{"id":394,"date":"2017-03-10T17:38:58","date_gmt":"2017-03-10T22:38:58","guid":{"rendered":"http:\/\/rationalnationusa.com\/blog\/?p=394"},"modified":"2017-03-10T17:38:58","modified_gmt":"2017-03-10T22:38:58","slug":"nancy-pelosis-letter-to-speaker-ryan","status":"publish","type":"post","link":"https:\/\/rationalnationusa.com\/blog\/archives\/394","title":{"rendered":"Nancy Pelosi&#8217;s Letter To Speaker Ryan&#8230;"},"content":{"rendered":"<p>Following is a letter to Speaker of the House Paul Ryan from Democratic leader Nancy Pelosi.\u00a0 Questions she raises are reasonable and demand answers. With the GOP intent on railroading their replacement through the Congress and Senate calling your representatives and senators\u00a0to express your concern might be something you want to consider.<\/p>\n<p><em>March 7, 2017<\/em><\/p>\n<p><em>The Honorable Paul Ryan<\/em><\/p>\n<p><em>Speaker of the House<\/em><\/p>\n<p><em>H-232, United States Capitol<\/em><\/p>\n<p><em>Washington, D.C.\u00a0 20515<\/em><\/p>\n<p><em>Dear Speaker Ryan,<\/em><\/p>\n<p><em>This week, the Committees on Energy &amp; Commerce and Ways &amp; Means will be marking up Republicans\u2019 long-feared bill to\u00a0dismantle affordable health care.\u00a0 The GOP legislation will have life or death consequences for tens of millions of families across America, and extraordinary impacts on state and federal budgets long into the future.<\/em><\/p>\n<p><em>The American people and Members have a right to know the full impact of this legislation before any vote in Committee or by the whole House.<\/em><\/p>\n<p><em>Members must not be asked to vote on this legislation before the CBO and the Joint Committee on Taxation have answered the following questions about your legislation in 2018 and 2019, over the 10-year budget window, and in the decade after: How will this bill measure up to the Affordable Care Act and current Medicaid law on coverage, quality, and cost?\u00a0 And how will it impact Medicare solvency?<\/em><\/p>\n<ul>\n<li><em><strong>Coverage<\/strong>\u00a0\u2013 How many fewer Americans will have health insurance coverage compared to current law in Medicaid and the Marketplace?\u00a0\u00a0Also what happens to coverage among Americans with pre-existing conditions?<\/em><\/li>\n<\/ul>\n<ul>\n<li><em><strong>Quality<\/strong>\u00a0\u2013 What happens to the premiums, deductibles, out-of-pocket costs, and average value of insurance plans for those with coverage in the Marketplace and those Americans with pre-existing\u00a0conditions\u00a0as a result of letting states define essential benefits and change ACA protections?<\/em><\/li>\n<\/ul>\n<ul>\n<li><em><strong>Cost<\/strong>\u00a0\u2013 How will the bill impact the federal deficit and the solvency of the Medicare Trust Fund?\u00a0\u00a0What happens to state budgets after the loss of federal dollars from both the expansion of Medicaid under the ACA and from the GOP\u2019s Medicaid per capita cap? \u00a0What is the impact on hospitals and other providers due to the increase in uncompensated care?\u00a0 Given the loss of insurance coverage and change in taxes, how many dollars are transferred from low and middle-income families to high-income families as a result of the bill?<\/em><\/li>\n<\/ul>\n<p><em>Mr. Speaker, as a former Chair of both the Committee on Ways and Means and the Budget, you understand the importance of having the numbers as well as anyone. \u00a0These are critical questions and I hope that Republicans will honor their responsibility to the American people both before the Committees vote and before the final bill goes to the House floor.<\/em><\/p>\n<p><em>Thank you for your attention to this matter.<\/em><\/p>\n<p><em>best regards,<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>NANCY PELOSI<\/em><\/p>\n<p><em>Democratic Leader<\/em><\/p>\n<p><a href=\"http:\/\/www.mediaite.com\/columnists\/nancy-pelosi-american-people-have-right-to-know-whats-in-healthcare-bill-before-it-passes\/\"><strong><em>Via: MEDIAite<\/em><\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Following is a letter to Speaker of the House Paul Ryan from Democratic leader Nancy Pelosi.\u00a0 Questions she raises are reasonable and demand answers. With the GOP intent on railroading their replacement through the Congress and Senate calling your representatives and senators\u00a0to express your concern might be something you want to consider. March 7, 2017 &hellip; <a href=\"https:\/\/rationalnationusa.com\/blog\/archives\/394\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Nancy Pelosi&#8217;s Letter To Speaker Ryan&#8230;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[4,26],"tags":[],"class_list":["post-394","post","type-post","status-publish","format-standard","hentry","category-government","category-healthcare"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p8ovtF-6m","jetpack-related-posts":[{"id":502,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/502","url_meta":{"origin":394,"position":0},"title":"Trump and Ryan Fail To Pass Repeal and Replace&#8230;","author":"Les","date":"March 