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    Mike Johnson’s Vow to Overhaul ACA Draws Attention to Unpopular Stance

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    Speaker Mike Johnson said Tuesday that Republicans would embark on a “massive reform” of the Affordable Care Act if former President Donald J. Trump is elected again, putting an unpopular policy position back in the spotlight just days before the election.“Health care reform’s going to be a big part of the agenda,” Mr. Johnson said, speaking at a campaign stop in Pennsylvania and describing what Republicans would do with their first 100 days in office if they are successful in keeping control of the House.“No Obamacare?” a voter called out.“No Obamacare,” Mr. Johnson responded. “The A.C.A. is so deeply ingrained, we need massive reform to make this work, and we’ve got a lot of ideas on how to do that.”Mr. Johnson added that there was a “docs caucus” made up of Republican physicians who serve in the House who have “a menu of options” they were reviewing, including a sweeping overhaul.“We want to take a blowtorch to the regulatory state,” Mr. Johnson said. His comments were first reported by NBC News.Mr. Trump’s campaign quickly disavowed the statement, which a spokeswoman said was “not President Trump’s policy position.” But it signaled that, should he win the presidency and Republicans take both houses of Congress, there would be major pressure from some corners of the party to make major changes to former President Barack Obama’s signature domestic policy achievement.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Pelosi Says She Pushed Biden to Step Aside Because of Need to Defeat Trump

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      A new book by the former speaker details her clashes with the former president, but it was written before her most recent exercise of political might: helping persuade President Biden to end his re-election bid.To hear Representative Nancy Pelosi tell it, her quiet but firm push to get President Biden to withdraw from the 2024 race was a simple matter of the ruthless political math that she has spent decades honing a talent for on Capitol Hill.“My goal is defeat Donald Trump,” Ms. Pelosi, the former speaker, said in a recent interview before the release this week of a book on her years in Congress. “And when you make a decision to defeat somebody, you make every decision in favor of that. You don’t mess around with it, OK? What is in furtherance of reaching that goal? I thought we had to have a better campaign.”The book, titled “The Art of Power,” is Ms. Pelosi’s retelling of major moments of critical decision-making during the Iraq War, a catastrophic financial meltdown, the passage of the Affordable Care Act and multiple clashes with former President Donald J. Trump, among other events.But it may be her most recent deft exercise of political finesse and muscle — one that took place well after the book was written — that will stand as a final testament to Ms. Pelosi’s stature as the Democratic Party’s premiere powerhouse of recent decades. In a formidable display of her enduring clout, she helped persuade the incumbent president to abandon his re-election bid to give her party a better chance of holding the White House in November.Ms. Pelosi plays down her role in nudging Mr. Biden aside and insists the decision was his alone to make. In her focus on polls and fund-raising and in private conversations with the president and rattled Democratic colleagues, she said, she was driven by the single imperative of beating Mr. Trump.The former speaker said she did not initiate calls with colleagues, trying to dispel claims that she had orchestrated the ouster of Mr. Biden, a longtime ally. But if Democrats triumph this fall after staring down the prospect of a resounding defeat, the maneuvering by Ms. Pelosi — along with personal appeals to Mr. Biden from the Democratic congressional leaders Senator Chuck Schumer and Representative Hakeem Jeffries, both of New York — may turn out to be among her most significant acts.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Fact-Checking Biden’s ABC Interview

