If you haven’t had a chance to hear directly from the Democrats running for governor, Bleeding Heartland has you covered with audio and highlights from the speeches at Thursday night’s big Hall of Fame event in Des Moines.

Republican efforts to replace the Affordable Care Act suffered a major setback this week, as the U.S. Senate rejected three repeal bills. It may not be the last “near-death experience” for Obamacare, as Senate Majority Leader Mitch McConnell could bring one of the bills up again. But the Democratic caucus is unmovable on the issue, and it’s not clear what could bring GOP Senators John McCain, Lisa Murkowski, or Susan Collins on board.

Iowa Senators Chuck Grassley and Joni Ernst voted for all three Republican bills, of course, as everyone following this debate had expected. Grassley told reporters earlier this week that he would support any legislation that could get 51 votes in the Senate, leading to conference negotiations with House Republicans. Though Ernst never expressed it in such terms, she too demonstrated that she was willing to vote for anything her leader brought to the floor, regardless of its costs and impact on Iowans.

Let’s take a quick look at what Iowa’s senators promised to stand for on health care policy, compared to what they voted for when the chips were down.

Iowa Democrats “need to have a good family fight about what the future of our party’s going to be” and ditch the “canned messages” used in too many losing campaigns, according to State Senator Jeff Danielson. Re-elected to a fourth term in the Iowa Senate last year, Danielson is the highest-profile Democrat still thinking about running in the first Congressional district, where four candidates are already challenging Representative Rod Blum and two others recently ruled out the race. He spoke to Bleeding Heartland this week about his plans and how Democrats can regain the trust of voters who increasingly see our party as out of touch.

Danielson’s critique of the Democratic establishment has much in common with points often raised by Iowans who supported Bernie Sanders for president. But his call for “raging incrementalism” and reaching across the aisle is quite different from the ambitious policy agenda typically viewed on the Sanders wing as the solution to the same problem.

TJ Foley, a recent graduate of Valley High School in West Des Moines, on how top Iowa Republicans failed to speak out against an “attack on the most basic principles of equality, freedom, and rural fairness.” -promoted by desmoinesdem

It’s been a rough week for Senate Republicans. Two conservative senators announced that they would oppose the reckless GOP plan to overhaul America’s health care system and drop millions from the health insurance rolls. This legislation emerged from secret negotiations and violated some of the most basic Iowa values we all hold dear.

Only 29 percent of Iowans “mostly support” the “direction Congressional Republicans are heading in health care legislation,” according to a new poll by Selzer & Co for the Des Moines Register and Mediacom. About 58 percent of the 800 Iowa adults surveyed between July 9 and 13 said they “mostly oppose” the GOP approach to the issue.

Public policy experts, health care advocacy groups, and insurance industry representatives often don’t agree on how the government should regulate the sector that accounts for roughly one-sixth of our economy. But all have reached the same conclusion about the bill that may come to a vote in the U.S. Senate next week: the latest version of the Better Care Reconciliation Act (BCRA) would cause Americans with chronic or expensive medical conditions to pay much higher rates or lose insurance coverage entirely.

Iowa’s Senators Chuck Grassley and Joni Ernst have repeatedly said people with pre-existing conditions would be protected in any Republican bill to repeal and replace the 2010 Affordable Care Act. Now, they are poised to break that promise.

An Iowan with in-depth knowledge of the health care sector looks at lesser-known benefits that could be lost if Congress replaces the Affordable Care Act. -promoted by desmoinesdem

The debate on Republican efforts to repeal and replace the 2010 health care reform law has focused on the provision of health care and the repeal of some taxes. In particular, attention has been directed at the effort to reduce Medicaid coverage.

What isn’t being discussed: the Affordable Care Act (ACA) included many provisions aimed at addressing serious issues in the health care system, such as quality, safety, and workforce shortages. None of those can be found in the House-approved American Health Care Act (AHCA) or the Better Care Reconciliation Act (BCRA), proposed by Senate Republican leaders.

So, in addition to reducing (or eliminating) coverage for poor people and individuals with illnesses, the Republican bill would be a step backward in terms of efforts to improve the health care system, which accounts for 17 percent of our gross domestic product.

Only 27 percent of Iowans support the Senate Republican proposal to repeal and replace the Affordable Care Act, according to a recent Public Policy Polling survey. By a 20-point margin, respondents said Senator Joni Ernst “should fix and improve our current health care law” rather than “continue trying to pass the Republican plan to repeal and replace it” when Congress goes back to work after the July 4 recess.

Those numbers reflect answers given before respondents had heard any negative messages about specific provisions in the Better Care Reconciliation Act, which Senate leaders hope to bring up for a vote soon.

Iowa’s Senators Chuck Grassley and Joni Ernst say they are “continuing to carefully look through the revised health care discussion draft” released by Senate Republican leaders last week. Iowans who have called the senators’ offices are likewise hearing from staffers that Grassley and Ernst have not decided whether to support the GOP alternative to the Affordable Care Act.

I suspect Iowa’s senators would rubber-stamp any GOP “health care” bill Majority Leader Mitch McConnell brings to the floor, for several reasons:

• None of the Washington-based reporters on this beat include Grassley or Ernst on their lists of Republican senators who may not support the bill.

• Reports speculating about special deals GOP Senate leaders may offer to lock down votes don’t refer to any additional spending geared toward Iowa.

• Neither Grassley nor Ernst made time to meet with Iowa hospital leaders who lobbied against the bill on a trip to Washington last week.

• Neither Grassley nor Ernst has bucked the party line on any important Senate vote that I can recall.

For now, let’s take Iowa’s senators at their word: they are still undecided and seeking input from constituents. If Grassley and Ernst intend to keep promises they’ve been making on health care policy, they need not spend any more time deliberating. They have ample reasons to vote against the Orwellian-named Better Care Reconciliation Act (BCRA).

Non-partisan analysis indicates that if this bill becomes law, tens of millions of Americans–including hundreds of thousands of Iowans–will have worse health insurance coverage or no coverage at all.

Disclaimer: Anything in this article pertaining to President Donald Trump has been written by someone who does not admire the aforementioned president. The views contained here are of a person pre-disposed to believing that the character of Donald Trump is based in a malignant narcissism and devoid of empathy, and therefore Donald Trump’s motives are not in the best interests of America. Offer expires 1/21/21. See dealer for details.

On Wednesday, President Donald Trump gave a speech in Cedar Rapids, Iowa, not far from where I live. I did not attend the rally, and instead went to see Ann Wilson (of Heart) perform. When presented with the choice for the evening I opted for the entertainer who sang “Crazy On You” instead of the one who is crazy on you (please refer back to disclaimer). Besides, I knew that I would get an earful from people who attended the Trump Rally and from numerous reports from the Fake Media.

Okay…I got that out of my system.

Cedar Rapids Mayor Ron Corbett finds it “disappointing” and “short-sighted” that neither the Iowa legislature nor the Branstad/Reynolds administration developed a plan earlier this year to address the collapse in Iowa’s individual health insurance market. By his account, state lawmakers and executive branch officials knew insurers were likely to stop selling individual policies for 2018 and should have developed “some type of backstop” instead of waiting for Congress to act.

Corbett plans to launch a Republican campaign for governor later today. He commented on Iowa’s potential health coverage crisis during a telephone interview with Bleeding Heartland last week.

A small group of Senate Republicans are writing a new version of the American Health Care Act in unprecedented secrecy and with a large dose of deception, hoping to attract minimal public attention before a quick Senate vote.

Iowa’s senior Senator Chuck Grassley hasn’t seen the bill. He has no idea whether the revised legislation, like the House-approved AHCA, would cause “people of all ages and incomes” to lose coverage and make insurance several times more expensive for older or sicker Americans. He can’t be sure it will keep promises he has repeatedly made to Iowans, such as “The American people deserve a long-term solution that gives them more choice for less cost.”

But Grassley’s not hung up on small details.

In a brief interview with Jeff Stein of Vox, he defended the bill he hasn’t read, claiming it would offer “certainty.”

Matt Chapman has been holding our elected officials accountable and asking important questions about access to health care. -promoted by desmoinesdem

As health care reform has been flailing around the House and finally landed in the Senate I would like to share and hear points of view on the roadblocks the majority party is dealing with to pass the American Health Care Act.

I think it could be a teachable moment, as while the left is energized more than ever, I think we have to be prepared when we get in power. If we’re united, not only could we reverse a lot of damage that is now being done, we could use this opportunity after the census to hold on to power for a while. The teeter-totter effect of parties in power needs to be stopped.

The U.S. Senate is fast-tracking a vote on its “health care” bill–more aptly described as a trillion-dollar tax giveaway for the rich, paid for by spending cuts that will cause millions of Americans to lose their health insurance. Older people and those with low incomes, especially people on Medicaid, are at greatest risk of losing access to health care.

Senate leaders are sticking to the plan of having no public hearings on the revised American Health Care Act, no committee markup, and no amendment process. An all-male group of thirteen Republican senators–not including Iowa’s Chuck Grassley or Joni Ernst–are drafting its terms in secret. (UPDATE/CORRECTION: Ernst has been added to the informal working group.) Other Republican senators have only been briefed on progress. Leaders will send the unpublished bill to the Congressional Budget Office, planning to bring the legislation straight to the Senate floor this month, possibly with only 24-48 hours for the public to learn about its provisions before senators vote.

Calls to U.S. Senate and House offices have recently returned to “normal” levels from before President Donald Trump was inaugurated. That needs to change immediately.

Elizabeth Dinschel, state leader of Action Iowa, makes the case for public protests and for good communication between activists and law enforcement. -promoted by desmoinesdem
 
Passive resistance is not the “high road.”  The world never changed because of a Facebook post or a counter event.  The world has, however, changed because of the brave, nonviolent direct actions taken by leaders such as John Lewis, Malcolm X, the Dalai Lama, Marsha P. Jackson, the organizers of the Arab Spring, the Orange Revolution, and many more nonviolent revolutions in Central and South America.

