Trump Slams Rand Paul As "Negative Force" On Fixing Healthcare; Paul Immediately Responds

Tyler Durden's picture

Now that hopes for a bipartisan deal to fix Obamacare are dead and the Republicans are pushing on with a last-minute scramble to repeal Obamacare ahead of a Sept. 30 legislative deadline in hopes third time will be the charm, on Wednesday morning just after 8am, President Trump slammed Sen. Rand Paul for being a "negative force" on health care.

"Rand Paul is a friend of mine but he is such a negative force when it comes to fixing healthcare. Graham-Cassidy Bill is GREAT! Ends Ocare!" Trump tweeted adding "I hope Republican Senators will vote for Graham-Cassidy and fulfill their promise to Repeal & Replace ObamaCare. Money direct to States!"

Previously Paul had called the bill from Senators Lindsey Graham and Bill Cassidy "ObamaCare lite" and said he wouldn't support it.  The Graham-Cassidy bill seeks to give more power to states by converting money currently spent on ObamaCare’s subsidies and Medicaid expansion into a block grant to states.

Paul wasted no time in responding to Trump's accusation, and just moments later responded that "#GrahamCassidy is amnesty for Obamacare. It keeps it, it does not repeal it. I will keep working with the President for real repeal."

According to the Hill, earlier this week, Paul expressed concern that the Republicans' latest attempt to repeal ObamaCare might pass.

“There's a big groundswell of people pushing for this,” Paul told Reporters on Monday. “Two weeks ago, I’d have said zero [chance it’ll pass], but now I’m worried.”

He said the bill "does not look, smell or even sound like repeal" and “I’m kind of surprised this has been resurrected because I don’t think it has been fully thought through." He also said the bill exists "mostly to take money from four Democratic states and redistribute it to Republican states."

However, just like during the last two failed attempts to repeal Obamacare, it will not be up to Paul but senators John McCain and Lisa Murkowski who will decide the fate of the Republicans latest ObamaCare repeal effort. The two were among the three Republicans, along with Sen. Susan Collins who sunk the last GOP effort to repeal ObamaCare.

With Paul saying he is voting no and Collins thought to be a likely opponent, the bill would need both McCain and Murkowski to vote yes to pass.

* * *

As a reminder, efforts to repeal and replace Obamacare sprung back with considerable momentum on Monday (after two failed attempts) as several lawmakers expressed support for a new repeal and replace bill, spearheaded by Lindsey Graham, R-S.C., and Bill Cassidy, R-La. Introduced last week, Graham described the bill as Republicans’ last hope for rolling back President Barack Obama’s 2010 Affordable Care Act.

“If you believe repealing and replacing Obamacare is a good idea, this is your best and only chance to make it happen,” said Graham last week at a press conference. The bill is also sponsored by Sen. Dean Heller, R-Nev., and Sen. Ron Johnson, R-Wis.

With 52 Republican Senators in Congress, the Graham-Cassidy bill can only afford to lose two Republican votes.

* * *

Here, courtesy of ABC, is what to know about the proposal:

The Graham-Cassidy plan

The Graham-Cassidy plan proposes distributing some federal funding currently available under the Affordable Care Act directly to states in the form of block grants. From 2020 to 2026, states would receive a set amount of federal funding to be used at their discretion for health care coverage, but cost-sharing subsidies the federal government pays to insurance companies to lower the cost of some plans on the individual insurance markets and money some states receives to expand their Medicaid rolls would go away.

The 31 states that applied for Medicaid expansion funding under the Affordable Care Act would see that money rolled back and eventually cut off. Graham and Cassidy say their plan would help balance Medicaid funding across the country, but Democrats say states with large Medicaid populations would struggle to provide coverage to their populations. Spending on Medicaid would be done per capita, meaning that less populous states like Maine and Alaska--home to two Senators currently on the fence about the plan--might struggle to foot the bill.

The plan would repeal two key parts of Obamacare, the individual and employer mandates, and states could apply for waives to alter what counts as an “essential health benefit” for insurance companies as they design their plan options. In addition, states could obtain waivers so that insurance companies could charge people with some pre-existing conditions more for some plans in their states. That practice is prohibited under current law. While insurers would likely still have to offer people with pre-existing plans choices, they could potentially limit coverage options as well under the proposed bill.

