Trump’s health care end run re­flects frus­tra­tions

The Trentonian (Trenton, NJ) - - NEWS - By Ri­cardo Alon­soZal­divar

WASH­ING­TON » Frus­trated over set­backs in Con­gress, Pres­i­dent Don­ald Trump wielded his rule-mak­ing power Thurs­day to launch an end run that might get him closer to his goal of re­peal­ing and re­plac­ing “Oba­macare.”

Whether Trump’s ex­ec­u­tive or­der will be the play that breaks through isn’t clear.

Ex­perts say con­sumers aren’t likely to see ma­jor changes any time soon, although the White House is promis­ing lower costs and more op­tions.

Some ex­perts warned that hard-won pro­tec­tions for older adults and peo­ple in poor health could be un­der­mined new mea­sures in com­ing months, adding, “we’re go­ing to also pres­sure Con­gress very strongly to fin­ish the re­peal and re­place of ‘Oba­macare’ once and for all.”

Democrats de­nounced Trump’s or­der as more “sab­o­tage” while Repub­li­cans called it “bold ac­tion” to help con­sumers. A ma­jor small busi­ness group praised the pres­i­dent, while doc­tors, in­sur­ers, and state reg­u­la­tors said they have con­cerns and are wait­ing to de­tails.

“We want to make sure that all the con­sumer pro­tec­tions are there and in­cluded,” said Michael Munger, pres­i­dent of the Amer­i­can Academy of Fam­ily Physi­cians.

One of the main ideas from the ad­min­is­tra­tion in­volves eas­ing the way for groups of em­ploy­ers to spon­sor cov­er­age that can be mar­keted across the land. That re­flects Trump’s long­stand­ing be­lief that com­pe­ti­tion across state lines will lead to lower pre­mi­ums.

Those “as­so­ci­a­tion health plans” could be shielded from some state and fed­eral in­sur­ance re­quire­ments. Re­spond­ing to con­cerns, the White House said par­tic­i­pat­ing em­ploy­ers could not ex­clude any work­ers from the plan, or charge more to those in poor health. Self-em­ployed peo­ple might be able to join.

The As­so­ci­ated Press

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