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      The president defended his debate performance with exaggerations about polling, his recent appearances and his opponent.President Biden rejected concerns about his fumbling performance in the first presidential debate last month in a prime-time interview on Friday.In the interview with George Stephanopoulos of ABC News, Mr. Biden downplayed and misstated polls showing him falling farther behind former President Donald J. Trump since the debate, exaggerated Mr. Trump’s proposals and made hyperbolic statements about his own record and recent events.Here’s a fact check.what Was SAID“After that debate, I did 10 major events in a row, including until 2 o’clock in the morning after the debate. I did events in North Carolina. I did events in — in — in Georgia, did events like this today, large crowds, overwhelming response, no — no — no slipping.”This is exaggerated. Since the debate on June 27, Mr. Biden has traveled up and down the East Coast and participated in more than a dozen events, according to his public calendar. Whether or not the events can be considered “major” and crowds “large” are matters of opinion, but Mr. Biden did misspeak at several.Before the interview on Friday, Mr. Biden said of Mr. Trump at a rally in Wisconsin that he would “beat him again in 2020.”At a Fourth of July barbecue with military members and their families, Mr. Biden referred to Mr. Trump as “one of our former colleagues” before correcting himself.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump, Who Tried to Repeal Obamacare, Says He Is ‘Not Running to Terminate’ It

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      Former President Donald J. Trump said in a video posted to his social media site on Thursday that he was “not running to terminate” the Affordable Care Act, his latest effort to push back on attacks from the Biden campaign and other Democrats over his calls to replace the legislation known as Obamacare.In a statement similar to one he posted in March, Mr. Trump said the health care law was “much too expensive” and “not very good,” and added, without providing specifics, that he would improve it if re-elected. Those statements came after he drew criticism for having again suggested, in the last few months, that he would repeal the law, which has become more popular since its enactment 14 years ago.“We’re going to make the A.C.A. much better than it is right now and much less expensive for you,” Mr. Trump said in the video.On Tuesday in Washington, President Biden accused Republicans of aiming to “terminate the Affordable Care Act” at an event for caregivers, where he promoted expanding paid medical leave, child care subsidies and early education.Also this week, Mr. Trump shifted his stance on abortion. For months, he gave mixed signals on his position, before saying in a statement on Monday that abortion policies should be left to the states.The former president’s pledge to repeal the health care legislation dates to his first presidential campaign in 2016, when many Republicans were issuing calls to “repeal and replace” the law. But Mr. Trump did not offer a substantive proposal to replace it, and efforts backed by his administration to repeal parts of the law were rejected by Congress and the Supreme Court.For months, the Biden campaign has attacked Mr. Trump on the issue, after he described the Affordable Care Act last November as “out of control” and said he was “seriously looking at alternatives” to it. The Biden campaign quickly amplified those remarks, and Mr. Biden offered his own criticism last November, saying, “My predecessor once again called for cuts that could rip away health insurance for tens of millions of Americans.”Mr. Trump’s response on Thursday echoed a post he made on social media in March, in which he claimed, in all caps and with a misspelling of Mr. Biden’s name, that “crooked Joe Buden disinformates and misinformates all the time.” That post came days after the Biden campaign released a digital ad in battleground states that featured audio of Mr. Trump criticizing the Affordable Care Act and claiming that Mr. Trump “tried to rip away our health care” as president.More than 45 million people are enrolled in Affordable Care Act-related coverage, according to a recent report from the Department of Health and Human Services. A record number of people — more than 20 million — have signed up for plans on the act’s marketplaces this year, according to the Biden administration. Mr. Biden proclaimed that the figure proved that the legislation “is more popular than ever.” More

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      Bidencare Is a Really Big Deal