Graham-Cassidy would also allow people over the age of 30 to buy into catastrophic coverage plans, which have high deductibles but lower premiums and less benefits, as a way to get more healthy people covered. The bill would also allow insurance companies to charge older Americans five times more than younger Americans. Obamacare taxes unpopular with Republicans, like the medical device tax, and tax on health savings accounts would also be repealed.

* * *

When will Congress vote?

McConnell assured Graham and Cassidy a vote would be scheduled with the condition that the Senators drum up the 50 votes needed to pass the bill. Republican leadership is hard at work trying to convince a small--but undecided--group to commit their support to the legislation. McCain has raised procedural concerns over the bill, saying he is hesitant to support any legislation that has not been scrutinized in committee hearings.

“Why did -- why did Obamacare fail? Obamacare was rammed through with Democrats' votes only. Are we going to ram through our proposal with Democrats and the president? That's not the way to do it,” said McCain on CBS' "Face the Nation."

McCain is one of a handful of Senators, including Susan Collins, R-Maine, Lisa Murkowski, R-Alaska, Shelley Moore Capito, R. W.Va., and Rob Portman, R- Ohio, who have not indicated their support for the bill. Some have appeared to scrap repeal efforts altogether in favor of working towards the small, bipartisan solutions for the individual insurance market that have been introduced in hearings with the Senate Health, Education, Labor and Pensions committee.

Sen. Rand Paul, R-Ky., has remained strongly opposed to the Graham-Cassidy bill, even calling it “Obamacare-lite.” With one Senator already voting no, Republicans cannot afford to lose more than one more vote. A primary roadblock for Graham and Cassidy has been the Congressional Budget Office, or C.B.O. The C.B.O. announced on Monday that while it plans to offer a “preliminary assessment” of the bill, it will not be able to provide a full score of the bill for “at least a few weeks.” The C.B.O. score indicates how much the legislation will affect the government’s deficit and is needed for the Senate to vote.

Graham pleaded for the C.B.O. to expedite its scoring process so he can present cost estimates to Senate colleagues before Sept. 30. But Democrats say the Senate should not vote on the legislation unless a full--not preliminary--score is released.

* * *

The political battle ahead

Ryan called Graham-Cassidy, “our best, last chance to get repeal and replace" on Monday at an event in Wisconsin. And Republican leaders, sensing an opportunity to knock down key parts of Obamacare, are moving full speed ahead with the bill. Republican Arizona Gov. Doug Ducey endorsed the bill on Monday, adding extra pressure for McCain to support a bill written by one of his closest allies and friends in the Senate. In an interview with ABC News, Collins said she is still undecided. "I'm leaning no certainly, but I am still evaluating the bill and its text. We hadn't had it for very long and it's difficult to do without the assistance of the Congressional Budget Office." Democrats say those cuts to Medicaid are unacceptable, with Sen. Chris Murphy, D-Ct., tweeting that Graham-Cassidy “is an intellectual and moral garbage truck fire.”

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spastic_colon's picture

rand for prez

is amnesty for Obamacare............indeed!

idontcare's picture

Yep, I was about to say the same thing!  Rand 2020 and beyond!

Jim in MN's picture

This simple amendment would bring large financial incentives to bear on cost containment on the health provider (not insurance) side.

Without this or something like it there is no actual health care reform.  There is only cost escalation, collapse and probably nationalization.  Let's give the market one more chance to serve the 90% of people not involved in catastrophic care.




Joint Operations-Premium Yield Fund

A Joint Operations-Premium Yield (JOPY) fund is established for each state that requests it. 

The amount of the JOPY fund will be $350 for each person in the state.

The JOPY fund will be available for two purposes:

A.      To provide competitive incentives to health care providers serving the state.

B.      To provide premium relief for households in the state.

Competitive incentive payments:  The Secretary of the Department of Health and Human Services, or his designee, will establish a set of competitive performance indicators for health care providers focused on supplier bidding in purchasing and services.  Health care providers that petition for incentive payments and show progress toward competitive cost containment will be awarded incentive payments from the JOPY fund.  The amount of the incentive payments will be determined by the Secretary or his designee.

