NPR

Trump Is Trying Hard To Thwart Obamacare. How's That Going?

Though polls show Affordable Care Act protections remain popular in the U.S., President Trump still threatens to drastically change the law if he can't repeal it. Here are five changes he's made.
President Trump talked to seniors about health care in central Florida in early October. "We eliminated Obamacare's horrible, horrible, very expensive and very unfair, unpopular individual mandate," Trump told the crowd.

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 in the fall of 2017, after repeal in Congress had failed. "Piece by piece, we will now begin the process of giving America the great HealthCare it deserves!"

Two years later, what has his administration done to change the ACA, and who's been affected? Below are five of the biggest changes to the federal health law under President Trump.

1. Individual mandate eliminated

What isThe individual mandate is the requirement that all U.S. residents either have health insurance or pay a penalty. The mandate was intended to help keep the premiums for ACA policies low by ensuring that more healthy people entered the health insurance market.

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