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John McCain had the chance to do the right thing on healthcare. He failed | Lucia Graves

There are many reasons to respect the Arizona senator, but his remarkable stoicism and service cant excuse his yes vote in the Senate

John McCain often gets cast as a truth-teller to Donald Trump, but his voting record says otherwise. And nowhere was that more clear than on Tuesday when, despite his own ill health, when it came to the decision of whether to take other peoples healthcare away, he cast a decisive vote in the wrong direction.

Addressing his fellow lawmakers, McCain called passionately for a return to regular order, and for senators to work constructively across the aisle. Why dont we try the old way of legislating in the Senate, the way our rules and customs encourage us to act, he said in his Tuesday speech. If this process ends in failure, which seems likely, then lets return to regular order!

Though he has often railed against Trump as if he cant actually affect what he is complaining about, McCain isnt a helpless observer hes an influential senator. And on Tuesday, as the country draws closer than ever before to the death of the Affordable Care Act, he was a pivotal one.

Had McCain simply voted no to the question of whether the Senate should begin debate on a repeal or replacement of Obamacare, which squeaked by in the Senate with a vote of 51-50, the chambers leader Mitch McConnell might well have been forced to do the very thing McCain claimed to want: restore the chamber to order.

Instead, McCain, who was recently and tragically diagnosed with an aggressive form of brain cancer, and who returned to DC explicitly to help save the GOP healthcare bill, voted yes.

To put it another way, faced with a rare opportunity to make a real tangible difference, he risked traveling amid failing health to make possible the very thing he decried.

More damningly, he voted yes to take away healthcare from millions of Americans including an untold number of other cancer patients even as he continues to access benefits of the quality care afforded him as a senator, care subsidized by American taxpayers.

Never mind that at this point in time Republicans have little idea what the bill they would replace Obamacare with will contain. Never mind that we have arrived at this point through a secretive process devoid of public hearings, or even that Republicans would have the healthcare of millions of American women dreamed up entirely by men.

Politics appears to have triumphed over logic. Sadly, the politics that won out today are is not even a sort personally dear to John McCain that much was made clear in his floor speech. Its not even his own electoral politics that won out, either; after a tough re-election battle, he wont be up again until 2022, freeing him up as much as electorally possible to act solely with his moral compass as the guide.

Instead, McCain did the very thing he had just railed against, acting out of partisan loyalty.

There are many reasons to respect McCain, a former prisoner of war who endured torture in the five and a half years he spent captive in North Vietnam, and has campaigned against torture by the US. His 2008 campaign against Barack Obama now looks like the very model of civility in the wake of Trump.

But even his remarkable stoicism and service cant excuse what he just did.

The grim reality is that health insurance is of the utmost importance when it comes to surviving cancer, the second leading killer in America after heart disease. Put simply, the uninsured are much more likely to die than those with insurance and sooner.

A recent study in the journal Cancer found the uninsured were 88% more likely to die of testicular cancer than those with insurance. For patients with Medicaid, the number dropped to a 58% greater chance of dying than privately insured patients like McCain.

The study found the same trend held true for patients with glioblastoma, the malignant brain cancer McCain was recently diagnosed with. Its a terribly disease with a median life expectancy with his type of just 15 months, and thats as true for McCain as anyone, but the uninsured still die faster than anyone.

Voting to subject any one of millions of Americans to go to meet such a fate without even the benefit of the best tools medicine has to fight it is cruel, given McCains new-found appreciation of the benefit.

The estimated cost of McCains recent surgery to remove the cancer above his eye is a sum that would bankrupt many Americans, using the Medicare rates for which McCain qualifies.

Theres a way to fix the fact that many Americans under the age of 65 dont have access to any such care: let everyone under it buy in, a scheme for which many on the left have argued. But on Tuesday, McCain helped move the country in precisely the opposite direction.

We still dont know which of several bills Republicans will bring up for a vote, but all of them involve millions of Americans losing the very sort of health insurance upon which McCain depends.

The only question is whether its a matter of 22, 32, or just 15 million people who will lose access. What we can say with confidence is whatever version moves forward, McCains lost more than his good health hes lost his decency.

Read more: https://www.theguardian.com/commentisfree/2017/jul/25/john-mccain-healthcare-senate-vote-republicans

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John McCain has been diagnosed with brain cancer, spokesman says

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Statement reveals brain tumor known as glioblastoma was removed along with blood clot above senators right eye during surgery last Friday

John McCain, the Arizona senator and former Republican presidential candidate, has been diagnosed with brain cancer.

