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Supreme Court’s ACA ruling saves Republicans from themselves

The Supreme Court saved the health care system from imploding Thursday by dismissing a Republican challenge to the Affordable Care Act. But it also saved the GOP itself from another round of intraparty chaos.

Why it matters: Most GOP lawmakers privately admit (and some will even say publicly) they don't want to deal with health care again. The issue generally isn't a good one for them with voters — as they learned the hard way after they failed to repeal the ACA in 2017.


  • Now they're happy instead to make Democrats own problems with the health care system and brand their ideas to improve it as "radical."

The big picture: Years on from their 2017 failure, Republicans haven't gotten any closer to rallying around any alternative health care proposal.

  • Along the way, they've also lost both chambers of Congress — and the White House.

Between the lines: If the Supreme Court had made the opposite ruling, and the ACA had been killed or mortally wounded in court, it would've created chaos not only for the public but within the party.

  • Heading toward the 2022 midterms, Republicans would be on the hook for any fallout, while having little sway over what Congress did to fix it.
  • "The prospect of having to do a 60-vote bill, with Democrats in the majority and Joe Biden in the White House, to save millions of people from being uninsured right before the midterms, would shred any chance of taking back the majority in either chamber," a senior Republican Senate aide told Axios.

What they're saying: Asked whether the SCOTUS ruling signals the end of his party's effort to repeal and replace the ACA, Sen. Mike Braun (R-Ind.) said: "It ought to be."

  • He added: "Forget about repealing it. That water’s under the bridge anyway, and all you get with that is, the other side will say you’re against covering pre-existing conditions."
  • "The reality is no, we don't have the power to repeal Obamacare in this current construct," Sen. Lindsey Graham (R-S.C.) also told Axios.
  • "We can still talk about how it doesn't work, we can make political arguments it’s failing the public and it needs to change, and we can come up with alternatives, politically. But I don’t see the court doing much more."

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Coronavirus vaccine line depends largely on the honor system

After the first round of coronavirus vaccines is administered, state and local officials largely will not be able to ensure that the rest of the process puts high-risk people first.

Between the lines: Experts have spent months debating the ins and outs of a complex prioritization system for these vaccines, all in the hopes of saving as many lives as possible. But the actual process will likely rely heavily on the honor system.

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Scoop: Ohio Senate candidate Josh Mandel escorted out of RNC retreat

During this weekend’s highly anticipated donor retreat hosted by the Republican National Committee in Palm Beach, Ohio Senate candidate Josh Mandel was escorted off the premises while his primary opponent, Jane Timken, was allowed to stay, two sources with direct knowledge of the situation tell Axios.

What we’re hearing: The invitation-only event is taking place at the Four Seasons Resort, and the RNC reserved the entire hotel. While Timken, former Ohio GOP chair, was invited to the event “because she is a major donor” — Mandel was not, so he was asked to leave, according to one of the sources

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House panel approves bill to grant D.C. statehood

The House Oversight Committee on Wednesday advanced legislation that would make Washington, D.C. the 51st state, setting the stage for a vote by the full chamber for the second year in a row.

Why it matters: Statehood for the District is a priority for Democrats that will likely clear the House largely along party lines like it did last year, but it faces a much tougher path in the divided Senate, where it would need 60 votes.

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