February 19, 2018

Trump uses visit by Kissinger to tout healthcare change

12 October 2017, 04:05 | Lena Norman

Evan Vucci AP

Evan Vucci  AP

He further adds, "With Congress the way it is, I chose to take it upon myself, so we'll be announcing that soon as far as the signing's concerned, but it's largely worked out".

Stalled in his efforts to repeal and replace the Obama-era Affordable Care Act in Congress, Trump vowed late last month to take executive action to change aspects of the law, which he has deemed a failure.

In addition to the statement about Kissinger, Trump reiterated that he planned to roll out a series of healthcare-related executive orders in the coming days that would allow for association health plans and other modified types of insurance.

Senate Republicans attempted to use a procedure known as budget reconciliation to dismantle Obamacare because they would need only 51 votes to pass a bill with Vice President Mike Pence able to break a tie. Such insurance policies could be cheaper than those that provide the full range of medical coverage required under Obamacare, potentially making them attractive to people in other states. Any executive order that Trump signs to do this would be unconstitutional.

Association health plans, where people are able to band together to purchase a plan, already exist, but Trump's change could allow them to get around Obamacare rules. Eventually, that could cause a hike in premium costs, according to

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Experts said Trump's plan could leave behind only the sickest people in the Obamacare markets, raising premiums and effectively eroding the law's protection that people with pre-existing medical conditions cannot be charged more. Rand Paul, the Kentucky Republican who has identified specific reforms that could be made by the President alone.

"That's one thing I think conservatives are taking solace in right now - there are some great conservatives running in 2018", Pye said.

Trump tweeted Tuesday that he would be using his executive powers to address Obamacare regulations. Gutting Obamacare was a top Trump campaign promise.

Trump has declined to commit to making payments guaranteed to insurers under Obamacare.

His administration has slashed the Obamacare advertising budget, halved the open enrollment period and cut funding to groups that help sign people up for insurance under the law.

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