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      In 2010, at the signing of the Affordable Care Act, a.k.a. Obamacare, Joe Biden, the vice president at the time, was caught on a hot mic telling President Barack Obama that the bill was a “big deal.” OK, there was actually another word in the middle. Anyway, Biden was right.And in one of his major unsung accomplishments — it’s amazing how many Americans believe that an unusually productive president hasn’t done much — President Biden has made Obamacare an even bigger deal, in a way that is improving life for millions of Americans.As you may have noticed — as many Americans finally seem to be noticing — Biden has been racking up some pretty good numbers lately. Economic growth is still chugging along, defying widespread predictions of a recession, while unemployment remains near a 50-year low. Inflation, especially using the measure preferred by the Federal Reserve, has fallen close to the Fed’s target. The stock market keeps hitting new highs.Oh, and murders have plummeted, with overall violent crime possibly hitting another 50-year low.Biden deserves some political reward for this good news, given that Donald Trump and many in his party predicted economic and social disaster if he were elected, and that Republicans, in general, are still talking as if America were suffering from high inflation and runaway crime. (Trump, of course, has been dismissing the good jobs numbers as fake. Wait until he hears about falling crime.)It’s less clear how much of the good news on these fronts can be attributed to Biden’s policies. Presidents definitely don’t control the stock market. They have less influence in general on the economy than many believe; I would give Biden some credit for the economy’s strength, which was in part driven by his spending policies, but the rapid disinflation of 2023 mainly reflects a nation working its way out of lingering disruptions from the Covid pandemic. The same is probably true for the plunge in violent crime.One area where presidents do make a big difference, however, is health care. Obamacare — which arguably should really be called Pelosicare, since Nancy Pelosi (who is not, whatever Trump may think, the same person as Nikki Haley) played a key role in getting it through Congress — led to big gains in health insurance coverage when it went into full effect in 2014.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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      Americans Are Signing Up for Obamacare in Record Numbers

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      The NewsMore than 15 million people have signed up for health insurance plans offered on the Affordable Care Act’s federal marketplace, a 33 percent increase compared to the same time last year, according to preliminary data released by the Biden administration on Wednesday.Federal health officials project that more than 19 million people will enroll in 2024 coverage by the end of the current enrollment period next month. That total would include those who gain coverage through state marketplaces, continuing the record-setting pace.“It means more Americans have the peace of mind of knowing that going to the doctor won’t empty their bank account,” Xavier Becerra, the health and human services secretary, said in a statement.An Affordable Care Act sign-up kiosk in a mall in Miami this month.Rebecca Blackwell/Associated PressWhy It Matters: The Affordable Care Act is expanding its reach.Despite a recent warning from former President Donald J. Trump, the front-runner in the race for the 2024 Republican presidential nomination, that he was “seriously looking at alternatives” to the Affordable Care Act, the latest surge in marketplace enrollment is a testament to the law’s enduring power.Legislation passed earlier in the Covid-19 pandemic increased federal subsidies for people buying plans, lowering the costs for many Americans. The Biden administration also lengthened the sign-up period and increased advertising for the program and funding for so-called navigators who help people enroll.“More and more people are realizing they can come onto the marketplace,” said Cynthia Cox, the director of the Program on the Affordable Care Act at KFF, a nonprofit health policy research group.She added: “Just because the A.C.A. has been around for a while doesn’t mean people who need to sign up for it know how to do that.”One Eye-Popping Statistic: 750,000 sign-ups in a single day.On Dec. 15 — the deadline to sign up for coverage that begins on Jan. 1 — nearly 750,000 people opted for a marketplace plan on HealthCare.gov. It was the largest single-day total yet.Dr. Benjamin Sommers, a health economist at Harvard who served in the Biden administration, said that improved outreach helped explain the record sign-ups. “I’m pleasantly surprised,” he said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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      DeSantis Says He Would Pass a Bill to ‘Supersede’ Obamacare

