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The Note: Republicans deliver on their health care dream, but could face a nightmare

 

   
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abc NEWS THE NOTE
May 5, 2017 MORE POLITICS >
Republicans deliver on their health care dream, but could face a nightmare
Analysis - ABC's Rick Klein
They stood together, at least long enough to enjoy a crisp spring afternoon in the Rose Garden. President Trump and House Speaker Paul Ryan put together the team that delivered on a longstanding Republican dream, in a vote that solidifies Ryan's hold on power and establishes a template for all that winning the president promised. But everyone is awake now. First comes the challenge of getting back to that same spot on the White House grounds for a ceremony that involves a bill becoming an actual law. Then comes the fallout: fiscal, political and personal. If anywhere near 24 million people lose their health insurance, or if out-of-pocket costs for people with pre-existing conditions spike, which Republicans would want to face voters with this as their signature achievement? Do they even have confidence that Trump would defend his own bill, especially given his newfound affinity for Australia's publicly funded universal health care? Trump-Ryan could be the perfect GOP partnership, so long as it lasts – a mix of legislative brawn and brains that delivers. Or it could all end horribly for the Republican Party, with a mix of policy and politics that provokes a backlash that might seem familiar to those who've watched health care debates play out before. Republicans were celebrating the day. But it's worth noting that they weren't even the ones gloating the loudest on the House floor.
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Trump says Obamacare 'dead' after GOP health bill passes House
House Republicans passed their ambitious plan to repeal and replace Obamacare, sending the measure to the Senate, where it is expected to be significantly revised. The bill passed the House in a narrow 217-213 vote. All Democrats opposed the bill. Following the House vote, House Republicans celebrated with a press conference at the White House Rose Garden with President Donald Trump who touted the bill as a "great plan" even though they got "no support from the other party." ABC's BENJAMIN SIEGEL and VERONICA STRACQUALURSI. http://abcn.ws/2pDI3vp
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Next steps for GOP health plan: Senate plans to write its own bill
While House Republicans celebrated the passage of their Obamacare replacement bill by busing over to the White House's Rose Garden for a celebratory press conference, their Senate counterparts were already working to manage expectations, declaring they are going to write an entirely separate bill, report ABC's ALI ROGIN and MARYALICE PARKS. "At the end of the day, I think it'll be a Senate bill and then those two bills at some point will have to come together and we'll get started on that Senate bill immediately," Sen. Roy Blunt, R-Mo. http://abcn.ws/2pLTKhW
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This Week on 'This Week'
After the House passes the GOP's health care bill, White House budget director Mick Mulvaney comes to "This Week" Sunday.
Why Trump chose Saudi Arabia for first foreign trip
President Donald Trump is expected to visit Israel, the Vatican and Saudi Arabia later this month on his first foreign trip as president, two senior administration officials confirmed for ABC News. Trump is also planning to attend the NATO meeting in Brussels and the G-7 summit in Sicily. A senior administration official said that Saudi Arabia will be the first country visited and that the symbolism is intentional, ABC's JONATHAN KARL, CECILIA VEGA and JOHN SANTUCCI write. http://abcn.ws/2pbvkfU
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ANALYSIS: Trumpcare carries uncertain price tags, for individuals and the GOP
After fits and starts and apparent dead ends, House Republicans feared inaction more than they feared action. They took a stand in a way that will have profound implications for politics in the Trump era – and for the health care of millions of Americans. On one level, the belated approval of a health care bill by the House should be unsurprising. This is delivering on a promise that's united the GOP, including with the new president who has shattered so many Republican traditions, writes ABC's RICK KLEIN. http://abcn.ws/2pM0nAS
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The 20 Republicans who voted against the health care bill
Twenty House Republicans broke with their party to vote against the American Health Care Act's passage Thursday, an effort that failed to produce enough opposition to block the bill, which was approved by a 217-213 margin. Of the several Republicans who were publicly undecided in advance of the vote, at least three -- Reps. Will Hurd, Dave Joyce, and Mike Turner -- voted against the measure. ABC's JOHN PARKINSON and BENJAMIN SIEGEL have more: http://abcn.ws/2peEr08
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