Trump tees up a health care fight with an uncertain outcome

President Donald Trump is telling associates he does not expect a Republican-backed lawsuit to strike down all of Obamacare in the courts will prevail - even as he champions an effort to make the GOP the 'party of health care'. Four in ten voters in 2018 said health care was the most important issue facing the country, according to a CNN exit poll, as they swept a wave of Democratic lawmakers into office to give Democrats the majority in the House of Representatives.

"The Association Health Plan rule opened healthcare options for dozens of associations representing thousands of small businesses and sole proprietors and provided them with access to the same type of care options offered by other employers", the spokesman continued. The failed attempt to repeal "Obamacare" in 2017 proved to be toxic for congressional Republicans in last year's midterm elections and they are in no mood to repeat it. "But we're doing something that is going to be much less expensive than Obamacare for the people. and we're going to have (protections for) pre-existing conditions and will have a much lower deductible".

The publication reports that it is the president himself who is behind the effort, following inside coverage last week that the decision was a product of a bitter internal fight that split acting chief of staff Mick Mulvaney from two cabinet secretaries.

Trump made the surprise decision to talk up health legislation last week immediately after the release of a summary of Robert Mueller's Russian Federation probe, and is encouraging his party to make it a signature issue going into the 2020 elections.

After years of running away from his implementation, as MA governor, of a health care overhaul that helped inspire Obamacare, freshman Sen. He says Republicans are working on a replacement plan, but Congressman Peter Welch says that simply isn't true. "Who knew health care could be so complicated?".

New York, 10 other states and the District of Columbia filed a lawsuit challenging the Association Health Plan rule.

U.S. District Court Judge John D. Bates last week struck down the administration's health plans for small business and sole proprietors, which allowed less generous benefits than required by the ACA. Under the administration's rule, they would in effect be counted as having 51 employees.

Association health plans also have faced opposition at the state level. The administration, unable to repeal ObamaCare or enact conservative changes through Congress, has used its regulatory authority to try to push through changes to the Medicaid program and private insurance.

  • Jon Douglas