Not Giving Up, Trump Insists He Has Votes to Repeal Obamacare

Mr. Cochran quickly corrected the president.

“Thanks for the well-wishes. I’m not hospitalized, but am recuperating at home in Mississippi and look forward to returning to work soon,” Mr. Cochran said on Twitter. The senator’s office said he had recently been treated for “a urological issue.”

Even if Mr. Cochran had been in Washington this week, Senate Republicans would not have had the votes to pass the Graham-Cassidy bill. Three of the 52 Republican senators — Susan Collins of Maine, John McCain of Arizona and Rand Paul of Kentucky — had announced that they opposed the measure, which had no support from Democrats.

Ms. Murkowski said she had been unable to obtain “true, accurate data” about the bill’s effect on her state, which has exceptionally high health costs.

Yet Mr. Trump said that statements issued by Ms. Murkowski and others showed that Republicans had nearly enough votes. “We were only one off, maybe two,” he said.

Mr. Trump said that he was confident that the Senate would approve the guts of the Graham-Cassidy bill, which would give each state a lump sum of federal funds, in place of the money states receive under the Affordable Care Act for insurance subsidies and the expansion of Medicaid.

“We will do the block grants,” Mr. Trump said Wednesday.

As journalists asked Mr. Trump about other issues like taxes, the N.F.L. and new restrictions on foreign visitors, he kept returning to health care.

“I feel we have the votes,” he said. “I’m almost certain we have the votes. But with one man in the hospital, we cannot display that we have them. Plus, some people want to go through a process just to make themselves feel better. That’s O.K.’’

It was also not clear what bipartisan health care bill Mr. Trump had in mind.

He recently struck a deal with the Democratic leaders, Senator Chuck Schumer of New York and Representative Nancy Pelosi of California, on government spending and disaster relief funds, and he came close to an agreement with them on protections for young undocumented immigrants.

Senators Lamar Alexander, Republican of Tennessee, and Patty Murray, Democrat of Washington, have been working on a bill to provide money for “cost sharing” subsidies for insurance companies. But some administration officials and some House Republicans have expressed deep reservations about that effort, which they say could prop up the Affordable Care Act.

Republicans have long wanted to make it easier for people to buy heath insurance across state lines, in the belief that such purchases could hold down prices and increase competition. Mr. Paul said he had been working with the administration on a rules change that would allow people to band together and buy insurance thorough “association health plans” formed by trade associations and civic groups.


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