Feb 1, 2019

Trump hits his own wall

Illustration: Lazaro Gamio/Axios

Over the first two years, President Trump could get away with largely extending his campaign bluster: Build a "big, beautiful wall" and get Mexico to pay for it, withdraw from foreign entanglements, deliver "incredible" healthcare, slash drug prices and fundamentally change the U.S.-China relationship.

Between the lines: Now he faces a new reality that's driven by Democrats in Congress and the need to deliver on his lofty promises.

Trump’s dawning reality:

The only path to a wall is by taking executive action, probably by declaring a national emergency, and finding himself caught up in yet another court fight.

Nobody at a senior level in the White House thinks they’ll get any legislating done in a Congress now dominated by a newly-elected anti-Trump, and unapologetically progressive, House Democratic majority.

Trump has thrown China off balance with harsh tariffs and deserves credit for highlighting Beijing’s abuses more than any recent president. Congress and the business community are surprisingly receptive to Trump’s tough line on China.

  • But he now needs to deliver the structural changes he promised — fundamentally changing China’s behavior. If all this results in is a bribe — China goes on a short-term U.S. shopping spree in exchange for Trump leaving them alone — then all the bluster will be worthless.

The American healthcare system remains an unaffordable mess.

  • Trump is using executive powers to make some reforms to drug pricing, which have angered the pharmaceutical lobby. But the chances of Congress passing something substantial this year are minimal.

After declaring — unequivocally, as always — that he was getting U.S. troops out of Syria, Trump’s administration is now grinding through a complicated and unclear process.

  • Republicans are pushing back and many, including Sen. Lindsey Graham, are pushing Trump toward retaining a skeletal U.S. presence in Syria as part of a long-term "stabilization" mission.
  • The bottom line: It’s still unclear when or even if the U.S. military will fully withdraw from Syria. It's even more unclear in Afghanistan, though Trump says he’s optimistic about the ongoing talks with the Taliban.

Go deeper

Coronavirus dashboard

Illustration: Axios Visuals

  1. Global: Total confirmed cases as of 10 p.m. ET: 1,097,909 — Total deaths: 59,131 — Total recoveries: 226,106Map.
  2. U.S.: Total confirmed cases as of 10 p.m. ET: 277,828 — Total deaths: 7,406 — Total recoveries: 9,772Map.
  3. Public health latest: The CDC is recommending Americans wear face coverings in public to help stop the spread of the coronavirus. The federal government will cover the costs of COVID-19 treatment for the uninsured, Health and Human Services Secretary Alex Azar said.
  4. 2020 latest: "I think a lot of people cheat with mail-in voting," President Trump said of the 2020 election, as more states hold primary elections by mail. Montana Gov. Steve Bullock said Friday that every county in the state opted to expand mail-in voting for the state's June 2 primary.
  5. Business updates: America's small business bailout is off to a bad start. The DOT is urging airlines to refund passengers due to canceled or rescheduled flights, but won't take action against airlines that provide vouchers or credits.
  6. Oil latest: The amount of gas American drivers are consuming dropped to levels not seen in more than 25 years, government data shows. Trump is calling on the Energy Department to find more places to store oil.
  7. Tech updates: Twitter will allow ads containing references to the coronavirus under certain use cases.
  8. U.S.S. Theodore Roosevelt: Senators call for independent investigation into firing of Navy captain.
  9. What should I do? Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  10. Other resources: CDC on how to avoid the virus, what to do if you get it.

Subscribe to Mike Allen's Axios AM to follow our coronavirus coverage each morning from your inbox.

Government will cover uninsured patients' coronavirus treatment

Azar at Friday's briefing. Photo: Win McNamee/Getty Images

The federal government will cover the costs of coronavirus treatment for the uninsured, Health and Human Services Secretary Alex Azar said at a White House briefing Friday.

How it works: The money will come from a $100 billion pot set aside for the health care industry in the most recent stimulus bill. Providers will be paid the same rates they get for treating Medicare patients, and as a condition of those payments, they won't be allowed to bill patients for care that isn't covered.

More states issue stay-at-home orders as coronavirus crisis escalates

Data: Axios reporting; Map: Danielle Alberti/Axios

Alabama Gov. Kay Ivey issued a stay-at-home order on Friday as the novel coronavirus pandemic persists. The order goes into effect Saturday at 5 p.m. and will remain in place through April 30. Missouri Gov. Mike Parson also issued a statewide social distancing order on Friday.

The big picture: In a matter of weeks, the number of states that issued orders nearly quadrupled, affecting almost 300 million Americans.

Go deeperArrowUpdated 5 hours ago - Health