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Obamacare Tag

Just days after taking office, President Trump signed an Executive Order returning power over health care and insurance to the states.  Although Congressional Republicans clearly have no intention of repealing ObamaCare, Trump went on to further weaken the disastrous health insurance scheme of his predecessor. Democrats are not happy. They attempted on Wednesday to roll back a Trump administration rule that permits states to ignore sections of ObamaCare and to loosen requirements on health insurance that increased costs on individuals and businesses within the states.

Reed O'Connor, a federal judge in the Northern District of Texas, just killed Obamacare. If the ruling holds up on appeal, Obamacare is dead. As a doorknob. Not just the mandate or some other particular provisions. He killed the WHOLE THING.

Research from Avalere Health, a healthcare consulting firm, shows that more insurance companies are adding Obamacare as an option, but in many cases, that's going to mean higher premiums for some. From the report:
These findings are based on an Avalere analysis of the complete 2019 individual market proposed rate filings released publicly by 10 states and DC. “Insurers are starting to gain a better understanding of who is likely to buy their health insurance through the exchanges, but questions about the stability of the market remain,” said Matt Brow, president of Avalere. “This uncertainty is likely to contribute to substantial increases in exchange premiums across many states in 2019.”

Labor Secretary Alex Acosta announced a new rule that will help small businesses and self-employed individuals purchase health insurance. From The Wall Street Journal:
The rule makes it far easier for small businesses and self-employed individuals to band together and obtain “association health plans” for themselves and their employees. Many of the plans will be subject to the same rules as larger employers, which means they won’t have to provide comprehensive benefits, such as maternity services, prescription drugs, or mental health care, mandated under the ACA.

In February 2011, the Obama/Holder DOJ abruptly announced it would refuse to continue defending the Defense of Marriage Act after years of arguing in Court that DOMA was constitutional. In defending DOMA for years, the DOJ was upholding an important principle, that DOJ should defend existing laws in court so long as there was any reasonable basis for doing so.

The Obama administration once touted Covered California as a wonderful example of state health insurance exchanged. However, in the wake of more freedoms offered to Americans under President Trump (e.g., the end of the individual mandate), it turns out many Californians are opting out of forced purchase of health insurance.  This is especially true as premiums are set to soar.
According to an analysis by the Insure the Uninsured Project (ITUP), enrollment drops in exchange based plans managed by Covered California could result in as many as 1.2 million more uninsured Californians in 2019.

Perhaps the two aspects of Donald Trump's presidency that I admire the most are is ability to go around supposedly immovable blocks to his proposals and the way he stiffens the spines of his fellow Republicans. After the humiliating Obamacare repeal failure of 2017, many weaker men would have moved on to other matters. However, as Trump continues to take a giant eraser to Obama's legacy, he has obviously moved Congress to take a more piecemeal approach to ending the onerous health insurance regulations promulgated under his predecessor.

The drama is almost over as the Republicans have unveiled their tax bill. They are also closer to victory since Sen. Bob Corker (TN) and Sen. Marco Rubio (R-FL) have decided to back the bill, leaving the Senate with only two undecided Republicans. From The New York Times:
On Friday, as Republicans released details about the final bill, it became clear that the agreement would provide deep and longstanding tax cuts for businesses, while providingslightly more generous tax breaks to low- and middle-income Americans byreducing some benefits for higher earners.

Senate Majority Leader Mitch McConnell (R-KY) announced that the Senate's tax bill will have language to repeal the individual mandate in Obamacare. From The Hill:
“We’re optimistic that inserting the individual mandate repeal would be helpful and that’s obviously the view of the Senate Finance Committee Republicans as well,” McConnell said.