Premium relief:  States establishing JOPY funds may utilize funds for premium relief for households in that state.  Premium relief funds will be made available to each household on an equal share basis.  States may use existing tax or other financial transaction systems to transfer and distribute premium relief payments to households.

Jim in MN's picture

Note that the above is a LOT like block grants to states, just with some encouragement for competitive bidding and performance metrics.


realmoney2015's picture

Why are healthcare cost so much higher than they used to be? Socialized healthcare is the obvious answer. But there is an underlying cause that most do not realize. Healthcare costs per person per year is about 9 gold coins, the same as it was about 50 years ago. 

Our 'money' has just lost its value. Gold and silver are real money and hold their value. Yes, we need to fix our healthcare system and go to a free market solution. But the much bigger issue, the one that affects everything else is our corrupt monetary system. 

Help us spread the message and raise awareness:

End the Fed and cut the head off the beast!

realmoney2015's picture

Yes, we believe Rand Paul would be a great President. We even helped his campaign in the primary by donating half of every sale to his campaign. 

Now, we are donating $1 of every candle sold to the Aubrey Rose Foundation. They help kids in need get the healthcare they require. 

Government is not the solution! 

NoDebt's picture

Can I have my tax cuts now?  No?  OK, I'll just wait longer.  

Why the FUCK are we fucking with O-care which is already dead man walking.  It will die on it's own.  Stop resurrecting it.



Chupacabra-322's picture

Rand switch to the Libertarian Party & you got this in 2020.

Fuck this Crime Syndicate.

SethPoor's picture

Does the bill ELIMINATE the personal mandate ?

Anyone know for sure? This article says it does; I have heard that has now been, or will be at the last minute, removed from the final bill.

If the mandates are eliminated, then I say pass it; everything will implode in due course. Kill the mandate ... set us free.

dark pools of soros's picture

exactly... it does. personal and employer. Rand needs to learn some game theory

Big Creek Rising's picture

Anything that comes out from under Lindsey Graham's skirt smells like McCain feltch, but this is the last chance to do anything.

So the choice is no bill or a feltchy bill.

dark pools of soros's picture

its a step in tbe right direction... shit needs to get done to get out of the endless cry, whine and pout cycles that these putz like to drag out everything from election to re-elections

RedBaron616's picture

Would the liberals compromise? Heck No! So why does Rand have to compromise? Do it right or don't do it at all.


Next up, ALL Federal Government Regulations relating to healthcare.

You guys tinker around the edges and then when the libs are in again, they will go 90mph on what you left in place.

Lynn Trainor's picture

Exactly what I thought.  The mandates gone is at least one plus.  Get this mess off our backs!

HopefulCynical's picture

The LP is a joke. Thong Boy, Bake The Cake, and a complete willingness to be totally haphazard and random about ending Federal laws and departments. I'm sure the oligarchy will love it; the few restrictions on their exploitation will be removed first, while the laws and regulations which protect them from competition will be, like Obamacare is today, "just a bit out of our reach this time. Next time, we promise!"

Add that to the fact that if you think CONgress is refusing to work with POTUS now, wait until POTUS is neither (D) nor (R).

The LP is not the answer; maybe it never was. We don't need a third party; as Reagan noted, we need a viable SECOND party first. Job #1 is to get the fucking Marxist establishment parasites out of the GOP: McStain, Gramnesty, Yertle, Ryno, etc.

RedBaron616's picture

We are a long, long way from Reagan and the GOP will NEVER be a CONSERVATIVE Party, regardless of WHO you put out of it. When the majority of GOPers in Congress vote McConnell and Ryan for their leaders, the whole bunch is corrupt.

Only a third party, like the Constitution Party, has the moxie to call a spade a spade.

I refuse to EVER vote for anyone with an (R) after their name ever again. They lie, get in office, and do the opposite. Totally done with the GOP. I will write myself in if necessary.