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      The comments from Florida’s governor on Sunday followed a similar statement by former President Donald J. Trump; Democrats have denounced their stances.Gov. Ron DeSantis of Florida said on Sunday that, if elected president, he would pursue legislation that would “supersede” the Affordable Care Act, echoing former President Donald J. Trump’s comments, which Democrats seized upon last week.“What I think they’re going to need to do is have a plan that will supersede Obamacare, that will lower prices for people so that they can afford health care, while also making sure that people with pre-existing conditions are protected,” Mr. DeSantis said on NBC’s “Meet the Press.” He went on to say that repealing and replacing the Affordable Care Act was a broken promise from Mr. Trump’s 2016 campaign.“We’re going to look at the big institutions that are causing prices to be high — big pharma, big insurance and big government — but it’s going to need to be where you have a reform package that’s going to be put in place,” he said. “Obamacare promised lower premiums. It didn’t deliver that,” he added. “We know we need to go in a different direction, but it’s going to be done by having a plan that’s going to be able to supersede it.”Mr. Trump called for the same thing last week, writing on his social media platform that he was “seriously looking at alternatives” to the Affordable Care Act. After President Biden’s campaign denounced the statement, Mr. Trump wrote: “I don’t want to terminate Obamacare, I want to REPLACE IT with MUCH BETTER HEALTHCARE. Obamacare Sucks!!!”Mr. DeSantis named two specific policies he would address: making health care costs publicly available so that consumers can compare prices, and lowering insurance premiums for people who choose lower-cost providers. He called coverage for pre-existing conditions, a key component of the Affordable Care Act, “an easy thing that we’ll agree on.”Beyond that and a list of principles — “more transparency, more consumer choice, more affordable options, less red tape” — he did not go deep on his plan. Of the more than 40 million Americans covered by A.C.A. plans, he said, “We’ll have a plan that will offer them coverage, so the coverage will be different and better, but they’re still going to be able to be covered.”He said he would release a full proposal “probably in the spring,” which would be after a majority of states have held their primaries or caucuses.While opposition to the Affordable Care Act was initially a vote driver for Republicans, the law has become much more popular over the years, and Republicans’ failed effort to repeal the law in 2017 helped Democrats in the 2018 elections.A KFF poll in May found that 59 percent of Americans supported the A.C.A. Mr. DeSantis’s and Mr. Trump’s calls to replace it could play well in the Republican primary — only 26 percent of Republicans support the health law, according to the poll — but could become a liability in the general election because 89 percent of Democrats and 62 percent of independents support the health law.The Democratic National Committee condemned Mr. DeSantis’s comments.“DeSantis is hellbent on taking his failed ‘Florida Blueprint’ nationwide, even though it has contributed to some of the highest health care costs in America and left hundreds of thousands of hardworking Floridians without insurance,” Sarafina Chitika, a D.N.C. spokeswoman, said. “If Ron DeSantis, Donald Trump and MAGA Republicans have their way, they’d send premiums skyrocketing to line the pockets of greedy health care executives and their wealthy buddies.”Florida is one of 10 states that have not expanded Medicaid under the Affordable Care Act and had one of the nation’s highest percentages of uninsured people last year, according to the Census Bureau. More

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      Donald Trump Still Wants to Kill Obamacare. Why?

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      Donald Trump hasn’t talked much about policy in this election cycle, except for vague assertions that he’ll somehow bring back low unemployment and low inflation — which, by the way, has already happened. (Unemployment has been at or below 4 percent for almost two years. Thursday’s report on consumer spending showed the Federal Reserve’s preferred measure of underlying inflation getting close to its 2 percent target.) Most of his energy seems to be devoted to the prospect of wreaking revenge on his political opponents, whom he promises to “root out” like “vermin.”Nonetheless, over the past few days, Trump has declared that if he returns to the White House, he’ll once again seek to do away with the Affordable Care Act, the reform that has produced a significant decline in the number of Americans without health insurance.Why this renewed assault? “Obamacare Sucks!!!” declared the former and possibly future president. For those offended by the language, these are Trump’s own words, and I think I owe it to my readers to report what he actually said, not sanitize it. Trump also promised to provide “MUCH BETTER HEALTHCARE” without offering any specifics.So let’s discuss substance here. Does Obamacare, in fact, suck? And can we believe Trump’s promise to offer something much better?On the latter question, remember that Trump and his allies came very close to killing the A.C.A. in 2017 and replacing it with their own plan — and the Congressional Budget Office did a detailed analysis of the legislation that almost passed. The budget office predicted that by 2026, the Republican bill would cause 32 million people to lose health insurance, and that the premiums paid by individuals buying their own insurance (as opposed to getting it through their employers) would double.There is, as far as I can tell, no reason to believe that Trump has come up with a better plan since then, or that a new analysis of his plan would be any less dismal.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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      Biden Campaign Aims to Weaponize Trump’s Threat to Obamacare

