MedPage Today November 23, 2025
Debate underscores how hard it is to unwind the ACA
President Donald Trump is once more targeting former President Barack Obama’s signature healthcare law, picking a political fight before next year’s elections that is reminiscent of one he lost in his first term.
Back then, Trump and fellow Republicans tried but failed to dismantle the Affordable Care Act (ACA), a stinging defeat viewed as contributing to the party’s losses in 2018.
This time, Trump seems to be scaling back his ambition to repeal and replace the law. But he is struggling to ease voters’ concerns over the high cost of living — combined with a looming deadline to extend expiring subsidies that help people pay for their “Obamacare” premiums —...
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