Speaker Paul Ryan is struggling to corral his caucus, but gamers are hilariously trolling the GOP. (More)
“I’m not sure where all this goes tomorrow”
Key to the deal, they report, are changes to the law that would eliminate the Affordable Care Act’s “essential health benefits,” a list of 10 categories of procedure that all insurance plans offered to individuals or small businesses must cover. The 10 are, in the words of Healthcare.gov:
• Outpatient care without a hospital admission, known as ambulatory patient services
• Emergency services
• Pregnancy, maternity, and newborn care
• Mental health and substance use disorder services, including counseling and psychotherapy
• Prescription drugs
• Rehabilitative and habilitative services and devices, which help people with injuries and disabilities to recover
• Laboratory services
• Preventive care, wellness services, and chronic disease management
• Pediatric services, including oral and vision care for children
These provisions set a baseline, mandating that all offered plans meet a certain threshold. They can’t skimp out and not cover big things like emergency room visits or pregnancy or mental health. Particularly for previously undercovered areas like mental health and addiction services, which plans didn’t have to cover before the ACA, this provision was a huge deal.
Yes, premiums can be lower if the insurance doesn’t have to cover most medical expenses. On the other hand, then all your premiums buy is an insurance card. That may make hardliners in the Freedom Caucus happy, but it’s turning away moderates:
Ryan summoned more than a dozen members of the moderate Tuesday Group to his office late Wednesday in an apparent bid to curb further defections. One participant, who spoke on the condition of anonymity to describe the private meeting, said Ryan and other House leaders described the potential deal with the Freedom Caucus, which would strip essential health benefits but leave other ACA mandates, such as those dealing with preexisting conditions and coverage of adult dependents, in place.
“People got to say their piece and react to the proposal. It’s safe to say people had concerns about stripping out essential health benefits, especially at this late hour,” the Tuesday Group member said. “I think they’re short [of votes], and I think they’re considerably short. … I’m not sure where all this goes tomorrow.”
And even if Speaker Ryan can cobble together enough votes to pass that bill, it may fail in the Senate:
Democrats, meanwhile, said amending the bill in the Senate would affect procedure, and increase the amount of votes Republicans would need in that chamber. Currently, Republicans intend to pass the plan through budget reconciliation, a process with little room for changes that only requires a simple majority to pass.
Repealing regulations such as the ten essential services is not usually considered “budgetary,” so it could violate the Byrd Rule that allows budget reconciliation on a simple majority vote. But Freedom Caucus member Rep. David Brat says Senate Republicans should overrule the parliamentarian and pass the bill on a simple majority anyway. Coz rules are for losers …
“Can we roll to not see it?”
And that brings us to the hilarious Twitter hashtag #GOPDnD, where roleplaying gamers lampooned Republicans:
DM:"The dragon rests on a hoard of gold."
PC:"We gather the town's wealth and add it in. The dragon will surely create jobs now."#GOPdnd
— Snowb0und ❄️✊️ (@existentialnick) March 17, 2017
DM: The fighter takes a big hit from the Ogre's club. Cleric?
Cleric: If I heal him, he'll have no incentive to avoid Ogre attacks. #GOPdnd
— Bryan Arminio (@BryanArminio) March 20, 2017
DM: Orcs attack your party. You suffer great damage.
GOP: I cast a healing spell.
GOP: One that does not include contraception. #GOPDnD
— Andrew Craft (@acraft) March 23, 2017
GOP: You were hit for 45 points of damage
Player: I use my potion of healing
GOP: It doesn't work, this is a preexisting condition #GOPdnd
— Kevin Boyd (@Kevin_Boyd_) March 21, 2017
PC: “A temple! We can get healed!”
DM: “12,000 gold each.”
PC: “We don’t have that much gold.”
DM: “You have *access* to healing.”#GOPDnD
— Braz (@braz) March 21, 2017
DM: your party begins the quest naked.
PC: wait, what?
DM: entry-level gear's been free for a while and I'm just not seeing results.#GOPdnd
— Derek Chivers (@derek_chivers) March 20, 2017
DM: Orcs are approaching your party
GOP: I attack my allies
DM: But —
GOP: Have to show the orcs I'm not weak #GOPdnd
— Jessi Johnson (@LinkedJourneys) March 19, 2017
DM: you rolled a critical failure.
GOP: fake dice. #GOPDnD
— Cede Schlapper (@SheisCede) March 17, 2017
DM: The villagers made you their leader, believing that you'll fight the oppressive overlords.
GOP: I give the overlords tax breaks. #gopdnd
— Alie Caldwell (@alie_astrocyte) March 17, 2017
DM: The elves say their village was attacked by orcs and they need sanctuary.
GOP: I lock the gate to the city and cast fireball.#GOPDnD
— James D'Amato (@OneShotRPG) March 17, 2017
DM: The air boils around you. The sea level rises ten f–
PC: But where's the proof?
DM: You SEE it.
PC: Can we roll not to see it?#GOPdnd
— Alan & Tyler (@tldmPodcast) March 21, 2017
Which is pretty much how Republicans want to treat the Byrd Rule….
Photo Credit: Associated Press
Good day and good nuts