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    A Road Map for Undoing the Damage of the Big, Awful Bill

    In the 30 years I have been a part of fiscal policymaking I don’t think I have ever seen a legislative push as impressive as the passage of President Trump’s big, dubious tax and policy bill.Don’t get me wrong: The consequences for health insurance, poverty, climate change and macroeconomic stability, in roughly that order of importance, will be horrendous. The Medicaid and other health care changes would undo about three-quarters of the coverage expansion from President Barack Obama’s Affordable Care Act and Medicaid expansion. The law repeals much of what Joe Biden did for climate change in the Inflation Reduction Act. The tax provisions sustain most of the cuts from Mr. Trump’s first term and add in several others for good measure.But before Democrats — and hopefully some Republicans — even try to fix the damage, they should learn the lessons of how the Republicans got all this done, working against tremendous odds on a much faster timetable than the major legislative accomplishments from Mr. Trump’s three predecessors.The first lesson is that ideas really do matter. This legislation did not happen because the public or lobbyists were clamoring for it. Instead Donald Trump and congressional Republicans wanted it and were willing to overcome public disfavor and opposition from vested interests.Sure, special interests were at play in ways big (preserving workarounds to limits on state and local tax deductions) and small (getting new tax breaks for Alaskan whaling captains). But no major lobbying groups were asking for the broad contours of this legislation. The health care industry, which is expected to lose about half a trillion dollars, and the energy industry, which is losing huge tax breaks and subsidies, put up a fight. Their opposition, like that of other industries, went nowhere. And neither did Elon Musk’s — further evidence that oligarchy is the wrong lens through which to view this political moment.The second lesson is that while ideas matter, expert ideas do not necessarily matter. Past fiscal debates have divided economists and policy wonks. In President Trump’s first term, some economists would write opinion articles or go on TV news programs defending his tax cuts as adding to growth while other economists (including me) would write rebuttals.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 May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a Price

    And so will many voters.There will be many short- and long-term consequences if Republicans succeed in passing President Trump’s signature policy bill, as they aim to do before the July 4 holiday, David Leonhardt, the director of the Times editorial board, tells the national politics writer Michelle Cottle in this episode of “The Opinions.”Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a PriceAnd so will many voters.Below is a transcript of an episode of “The Opinions.” We recommend listening to it in its original form for the full effect. You can do so using the player above or on the NYT Audio App, Apple, Spotify, Amazon Music, YouTube, iHeartRadio or wherever you get your podcasts.The transcript has been lightly edited for length and clarity.Michelle Cottle: I’m Michelle Cottle and I cover national politics for Times Opinion. So with the July 4 weekend looming, I thought we’d talk about a different kind of fireworks: that is, President Trump’s “big, beautiful bill” and as always, I hope the air quotes there are audible for everybody.But that bill looks like it is on track for passage. From Medicaid cuts to tax breaks for the rich, it is a lot. Thankfully with me to talk about this is David Leonhardt, the fearless director of the New York Times editorial board, who has some very pointed thoughts on the matter. So let’s just get to it. David, welcome.David Leonhardt: Thank you, Michelle. It’s great to be talking with you.Cottle: I’m so excited, but warning to all: We are recording on Monday midday and even as we speak, the Senate is brawling its way through to a final vote. So the situation is fluid and could change the details by the time you all hear this.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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    Mike Johnson’s Vow to Overhaul ACA Draws Attention to Unpopular Stance

    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

    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

    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

    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

    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

    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