In America, however, we are being conditioned to believe that direct action is somehow rude or impedes on the free speech of other Americans. This is patently false and is a direct result of people enjoying their privilege. If a person cannot understand how civil disobedience could change the narrative of history or politics it is because they are treated with respect in public or can afford things such as food, healthcare, or housing. Are you uncomfortable?  Good, because that is what direct action is.

Direct action forces politicians to hear the messaging of people and groups they do not typically communicate with or, maybe, do not even care about.

Declaring that she is “east Des Moines scrappy” rather than “pretend Iowa nice,” Heather Ryan joined the field of Democratic challengers to Representative David Young in Iowa’s third Congressional district.

Matt Chapman reflects on Senator Chuck Grassley’s town hall in Greenfield on June 2. A video of that event is at the end of this post. -promoted by desmoinesdem

I have had a chance to ask Representative David Young, Senator Joni Ernst, and Senator Chuck Grassley about the American Health Care Act and the cuts to Medicaid that would occur if it passed. Out of the three, none would even come close to addressing it.

Kelly Roberts is a part-time writer/blogger, full-time Human Resources consultant, and newly minted political activist. Pictured above: her grandfather, Charles Moel (Pompoo, to her) -promoted by desmoinesdem

Once upon a time, during the dark, discombobulating night of a medical crisis, my family encountered Medicaid.

Thomas Heckroth may join the Democratic field in Iowa’s first Congressional district, he confirmed to Bleeding Heartland on June 4.

Promising to stand up to powerful interests and raise her voice for those who are hurting, small business owner Cindy Axne announced this morning that she will run for Congress as a Democrat in Iowa’s third Congressional district. Her campaign is online here as well as on Facebook and Twitter. A Des Moines native, Axne runs a digital design firm with her husband. From 2005 to 2014, she worked in state government for the Department of Administrative Services, Department of Management, and Department of Natural Resources.

I enclose below more background on the candidate and today’s news release. Axne has never run for office before, but she has attended Democratic events around the state this year as a surrogate for gubernatorial candidate Rich Leopold.

Jon Muller offers a short-term solution for a problem facing tens of thousands of Iowans. -promoted by desmoinesdem

I just read that Blue Cross and Blue Shield of Kansas City is pulling out of the Affordable Care Act Exchange Market. This is on the heels of an earlier announcement by Wellmark Blue Cross and Blue Shield in Iowa, which last month announced it too was retreating from the individual insurance market. Aetna and Medica have also said they will not sell individual policies to Iowans in 2018.

Keep in mind, these developments come at a time when enrollments started to fall after the Trump administration announced it would not enforce the penalties put in place by the last administration for the current year, penalties that were just beginning to get to the point of altering behavior. Indeed, Wellmark BCBS of Iowa stated that as one of the reasons for its departure from the market. The insurance companies were also afraid (with good reason) that their loss subsidies would not be extended into 2018. Neither Congress nor the President would offer up any such assurance.

It’s important first to understand what this means.

Governor Kim Reynolds promised today not to “stop working until every Iowan, no matter where they live, has the same opportunity to succeed, have a satisfying career, raise a family and have a great quality of life.”

Judging by her first speech in her new role, Reynolds has some major blind spots about her own record and the challenges facing Iowans.

Matt Chapman has been a committed citizen lobbyist on many issues this year, including health care reform. -promoted by desmoinesdem

I have always been laser-focused on Medicaid and health care access for the poor. And when Iowa Dems twisted Terry Branstad’s arm until he cried “Medicaid Expansion!” I was elated. So in my bubble, the worst thing going on seemed to be the privatization of Medicaid or “Branstad’s Revenge.”

With the private insurance companies all pulling out of Iowa, now that I am aware of the astronomical raises in premiums, I feel a little shame at my blissful ignorance. All I can tell you is at 51 years old the Affordable Care Act gave me dental insurance for the first time in my life. And I’ve had the same doctor for five years. Before the ACA, the folks around the poverty line would have to drive sometimes 200 miles just to see a doctor. And rarely the same one twice. For dental they line up at Broadlawns (the Polk County public hospital) at six in the morning and hope they’re in bad enough shape to get in.

But what really made me aware was after the Drake forum with Senator Joni Ernst in March.

Representative David Young (IA-03) is denying that the American Health Care Act “will kick millions of people off of Medicaid,” telling constituents the bill “Modernizes and strengthens Medicaid so the state can better serve our Iowa neighbors and patients who are most in need.”

Of all the misleading things Young has said to justify his late decision to support an atrocious bill, this one may be the most blatant lie.

