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House Speaker Nancy Pelosi said on ABC's "This Week" on Sunday that President Trump is rushing to replace the late Supreme Court Justice Ruth Bader Ginsburg because he "wants to crush the Affordable Care Act."

Why it matters: Pelosi wants to steer the conversation around the potential Ginsburg replacement to health care, which polls show is a top issue for voters, especially amid the coronavirus pandemic. The Trump administration has urged the courts to strike down the law, and with it, protections for millions with pre-existing conditions.

What she's saying: "He doesn't want to crush the virus, he wants to crush the Affordable Care Act," Pelosi said on Sunday.

  • "So again, in terms of Ruth Bader Ginsburg, any one of us who knew her, who loved her, who respected her — and that includes almost anybody who had an appreciation for greatness — mourn her loss, but would want us to move forward to protect the people who are sick, those with coronavirus who ... millions of them now have a pre-existing condition."
  • "That's what the president wants to crush when he says he wants to replace ... the justice in this short period of time."

Background: The Supreme Court is scheduled to hear oral arguments on the constitutionality of the ACA on Nov. 10, one week after the general election.

  • In 2017, 20 Republican attorneys general sued to get rid of the ACA, with the Trump administration's support, charging that because Congress had repealed the individual mandate, the entire law was no longer valid.
  • The law has worked its way back to the Supreme Court after a federal judge ruled the law was unconstitutional and an appeals court said the law's individual mandate was unconstitutional.
  • If the ACA is struck down, it could potentially have ramifications for millions of Americans who get their health insurance through the law.

Go deeper

Updated Dec 8, 2020 - Axios Events

Watch: The future of health care payments

On Tuesday, November 9 Axios' Caitlin Owens and Sam Baker hosted a conversation on the future of health care payments, featuring New Enterprise Associates Head of Global Healthcare Mohamad Makhzoumi and Cedar Co-founder and CEO, Florian Otto.

Florian Otto discussed the obstacles to creating a seamless health care payment system and the systemic problems that challenge American health care.

  • On the scope of medical billing's communication problem: "Millions of patients have the same problem: they don't understand the medical bills, they don't get the medical bill, and they land in collections for no real reason. It's really interesting to see that out of the 50 million people and have a bad credit score because of medical debt.
  • On the three key issues in the American healthcare system: "The first big problem is that patients don't really know what they are owed before the visit...The second is the tools and systems that these health care systems use...The third is all this insurance eligibility, determining the co-payment, the coinsurance and the deductible."

Mohamad Makhzoumi discussed how the health care has been impacted by COVID-19 and its acceleration of trends across the industry.

  • On how the pandemic has changed health care: "It's advancing a lot of the trends that have that had been growing but not penetrating health care to a large extent. You think about virtual care and you think about virtual pharmacy, you think about tech disintermediation inside of health care. You think about consumer choice and advocacy."
  • On disruption in the healthcare system: "Primary care is the front door for health care. It's how most of us as Americans access downstream health care, how we get to specialists...That is a part of the healthcare continuum that had yet to be disrupted."

Axios co-founder and CEO Jim VandeHei hosted a View from the Top segment with Waystar CEO Matt Hawkins, who unpacked simplifying health care payments and his belief in positively changing the industry.

  • "There are a lot of smart people focused on improving the way health care is administered in the United States. And as we all have seen, there's a lot of private equity and venture capital investments being made in transforming health care as it exists today. So I'm confident that we're going to make tremendous progress more than we've ever made in the next three to five years."

Thank you Waystar for sponsoring this event.

Updated Dec 11, 2020 - Politics & Policy

McCarthy joins 125 House Republicans in backing Texas lawsuit challenging election

McCarthy with Trump in 2017. Photo: Alex Wong/Getty Images

House Minority Leader Kevin McCarthy (R-Calif.) on Friday joined 125 House Republicans in backing the Texas lawsuit that seeks to invalidate the millions of votes in four battleground states that President-elect Joe Biden won.

Why it matters: McCarthy was left off of the original filing on Thursday and would not answer questions about whether he supported the long-shot lawsuit, which has been dismissed by legal experts as doomed to fail. He is now the highest-ranking Republican in Congress to back the suit, which President Trump has called "the big one."

Updated 3 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Eniola Odetunde/Axios

  1. Health: Most vulnerable Americans aren't getting enough vaccine information — Fauci says Trump administration's lack of facts on COVID "very likely" cost lives.
  2. Education: Schools face an uphill battle to reopen during the pandemic.
  3. Vaccine: Florida requiring proof of residency to get vaccine — CDC extends interval between vaccine doses for exceptional cases.
  4. World: Hong Kong puts tens of thousands on lockdown as cases surge — Pfizer to supply 40 million vaccine doses to lower-income countries — Brazil begins distributing AstraZeneca vaccine.
  5. Sports: 2021 Tokyo Olympics hang in the balance.
  6. 🎧 Podcast: Carbon Health's CEO on unsticking the vaccine bottleneck.

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