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President Trump gave a strong signal this morning that he'll use the Democrats' push for Affordable Care Act insurer payments as proof that the law is falling apart. Here's what he tweeted:

Reality check: The payments are actually to reimburse health insurers for the subsidies they're required to provide to low-income customers. They'd have to give the subsidies whether they're paid back or not. The issue is whether Congress will provide the money.

Between the lines: It's not clear whether this is how Trump actually sees the fight or whether he's just framing it that way, but regardless, it's not a good sign for insurers who want the payments so they can stay in the ACA marketplaces.

Go deeper

Caitlin Owens, author of Vitals
1 hour ago - Health

What overwhelmed hospitals look like

A healthcare professional suits up to enter a COVID-19 patient's room in the ICU at Van Wert County Hospital in Ohio. Photo: Megan Jelinger/AFP

Utah doctors are doing what they say is the equivalent of rationing care. Intensive care beds in Minnesota are nearly full. And the country overall continues to break hospitalization records — all as millions of Americans travel to spend Thanksgiving with friends and family.

Why it matters: America's health care workers are exhausted, and the sickest coronavirus patients aren't receiving the kind of care that could make the difference between living and dying.

Felix Salmon, author of Capital
1 hour ago - Economy & Business

Southwest CEO: "You should fly"

The official guidance of the CDC says that "postponing travel and staying home is the best way to protect yourself and others this year."

  • Southwest Airlines CEO Gary Kelly, however, took the opposing position when he was interviewed by "Axios on HBO." "You should fly," he told me, adding that "we need to have as much commerce and business and movement as is safe to do."

Cárdenas: Democrats need to be more "culturally competent" to win

Photo: Paul Morigi via Getty Images

Rep. Tony Cárdenas (D-Calif.), who's running for chair of the Democratic Congressional Campaign Committee, told "Axios on HBO" that the DCCC needs to change "overnight" and his colleagues need to be more "culturally competent" if they want to be successful in the next election.

Why it matters: House Democrats are confronting what went wrong and what their party needs to change after they failed to expand their House majority and President Trump expanded his support among Latino voters.

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