All three Iowa Republicans helped the American Health Care Act clear the U.S. House on May 4 with only one vote to spare. Representative Steve King (IA-04) has long called for repealing the 2010 health care reform law “root and branch” and came around to supporting the GOP replacement proposal in March. So nothing about his vote was surprising, aside from his awkward description of how former Representative Michele Bachmann’s “finger joined mine today to push my vote button to dismantle” Obamacare.

Unlike King, Representatives Rod Blum (IA-01) and David Young (IA-03) made a big show of opposing the AHCA in March. Blum pledged to insist on lower costs for consumers and helping “people who need the help.” Young repeatedly promised to protect people with pre-existing conditions while making sure the bill wouldn’t bring back caps on health benefits.

Feigning concern about the legislative process, Blum said in March, “I believe Congress should slow down and discuss in an open and transparent manner” how to address the “unsustainably high cost of healthcare in America.” Similarly, Young warned, “The ACA [Affordable Care Act] was rushed through Congress and to President Obama’s desk which resulted in a failed law that does not work for everyone [….] It is a fundamental principle that repeal, reforms and fixes to healthcare are done in the right way, for the right reasons, and in the right amount of time it takes to ensure we avoid the mistakes of the past. We need to be thoughtful and deliberate and get this right […].”

Over the past week, Blum studiously avoided comment as GOP leaders sought ways to give members cover for caving. Young’s staff told hundreds of callers he was still against the bill, even as late as Wednesday morning. The same day, he signed on as co-sponsor of an amendment that “comes nowhere close to meeting Republican commitments to people with pre-existing conditions.”

Self-styled deficit hawk Blum and “affordable for every patient” Young proceeded to vote for the bill without waiting for a Congressional Budget Office score to tell them “how many people it covers or how much it would cost.” It wasn’t the first time Young reversed his position on a matter of principle to please his party leaders.

In their comments on the House vote, Young and Blum tried to take credit for imaginary improvements in the AHCA. Their claims can’t withstand scrutiny.

The author is a longtime personal friend. I can confirm this post accurately conveys what happened to her family. -promoted by desmoinesdem

I never worried about pre-existing conditions before the fall of 2008. We were young, healthy, and gainfully employed with employer-provided health insurance. What was there to worry about? It’s a little painful to admit how self-centered and over-confident I was, but there it is. Just keep a job with insurance or be sure to make COBRA payments and there was no problem. At the time, my husband was an engineer in working as a VP in manufacturing, and I owned two stores. Oh to be young, financially secure, and over-confident!

Then one day in September, I stopped to fill a prescription for my daughter’s eye drops and the pharmacist told me my insurance had been cancelled.

A federal government shutdown before October appears unlikely now that the U.S. House has approved a $1.1 trillion deal to fund the government through the current fiscal year. The roll call for the May 3 vote shows that Iowa’s Representatives David Young (IA-03) and Dave Loebsack (IA-02) were among the 131 Republicans and 178 Democrats to support the funding measure. Representatives Rod Blum (IA-01) and Steve King (IA-04) voted against it. Cristina Marcos reported for The Hill,

Democrats claimed victory over what the spending bill lacked: funding for the U.S.-Mexico border wall promised by President Trump, restrictions on federal grants for so-called “sanctuary cities” that shield immigrants from deportation and steep cuts to domestic programs proposed by the White House. […]

The legislation also includes an extension of health benefits for retired coal miners and $1.1 billion in disaster assistance. Funding for Planned Parenthood remains untouched.

Republicans, unable to otherwise advance many conservative policy priorities in the bill, touted the $15 billion increase for defense spending. That’s approximately half of the $30 billion in supplemental military spending requested by the Trump administration earlier this year.

It’s still a break from the Obama era, when Democrats insisted that any hike in defense spending had to be matched by an increase in non-defense programs.

Assuming the U.S. Senate passes the spending bill tomorrow, President Donald Trump can sign it before current funding expires on May 5. Trump seems to be itching for a government shutdown, but not just yet.

The other big news from the House is that Republican leaders now believe they have the votes to pass a health care reform bill on May 4. Young is among the high-profile flip-floppers on the American Health Care Act. In March, he opposed the bill, saying health care fixes must be “done in the right way, for the right reasons, and in the right amount of time it takes to ensure we avoid the mistakes of the past. We need to be thoughtful and deliberate and get this right to achieve accessible, affordable quality healthcare.” Over the past week, his staff have told hundreds of constituent callers (some as recently as today) that he opposed the bill.

But this afternoon, Young agreed to co-sponsor an amendment providing a pitiful extra $8 billion over five years–spread across an unknown number of states–to cover people with pre-existing conditions. Get this: the $8 billion would go to states that “apply for waivers allowing insurers to charge higher rates based on a person’s ‘health status’”–that is, states that let insurance companies gouge people with pre-existing conditions. Young has previously stated, “no one should be denied access to affordable healthcare because of a pre-existing condition.” He repeated that commitment in a recent meeting with Indivisible activists.

Aviva Aron-Dine of the Center on Budget and Policy Priorities explained that “the $8 billion would restore less than 1 percent of the nearly $1 trillion the House bill cuts from programs that help people afford coverage.” Furthermore, “the House bill creates major problems for people with pre-existing conditions that the new funding doesn’t even purport to solve.”

