Mar 25, 2017

Inside the Trumpcare meltdown

Evan Vucci / AP

When the balky hardliners of the House Freedom Caucus visited the White House earlier this week, this was Steve Bannon's opening line, according to people in the conference room in the Eisenhower Executive Office Building:

Guys, look. This is not a discussion. This is not a debate. You have no choice but to vote for this bill.
  • Bannon's point was: This is the Republican platform. You're the conservative wing of the Republican Party. But people in the room were put off by the dictatorial mindset.
  • One of the members replied: "You know, the last time someone ordered me to something, I was 18 years old. And it was my daddy. And I didn't listen to him, either."
  • Started on the wrong foot: Repeal-and-replace was always snakebit. Ryan had begun the process before Trump's inauguration. "He boxed us in," said one person close to the fight. "We didn't have any choice."
  • Was always wobbly: Trump relied too long on assurances from Chief of Staff Reince Priebus and HHS Secretary Tom Price that they had the process in hand. And "Ryan was telling him it was fine, and they'd bring it together at the end." Instead, the bottom fell out.
  • What's next: White House officials plan to plunge ahead with ambitious tax reform, but they know it'll be harder now. As one of the lessons learned, look for the White House to drive the truck on tax reform – to set the policy and work the members from the beginning, undercutting Ryan. So the border adjustment tax, a favorite of Ryan but viewed skeptically at best by the White House, is less likely to be part of Trump's tax reform bid.
  • What happens today: Aides say Trump was calm yesterday. But as the vicious post-mortems piled up, friends — knowing he would hate-read them — feared for today's Twitter feed.

Perspective: It's hard to overstate the magnitude of the Day 64 defeat. President Trump, who made repeal-and-replace a central theme of his campaign, and House Republicans, who made it the central theme of every campaign since 2010, lost in a publicly humiliating way despite controlling every branch of government and enjoying margins in the House rarely seen in the past century.

This virtually guarantees no substantive legislative achievements in the first 100 days. And it creates rifts and suspicions and second-guessing that make governing much harder.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 3 a.m. ET: 665,164 — Total deaths: 30,852 — Total recoveries: 140,225.
  2. U.S.: Leads the world in cases. Total confirmed cases as of 3 a.m. ET: 124,665 — Total deaths: 2,191 — Total recoveries: 1,095.
  3. Federal government latest: President Trump announces new travel advisories for New York, New Jersey and Connecticut, but rules out quarantine enforcement. Per the CDC, residents of those states must now "refrain from non-essential domestic travel for 14 days," with the exception of critical infrastructure industry workers.
  4. State updates: Alaska is latest state to issue a stay-at-home order — New York is trying to nearly triple its hospital capacity in less than a month and has moved its presidential primary to June 23. Some Midwestern swing voters who backed Trump's handling of the virus less than two weeks ago are balking at his call for the U.S. to be "opened up" by Easter.
  5. World updates: In Spain, over 1,400 people were confirmed dead between Thursday to Saturday.
  6. 🚀 Space updates: OneWeb filed for bankruptcy amid the novel coronavirus pandemic.
  7. Hollywood: Tom Hanks and Rita Wilson have returned to U.S. after being treated for coronavirus.
  8. What should I do? Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk
  9. Other resources: CDC on how to avoid the virus, what to do if you get it.

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Coronavirus updates: Global death toll tops 30,000

Data: The Center for Systems Science and Engineering at Johns Hopkins, the CDC, and China's Health Ministry. Note: China numbers are for the mainland only and U.S. numbers include repatriated citizens and confirmed plus presumptive cases from the CDC

The novel coronavirus has now killed more than 30,000 people around the world — with Italy reporting over 10,000 deaths, per Johns Hopkins data.

The big picture: The number of deaths from COVID-19 in the U.S. surpassed 2,000 on Saturday. The United States leads the world in confirmed coronavirus infections — more than 124,000 by early Sunday. The number of those recovered from the virus in the U.S. passed the 1,000-mark on Saturday evening.

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Gilead expands access to experimental coronavirus drug in emergency cases

Photo: Olivier Douliery/AFP via Getty Images

Gilead Sciences CEO Daniel O’Day said in an open letter Saturday the company is expanding access to its experimental anti-coronavirus drug remdesivir to include severely ill COVID-19 patients.

The big pig picture: President Trump has called the antiviral drug "promising," but the results of six clinical trials on this investigational medicine are still being conducted, so its effectiveness the treatment of the novel coronavirus has yet to be proved. The World Health Organization is involved in the tests.

Go deeperArrow3 hours ago - Health