ACA

Sunday, July 19th, 2020:

Wallace: "But you've been in office 3 1/2 years, you don't have a plan..."

Trump: "But we haven't had...uh...excuse me...you heard me yesterday. We're signing a healthcare plan...within two weeks. A full and complete healthcare plan that the Supreme Court decision on DACA gave me the right to do. So we're gonna solve...we're gonna sign an immigration plan, a healthcare plan, and various other plans....and nobody will have done what I'm doing in the next four weeks.

It's been thirteen days.

Yesterday Donald Trump was interviewed by Chris Wallace on FOX News Sunday. It was full of the usual batcrap insane lies and babbling on Trump's part, but one exchange in particular caught my attention:

Wallace: "I want to talk to you about Obamacare. Since the pandemic hit, millions of people have lost their jobs, and thereby lost their health insurance. Almost a half million have signed up for Obamacare. Your administration just announced that you're signing onto a lawsuit to overturn Obamacare..."

Trump: "And replace it."

Wallace: "Why does it make sense to overturn Obamacare, which people are now relying on...Democrats are gonna say, the man who's wanted to kill Obamacare is gonna take it away...the protections for pre-existing conditions..."

Trump: "First of all, we got rid of the individual mandate, pre-existing conditions will always be taken care of by me and Republicans, 100%.."

Wallace: "But you've been in office 3 1/2 years, you don't have a plan..."

Yesterday, the Trump Administration formally submitted their official brief with the Supreme Court of the United States asking SCOTUS to completely and fully strike down the entire Patient Protection & Affordable Care Act. This is the latest development in the utterly insane "California vs. Texas" lawsuit (formerly "Texas vs. U.S.", "Texas vs. Azar", or as I prefer to label it, "Texas Fold'em", a name originally coined by U of M law professor Nicholas Bagley but which doesn't seem to have caught on with anyone other than me so far.

I've written about this completely absurd lawsuit more times than I care to remember, but as a reminder, here's what it comes down to.

The image below is the "3-legged stool" of the Affordable Care Act.

The blue leg represents the various patient protections which the ACA requires health insurance carriers to provide--guaranteed issue, community rating, essential health benefits and so on.

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