deal could be reached. "I am still a no," he said,
taking basically the same position he took on Wednesday afternoon after
his phone call with Trump.
When he embraced Ryan's bill and then decided to intervene to try to
save it, Trump opted for a strategy in which he would concentrate on
winning over Meadows and the conservatives.
Ryan and House leaders would deal with "everybody else," Republican
Representative Tom Rooney said Thursday. That strategic approach soon
had embarrassing consequences.
Trump's push began in earnest on Tuesday, when he visited Capitol Hill
seeking support for the plan among Republicans.
On Wednesday, the House Rules Committee held marathon meetings to
finalize the bill that would go to the floor.
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An aide opens the doors as members of the House Freedom Caucus meet
on Capitol Hill after their meeting over healthcare legislation with
President Trump at the White House. REUTERS/Jonathan Ernst
After his Wednesday phone call with the president, Meadows spent
much of Wednesday night negotiating with Trump, said a Republican
"Mark Meadows has been at the White House more in the last 48 hours
than any other times in his life combined," said one conservative
lobbyist with knowledge of internal discussions.
As Meadows and other Freedom Caucus members such as Representative
Jim Jordan negotiated with Trump, more and more right-wing
amendments were added to the bill to placate conservatives.
The conservative concessions hurt moderates. "The vast majority of
us in the Republican conference have been left out of these
discussions," Representative Bradley Byrne said Thursday. "That is a
growing problem for our leadership and I think it's a growing
problem for the chances of this bill."
At some point, Ryan himself balked when he learned of the agreements
struck between Trump and the conservatives, according to the
conservative lobbyist, setting in motion a frantic push to save a
vote on the bill that had been set for Thursday.
By late afternoon, that rescue effort had collapsed and the vote was
scrapped. Trump responded forcefully, dispatching top White House
lieutenants to a meeting with lawmakers with a clear message: the
president was done negotiating.
The message was "it's done tomorrow or Obamacare stays," said
Republican Representative Chris Collins.
With that, lawmakers announced that a decisive vote on the bill
would be held on Friday afternoon.
Earlier, even as the vote that had been set for Thursday was falling
apart, Trump was meeting with trucking industry representatives and
gleefully climbed into the cab of an 18-wheeler. He said then that
everyone would find out in a couple of hours whether Republicans had
enough votes to pass the healthcare bill, unaware that the vote had
already been delayed.
(Additional reporting by Roberta Rampton, Susan Cornwell, Julia
Edwards Ainsley, Amanda Becker, Steve Holland and Richard Cowan;
Editing by Kevin Drawbaugh and Paul Tait)
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