Ryan mentioned how repealing Obamacare and overhauling American health care was a promise Republicans have made in past elections and that this was fulfilling a promise to voters. However, Trump supporters deny that and said it will bring better coverage and lower prices. "The Republicans are very united", Trump said during a meeting with Australian Prime Minister Malcolm Turnbull aboard the USS Intrepid.
In his remarks, Obama said he hopes that lawmakers recognize "it actually doesn't take a lot of courage to aid those who are already powerful, already comfortable, already influential". The bill now heads for the Senate, where it is expected to change, and the plan leaves many important coverage decisions up to the states.
The ad will appear on national cable and in Ryan's Wisconsin district. It would have eliminated the Affordable Care Act's individual mandate to buy insurance and its market regulations, such as the rules that required plans to cover certain essential medical services and barred insurers from charging more to patients with pre-existing conditions.
But by leaning on members to vote for a bill that many fear will leave millions of people unable to afford health care, Mr. Ryan has exposed moderate Republicans to withering political attacks.
Among the various concerns regarding the new bill is the effect it will have on Medicaid, a program responsible for ensuring health care for the elderly and disabled.
"If people need help getting health care we ought to give them help".
What's more, high-risk pools have been traditionally underfunded, and the federal funding put forward in the GOP plan may not be enough to make the pools viable, even though a late amendment added another $8 billion over five years.
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The House voted 217 to 213 for the repeal legislation, Trump's first major legislative victory of his presidency.
"Don't know what's in it", Senator Lindsey Graham said before the vote. Coverage would be disrupted for millions nearly immediately, according to a Congressional Budget Office analysis of a previous iteration of the legislation.
"I just want to work and sit down and try to get something done, but no one's asked us", he said on CBS's "Face the Nation" program.
The House bill would have profound impacts on Americans who get their health care through Medicaid. Trump tweeted. "ObamaCare premiums and deductibles are way up - it was a lie and it is dead!"
He said the bill's been online "for two months".
When the GOP first tried to pass their Affordable Care Act repeal, the bill's abysmal CBO score was one of the main reasons it was opposed on both sides of the aisle.
A proposed $880 billion cut to Medicaid was in an earlier version of the bill and based on a Congressional Budget Office analysis of the measure.
U.S. Senator Dianne Feinstein, who urged a series of policy changes to interrogation methods, talks to reporters as she walks to the Senate floor on Capitol Hill in Washington, D.C., on December 9, 2014.