Trump dares Republican Party into high-stakes vote on troubled health bill

March 24, 2017

Washington, Mar 24: House GOP leaders are hurtling toward a vote on Friday on their embattled health-care bill without knowing for sure they have enough support to pass the measure, after yielding to Trump administration demands to act now.

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If the high-stakes gamble works and the House manages to pass the Obamacare replacement bill, it will be an important win for President Donald Trump and House Speaker Paul Ryan who have formed an uneasy alliance to repeal the health care law.

But if the measure is blocked, it will be an embarrassing setback that casts doubt on the ability of Trump and Ryan to deliver on their ambitious agenda, including a sweeping tax overhaul and infrastructure package, both of which are being closely watched by Wall Street.

“For those who are on the fence one way or another, it's a long night of the soul for them,” Representative Tom Cole of Oklahoma said late Thursday. “It's very much an individual decision now.”

“Success breeds success; failure, you know, tends to compound itself,” he added. “So tomorrow is a very important moment for us and if you don't know that, you don't get it.”

The Trump administration made a last-minute deal with House conservatives to change the bill — by removing Obamacare's requirements that certain essential benefits be covered by insurance — in an effort to win over holdouts, who had forced GOP leaders to delay their vote, originally scheduled for Thursday.

Then Trump aides, including senior strategist Steve Bannon, went to Capitol Hill to deliver a message in person to House leaders and the Republican caucus that the president has run out of patience: Trump wanted a vote on Friday, win or lose, even if that means leaving Obamacare in place.

‘No more negotiations'

“We have to have a vote tomorrow. He expects it to pass,” Representative Chris Collins of New York said, speaking about Trump. “We are done negotiating, there are no more negotiations.”

“If it loses, we just move on to tax reform,” added Collins, a Trump ally.

House conservatives, including Freedom Caucus chairman Mark Meadows, emerged from the meeting saying they were still leaning against the bill, but were still evaluating the final package.

Meadows said late on Thursday “I'm a no” for now, but said members had been given “a binary choice” and that he will talk with other members before making a final decision.

GOP leaders didn't agree to a core demand of the Freedom Caucus to eliminate other insurance regulations, according to a senior Republican aide.

Representative Thomas Massie of Kentucky, who opposes the bill, said Republican leaders are taking a risky bet.

“If they bring this to the floor and it doesn't get to 216 quickly, the momentum could go in the other direction and they could come way short,” he said. “Because you don't want to be the person who fell on your sword and voted yes for a piece of legislation that never passes.”

‘Leaning the other way'

But other House conservatives said they were getting the sense that enough of their colleagues would end up backing it.

“I'm still a no, but it looks like it's leaning the other way,” Freedom Caucus member Ted Yoho said. Representative Mark Sanford of South Carolina agreed, saying he's picking up that it is the “sentiment” of most of the conference now to pass the bill.

The bill has struggled to win over far-right members who have demanded a more complete repeal of Obamacare, but it's also unnerved moderates concerned about projections that millions will lose coverage. A number of moderates came out against the bill this week, giving Republican leaders little room to negotiate changes.

Ryan put a brave face on the upcoming test of whether he and Trump can deliver the votes.

“For seven-and-a-half years, we have been promising the American people that we will repeal and replace this broken law because it is collapsing and hurting families,” he said. “Tomorrow we will see that.”

The GOP bill, H.R. 1628, would reverse massive gains in health coverage under the Affordable Care Act, which brought the uninsured rate to a record low. The proposal would pull hundreds of billions of dollars out of the health system by winding down Obamacare's expansion of Medicaid and limiting its subsidies, threatening revenues for hospitals, doctors and insurance companies.

Signs that the bill was in trouble on Thursday unnerved US markets, helping to erase gains, while sending hospital stocks higher.

Some changes

Meadows and other conservative Freedom Caucus members demanded a provision in the bill — agreed to by Trump and GOP leaders that would scrap the essential benefits portion of the Affordable Care Act, which requires insurers to cover 10 categories of services, for the individual market. Those services include hospitalization, ambulance services, maternitycare, pediatric services, mental health and substance abuse treatment, prescription drugs, rehabilitative care and laboratory services.

