As promised, on Thursday the Senator from Coal and Tobacco released his chamber’s close-to-the-vest health care bill, and you know what? It isn’t actually a health care bill. It’s a government spending and taxation bill that incidentally screws up access to health care. Differing from the House’s American Health Care Act bill only in detail, it so severely limits Medicare spending as to totally undo almost all of the limited good that Obamacare instigated. Even the establishment-happy Senator McCaskill was moved to observe that it would remove life support from elderly and disabled Missourians and force the sick into emergency rooms in a state already losing rural hospitals. To her credit, she told off Chairman Orrin Hatch from her perch on the Finance Committee the other day, but of course nobody who matters cared.