A few notes on what else is in the executive order:

  • Key phrase: "provide greater flexibility to States and cooperate with them in implementing healthcare programs."
  • Experts are interpreting that as a nod to giving states more Medicaid waivers, and possibly encouraging the "Section 1332" waivers in Obamacare, which are supposed to allow the states to come up with different ways to achieve the law's goals.
  • From Stanford's Lanhee Chen, Mitt Romney's former policy director and a member of the Axios board of outside experts: "It is quite broad and sweeping in its potential scope. It has the potential to be game-changing with respect to enforcement of the mandates, as well as state innovation in Medicaid.
  • What's next, according to Chen: "The big question is how far the administration will take it, and whether they are willing to use some of the same broad interpretations of executive authority that the Obama administration did, albeit for very different ends."
  • A former Senate Democratic aide who helped write Obamacare — Harvard's John McDonough, another member of the Axios board of experts — isn't convinced the order means much: "It seems in this instance as though Trump is shooting with rubber bullets."

Go deeper

Dave Lawler, author of World
4 mins ago - World

Global coronavirus vaccine initiative launches without U.S. or China

Data: Gavi, The Vaccine Alliance; Map: Naema Ahmed/Axios

A global initiative to ensure equitable distribution of coronavirus vaccines now includes most of the world — but not the U.S., China or Russia.

Why it matters: Assuming one or more vaccines ultimately gain approval, there will be a period of months or even years in which supply lags far behind global demand. The COVAX initiative is an attempt to ensure doses go where they're most needed, rather than simply to countries that can produce or buy them at scale.

Updated 29 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

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  2. U.S.: Total confirmed cases as of 6:15 p.m EST: 6,967,103 — Total deaths: 202,558 — Total recoveries: 2,670,256 — Total tests: 97,459,742Map.
  3. Health: Cases are surging again in 22 states — New York will conduct its own review of coronavirus vaccine.
  4. Business: America is closing out its strongest quarter of economic growth.
  5. Technology: 2020 tech solutions may be sapping our resolve to beat the pandemic.
  6. Sports: Here's what college basketball will look like this season.
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The child care tax on America's economy

Child care in the U.S. is in crisis, which makes it much harder for the American economy to recover — as providers struggle to stay in business and parents wrestle with work.

Axios Re:Cap digs into the problems and what can be done to solve them, with Vox senior reporter Anna North.

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