The Atlantic

Obamacare Isn't Out of the Woods Yet

Even after the failure of the Republicans’ health-care bill, there are still significant ways Trump and his allies can roll back the Affordable Care Act’s provisions.
Source: Carlos Barria / Reuters

At least for the moment, the American Health Care Act is dead.

After two weeks of last-minute changes, Congressional Budget Office estimates, and an escalating tripartite skirmish between two wings of the Republican Party and the Trump White House, House Speaker Paul Ryan announced late Friday afternoon that a floor vote on the GOP’s Obamacare replacement would be canceled and the legislation pulled. Facing a 17 percent national approval rating for the bill and loss of support from both the conservative Freedom Caucus and moderate Republicans, Trump and congressional lawmakers appear willing to walk away from health care for the moment. It’s a reprieve, at the very least, for Obamacare.

The Affordable Care Act’s supporters are celebrating, and it’s not hard to see why. The strategy of, premiums won’t quintuple for low-income near-elderly people, and Medicaid funding for states won’t be cut over the next decade. But even if the current congressional battle over repeal-and-replace is over—or temporarily postponed—Republicans still have plenty of tools at their disposal to dismantle key pieces of Obamacare.

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