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Trump wants to neutralize Democrats on health care. Republicans say that we have to go.



When they were in the majority, House Republicans voted dozens of times in favor of repealing the Affordable Care Act, also known as Obamacare, only for their legislation disappear in the Senate. On one occasion, Mr. Trump summoned the House Republicans to the White House for a grand ceremony, before seeing that momentum fade quickly.

Mr. Trump often laments this failure by accusing Republican Senator John McCain of Arizona for voting against a repeal bill in the summer of 2017. Even though Mr. McCain had voted for the bill, the complete repeal of the Affordable Care Act not been assured.

This version would have eliminated the mandates of individuals and employers, but would have left intact the regulations relating to the extension of Medicaid and health insurance legislation. And it would have been necessary for the House to have gone to the House or forced the legislators of both Houses to negotiate their differences.

When Mr. Trump recently insisted that we vote again in favor of repealing the law, Senator Mitch McConnell, a Kentucky Republican and leader of the majority party, quickly deterred him to say that the complete bill on health care would go nowhere in Congress. The President then insisted that he had never intended to vote on a bill before the 2020 elections.

Although Mr. Trump was slow to develop a plan, he continued to criticize the existing health care law, Many times stating that it had become unaffordable due to average franchises greater than $ 7,000 or $ 8,000. It was an exaggeration.

Franchises vary greatly depending on the type of plan and the registrant. Although the deductible of some plans can reach $ 7,000, it averages $ 4,375 for cash-based plans, the most common choice for consumers. And those who benefit from cost-shared discounts still have lower deductibles. The role of his own administration in increasing the deductibles was also not mentioned, as the federal government sets ceilings for out-of-pocket expenses and increased the limit this year.

Midway through its third year, many remain skeptical that Mr. Trump will produce the plan he promises to unveil in a month or two.

"He can not deliver the impossible," said Len M. Nichols, director of the Center for Health Policy Research and Ethics at George Mason University, "so he avoids details and postpone taking into account a serious legislative proposal. "


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