Bleeding Heartland will have more to say on health care reform in a forthcoming post. For now, read Sarah Kliff on the absurdity of House Republicans voting for a bill that will affect millions of people and a huge portion of the U.S. economy, “without knowing how many people it covers or how much it would cost.” Nothing supports Young’s press release asserting that the new GOP proposal “will help make healthcare coverage less expensive than under current law […] and accessible for patients who need it most.”

Blum has not commented publicly on his plans, but Congress-watchers expect him to follow Young’s path, voting for a bill he claimed to oppose on principle six weeks ago.

Declaring that “Iowans need a fighter who is on their side” who “isn’t afraid to take on out-of-state corporate interests,” State Representative Abby Finkenauer of Dubuque made it official this morning: she will run for Congress next year, rather than seek a third term in the Iowa House. Her campaign is online here, and she’s on Twitter and Instagram @abby4Iowa and on Facebook at Abby4Iowa.

I enclose below Finkenauer’s campaign announcement as well as parts of a passionate speech she delivered on the Iowa House floor last month. I also included excerpts from the transcript of last weekend’s Iowa Public Television program featuring Finkenauer and State Senator Nate Boulton. Some of her remarks echoed themes she raised before a group of Democratic activists in Des Moines in late March. Bleeding Heartland published the full text and audio of that speech here.

Finkenauer joins Cedar Rapids-based engineer Courtney Rowe, the first Democrat to launch a campaign in IA-01. Former State Senator Steve Sodders recently ruled out running for Congress. Earlier this year, State Senator Jeff Danielson of Waterloo and Linn County Supervisor Brent Oleson said they are considering this race, but to my knowledge neither has taken concrete steps toward a campaign yet.

Two-term Republican Representative Rod Blum is a top 2018 target for Iowa and U.S. House Democrats. The 20 counties in IA-01 contain 161,355 active registered Democrats, 143,269 Republicans, and 187,099 no-party voters, according to the latest figures from the Iowa Secretary of State’s office. The largest-population counties are Linn (the Cedar Rapids metro area), Black Hawk (Waterloo/Cedar Falls metro), and Dubuque, which is Blum’s home base.

UPDATE: Added below Finkenauer’s statement after Blum voted for the American Health Care Act on May 4.

Kent R. Kroeger is a writer and statistical consultant who has measured and analyzed public opinion for public and private sector clients for more than 30 years. -promoted by desmoinesdem

The American Heartland is not as conservative as some Republicans want you to believe, nor is it as liberal as some Democrats would prefer.

Like the nation writ large, the American Heartland is dominated by centrists who make up nearly half of the vote-eligible population.

That conclusion is based on my analysis of the recently released 2016-17 American National Election Study (ANES), which is a nationally-representative election study fielded every two years by Stanford University and The University of Michigan and is available here.

Across a wide-array of issues, most Heartland vote-eligible adults do not consistently agree with liberals or conservatives. They are, as their group’s label suggests, smack dab in the middle of the electorate.

However, on the issues most important to national voters in 2016 — the economy, jobs, national security, and immigration — there is a conservative skew in the opinions of the Heartland. The Iowa Democratic Party, as well as the national party, must recognize this reality as they try to translate the energy of the “resistance” into favorable and durable election outcomes in 2018.

U.S. House Republican leaders called off plans to vote today on a new proposal to replace the 2010 health care reform law. Representative David Young (IA-03) was among at least 21 Republicans who had indicated they don’t support the MacArthur amendment to the American Health Care Act.

At this writing, Young has not released a statement, and his communications staff have not responded to my inquiries. His social media feeds are full of the usual photos of constituents or groups who stopped by his Washington office this week. But on Thursday, other staffers told various constituent callers (including me) that Young’s “position has not changed” since he came out against the Republican alternative to the Affordable Care Act in March. The Hill included him on their “whip count” of no votes, based on Young’s comments to Independent Journal Review reporter Haley Byrd: “Moderate GOP member David Young says he’s still a no on AHCA and tells me he *somehow* hasn’t read the MacArthur amendment yet. (Hmm. Okay.)”

Representative Rod Blum (IA-01) hasn’t commented publicly on the latest proposal, which was drafted to appease members of the House Freedom Caucus to which he belongs. I haven’t heard back from his communications staff, and numerous constituents who called his offices were told he has no position, either because nothing is on the House floor yet or because the bill is only in “draft” form. Notably, Blum didn’t wait for a floor vote to announce his opposition to the American Health Care Act last month. At that time, he said any health care reform bill needs “to drive down actual costs” and “help people who need the help.”

Groups including the AARP, the March of Dimes, American Hospital Association, and American Medical Association oppose the MacArthur amendment, under which states could decide not to force insurers to cover “essential health benefits.” The policy would also lead to much higher insurance premiums for older people and those with pre-existing conditions. The new Republican proposal envisions a return to state-based high-risk pools, which “failed consumers in the past.” Iowa was among 35 states that established high-risk pools before Congress passed the Affordable Care Act. Karen Pollitz of the Kaiser Foundation explained the shortcomings well here.

