The president hands the Democrats a gift
THIS WEEK, as President Donald Trump celebrated the end of the Mueller investigation, he plunged into a fresh battle from which he is unlikely to emerge triumphant. On March 25th, his administration said that the Affordable Care Act, better known as Obamacare, should be permanently repealed.
This time the effort to root out Obamacare stems from a lawsuit rather than from legislation. In December, a staunchly conservative federal judge in Texas ruled that the law was unconstitutional. When Republicans passed their tax bill in 2017, they nixed the “individual mandate”—the surtax Americans have to pay if they do not have health insurance.
The political repercussions for Republicans of another assault on the ACA could also be calamitous. Some of them seem to recognise this. Mike Pence, the vice-president, reportedly opposes the move unless a suitable replacement plan can be in put place . Top congressional Republicans—who are no fans of Obamacare, but are highly sensitive to the party’s upcoming election odds—appear to have been ambushed by the move and tried unsuccessfully to discourage it.
On health policy, the Trump administration’s record is most notable for its failure to change Obamacare. The most consequential change it has achieved—allowing states to place work requirements on Medicaid recipients—could also prove short-lived and politically short-sighted. On March 27th, a federal judge ruled that the policy had to be thrown out in Arkansas and Kentucky.
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