A brain tumor known as a glioblastoma was removed from McCain along with a blood clot in a surgery at the Mayo Clinic on Friday, a spokesperson said on Wednesday.

McCains office had only previously announced that the blood clot had been removed from above the 80-year-olds left eye.

The Mayo Clinic said in a statement released by McCains office: The senator and his family are reviewing further treatment options with his Mayo Clinic care team. Treatment options may include a combination of chemotherapy and radiation. The senators doctors say he is recovering from his surgery amazingly well and his underlying health is excellent.

The surgery had forced McCain to stay in Arizona this week and miss votes in the Senate. It had led to a delay in the vote on the Senate Republican bill to repeal and replace the Affordable Care Act (ACA), which was originally scheduled for Monday. Since the delay was announced, a sufficient number of Republican senators came forward to express their opposition to the bill and forced the majority leader, Mitch McConnell, to shelve it and instead try to push a vote on a clean repeal of the ACA.

In a statement, the Arizona senators spokesperson said that in the aftermath of his diagnosis, further consultations with [the] Mayo Clinic care team will indicate when he will return to the United States Senate.

An extended absence would likely make it even more difficult for Republicans to repeal or replace the ACA, popularly known as Obamacare. Senate Republicans have a narrow 52-48 majority and, with the tie-breaking vote of Mike Pence, can only afford to lose two votes if McCain is present. His absence means that two Republican no votes would now sink any legislation if all 48 Democrats are unified in opposition.

McCain, who was re-elected to his sixth term in the Senate in 2016, was the Republican partys presidential nominee in 2008 and finished second to George W Bush in the 2000 GOP presidential primary. Prior to his career in politics, McCain served as an aviator in the US navy, and was held as prisoner of war for five and a half years during the Vietnam war. While being held captive by the north Vietnamese, McCain was repeatedly subjected to torture. He retired as a captain after earning a number of decorations including the Silver Star, the Bronze Star and the Distinguished Flying Cross.

The Arizona senators illness sparked an outpouring of support from both sides of the aisle.

In a statement, Donald Trump said: Senator John McCain has always been a fighter. Melania and I send our thoughts and prayers to Senator McCain, Cindy, and their entire family. Get well soon. Trump, who famously set off a political firestorm in 2015 by saying McCain was not a war hero, said earlier in the week of the Arizona senator: We hope John McCain gets better very soon because we miss him. Hes a crusty voice in Washington. Plus we need his vote. And hell be back.

Barack Obama, against whom McCain ran in the 2008 presidential election, tweeted: John McCain is an American hero & one of the bravest fighters Ive ever known. Cancer doesnt know what its up against. Give it hell, John.

Barack Obama (@BarackObama)

John McCain is an American hero & one of the bravest fighters I’ve ever known. Cancer doesn’t know what it’s up against. Give it hell, John.

July 20, 2017

A number of McCains colleagues in the Senate also expressed their well wishes. In a statement, Mitch McConnell said: John McCain is a hero to our Conference and a hero to our country. He has never shied from a fight and I know that he will face this challenge with the same extraordinary courage that has characterized his life. The entire Senate familys prayers are with John, Cindy and his family, his staff, and the people of Arizona he represents so well. We all look forward to seeing this American hero again soon.

Outside a meeting of Senate Republicans to discuss healthcare reform on Wednesday night, senator John Hoeven of North Dakota said they had learned of the diagnosis during the meeting.

It was very emotional almost kind of stunned disbelief, Hoeven told reporters. Senator James Lankford, of Oklahoma, then led them in prayer.

Hoeven said the senators had received a message from McCain via South Carolina senator Lindsay Graham, a close friend. The senator told them he was eager to get back and get to work, Hoeven added.

Graham was visibly emotional as he recalled his conversation with McCain when he learned of the diagnosis.

He says, Ive been through worse, Graham told reporters. Five minutes into the call, however, McCain wanted to talk the legislative priories, Graham said.
God knows how this ends, he said. But I do know this: This disease has never had a more worthy opponent.

In a statement, McCains daughter Meghan said: He is a warrior at dusk, one of the greatest Americans of our age, and the worthy heir to his fathers and grandfathers name. But to me, he is something more. He is my strength, my example, my refuge, my confidante, my teacher, my rock, my hero my Dad.

