Marin Independent Journal

Trump promotes health care ‘vision’ but gaps remain

- ByRicardoA­lonsoZaldi­var and JillColvin

More than three-and-a-half years into his presidency and 40 days froman election, President Donald Trump on Thursday launched what aides termed a “vision” for health care heavy on unfulfille­d aspiration­s.

“It is affirmed, signed and done, so we can put that to rest,” Trump said after signing an executive order covering a range of issues, including protecting people with preexistin­g medical conditions frominsura­nce discrimina­tion.

But that right is already guaranteed in the Obamaera health law his administra­tion is asking the Supreme Court to overturn.

House Speaker Nancy Pelosi dismissive­ly said Trump’s “bogus executive order on pre- existing conditions isn’t worth the paper it’s signed on.” Democrats are betting heavily that they have the edge on health care this election season.

Trump spoke at an airport hangar in swing-state North Carolina to a crowd that included white-coated, mask-wearing health care workers. He stood on a podiumin front of a blue background emblazoned with “America First Healthcare Plan.” His latest health care pitch won accolades from administra­tion officials and political supporters but failed to impress others.

“Executive orders issued close to elections arenot the same thing as actual policies,” said Katherine Hempstead, a senior policy adviser with the nonpartisa­n Robert Wood Johnson Foundation, which works on a range of health care issues, fromcovera­ge to quality.

Trump returned tohealth care amid disapprova­l of his administra­tion’s handling of the coronaviru­s pandemic and growing uncertaint­y about the future of the Obama- era Affordable Care Act.

In a rambling speech, he promised quality health care at affordable prices, lower prescripti­on drug costs, more consumer choice and greater transparen­cy. His executive order would also to try to end surprise medical bills.

“‘If we win we will have a better and less expensive plan thatwill always protect peoplewith preexistin­g conditions,” Trump declared.

But while his administra­tion has made some progress on its health care goals, the sweeping changes Trump promised as a candidate in 2016 have eluded him.

The clock has all but run out in Congress for major legislatio­n on lowering drug costs or ending surprise bills, much less replacing the Affordable Care Act, or “Obamacare.”

Pre- election bill signing ceremonies on prescripti­on drugs and surprise medical charges were once seen as achievable — if challengin­g — goals for thepreside­nt. No longer.

 ?? EVAN VUCCI — THE ASSOCIATED PRESS ?? President Donald Trump delivers remarks Thursday on health care at Charlotte Douglas Internatio­nal Airport in Charlotte, N.C.
EVAN VUCCI — THE ASSOCIATED PRESS President Donald Trump delivers remarks Thursday on health care at Charlotte Douglas Internatio­nal Airport in Charlotte, N.C.

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