Other new provisions described by lawmakers Thursday night include a $15 billion boost to a new state flexibility fund and six more years of a 0.9% Medicare tax on high earners.

That last bit is needed to pay for what is expected to be a surge of people buying lower-cost insurance products, triggering tax credits that run from $2,000 to $4,000 per person for eligible people.

If the bill makes it to the Senate, it is expected to undergo significant changes there as well, including boosts to tax credits for people ages 50 to 64 who are hit with massive premium spikes under the bill.

Outdated CBO score

But the last-minute changes mean that Republicans will be voting on the measure without a final estimate from the Congressional Budget Office about how many millions of Americans will lose coverage or how much the measure will cost.

In another development that could unease conservatives, the CBO issued a new estimate Thursday to account for changes made to the bill earlier in the week. The nonpartisan agency cut its estimate of how much the bill would shrink the federal budget deficit, saying the updated measure would reduce the deficit by $150 billion over the next decade, $186 billion less than the initial forecast of $337 billion.

Of course, if the measure manages to pass the House, it still faces significant hurdles in the Senate.

Representative Kevin Cramer of North Dakota said he fears that even if the Freedom Caucus succeeds at getting its wish and delivers the votes for the bill to pass to the House, the provisions they demand won't pass muster under Senate rules.

“It seems that they want more inclusion on the essential benefits and some of those things that the speaker and others believe” will violate Senate rules, Cramer said. “And for some, I think they're spoiling for a fight. They want to challenge the Senate.”

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News Network
April 26,2020

Islamabad, Apr 26: Pakistan Prime Minister Imran Khan has been trumped by the country's powerful military yet again, this time over his government's inadequate steps and its poor response in curbing the coronavirus outbreak in the country, even as cases soared over 12,500.

In his address to the nation on March 22, Khan explained the reasons for not imposing a countrywide lockdown, asserting that millions would lose their jobs and affect families, who are below the poverty line, struggling to find enough food to eat. However, less than 24 hours later, Pakistan Army spokesperson Major General Babar Iftikhar announced the implementation of lockdown in the country having a population of over 200 million, contradicting the statements made by Imran Khan.

As lockdown was imposed, the military has deployed troops across Pakistan and is orchestrating the COVID-19 response through the National Core Committee, a body set up to coordinate policy between the national and provincial governments.

"The government left a big gap in its handling of the coronavirus. The army has tried to fill that gap, there was no choice," an unnamed retired general was quoted by Financial Times as saying.

The virus crisis in Pakistan has once again made things crystal clear about who is calling the shots -- the military, widely believed to bring Imran Khan to power in 2018.

The armymen have taken over the COVID-19 crisis as an opportunity to prove their competency in contrast to Imran Khan, who was mocked after urging youth to come forward and join Corona Relief Tigers Force, a volunteer body to wage "jihad" against the virus.

According to analysts, the military's seizure of the coronavirus response marks yet another policy failure for Imran Khan in the eyes of the generals, as per the Financial Times report.

The 67-year-old cricketer-turned-politician has repeatedly failed to gain international traction over the Kashmir issue and has struggled to convince the Financial Action Task Force (FATF) in getting his country removed from 'grey list' for terror funding.

In times of emergency, one has to take clear decisions and take them through. You can't dither. The whole world is advising strong lockdown. If the prime minister does not show that he is decisive, somebody else will," said Nafisa Shah, a Member of Parliament from the opposition Pakistan Peoples Party (PPP).

Even after the lockdown was imposed, Imran Khan continued to question the need for its implementation, raising eyebrows over the country's response in tackling the virus, as cases continue to rise. This comes even as such drastic measures are in place in many countries across the world, including neighbouring India.

According to The Dawn, the country has 12,657 confirmed cases of COVID-19, which includes 2,755 recoveries and 265 deaths. Punjab has the highest number of cases -- 5,326 --, followed by 4,232 in Sindh.

However, experts suggest that the actual numbers could be more given the low testing rates and inadequate supply of testing kits.

Doctors and nurses across the country have staged protests over the lack of personal protective equipment, as increasing numbers of health workers contract COVID-19.

"Because of the lack of resources, there is chaos among the doctors and healthcare workers. They know people are dying, they know the severity of the illness and they have to work without PPE," Shoaib Hasan Tarar, a doctor working in Rawalpindi, was quoted as saying.

As the coronavirus crisis continues to ravage Pakistan, the country's overwhelming health infrastructure has put a toll on its already floundering economy. The IMF said that the GDP will shrink 1.5 per cent in 2020. The cash-strapped nation is set to be the first major emerging economy to apply to a G-20 initiative to request debt repayment relief, according to Financial Times.

In early March, Pakistan saw a surge in coronavirus cases, when infected pilgrims and workers crossed the border from Qom, a religious city in Iran, which is a hotspot.

Pakistan's limited resources were exposed when quarantined pilgrims agitated against unhealthy conditions at Taftan camp on Pakistan-Iran border, where five people were living in a tent with no access to toilets.

While the lockdown is in place, authorities have been confronted by hardline clerics who have defied social distancing terms and downplayed the threat of the virus. During Friday prayers every week, worshippers violate the restrictions by gathering at various mosques.

Last week, Islamabad inked an agreement allowing mosques to stay open for Ramzan. It stipulated that people should follow 20 rules, including maintaining a six feet distance from each other.

"There is little consistency in terms of how the lockdown is being approached. Coronavirus has shown the disconnect between the national government, regional governments and the military. Imran Khan has been left behind as the cheerleader for keeping Pakistan's morale high. I think people are starting to ask, 'How long is he going to last?'", said Sajjan Gohel, South Asia expert and guest teacher at the London School of Economics.

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Agencies
July 15,2020

Huawei will be completely removed from the UK's 5G networks by the end of 2027, the UK government announced on Tuesday after a review by the country's National Cyber Security Centre (NCSC) on the impact of US sanctions against the Chinese telecommunications giant.

In the lead up to this complete removal of all Huawei kit from UK networks, there will be a total ban on the purchase of any new 5G kit after December 31, 2020.

The decision was taken at a meeting of the UK's National Security Council (NSC) chaired by Prime Minister Boris Johnson, in response to new US sanctions against the telecom major imposed in May which removed the firm's access to products which have been built based on US semiconductor technology.

5G will be transformative for our country, but only if we have confidence in the security and resilience of the infrastructure it is built upon, said Oliver Dowden, UK Secretary of State for Digital, Culture, Media and Sport (DCMS).

Following US sanctions against Huawei and updated technical advice from our cyber experts, the government has decided it necessary to ban Huawei from our 5G networks. No new kit is to be added from January 2021, and UK 5G networks will be Huawei free by the end of 2027. This decisive move provides the industry with the clarity and certainty it needs to get on with delivering 5G across the UK, he said.

The minister, who laid out the details of the UK's ban on Huawei in the House of Commons, said the government will now seek to legislate with a new Telecoms Security Bill to put in place the powers necessary to implement the tough new telecoms security framework.

By the time of the next election (2024) we will have implemented in law an irreversible path for the complete removal of Huawei equipment from our 5G networks, said Dowden.

The new law will give the government the national security powers to impose these new controls on high risk vendors and create extensive security duties on network operators to drive up standards, DCMS said.

Technical experts at the NCSC reviewed the consequences of the US sanctions and concluded that Huawei will need to do a major reconfiguration of its supply chain as it will no longer have access to the technology on which it currently relies and there are no alternatives which we have sufficient confidence in.

They found the new restrictions make it impossible to continue to guarantee the security of Huawei equipment in the future.

After a ban on the purchase of new Huawei kit for 5G from next year, the aim is to completely remove the Chinese vendor's influence on 5G networks across the UK by the end of 2027.

The DCMS said Tuesday's decision takes into account the UK's specific national circumstances and how the risks from these sanctions are manifested in the country.

The existing restrictions on Huawei in sensitive and critical parts of the network remain in place, it highlighted.

The DCMS said the US action also affects Huawei products used in the UK's full fibre broadband networks. However, the UK has managed Huawei's presence in the UK's fixed access networks since 2005 and we also need to avoid a situation where broadband operators are reliant on a single supplier for their equipment.