Meghan McCain (@MeghanMcCain)

Statement regarding my father @SenJohnMcCain: pic.twitter.com/SMte9Hkwkq

July 20, 2017

Lauren Gambino contributed to this report.

Read more: https://www.theguardian.com/us-news/2017/jul/19/john-mccain-brain-cancer

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Senate will vote to repeal Obamacare without replacement, after new healthcare bill stumbles

Republican Mitch McConnell calls for vote on clean repeal, after senators Mike Lee and Jerry Moran come out against latest effort to replace Obamacare

Senate majority leader Mitch McConnell has announced that the Senate will vote on a clean repeal of Obamacare without any replacement, after two Republican senators broke ranks to torpedo the current Senate healthcare bill.

Senators Mike Lee of Utah and Jerry Moran of Kansas came out on Monday night in opposition to McConnells Better Care Reconciliation Act (BCRA), the Senate version of the controversial healthcare reform bill that passed the House in May.

Senate Republicans hold a bare 52-48 majority in the Senate and two members of the GOP caucus, the moderate Susan Collins of Maine and the libertarian Rand Paul of Kentucky, already opposed the bill, along with all 48 Democrats. The announcement from Moran and Lee made it impossible for Republicans to muster the 50 votes needed to bring the BCRA bill to the floor.

Instead, McConnell announced late on Monday night that the Senate would vote on a bill to simply repeal Obamacare without any replacement in the coming days.

The Kentucky Republican said in a statement: Regretfully, it is now apparent that the effort to repeal and immediately replace the failure of Obamacare will not be successful.

He added that in the coming days the Senate would vote on repealing the Affordable Care Act with a two-year-delay. The Senate passed a similar bill in 2015, which was promptly vetoed by Barack Obama.

McConnells plan echoes a statement made by Donald Trump in a tweet on Monday night, in which the president urged a repeal of Obamacare with any replacement to come in the future.

Republicans should just REPEAL failing ObamaCare now & work on a new Healthcare Plan that will start from a clean slate. Dems will join in! Trump wrote.

The announcement from Lee and Moran came as Trump was having dinner at the White House with a number of senators who support the bill. Trump talked to several conservatives on the phone over the weekend, including Lee, in an attempt to win their support.

In a tweet, Lee noted that he could not support this version of the bill. Moran used the same language on Twitter. Both voted for a clean repeal of the Affordable Care Act in 2015, albeit with the expectation that it would be vetoed by Obama and not become law.

In an op-ed in The Resurgent, a conservative online publication, Lee cited the fact that the current bill did not incorporate an amendment that he introduced with Ted Cruz to allow insurance companies to offer bare-bones insurance plans. In Lees argument, the mandate that insurance companies cover pre-existing conditions resulted in a hidden tax which meant that middle-class families are being forced to pay billions in higher health insurance premiums to help those with pre-existing conditions.

In a statement, Moran took a slightly different tack. He said: There are serious problems with Obamacare, and my goal remains what it has been for a long time: to repeal and replace it. This closed-door process has yielded the BCRA, which fails to repeal the Affordable Care Act or address healthcares rising costs. The Kansas Republican also warned that the current legislation leave[s] the federal government in control of everyday healthcare decisions which Moran said made it more likely that our healthcare system will devolve into a single-payer system, which would require a massive federal spending increase.

The announcement came shortly after a Senate vote on the healthcare bill was delayed due to the hospitalization of John McCain. The Arizona senator had a blood clot removed from above his left eye on Friday night and was unable to fly to Washington as a result. On Saturday, McConnell said the Senate would defer consideration of the bill while McCain recovered. A number of other moderate Republican senators have yet to take positions on the bill, most notably Dean Heller of Nevada.

Although a repeal of Obamacare without providing for a immediate replacement has long been popular with conservatives, many other Republicans have been skeptical of this approach because of the potential political cost.

In contrast, McCain said in a statement that Republicans should start the process of passing a health care bill over. Congress must now return to regular order [and] hold hearings, said the Arizona Republican.

In a statement, the Senate Democratic leader, Chuck Schumer, said: This second failure of Trumpcare is proof positive that the core of this bill is unworkable.

He added: Rather than repeating the same failed, partisan process yet again, Republicans should start from scratch and work with Democrats on a bill that lowers premiums, provides long-term stability to the markets and improves our healthcare system.

Lauren Gambino contributed reporting

Read more: https://www.theguardian.com/us-news/2017/jul/17/republican-health-bill-senators-oppose-vote

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