One provision under consideration in the Senate, according to news reports, would reduce federal spending on Medicaid more than the Dickensian House version does. That would put even more pressure on states to reduce care for the nearly 75 million people who benefit from that program.
Another change would make it much easier for states to let insurance companies sell policies that do not cover treatments like chemotherapy or drugs like insulin, leaving people with pre-existing health problems and those who become sick worse off.
Whatever their differences, the Senate and House versions have this in common: a callous disregard for the health care of millions of people plus a kind of frantic wish to pass something, no matter how destructive and poorly thought out, that lets President Trump and other Republicans claim that they have repealed Obamacare.