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      The president’s aides quickly jumped on a statement by Donald Trump that he was “seriously looking at alternatives” to the health law.Very few events bring aides on President Biden’s re-election campaign more joy than when former President Donald J. Trump threatens to repeal popular Democratic policies.So when Mr. Trump, the Republican presidential front-runner, wrote on social media over the holiday weekend that he was “seriously looking at alternatives” to the 13-year-old Affordable Care Act, and that his fellow Republicans should “never give up” seeking its repeal, Mr. Biden’s campaign was happy to cede its programming decisions to Mr. Trump.The president’s campaign altered its previous plans and instead will spend much of this week amplifying Mr. Trump’s threat, which was less a substantive policy proposal he had considered thoughtfully than it was a reaction to an editorial he had read in The Wall Street Journal.Still, Mr. Biden’s aides intend to once again push to make Mr. Trump and his proposals the news. That strategy has become a key cog for the campaign, as Mr. Biden struggles with low approval ratings and increasingly focuses on foreign policy rather than his re-election bid. The campaign will air TV ads this week in Las Vegas and on national cable that contrast legislation passed by Mr. Biden that lowered prices on some prescription drugs with Mr. Trump’s proposal to repeal the Affordable Care Act, said Michael Tyler, the campaign’s communications director.The president himself weighed in on Monday.“My predecessor once again called for cuts that could rip away health insurance for tens of millions of Americans,” Mr. Biden said. “They just don’t give up.”Mr. Biden’s campaign is in the process of arranging surrogates for the 2024 race — particularly in North Carolina, a presidential battleground that on Friday will become the 40th state to expand Medicaid under the Affordable Care Act.Gov. Roy Cooper of North Carolina, a Democrat, is expected to be a key Biden surrogate promoting the health care law, which is widely known as Obamacare. Mr. Cooper signed his state’s Medicaid expansion bill in March after it was passed by the Republican-controlled legislature. Mr. Cooper and Representative Nancy Pelosi of California, the former House speaker, are scheduled to hold a press call for the Biden campaign on Tuesday.“Donald Trump and G.O.P. extremists continue to try and rip away health care from millions of Americans without any serious alternative,” Mr. Cooper said on Monday. “If this country lets Donald Trump anywhere near decision making on health care, it would be a disaster for millions of people.”Mr. Trump’s social media post surprised even his own aides, who have not developed a plan to alter the country’s health care law, according to a person close to him.A spokesman for Mr. Trump’s campaign did not respond to requests for comment.Republicans successfully ran against the health law in the 2010 and 2014 midterm elections, and Mr. Trump used his call for “a full repeal” as an applause line at campaign rallies in 2016, even though he also said “everybody’s got to be covered” by health insurance. But Republicans have not made a serious effort at rescinding the health care law since Senator John McCain of Arizona cast the deciding vote against G.O.P. legislation to repeal the law in July 2017.In his social media post, Mr. Trump called that moment “a low point for the Republican Party.”Mr. Tyler said, “We’ve got Donald Trump every single day providing the American people a window into how harmful he would be if he were able to regain power.” He added, “He is making this easy for us.”The Biden campaign referred reporters to surveys illustrating the popularity of key elements of the health care law. Polling from KFF, the health care policy organization, found that as of May, 59 percent of Americans had a favorable opinion of Obamacare, up from 43 percent at the end of President Barack Obama’s term in office. Democrats in 2018 won sweeping victories by campaigning against Republican efforts to upend the health care law.Republicans remain broadly opposed to the law. KFF’s polling found that 73 percent held an unfavorable view of it in May.The Biden administration said in January that 16.3 million Americans had enrolled in health insurance plans through the Affordable Care Act’s marketplaces during the open enrollment period, more than had ever signed up before.Last week, the Department of Health and Human Services said that 4.6 million people had selected an Affordable Care Act plan in the first three weeks of the new open enrollment period, which began Nov. 1 and runs through January.Ruth Igielnik More