FiveThirtyEight
Nate Silver

The Four Major Health Care Scenarios

At the risk of being slightly repetitive, we’re basically looking at four major possibilities at this point.
  • Possibility 1: “Skinny repeal” doesn’t pass the Senate. Health care reform is dead, at least for the time being.
  • Possibility 2: “Skinny repeal” passes the Senate, and the House also passes “skinny repeal.” “Skinny repeal” becomes law.
  • Possibility 3: “Skinny repeal” passes the Senate, but the bill that emerges out of conference is an AHCA-type bill instead. Both chambers vote to approve the AHCA-type bill, which becomes law.
  • Possibility 4: “Skinny repeal” passes the Senate, but the conference bill fails, either because the House and Senate can’t agree on a compromise or because an AHCA-type bill can’t pass the Senate.
Scenarios No. 2 and 4 are looking more likely than No. 1 and 3 at this very moment, but all four are live possibilities. And who knows if there are other potential solutions, such as if “skinny repeal” becomes a little fatter and transforms into “Dad Bod/Mom Bod repeal” as amendments are added during the vote-a-rama.

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