I will update this post as needed if Blum or Young comment further on GOP health care reform alternatives. The third Iowa Republican in the U.S. House, Representative Steve King (IA-04), came around to supporting the American Health Care Act in March.

UPDATE: Iowans living in the first district continue to report being told that Blum’s staff told them he doesn’t have a position on the bill. Blum has taken a stand on countless other policies that never came up for a vote on the House floor. Just this week, he expressed support for President Trump’s “tax plan,” which is nothing like fleshed-out legislation.

I’ve added below a news release from State Representative Abby Finkenauer, who is likely to make her campaign against Blum official soon.

First-person accounts of meetings with elected officials are always a good read. Thanks, Matt Chapman. -promoted by desmoinesdem

Friday afternoon, leaders of the Indivisible Central Iowa Leadership had a 30 minute meeting with Representative David Young. Tyler Higgs, Jess McCord, Bill Ekhardt, Jordan Hobfoll, Marie Herring, Mark Brooks and myself attended.

The topics scheduled for discussion were the repeal of the Affordable Care Act and its replacement with the American Health Care Act as well as the border wall with Mexico, two of the new president’s signature campaign promises during the election.

There is a transcript below with most of the Q & A. David Young is very approachable and easy to have discussions with. Like most political animals, getting some of the more controversial positions pinned down before a vote is taken can be difficult. If the goal is not to obfuscate but more a testing of which way the political wind is blowing, I think that’s a sign that positions can be moved. It is up to us then, either by having discussions or by just showing up to vote to get what we want and expect from our elected leaders.

State Representative Abby Finkenauer has revamped her website and is accepting donations for a possible campaign in Iowa’s first Congressional district. In a statement released today, the two-term House Democrat said,

“Hard-working Iowans deserve to be able to make a decent living that allows them to provide their families with opportunity and a good quality of life. But, too often, wealthy corporations play by a different set of rules than the rest of us, and the politicians allow it to happen.

“I am considering running for Congress because we need to change that.

“I will spend the next few weeks talking with my family in Dubuque and Iowans throughout the First District. Should I decide to run and have the honor of being elected, I will take the values I learned from my family and my experiences growing up in a blue-collar community to Washington. I will strive to be the fighter Iowa’s working families deserve.”

Finkenauer has filed paperwork with the Federal Election Commission. For now, her website contains little beyond a short bio, a “contribute” button, and a sign-up for supporters or volunteers. Her Facebook page and Instagram and Twitter accounts are still oriented toward an Iowa House campaign. Her YouTube channel doesn’t have any videos talking about a Congressional race.

For those who wonder what a Finkenauer stump speech might sound like, I enclose below the audio and transcript of her remarks at a Democratic event in Des Moines on March 23. For further background, I added a video of one of her floor speeches during the Iowa House debate on the collective bargaining bill in February, and the bio that currently appears on her campaign website.

Finkenauer is only in her late 20s and her third year of service as a state lawmaker, but she has worked in the legislature off and on since becoming a page at age 16. Some might wonder, why the rush to run for higher office? She provided a clue in the interview she gave Elle magazine in 2015:

“People will say that it’s not your turn. But it’s never going to be your turn—ever. It doesn’t matter if you’re 16 or 60. It will never be your turn. There will always be somebody else with more experience or more of something. But you just have to decide to do it,” she commands. “Just do it. Just jump. Put your name out there and see what happens. It doesn’t have to be for state house. It doesn’t have to be in the state legislature. It could be city council. It could be school board. It could be a local commission. Just do something. If you really care about something, get involved. We need you.”

IA-01 is in the top tier of U.S. House seats Democrats are targeting this cycle. Its 20 counties contain 164,113 active registered Democrats, 144,584 Republicans, and 190,664 no-party voters, according to the latest figures from the Iowa Secretary of State’s office. The largest-population counties are Linn (the Cedar Rapids metro area), Black Hawk (Waterloo/Cedar Falls metro), and Dubuque, where Republican incumbent Rod Blum lives. Several other Democrats are considering the race. Last year, Blum ran about five points ahead of Donald Trump, who carried the district by 48.7 percent to 45.2 percent.

Among the U.S. political developments I never would have predicted: the Republican-controlled Congress was unable to repeal the Affordable Care Act under a president ready to sign the bill into law. After canceling a planned floor vote today on the American Health Care Act, House Speaker Paul Ryan acknowledged, “Obamacare is the law of the land. … We’re going to be living with Obamacare for the foreseeable future.”

In the depths of my despair after the November election, I felt sure that the Affordable Care Act would be history by now, and Congress would be well on the way to privatizing Medicare.

