Thursday in a Senate hearing, Americans were finally presented definitive evidence of a plot so nefarious and cunning, it threatens to upend any remaining trust in our democratic institutions. I am referring, of course, to an exchange between Sen. Claire McCaskill and Sen. Orrin Hatch in the Senate Finance Committee on the progress of the Republican health care bill. McCaskill asked Hatch, the chairman, whether the committee would hold hearings on the as-yet-unreleased legislation.
Hatch: Will we?
Hatch: I ... I think we’ve already had one. But…
McCaskill: No. I mean on the proposal that you’re planning to bring to the floor of the Senate for a vote. Will there be a hearing?
Hatch, searching for a less damning answer than “No,” was silent as a much younger aide—perhaps young enough to be barred constitutionally from holding the seat Hatch is evidently simply keeping warm—sidled up to him and whispered, audibly enough for his microphone, words that Hatch began to repeat almost verbatim.
Aide: ...they’re invited to participate in this process and we’re open to their ideas and suggestions.
Hatch: Well, I don’t know that there’s going to be another hearing, but we’ve invited you to participate and give your ideas and…
McCaskill: No! No, that’s not true, Mr. Chairman. Let me just say I watched carefully all of the hearings that went on on the [Affordable Care Act]. I was not a member of this committee at the time, although I would have liked to be. Sen. Grassley was the ranking member. Dozens of Republican amendments were offered and accepted in that hearing process. And when you say that you’re inviting us—and we heard you, Mr. Secretary, just say, “We’d love your support”—for what? We don’t even know. We have no idea what’s being proposed.
McCaskill might not have any idea, but some details have trickled out in recent days on what the bill is shaping up to be. On Tuesday, Jim Newell described the contents of a presentation on the bill-in-progress that had been shown to Senate Republicans:
Like the House bill, the Senate proposal would allow states to waive the Affordable Care Act’s essential health benefit coverage requirements, as well as loosen the ratio of what older people can be charged relative to younger customers. The Senate bill would not, however, allow states to waive community rating by health status, which bars insurers from charging sick people more than healthy ones. The Washington Examiner reported, too, that the Senate was considering allowing the ACA’s Medicaid expansion to linger past the 2020 deadline set forth in the House bill—and that a program to auto-enroll people into coverage against catastrophic losses was still on the table.
The Senate Republicans’ bill thus far, then, includes only modest changes to a set of proposals the Congressional Budget Office has said would lead to 23 million Americans losing their health insurance. That’s the only understanding of the bill we can surmise, since Republicans have taken the process of transforming one-sixth of the American economy—once again—behind closed doors. This secrecy, McCaskill said—in a classic performance of Democratic indignation—was “hard to take.” “You couldn’t have a more partisan exercise than what you’re engaged in right now,” she said, as though Hatch had simply failed to consider this. “Give me an opportunity to work with you.”
They will not. The Bipartisan Policy Center’s Andy Slavitt tweeted Tuesday that Senate Majority Leader Mitch McConnell is pushing to have the text of the bill available to the public for no more than two days.