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Last month I passed along the news that, in a break with recent tradition, Congress might actually do something useful and pass a permanent fix to Medicare’s Sustainable Growth Rate, a well-meaning policy that turned out not to be sustainable at all when its formula started calling for actual cuts in payments to doctors. Every year Congress addresses this by passing a one-year “doc fix,” but recently a bipartisan effort finally came together to pass a permanent modification. Hooray!

But now it turns out that congressional Republicans enjoy the tradition of dysfunctional government too much to give it up. Sahil Kapur reports that hostage-taking is back:

House Republicans expect to vote this Friday on legislation that would risk steep, destabilizing Medicare cuts at the end of the month unless Democrats agree to a five-year delay of Obamacare’s individual mandate.

It mirrors some of the brinkmanship in the government shutdown fight last fall in that the GOP is using a must-pass bill as a vehicle to chop the Affordable Care Act. Democratic leaders have repeatedly rejected proposals to tinker with the mandate to buy insurance and have warned Republicans not to tie a physician payment fix to their partisan quest to unravel Obamacare.

Insurance companies oppose this. Doctors oppose this. The CBO says it would be a disaster. It obviously has no chance of passing. But it looks like Republicans are going right up to the brink once again. I guess that once you’ve tasted the thrill of threatening to shoot a hostage, nothing else quite compares.

Besides, there’s a midterm election coming up. Have I mentioned that before?

HERE ARE THE FACTS:

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ONE MORE QUICK THING:

Our fall fundraising drive is off to a rough start, and we very much need to raise $250,000 in the next couple of weeks. If you value the journalism you get from Mother Jones, please help us do it with a donation today.

As we wrote over the summer, traffic has been down at Mother Jones and a lot of sites with many people thinking news is less important now that Donald Trump is no longer president. But if you're reading this, you're not one of those people, and we're hoping we can rally support from folks like you who really get why our reporting matters right now. And that's how it's always worked: For 45 years now, a relatively small group of readers (compared to everyone we reach) who pitch in from time to time has allowed Mother Jones to do the type of journalism the moment demands and keep it free for everyone else.

Please pitch in with a donation during our fall fundraising drive if you can. We can't afford to come up short, and there's still a long way to go by November 5.

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