Among the many reasons Republicans failed to draft a coherent health care alternative and could not coalesce around the half-baked American Health Care Act, the most important is this:

A little more than two weeks after House Republicans released their alternative to the Affordable Care Act, U.S. Representative Rod Blum (IA-01) announced on Twitter that he will not support the American Health Care Act. According to Blum, the bill “doesn’t do enough to lower premiums for hardworking Americans. I’m a ‘no’ on current version – need to drive down actual costs!” Speaking to The Hill the same day, he added, “We need real competition driving prices down. We don’t need the government telling us what should be in an insurance policy. The government has a role to play. We need to help people who need the help.” Blum had previously said directly and through staff that he was studying the bill.

Like all other House Republicans, Blum has voted multiple times for “Obamacare” repeal bills that would have done nothing “to lower premiums for hardworking Americans,” let alone “drive down actual costs.” However, the stakes are higher now that a GOP-controlled Senate and Republican president might enact new health care legislation. I don’t know what kind of plan Blum is envisioning, but there is no magic wand Congress can wave to “help people who need the help” without the government setting minimum standards for health coverage and regulating the market in other ways.

Blum belongs to the House Freedom Caucus. Although that group has not taken an official stand against the AHCA, some of its prominent members are on various “whip counts” of Republicans opposing the bill. Since no Democrats are backing a plan that would leave millions uninsured and drive up costs for millions more, House leaders can’t spare more than 21 GOP members in any floor vote on their health care bill. Some Congress-watchers have already counted more defectors than that.

Representative Steve King (IA-04) was among the first House Republicans to come out against the AHCA. He supports “rip it out by the roots” repeal of “Obamacare” instead. I doubt the amendments unveiled this week to satisfy House conservatives will change his mind. UPDATE: A staffer told the Des Moines Register’s Jason Noble on March 22 that King is “undecided–leaning no” on the bill. SECOND UPDATE: White House spokesperson Sean Spicer announced that King will support the bill. Seeking confirmation. A member of the House whip team told Jonathan Martin of the New York Times that King “went from no to yes in the WH [White House] today after assurances about Senate tweaks.” UPDATE: King released a video statement explaining his decision to support the AHCA. He’s still committed to repealing Obamacare. He hopes Republicans will strip “essential health benefits” out of the bill, paving the way for other measures he wants, like health savings accounts and selling insurance across state lines. He said he told President Donald Trump in a White House meeting today that he worked very hard for total repeal of the Affordable Care Act, but that legislation won’t be brought up this year, because leaders don’t think they can get the votes. He said he had a “firm commitment” from Senate Majority Leader Mitch McConnell for a manger’s amendment to strip out “mandates” and “essential health benefits” from the House bill. King views this bill as the “best chance” for the “closest thing” to total repeal of Obamacare in the current political environment. He later tweeted that he and Trump had negotiated “the best possible improvement on ObamaCare Repeal.”

Representative David Young (IA-03) has repeatedly said he is studying the bill and the Congressional Budget Office analysis of its impact. Young’s staff have told constituents this week that he is still undecided. I consider him likely to vote yes if the bill comes to the floor–which may never happen, if leaders conclude they don’t have the votes. For what it’s worth, The Hill’s whip count put Young in the “leaning/likely no” camp because he said on March 15, “I want to make sure it is something that works in the end for all Americans, and that it would pass if it gets over to the Senate.” Several GOP senators have said the AHCA will not pass the upper chamber. UPDATE: Young announced in a March 22 statement, “While the American Health Care Act, legislation to repeal and replace Obamacare, is a very good start, it does not yet get it right and therefore I cannot support it in its’ [sic] present form.” I’ve added his whole press release below.

Neither of Iowa’s U.S. senators have clarified how they would vote on the Republican bill. Senator Chuck Grassley has made conflicting statements, telling House members the bill must be changed so that insurance premiums don’t skyrocket for older people not yet eligible for Medicare. On the other hand, Grassley has said Republicans can’t afford to miss what could be their only opportunity to keep six years of promises. Senator Joni Ernst said at town-hall meetings in Cedar Rapids and Des Moines on March 17 that she is studying the AHCA’s potential impact on Iowans and insurance premiums. I hate to break it to her: no alternative plan will magically make cheap insurance widely available while maintaining guaranteed coverage for people for pre-existing conditions and letting children stay on their parents insurance through age 26.

UPDATE: Forgot to mention that the Iowa Hospital Association estimates between 200,000 and 250,000 Iowans would lose their insurance coverage under the Republican plan. More on that story below.

Did you know drug companies exploit charities to increase their profits? Neither did I before reading this piece by Austin Frerick. -promoted by desmoinesdem

Susan, a 52-year-old mother of two from Indianola, thought she had landed the perfect job. She would be sitting behind a desk in Des Moines after years of working on her feet in retail and even got new benefits like the day off on Christmas Eve. But her excitement ended when her life insurance application was denied because she had Hepatitis C.