HopefulCynical's picture

The Constitution Party? You mean the bunch that says 'Jesus Christ is Lord of the universe and of these United States' in the preamble of the party platform? Sorry, dude. That ship has sailed. That's like asking me to vote for Pat Robertson or Franklin Graham. Not gonna happen.

realmoney2015's picture

End the Fed and the tax cuts will happen. It's no coincidence that 1913 gave us the Federal Reserve and the federal income tax. 

Again, if we End the Fed, most other issues will work themselves out!

HopefulCynical's picture

More to the point, UNTIL we End The Fed, None of the other issues are solvable. So long as the parasites have a limitless supplies of blank checks, nothing is going to change.

realmoney2015's picture

100% agree. Blank checks to be paid by our children and grandchildren and great grandchildren...still paying for WW1. 

you_are_cleared_hot's picture

Yeah, I got a nice notice from the IRS last month that I owe them more from 2015...legalized extortion I call it. I'm with NoDebt!

PrayingMantis's picture

... meanwhile, the sandals-wearing bully (some call them flip-flops), backs off ... Nukie Haley says: "Trump does not want war with N. Korea, US not giving up on diplomatic efforts..." >>> ...

... the dog(s) of war retreat(s) with tail(s) clipped behind hind legs when faced with a nuclear deterrent ...

... now, who's the next regime-change candidate on the bully's list that has no nuclear defence capabilities? ... poor Venezuela ... Cuba perhaps? ...
... China, Russia to the rescue, yet again and possibly all the South-American countries too ...

... the bully is really building his own "wall" of isolation ... from his own party, from the peaceful international communities, and from his previous supporters... something like trying to MAGA ... make assholes great again ...

... I wonder what his swamp (((masters))) would order him to do next ...

Buckaroo Banzai's picture

"Why are healthcare cost so much higher than they used to be? Socialized healthcare is the obvious answer."

Yes, this is a gigantic part of it. Just look at how administrative and bureaucratic costs have skyrocketed since Medicaid/Medicare was passed; and this is also a private-sector phenomenon as the insurance industry has also become vast and bloated as well-- they hire $100,000 worth of bureaucrats to control $10,000 worth of health care provider costs, so why is anybody surprised that insurance costs are skyrocketing. And given that those bureaucracy costs are passed along to health care providers, it is a negative feedback loop that is rapidly spiraling out to inifinity.

"But there is an underlying cause that most do not realize. Healthcare costs per person per year is about 9 gold coins, the same as it was about 50 years ago."

The flaw in your argument is that healthcare and pharmaceutical technologies have made massive strides in the last 50 years. In every other industry on earth, technology improvements have massively driven down real costs; yet in healthcare, technology gains have been exactly zero according to your gold-coin analysis. We should expect healthcare costs per person to have been reduced by some gigantic percentage (like, say, 80% or 90% in real terms) which would imply that something like one gold coin should pay for one person's healthcare costs, not 9 coins.


Bobrsta's picture

But Paul's position that the federal government should not be taking money from states then giving it back in this manner is correct. If states want to enact some sort of health insurance, they are free to do so under the Constutution, but not the federal government. I'll take Paul's analysis over Trump's any day.

dark pools of soros's picture

he can write a book about it like anyone who isnt getting enough attention, but getting rid of the personal and employee mandates is one step towards personal freedom again

isnt that also what he stands for?

HockeyFool's picture

Rand Paul is unelectable nationally. Sorry guys, that is just a fact, no matter how much you like the guy. He will never win a national election. Never.

338's picture



Taking my money, I earned, sending it to the real swampcreatures to vaccum off 45% to pay their ridiculous salaries and pensions, then send a few raisins back to the states is akin to solving cannibalism by eating the cannibal.


Recind the 16th amendment, abolish the fucking IRS and then maybe we can build the wall, around DC and start filling that swamp with the sewage from Maryland and Virginia.


just a thought



Akzed's picture

"Give us some money. We'll take our skim, borrow and print moar money and add it to the bucket, then we'll give it back you. What could be simpler?!" -Uncle Sadsack

SHsparx's picture

Too late, bro. The time to elect Rand was 2016. Now.... it's gone.

Cash2Riches's picture

Obamacare has to go, it is pure evil and it is a failed system. However, it needs to be done right, Rand is trying to do the right thing, just as his father did.

