House Speaker Paul Ryan said he isn’t anxious about the possibility of Republicans losing congressional seats in the 2018 midterm elections in a voter backlash to the bill to replace the Affordable Care Act.

Fighting the expansion of the welfare state is a fundamental premise of the American conservative movement.

Illinois Gov. Bruce Rauner, said the GOP plan fails to address how the new bill affects health care coverage for those depending on Medicaid.

“They’re trying to gut Medicaid”, he said Friday.

But Trump and House Republicans also want to eliminate the federal deduction for state and local taxes, which would make it harder for New Jersey to raise its levies to ease the pain on its lowest-income residents.

Even as lawmakers representing our region helped push the repeal and replacement of Obamacare through the House by a 217-213 vote, questions about the bill’s details and jeering resistance abounded.

Health care is much more important to all Americans than politics.

“There’s a reason this has never been done before in the modern era”, said Tim Phillips, president of Americans for Prosperity. “What can they realistically bring to the table when the conversation turns to, let’s just say, childbirth, maternity leave, ovarian cancer or breast cancer?”

A recent Ohio State University study found that nearly everyone covered through Ohio’s Medicaid expansion would have no other viable insurance option if the Affordable Care Act is repealed.

Chief among them: a guarantee of paying the same amount for coverage regardless of health history.

House Speaker Paul Ryan, R-Wis., said he was not concerned about political fallout because of the vote.

But Price insisted Sunday, “There are no cuts to the Medicaid program”, adding that resources were being apportioned “in a way that allows states greater flexibility”.

To the dismay of many conservatives, the promise to repeal had morphed into a pledge to replace.

Joining Gillibrand at a news conference Sunday was Erin Schick, who was working on her master’s degree at Columbia University when she came down with something. And both in the insurance market where a lot of people have coverage but nobody has a place to go because their deductible’s so high, or in Medicaid where people are covered but doctors increasingly don’t want to take Medicaid patients.

Even as the Republican health care overhaul remains a work in progress, states are planning for big changes that could swell the ranks of the uninsured and hit them with higher costs.

Kasich said 700,000 people in OH use Medicaid, and many them have a mental illness, drug addictions or chronic diseases. Senate Republicans, generally more centrist in their politics, do not feel compelled to herald the House bill.

It also returns to insurers the right to charge people with pre-existing conditions more than healthy people, as long as states create high-risk insurance pools.

No one expects a new bill to be written quickly, but Senate Majority Leader Mitch McConnell, R-Ky., has started a process for producing one.

Also lost in the debate today is much of the disagreement over the proper scope of government authority.

Some Republicans maintain that the GOP had no choice.

Minnesota Gov. Mark Dayton, a Democrat, is resolute on that issue: “I would not entertain that notion”, he said.

“What they were making was a consequential argument”. You can’t give people a $4,000 health policy. Here’s what you need to know.