24, 2017","format":false,"excerpt":"The ACA remains the law for the foreseeable future. Speaker Paul Ryan's bill did not have the votes to pass, primarily due to the curmudgeon conservatives that felt the bill did not go far enough to hurt the less fortunate. In spite\u00a0of Mr. Art of the\u00a0Trump's arm twisting and threats\u2026","rel":"","context":"In &quot;Government&quot;","block_context":{"text":"Government","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/government"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":516,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/516","url_meta":{"origin":394,"position":1},"title":"Trump Surrogate Judge Jeanine Pirro Wants Ryan To Go&#8230;","author":"Les","date":"March 26, 2017","format":false,"excerpt":"Judge Jeanine Pirro, another Trump surrogate blasted Speaker Ryan on her Justice With Judge Jeanine show. Pirro laid blame at Ryan's feet and said that he needed to go Before her show Trump tweeted out to his followers urging them to watch her program. Trump himself first laid blame on\u2026","rel":"","context":"In &quot;Healthcare&quot;","block_context":{"text":"Healthcare","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/healthcare"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":506,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/506","url_meta":{"origin":394,"position":2},"title":"Republicans Control Washington, Are Fractured As A Party&#8230; Can They Effectively Lead?","author":"Les","date":"March 25, 2017","format":false,"excerpt":"As the failed attempt to repeal and replace the ACA\u00a0made clear to the nation\u00a0the party controlling Washington DC is\u00a0nearly as internally divided has as America itself. Something Trump can take at least partial credit for. Time is short tonight as prior commitments are consuming our time. So, following is an\u2026","rel":"","context":"In &quot;Government&quot;","block_context":{"text":"Government","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/government"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":426,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/426","url_meta":{"origin":394,"position":3},"title":"CBO Report On The Republican Health Care Plan Is Out. It Ain&#8217;t Pretty&#8230;","author":"Les","date":"March 13, 2017","format":false,"excerpt":"The CBO's numbers are in. Projected savings through 2016 are 337 billion dollars and the number of insured Americans\u00a0will decline \u00a0by 24 million souls. Premiums\u00a0are projected to be\u00a015 to 20 percent higher in the first year compared to the ACA. After 2026 premiums are projected to be \u00a010 percent lower\u2026","rel":"","context":"In &quot;Healthcare&quot;","block_context":{"text":"Healthcare","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/healthcare"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":443,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/443","url_meta":{"origin":394,"position":4},"title":"Trump Told To Dump Ryan And Embrace Universal Health Care By Close Friend&#8230;","author":"Les","date":"March 14, 2017","format":false,"excerpt":"Vox - A key Trump friend and ally is urging the president to dump Paul Ryan\u2019s Affordable Health Care Act and embrace something that sounds sort of like a lightweight version of a single-payer health care system. Christopher Ruddy, CEO of the conservative Newsmax brand, isn\u2019t normally considered a major\u2026","rel":"","context":"In &quot;Government&quot;","block_context":{"text":"Government","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/government"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":273,"url":"https:\/\/rationalnationusa.com\/blog\/archives\/273","url_meta":{"origin":394,"position":5},"title":"Trump Again Deflecting Responsibility, The Normal For His Lordship&#8230;","author":"Les","date":"February 28, 2017","format":false,"excerpt":"Weeks after a U.S. Navy SEAL was killed in a covert mission in Yemen, Trump has resisted accepting responsibility for authorizing the mission and the subsequent death of Senior Chief Petty Officer William \u201cRyan\u201d Owens. In an interview with Fox News that aired Tuesday morning, Trump said the mission \u201cwas\u2026","rel":"","context":"In &quot;Military Action&quot;","block_context":{"text":"Military Action","link":"https:\/\/rationalnationusa.com\/blog\/archives\/category\/military-action"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/posts\/394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/comments?post=394"}],"version-history":[{"count":1,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/posts\/394\/revisions"}],"predecessor-version":[{"id":395,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/posts\/394\/revisions\/395"}],"wp:attachment":[{"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/media?parent=394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/categories?post=394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rationalnationusa.com\/blog\/wp-json\/wp\/v2\/tags?post=394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}