Healthcare industry and patient advocacy groups are reportedly lining up against President Donald Trump's Obamacare repeal-and-replace legislation.
The opposition could make it hard to push through legislation in both the House and Senate, according to Politico.
"A bill that's completely opposed by the whole healthcare establishment is very, very difficult to pass," John Rother, who was the AARP's top lobbyist for more than two decades, told Politico.
According to Politico, hospitals and doctors worry big cuts to Medicaid and to insurance subsidies will be disastrous to their finances; patient advocates object to insurance companies being allowed to charge more to sick people.
"We have to have [the subsidies]," Brad Wilson, CEO of Blue Cross and Blue Shield of North Carolina, told Politico. "Clarity around what that means is absolutely critical."
Trump has not made a serious effort to court any of the opposition groups, Politico reported.
"Every single healthcare group was deeply invested in the [Affordable Care Act]," Rother told Politico. "It couldn't be more opposite today."
The industry groups have not been impressed with changes to the House legislation meant to entice moderates to support the measure, Politico reported.
"It's worse; we hate it," Illinois Health and Hospital Association spokesman Danny Chun said about the changes. "We're still opposing it, and we're again contacting our delegation, especially the Republicans: Do not support it when it hits the floor."
Betsy Ryan, CEO of the New Jersey Hospital Association, told Politico "stakeholders weren't brought in to kind of troubleshoot some of the problem areas of the bill."
"Hence, the almost uniform opposition," she told the outlet.
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