Health care prescription? Regroup and cooperate, Catholic health leaders say

(CNS photo/Yuri Gripas, Reuters)

WASHINGTON (CNS)—After efforts to repeal and replace the Affordable Care Act collapsed late July 17 in the U.S. Senate, Catholic health care leaders said they hope Congress will work together, in small steps, to fix flaws in the current legislation.

The bill lost ground when two Republican senators announced their opposition to it, joining two other senators who opposed the bill and leaving Republican leaders at least two votes short of the 50 needed to start debate on the measure.

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Four days earlier, Bishop Frank J. Dewane of Venice, Florida, chairman of the U.S. Conference of Catholic Bishops' Committee on Domestic Justice and Human Development, said in a statement that the measure, a revision of an earlier draft, still did not have "enough improvement to change our assessment that the proposal is unacceptable."

"The Catholic Health Association is pleased that the bill in the Senate will not go forward," said Sister Carol Keehan, a Daughter of Charity, who is president and CEO of the association, adding: "It would have had incredibly negative consequences for so many Americans."

Dr. Steven White, a pulmonary specialist in Ormond Beach, Florida, and chairman of the Catholic Medical Association Health Care Policy Committee, said that because of the complexity of the heath care legislation, he would hope people would see what happened—when the Senate failed to secure the necessary votes for the health care repeal—as a setback not a failure. 

In his statement on July 13 about the Senate bill, Bishop Dewane also referred to his letter on June 27 to senators that said any health care reform bill must uphold several moral principles: affordability; access for all; respect for life; and protection of conscience rights. The bishops also have stressed the need for U.S. health care policy "to improve real access" to health care for immigrants.

In a statement on July 18, Sister Keehan said Congress can "now turn a page and open a new chapter" stressing that the country deserves a health care bill that gives quality and affordable health care to everyone.

The Congressional Budget Office said the Senate bill would leave 18 million more people uninsured within a year, and 32 million fewer people would have coverage in 2026, compared with the number of those insured under the current law. Health insurance premiums also would increase by at least 20 percent within the first year and would likely double by 2026.

The bill would have done away with the Affordable Care Act's expansion of Medicaid and subsidies for the purchase of private insurance, but it would have left in place requirements prohibiting insurers from denying coverage or charging higher premiums because of a pre-existing medical condition.

Sister Keehan, who was consulted on the initial Affordable Care Act legislation, said moving forward will require bipartisan efforts and broad consultation. "There is the competence and resources to do this if we work together. Health is too critical to be allowed to be a partisan issue," she said, adding that CHA "stands ready to work with all members of Congress to achieve this."

The woman religious, who is a nurse and heads an organization of more than 600 hospitals and 1,400 long-term care and other health facilities in the United States, also said her organization would "definitely not support a bill that repeals but delays replacement" of the Affordable Care Act because it would create "incredible uncertainty."

"Health care is too critical to put at that much risk," she added.

White told Catholic News Service on July 18 that members of Congress need to "get together and view in incremental steps what they can do" acknowledging that fixing flaws in the Affordable Care Act "can't all be done at once."

He said one aspect of the reform efforts—Medicaid cuts—is not fully understood. As he sees it, the expansion of Medicaid under the ACA is currently hurting state budgets, so some type of reform is necessary.

He also stressed that any future health care legislation that comes before Congress must include conscience protections that he said are "absolutely essential."

Three days before the Senate plan was stopped in its tracks, Sister Keehan said she hoped more senators would take a stand against the proposed legislation. The next step would be for "Democrats and Republicans to show they can be statesmen and women and come together—not gloating or finding fault but looking to stabilize the Affordable Care Act for now and to look at what might be better in the future."

On the Senate floor July 18, Senate Majority Leader Mitch McConnell, R-Kentucky, said: "I regret that the effort to repeal and immediately replace the failures of Obamacare will not be successful. That doesn't mean we should give up. We will now try a different way to bring the American people relief from Obamacare. I think we owe them at least that much."

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Charles Erlinger
1 year ago

Way too much emphasis is being placed on process rather than pinning down what the objective is. It makes no difference whether conservative Republicans cooperate with moderates, or centrist Democrats cooperate with progressives, or whether Republicans cooperate with Democrats, or whether believers cooperate with unbelievers, if each sees the process as seeking to achieve different or even disparate end-states. Nor is careful enunciation of respective ideologies relevant to the problem of providing health care to those in need if the respective desired end-states are simply envisioned as ideological victories. The problem at the core of the current political struggle may not even be the provision of needed health care, it may simply be how to win an ideological argument. The pragmatic aspects of each party's ideological argument may merely be in support of the ideology rather than in support of the provision of health care. In the meantime, the practical outlines of the problem of providing health care remain undefined because the practical objective remains undefined. So practically speaking, what is it, exactly, that we should be trying to agree on? If cost or pricing is an obstacle, what specific suggestions do we have for improving cost control? If the dominant suggestion is simply establishing dollar limits on future expenditures, how does that affect the achievement of the objective? If the answer is that dollar expenditure limits are, in fact the objective, then what does health care provision have to do with the discussion at all?

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