Michael Dowling / Northwell Health

Michael Dowling, CEO of Northwell Health, a $10 billion not-for-profit hospital system in New York, is not a fan of the Republican health care bill or how it was passed in the House. President Trump and House Republicans ran a victory lap Thursday after the party-line vote, but Dowling said the bill was "far from a success" as it heads to the Senate.

"I would hope the Senate would be more intelligent in how they go about doing it," Dowling told me. "I don't see in any way how this (bill) improves access to care. I think it will do the very opposite."

His concerns stemmed from a Congressional Budget Office report that said 24 million people would lose their health coverage under the bill. Dowling was most dismayed about the proposed cuts to Medicaid. Roughly 21% of Northwell's patient revenue comes from treating low-income people on Medicaid. And for struggling hospitals in low-income communities, "it's just going to get worse — not better," he said.

Between the lines: Most Republicans have ignored concerns raised by people who work at hospitals — namely that the bill will slash Medicaid and undermine health insurance benefits, which will lead to more uninsured people. Hospitals still have to treat those patients, but they won't get paid for it.

Dowling's criticism epitomizes the hospital industry's opposition to the bill. It's possible their concerns will resonate more with senators, especially those like Rob Portman of Ohio who represent states where hospitals benefited from Medicaid expansion.

Go deeper

Supreme Court rejects GOP push to cut absentee ballot deadline in N.C.

Photo: Robert Alexander/Getty Images

The Supreme Court on Wednesday rejected an attempt by conservatives to shorten North Carolina's deadline for mail-in ballots from nine to three days.

The big picture: This is the latest of a series of decisions over mail-in ballot deadlines in various states.

Hurricane Zeta makes landfall on Louisiana coast as Category 2 storm

A satellite image of Hurricane Zeta. Photo: National Hurricane Center/NOAA

Hurricane Zeta made landfall along the southeastern coast of Louisiana as a Category 2 storm on Wednesday, bringing with it "life-threatening storm surge and strong winds," per the National Hurricane Center.

What's happening: The hurricane was producing maximum sustained winds of nearly 110 mph and stronger gusts.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Politics: Biden ahead in Wisconsin, Michigan as cases surge in the Midwest.
  2. Health: Surge "is real" and not just caused by more tests, Trump's testing czar saysMask mandates help control rise in hospitalizations Some coronavirus survivors have "autoantibodies."
  3. Business: Surge is sinking consumer confidence Testing is a windfall.
  4. World: Europe faces "stronger and deadlier" coronavirus wave France imposes lockdown as Macron warns of overwhelming second COVID wave Germany to close bars and restaurants for a month.
  5. Sports: Boston Marathon delayed as COVID-19 surges MLB to investigate Dodgers player who joined celebration after positive COVID test.