NPR October 14, 2019
Selena Simmons-Duffin

The very day President Trump was sworn in — Jan. 20, 2017 — he signed an executive order instructing administration officials “to waive, defer, grant exemptions from, or delay” implementing parts of the Affordable Care Act, while Congress got ready to repeal and replace Barack Obama’s signature health law.

Months later, repeal and replace didn’t work, after the late Arizona Sen. John McCain’s dramatic thumbs down on a crucial vote (Trump still frequently mentions this moment in his speeches and rallies, including in his recent speech on Medicare).

After that, the president and his administration shifted to a piecemeal approach, as they tried to take apart the ACA. “ObamaCare is a broken mess,” the president tweeted...

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