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                                                                                                  up front Tuesday 31 december 2019
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            3 years in, no sign of Trump's replacement for Obamacare




            Continued from Front         provision  for  millions  who   Biden,  Pete  Buttigieg  and
                                         depend  on  it,  Trump  and   Amy Klobuchar, advocate
            "The president's policies are  senior  administration  of-  for what they contend is a
            improving  the  American  ficials  have  periodically     more attainable expansion
            health care system for eve-  teased that a plan was just   of Medicare.
            ryone, not just those in the  around the corner.          Brad Woodhouse, a former
            individual  market,"  Deere  In August, the administrator   Democratic      National
            said.                        of the Centers for Medicare   Committee  official  and
            But  as  Trump  gears  up  for  and  Medicaid  Services,   executive  director  of  the
            his  reelection  campaign,  Seema Verma, said officials   Obamacare       advocacy
            the  lack  of  a  health  care  were "actively engaged in   group  Protect  Our  Care,
            plan is an issue that Demo-  conversations  and  work-    said it is important for Dem-
            crats believe they can use  ing on things," while Trump   ocrats  to  "put  down  the
            against  him.  Particularly  adviser   Kellyanne   Con-   knives they've been wield-
            since  he's  still  seeking  to  way  suggested  that  same   ing against one another on
            overturn  "Obamacare"  in  month  an  announcement        health care."                This  screen  grab  from  the  website  HealthCare.gov  shows  the
            court.                       was on the horizon.          "Instead turn their attention   extended deadline for signing up for health care coverage for
            This  month,  a  federal  ap-  In  June,  Trump  told  ABC   to  this  president  and  Re-  2020.
            peals  court  struck  down  News  that  he'd  roll  out   publicans who are trying to                                           Associated Press
            the  ACA's  individual  man-  his  "phenomenal  health    take  it  away,"  Woodhouse  month,  former  New  York  line."
            date, the requirement that  care  plan"  in  a  couple  of   counseled.                Mayor  Michael  Bloomberg  Polling  suggests  Trump's
            Americans  carry  health  in-  months,  and  that  it  would   Some  Democratic  hope-  called out Trump on health  failure  to  follow  through
            surance,  but  sidestepped  be a central part of his ree-  fuls appear to be doing just  care,  saying  the  president  on his promise to deliver a
            a ruling on the law's overall  lection pitch.             that.                        is  "determined  to  throw  revamped health care sys-
            constitutionality.  The  attor-  The  country  is  still  waiting.   During a campaign stop in  Americans  off  the  boat,  tem could be a drag on his
            neys general of Texas and  Meantime  Trump  officials     Memphis,  Tennessee.  this  without  giving  them  a  life-  reelection effort.q
            18  other  Republican-led  say  the  administration  has
            states  filed  the  underlying  made strides by champion-
            lawsuit, which was defend-   ing transparency on hospi-
            ed by Democrats and the  tal prices, pursuing a range
            U.S.  House.  Texas  argued  of actions to curb prescrip-
            that  due  to  the  unlawful-  tion  drug  costs,  and  ex-
            ness of the individual man-  panding  lower-cost  health
            date,  "Obamacare"  must  insurance  alternatives  for
            be entirely scrapped.        small  businesses  and  indi-
            Trump welcomed the ruling  viduals.
            as a major victory. Texas v.  One  of  Trump's  small  busi-
            United States appears des-   ness options — association
            tined to be taken up by the  health plans — is tied up in
            Supreme Court, potentially  court. And taken together,
            teeing  up  a  constitutional  the  administration's  health
            showdown before the 2020  insurance options are mod-
            presidential election.       est  when  compared  with
            In a letter Monday to Dem-   Trump's original goal of roll-
            ocratic  lawmakers,  House  ing back the ACA.
            Speaker  Nancy  Pelosi  sin-  Since Trump has not come
            gled  out  the  court  case.  through on his promise of a
            "The  Trump  administration  big  plan,  internecine  skir-
            continues  to  firmly  support  mishes among 2020 Demo-
            the recent ruling in the 5th  cratic  presidential  hope-
            Circuit,  which  they  hope  fuls have largely driven the
            will  move  them  one  step  health  care  debate  in  re-
            closer to obliterating every  cent months.
            protection  and  benefit  of  Bernie  Sanders  and  Eliza-
            the  Affordable  Care  Act,"  beth  Warren  are  leading
            Pelosi wrote, urging Demo-   the  push  among  liber-
            crats  to  keep  health  care  als  for  a  "Medicare  for  All"
            front and center in 2020.    plan that would effectively
            Accused  of  trying  to  dis-  end  private  health  insur-
            mantle  his  predecessor's  ance  while  more  moder-
            health  care  law  with  no  ate  candidates,  like  Joe
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