House members not on the same page during healthcare markup process

Senator Bob Casey Jr. meets with PennLive

Supporters of the Republican plan have said it will make health care more affordable and reduce the deficit.

If it wasn't clear before, it is now: there is perhaps nothing that Speaker of the House Paul Ryan wouldn't do to secure massive tax cuts for the rich.

The doctor who says he treats his patients from, "cradle to the grave", said he still holds out hope for President Donald Trump's health care plan, the American Health Care Act. So they have a lot on the line if the Affordable Care Act gets replaced.

The Republican plan does not repeal Indian health care, but tribes say it's still too soon to feel relief.

The CBO report is reflecting what many who study health policy would have expected because of the types of changes that have been discussed both during the campaign and in some of the previous Republican proposals that have come through in the last few years. The states could then decide whether to offer that to residents, to adopt another coverage plan, or to let the market cover everything.

The bill is now facing criticism from both sides of the aisle, and it's still unclear how the bill might change before it lands on the President's desk.

In states that did expand Medicaid, working-class African-Americans have seen a significant amount of the benefit.

Older people who buy coverage would pay higher premiums.

Currently, 90 percent of the 1.5 million Californians enrolled in Covered California get financial assistance based on their income to help them afford coverage, a tax credit on average of $440 a month. "Moreover, Trump Care eliminates Medicaid expansion, strips millions of Americans of their coverage, and shifts an estimated $370 million in Medicaid costs to the states".

He said the state receives $2.4 billion per year in NIH funding that is vital to research and development, research hospitals and early-stage medical start ups that devise new and better treatments for a variety of conditions.

"The insurance companies have left, and the other half has one insurance company and that will probably be bailing out pretty soon also".

"Many people, especially if they are on expensive medications like insulin, will just stop taking their meds", Fiorini said.

"What we're doing is listening to all the people in our conference and making sure that we can make good changes that would improve the bill, refine the bill-the big pieces are all there", Ryan said in response to a question at the National Review Institute summit in Washington, D.C. on Friday.

The authors cite a Congressional Budget Office estimate that two-thirds of elderly Americans will need help paying for long-term care in their lives.