NoDebt's picture

The only way to do it right is rip it out, root and branch.  Anything else is just setting us up for an easy transition to single-payer government run healthcare the next time the Ds are in charge.  And eventually, they will be again.


herkomilchen's picture

Yes, and must rip out not only Obamacare, must rip out all health care and health care insurance regulations as well.

As usual, the argument for the need for Obamacare highlighted the painful failings of the status quo.  A status quo made awful by prior government intervention in the healthcare market.

Heaping additional layers upon layers of increasing government control is how the government game works.  Each strips away more freedom.  Each is justified by and does partially compensate for standing problems.  But in so doing creates 10x more problems in other areas and down the line.  Each of which requires more government control, etc., ad infinitum.

Only way to escape this vicious cycle is return to a fully free market across entire health care ecosystem.  Only then will we see authentic orders of magnitude improvement in quality/cost/availability of care.

Green2Delta's picture

How about nobody for prez? 

We can easily look and see what centuries of rulers, governments and bureauracies have gotten us. It's time we try something different. Murray Rothbard should be required reading

3LockBox's picture

1776 and lots of rope for President.

lincolnsteffens's picture

An exercise in deck chair rearranging?

Beowulf55's picture

Whatever the CBO says it will be double or triple the cost.............

That's how government works........

thunderchief's picture

Rand Paul keeps telling the truth,  great statesman, horrible politician.

Donald Trump keeps lying and back pedalling on everything,  horrible statesmen,  outstanding politician.

Buckaroo Banzai's picture

Trump is one man against the world. By necessity he's going to be doing a lot of dekeing and juking over the next four years.

Max Cynical's picture

Rand is the only Senator doing what he promised...and he has a solution for healthcare...opening up large group insurance to associations so that ANYONE can join one for their healthcare needs just like a new employee of a large corporation.

The President just wants a win no matter what is passed...criticizing Rand is a mistake.

dogismycopilot's picture

Fucking Trump just doesn't know when to stop, does he? Fuck, he's better than Hillary, but Jesus, the shit that comes out of his mouth and his flip flopping and all of those impotent fucks he hired (yeah you Sessions). 

What a shit show.

NugginFuts's picture

Trump wouldn't know a good health care bill if it slept in Trump Tower and made him breakfast. 

Memedada's picture

Better than Hillary – in what sense? Both are servants of the oligarchy. Both are owned by the banking sector. Both are fascists. What’s the bigger difference? I loathe both (and the corporate controlled parties they represents).

The only relevant difference between the two is war. Hillary obviously being a warmonger, but since Trump appointed three warmongering generals in central positions and since his war-promoting speech at the UN (yesterday) that difference is not relevant anymore. Trump is owned/controlled – and not just because he is dependent on the Ponzi (being a FIAT-billionaire) but also because he has no intellectual capacity to challenge the influence of his banksters and MIC-“advisors” (handlers).


BlindMonkey's picture

HRC would have been all in on the trade deals, climate change and open borders in addition to as belligerent in foreign policy as Trump has been and quite likely worse.

Buckaroo Banzai's picture

And don't forget, she would have aggressively prosecuted white men for the crime of being white, and men. Like, literally criminalized being white and male.

dogismycopilot's picture

You don't know what facist even fucking means. You and your ANTIFA bunch are the most ignorant fucks out there.

We would be better off if Trump were in fact a real facist and could put some people in jail. 


TheReplacement's picture

Tell us more when the local yokel po-po roll up in an armored vehicle sporting .50s just because you said something mean about someone in the protected classes.  You did see he is militarizing the cops and signed a bill into law that will be used to persecute white people for speaking out about race and culture right? 

Well at least he didn't put Goldman in charge of anything.


Mr Hankey's picture

Hillary is personally a mass murdering psychopath, I hate her more personally, But what 1 individual wants & thinks matters little in the ongoing machinations of the deep-state bankster rape empire .

dogismycopilot's picture

You don't know what facist even fucking means. You and your ANTIFA bunch are the most ignorant fucks out there.

We would be better off if Trump were in fact a real facist and could put some people in jail. 


yogibear's picture

For Trump everything for the public is a show.