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                                                                                                 U.S. NEWS Monday 1 april 2019

            Trump’s battle with ‘Obamacare’ moves to the courts



            By    RICARDO     ALONSO-                                                                                           court  rulings  for  now,  and
            ZALDIVAR Associated Press                                                                                           there’s no telling how they
            WASHINGTON  (AP)  —  Af-                                                                                            may  ultimately  be  decid-
            ter  losing  in  Congress,                                                                                          ed.  Here’s  a  status  check
            President  Donald  Trump                                                                                            on major lawsuits:
            is  counting  on  the  courts                                                                                       — “Obamacare” Repeal
            to  kill  off  “Obamacare.”                                                                                         U.S.  District  Court  Judge
            But  some  cases  are  go-                                                                                          Reed  O’Connor  in  Fort
            ing  against  him,  and  time                                                                                       Worth,  Texas,  ruled  that
            is not on his side as he tries                                                                                      when  Congress  repealed
            to score a big win for his re-                                                                                      the  ACA’s  fines  for  being
            election campaign.                                                                                                  uninsured,  it  knocked  the
            Two  federal  judges  in                                                                                            constitutional   foundation
            Washington, D.C., this past                                                                                         out  from  under  the  entire
            week  blocked  parts  of                                                                                            law.  His  ruling  is  being  ap-
            Trump’s health care agen-                                                                                           pealed  by  attorneys  gen-
            da:  work  requirements  for                                                                                        eral  from  Democratic-led
            some  low-income  people                                                                                            states to the 5th U.S. Circuit
            on  Medicaid,  and  new                                                                                             Court  of  Appeals  in  New
            small business health plans                                                                                         Orleans.
            that don’t have to provide                                                                                          The challenge to the ACA
            full benefits required by the                                                                                       was  filed  by  officials  from
            Affordable Care Act.                                                                                                Texas  and  other  GOP-led
            But  in  the  biggest  case,                                                                                        states. It’s now fully support-
            a  federal  judge  in  Texas   In this March 26, 2019 file photo, Speaker of the House Nancy Pelosi, D-Calif., joined at left by   ed  by  the  Trump  adminis-
            ruled  last  December  that   Energy and Commerce Committee Chair Frank Pallone, D-N.J., speaks at an event to announce   tration,  which  earlier  had
            the ACA is unconstitutional   legislation to lower health care costs and protect people with pre-existing medical conditions, at   argued that only the law’s
            and should be struck down    the Capitol in Washington.                                                             protections for people with
            in  its  entirety.  That  ruling  is                                                              Associated Press.  pre-existing conditions and
            now on appeal. At the urg-   Obama’s  health  law  is     tections  for)  pre-existing  ministration has a compre-  its  limits  on  how  much  in-
            ing of the White House, the  struck  down  entirely,  Con-  conditions and will have a  hensive  health  care  plan,  surers  could  charge  older,
            Justice  Department  said  gress would face an impos-     much lower deductible. So,  and there doesn’t seem to  sicker customers were con-
            this  past  week  it  will  sup-  sible  task:  pass  a  compre-  and I’ve been saying that,  be a consensus among Re-  stitutionally tainted. All sides
            port  the  Texas  judge’s  po-  hensive health overhaul to   the Republicans are going  publicans in Congress.      expect  the  case  to  go  to
            sition and argue that all of  replace it that both Speak-  to end up being the party  A  common  thread  in  the  the  Supreme  Court,  which
            “Obamacare” must go.         er Nancy Pelosi and Trump    of health care.”             various  health  care  cases  has  twice  before  upheld
            A problem for Trump is that  can  agree  to.  The  failed   There’s no sign that his ad-  is  that  they  involve  lower-  the ACA.q
            the  litigation  could  take  attempt to repeal “Obam-
            months  to  resolve  —  or  acare”  in  2017  proved  to
            longer  —  and  there’s  no  be  toxic  for  congressional
            guarantee  he’ll  get  the  Republicans  in  last  year’s
            outcomes he wants before  midterm elections and they
            the 2020 election.           are in no mood to repeat it.
            “Was this a good week for  “The ACA now is nine years
            the  Trump  administration?  old and it would be incred-
            No,”  said  economist  Gail  ibly disruptive to uproot the
            Wilensky,  who  headed  up  whole  thing,”  said  Thomas
            Medicare under former Re-    Barker,  an  attorney  with
            publican President George  the  law  firm  Foley  Hoag,
            H.W.  Bush.  “But  this  is  the  who served as a top lawyer
            beginning of a series of ju-  at  the  federal  Health  and
            dicial challenges.”          Human  Services  depart-
            It’s early innings in the court  ment under former Repub-
            cases, and “the clock is go-  lican  President  George  W.
            ing to run out,” said Timothy  Bush. “It seems to me that
            Jost,  a  retired  law  profes-  you  can  resolve  this  issue
            sor  who  has  followed  the  more narrowly than by strik-
            Obama health law since its  ing down the ACA.”
            inception.                   Trump  seems  unfazed  by
            “By  the  time  these  cases  the potential risks.
            get  through  the  courts  “Right  now,  it’s  losing  in
            there  simply  isn’t  going  to  court,”  he  asserted  Friday,
            be time for the administra-  referring to the Texas case
            tion  to  straighten  out  any  against “Obamacare.”
            messes  that  get  created,  The  case  “probably  ends
            much  less  get  a  compre-  up in the Supreme Court,”
            hensive plan through Con-    Trump    continued.   “But
            gress,”  added  Jost,  who  we’re  doing  something
            supports the ACA.            that  is  going  to  be  much
            In  the  Texas  case,  Trump  less expensive than Obam-
            could lose by winning.       acare for the people ... and
            If  former  President  Barack  we’re  going  to  have  (pro-
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