Susan is one of 3.5 million Americans living with chronic Hepatitis C, nearly 80 percent of whom are “baby boomers” (born between 1945 and 1965). Susan, like most other baby boomers, was likely infected during a blood transfusion before hospitals screened blood for the virus. The infection can last a lifetime and lead to serious liver problems, including cirrhosis (scarring of the liver) or liver cancer. Many other baby boomers in Iowa only recently discovered that they were infected, either through a routine physical or when they started showing symptoms. A new report by the state Department of Public Health found that reported cases in Iowa have increased by nearly 200 percent since 2000.

Thanks to Stefanie Running for talking with Iowans who had hoped to question Senator Joni Ernst yesterday. -promoted by desmoinesdem

It was unusually warm for St. Patrick’s Day in Des Moines. Despite being spring break week for Drake University, the campus where Senator Joni Ernst chose to hold her town hall had remarkably little available parking. I arrived about 4:45 p.m., fifteen minutes prior to the start of the event, but was unable to join the throng inside; Sheslow Auditorium had reached capacity.

There were about 200 of us still outside, unsurprised but still disappointed. We were given the opportunity to fill out the question cards, the same as our comrades who made it inside. It was a consolation prize of sorts, knowing the questions wouldn’t be asked. A few people wrote their names and their questions, the rest either left or milled about. A few groups crowded around those who were playing live-streams the discussion on their phones.

I was able to speak to a handful of folks who had come to hear Ernst address their concerns, ask their own questions, or see if she actually engaged honestly.

Tom Witosky follows up on recent correspondence with his U.S. House representative. -promoted by desmoinesdem

March 13, 2017
Dear Congressman Young,

I am writing this open letter to you because the time is fast approaching when your words will be put to the test with your vote on the proposed American Health Care Act.

Make no mistake, the Republican majorities’ decision to amend key portions of the Affordable Care Act will change coverage for millions of us who have obtained insurance through federal or state exchanges.

In your Feb. 21 letter to me, you outlined your concerns about the current law and what you believed needed to be corrected with new legislation. Those concerns included:

“We need a healthcare law that works for all Iowans, the facts are that the current healthcare law works for some but it does not work for others.”

Analysis of this proposal by a variety of experts and expert groups – conservative and liberal — indicates strongly that the House proposal does nothing to provide a law “that works for all Iowans.”

U.S. Representative Steve King confirmed this morning that he opposes the House Republican health care replacement bill released on Monday. Like several influential conservative groups that condemned the American Health Care Act earlier this week, King believes the legislation does not go far enough. He told CNN’s Chris Cuomo, “We campaigned on the full, 100 percent, I say ‘rip it out by the roots’ repeal of Obamacare, and we don’t get that with this bill.”

A guest commentary by a committed activist who served on the Iowa Democratic Party Platform and Rules Committees and currently serves on a county central committee. -promoted by desmoinesdem

I believe in obeying the Constitution. The 14th Amendment says that debts of the USA shall not be questioned. Steve King–and most Republicans–voted to not raise the debt ceiling which would have put the government in default. That vote led to the downgrading of the government’s credit rating. The 14th amendment also guarantees equal protection under the law. But Republicans don’t think the Constitution applies to same sex couples who wish to marry. George W. Bush violated the constitutional rights of Americans by spying on them without a warrant. Democrats objected; Republicans didn’t. President Barack Obama nominated a replacement for the late Justice Scalia. Republicans senators refuse to do their duty and vote to confirm—or not—that nominee.

I don’t believe judges should legislate from the bench, but I do believe they must strike down laws that violate the Constitution. Republicans applauded the U.S. Supreme Court for striking down the Washington D.C. handgun law, but went nuts when the Iowa Supreme Court unanimously struck down the law banning gay marriage. Republicans agreed when activist justices on the U.S. Supreme Court created a new right for corporations to spend unlimited secret money to try to buy our elections with misleading TV ads; Democrats want that decision overturned.

Originalists, who claim that the Constitution must be interpreted as the Founding Fathers meant it, are contradicted by the Founding Fathers themselves.

Former Des Moines Register investigative reporter Tom Witosky dissects a letter he received from the Republican who represents Iowa’s third Congressional district. -promoted by desmoinesdem

Congressman David Young has scheduled a town hall meeting for today at Living History Farms. Clearly, one of the topics to be discussed will be the Affordable Health Care Act and what the Republican majority intends to do to it.

As fate would have it, I received a lengthy response from Congressman Young about my concerns about the Republican plans on Tuesday.

First some background. Up until I became eligible for Medicare almost a year ago, my wife and I purchased our health insurance on the federal exchange.

Our experience was good. We kept our doctors, the level of deduction was acceptable (stay healthy and you don’t need to worry about it) and the premium cost was acceptable. We received no subsidy. Especially important is the ACA requiring coverage of all purchasers with a pre-existing condition. My wife, who is still purchasing her health insurance on the exchange, has one that insurance companies commonly declined to cover or placed limits on.

I provide this background because Young’s letter to me outlines a position that attempted to persuade me major problems exist within the ACA that apparently deserve radical change.