As a result, following security advice from experts, DCMS is advising full fibre operators to transition away from purchasing new Huawei equipment. A technical consultation will determine the transition timetable, but it is expect this period to last no longer than two years.

The government said its new approach strikes the right balance by recognising full fibre's established presence and supporting the connections that the public relies on, while fully addressing the security concerns.

It stressed that its new policy in relation to high risk vendors has not been designed around one company, one country or one threat but as an enduring and flexible policy that will enable the UK to manage the risks to the network, now and in the future.

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News Network
April 7,2020

London, Apr 7: British Prime Minister Boris Johnson was moved to the intensive care unit of a London hospital after his coronavirus symptoms worsened Monday, just a day after he was admitted for what were said to be routine tests.

Johnson was admitted to St. Thomas’ Hospital late Sunday, 10 days after he was diagnosed with COVID-19, the first major world leader to be confirmed to have the virus.

Downing Street said Johnson was conscious and did not require ventilation, but he was moved into intensive care in case he needs it later, his office said in a statement.

Britain has no official post of deputy prime minister, but Foreign Secretary Dominic Raab has been designated to take over should Johnson become incapacitated.

Hours earlier, Johnson tweeted that he was in good spirits and thanked the National Health Service for taking care of him and others with the disease.

“On the advice of my doctor, I went into hospital for some routine tests as I’m still experiencing coronavirus symptoms,″ Johnson said in the tweet. “I’m in good spirits and keeping in touch with my team, as we work together to fight this virus and keep everyone safe.″

The prime minister's spokesman said earlier Monday that Johnson had spent a comfortable night and remained in charge of government after being admitted to the hospital because his cough and fever persisted.

Johnson's spokesman, James Slack, refused to say what kind of tests Johnson was undergoing. He insisted that "the PM remains in charge of the government."

“He is receiving updates in hospital and is continuing to receive a (ministerial red) box" of files and briefing papers, Slack said.

Prime Minister Narendra Modi on Monday hoped that his British counterpart Boris Johnson, admitted to a hospital for treatment of coronavirus, finds himself in perfect health soon.

"Hang in there, Prime Minister @BorisJohnson! Hope to see you out of hospital and in perfect health very soon," the prime minister wrote on Twitter.

The 55-year-old leader had been quarantined in his Downing Street residence since being diagnosed with COVID-19 on March 26. He continued to preside at daily meetings on the outbreak until Sunday. He released several video messages during his 10 days in isolation urging Britons to stay home and observe social distancing measures to help slow the spread of the virus.

Speaking earlier at the government's daily coronavirus press briefing, Raab said Johnson was being “regularly updated," but said he had not spoken to him since Saturday.

“He's in charge, but he’ll continue to take doctors’ advice on what to do next," Raab said.

Politicians from all parties wished Johnson a quick recovery. Opposition Labour Party leader Keir Starmer tweeted: “Terribly sad news. All the country’s thoughts are with the Prime Minister and his family during this incredibly difficult time."

Johnson's fiancee, Carrie Symonds, who is pregnant, is herself recovering from coronavirus symptoms.

Johnson was admitted to the hospital as a message to the nation from Queen Elizabeth II was being broadcast Sunday evening. The 93-year-old monarch urged the public to show resolve and follow advice to stay inside.

Concerns had been growing about Johnson’s welfare ever since he posted a message Friday saying that he was feeling better, though was still feverish.

The virus causes mild to moderate symptoms in most people, but for some, especially older adults and the infirm, it can cause pneumonia and lead to death.

The government said Monday that 51,608 people had been confirmed to have the coronavirus in Britain, 5,373 of whom have died.

Derek Hill, a professor of medical imaging science at University College London, said that since COVID-19 causes difficulty breathing, one test performed on people with the disease is lung imaging with ultrasound or CT scans to see how badly they might be affected.

Hill said there are various types of breathing help, depending on the person and the difficulties.

“The reasons some people get seriously ill with COVID-19 while others have minor symptoms is not yet fully understood,″ Hill said. “But doctors managing these patients report that more men than women have serious problems, and patients who are overweight or have previous health problems are at higher risk."

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