Bishop: 'Fundamental defects' persist in Senate's version of health bill

IMAGE: CNS photo/Shawn Thew, EPA

By Mark Pattison

(CNS) — The Senate’s Better Care Reconciliation
Act contains “many of the fundamental defects” that appeared in the
House-passed American Health Care Act “and even further compounds them,” said the bishop who heads the
U.S. bishops’ Committee on Domestic Justice and Human Development.

The Senate released its health care reform bill in “discussion draft” form June 22.

is, the discussion draft stands to cause disturbing damage to the human beings
served by the social safety net,” Bishop Frank J. Dewane of Venice,
Florida, said in a statement released late June 22. “It is precisely the detrimental impact
on the poor and vulnerable that makes the Senate draft unacceptable as written.”

Dewane criticized the “per-capita cap” on Medicaid funding, which
would no longer be an entitlement but have its own budget line item under the
Better Care Reconciliation Act. The effect, he said, “would provide even
less to those in need than the House bill. These changes will wreak havoc on
low-income families and struggling communities, and must not be supported.”

acceptable health care system provides access to all, regardless of their means,
and at all stages of life,” Bishop Dewane said. “Such a health care
system must protect conscience rights, as well as extend to immigrant families.”

indicated the Better Care Reconciliation Act at least partially succeeds on
conscience rights by “fully applying the long-standing and widely supported
Hyde Amendment protections. Full Hyde protections are essential and must be
included in the final bill.”

the bishops “also stressed the need to improve real access for immigrants
in health care policy, and this bill does not move the nation toward this
goal,” Bishop Dewane said. “It fails, as well, to put in place
conscience protections for all those involved in the health care system,
protections which are needed more than ever in our country’s health policy.”

first-day reaction to the bill was negative.

Senate’s 142-page draft “is not the faithful way forward,” said a
June 22 statement from Sister Simone Campbell, a Sister of Social Service who
heads the Network Catholic social justice lobby.

“My faith challenges me to heal the sick and care for
the widow and the orphan. This Republican bill does the opposite,” she
said, adding, “We urge a no vote on the Better Care Reconciliation

“Learning about the proposed deep cuts in Medicaid
passed by the House of Representatives, the American people looked to the
Senate. Sadly, the Senate plan proposes even deeper cuts in Medicaid,”
said a statement from Larry Couch, director of the Sisters of the Good
Shepherd’s National Advocacy Center.

“This wanton disregard for human life must be stopped.
Millions of children living in poverty, people with disabilities, and older
people in nursing homes will be denied life-saving medicine and care,”
Couch added. “Stop this vicious attack on the most vulnerable people in
our communities.”

Sister Campbell criticized the Republican-only drafting of
the bill, and the announced intent of Senate Majority Leader Mitch McConnell,
R-Kentucky, to have a vote on the bill before the Fourth of July recess, which
could severely limit debate on the bill or any amendments.

“This bill is a crass political calculation carried out
by 13 white, male senators who are out of touch with the realities of millions
of ordinary families in every state,” she said. “Democracy works best
when there are hearings, debate, and discussion to craft a bill that works for
everyone, not just a few senators.”

“Ending the Medicaid expansion at a slower rate still
means that millions of Americans will have their health care coverage taken
away. Senators who support this bill will be voting to take away health
insurance from the elderly, the disabled, and children,” said a June 22
statement from the Rev. David Beckmann, a Lutheran minister who is president of
Bread for the World, a Christian anti-hunger lobby.

“Medical bills often drive families, especially those
who struggle to make ends meet, into hunger and poverty,” Rev. Beckmann
added. “Instead of making our health care system worse, Congress should
strive to improve the system so that all Americans have the health care
coverage they need.”

Network, Bread for the World and the Sisters of the Good
Shepherd are part of the Interfaith Healthcare Coalition, which also includes
as members the Presbyterian Church (U.S.A.) Office of Public Witness; the
Commission on Social Action of Reform Judaism; the Ecumenical Poverty Initiative;
the United Church of Christ Justice & Witness Ministries; and the Friends
Committee on National Legislation.

The American Psychological Association also came out in
opposition to the bill, citing the Medicaid cuts and permission to states to
waive certain health benefits.

“This so-called Better Care Reconciliation Act is actually
worse than the bill passed by the House, because it would undermine Medicaid
even more severely, if a little more slowly,” said a June 2 statement by Antonio
E. Puente, APA president. “Medicaid is a critical backstop of coverage for
mental health treatment, and for millions of older Americans, children and
individuals with disabilities. If the goal is to cover more people, why slash
Medicaid when it is already much more cost-effective than private sector

One part of the bill cuts the federal government’s share of
funding for Medicaid to 57 percent of its cost over the next seven years.
States have picked up the balance of the funding to date.

Under the Affordable Care Act, the government had guaranteed
that its funding for adults newly eligible for Medicaid would fall to no lower
than 90 percent of their costs. Many states expanded Medicaid coverage for all
adults ages 18-65 with incomes up to 133 percent of the federal poverty level.

The bill would reduce tax credits to help people buy
insurance and would defund Planned Parenthood for one year under the bill. It
is expected the Senate will take up the measure on the floor during the week of
June 26.

According to an Associated Press analysis, the Republicans’
health bill “cuts taxes by nearly $1 trillion over the next decade, mostly
for corporations and the richest families in America.”

The Better Care Reconciliation Act which would repeal taxes
in the Affordable Care Act — popularly known as Obamacare — and structure
subsidies for insurance policy-holders based on their incomes. It also would
continue for at least two years to offer reimbursements to health insurance
companies for subsidies that reduce out-of-pocket costs for low-income
customers of Obamacare plans.

The bill would allow children to stay on their parents’
health plans to age 26. It also would fund $62 billion over eight years to a
state innovation fund, which can be used for coverage of high-risk patients,
reinsurance and other expenses.

The Congressional Budget Office is expected to issue its
“score” of the Senate bill before the end of June.

The CBO’s score of the first House GOP-led Obamacare
“repeal and replace” bill, which never came to a vote, estimated that
24 million Americans would lose health insurance over the next decade. Its
score on the second bill, which squeaked to a 217-213 victory, estimated that
23 million Americans would lose their health care.

“America deserves better than its failing status
quo,” McConnell said June 22 on the Senate floor when introducing the
Better Care Reconciliation Act.

But calling it “mean and heartless legislation,” Sen.
Patty Murray, D-Washington, said the bill is “going to gut Medicaid. It’s
going to take away care for our seniors” and “from millions of people
across the country,” to “give another massive tax cut for the wealthy
and well-connected.”

– – –

Follow Pattison on Twitter: @MeMarkPattison.

– – –

Copyright © 2017 Catholic News Service/U.S. Conference of Catholic Bishops. All rights reserved. Republishing or redistributing of CNS content, including by framing or similar means without prior permission, is prohibited. You may link to stories on our public site. This copy is for your personal, non-commercial use only. To request permission for republishing or redistributing of CNS content, please contact permissions at

Original Article