Good morning ... One of the only interesting press releases I've ever seen came yesterday from the Secret Service, about needing to run the New York City marathon in order to protect the Estonian president, who was in New York and running the marathon. As last-minute assignments go, a marathon is pretty intense.
Trump with Missouri Attorney General Josh Hawley, who sued to toss out the Affordable Care Act. Photo: Scott Olson/Getty Images
In an exclusive interview for "Axios on HBO," President Trump said Attorney General Jeff Sessions didn't give him a heads up before urging a court to throw out the Affordable Care Act's provisions on pre-existing conditions. But Sessions has said Trump signed off on the move.
“It wouldn’t matter” if the ACAs protections for pre-existing conditions are struck down, Trump said, “because pre-existing conditions, on anything we do, will be put into it.”
Trump has said this throughout the midterm campaign season. But in the 8 years since the ACA passed, Republicans have never proposed an alternative that would offer the same level of protection.
The health insurance industry is lobbying yet again for a delay of the ACA's tax on insurers, but experts tell Axios’ Bob Herman and Caitlin Owens that a delay wouldn't benefit consumers as much as it might seem.
What they're saying: "All taxes, just like sales tax for example, are passed through to consumers in the form of higher premiums," Kristine Grow, spokesperson for America's Health Insurance Plans, said in a statement.
Between the lines: Insurers do pass on the cost of the tax through higher premiums, when it’s in effect: Actuaries say the tax leads to premiums being 1%–3% higher than they would be otherwise.
Insurers should be able to handle the tax now that the ACA markets, in particular, have stabilized, former Medicare and Medicaid administrator Andy Slavitt said.
Seniors prefer Democratic positions on enough health care issues to give them a slight edge with older voters in tomorrow’s midterm elections, the Kaiser Family Foundation’s Drew Altman writes in today’s column.
Why it matters: Seniors always vote.
The other side: It doesn’t mean they’ll automatically tip the elections to Democrats. But it doesn’t hurt Democrats to have reliable voters siding with them on most health care issues.
The Food and Drug Administration took some heat on Friday for approving Dsuvia, a new opioid painkiller that’s up to 10 times more powerful than therapeutic fentanyl.
Yes, but: That committee ultimately recommended approving the drug.
What they’re saying: FDA Commissioner Scott Gottlieb acknowledged the criticism in a statement about the approval, and said it may be time for the agency to think differently about the standards for approving opioids. He said: