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Reproduced from KFF; Chart: Axios Visuals

The vast majority — nearly eight in 10 — of Americans don't want to the Supreme Court to overturn the Affordable Care Act's pre-existing conditions protections, according to a KFF poll.

Yes, but: Only 58% of Americans say the same about the law in its entirety, with the gap between the two positions largest among Republicans.

Between the lines: The heart of the ACA is its pre-existing conditions protections, and other major pieces of the law exist to make health coverage affordable for everyone while ensuring sick people can get health care.

  • Although there are other ways to protect people with pre-existing conditions, none of those proposed by Republicans have given the same level of protection, and other ideas require more federal spending.

Why it matters: The future of the ACA is suddenly threatened, once again, by the Supreme Court, and that's made the law front and center heading into the 2020 election. There isn't a very realistic scenario in which the law's pre-existing conditions protections survive, but the rest of it falls.

Go deeper

Updated Jan 15, 2021 - Axios Events

Watch: Affordability and the next administration

On Friday, January 15, Axios' Caitlin Owens hosted a conversation on the future of health care affordability with a new Biden administration, featuring former CMS administrator Dr. Mark McClellan and former Rep. Greg Walden (R-Ore.)

Dr. Mark McClellan discussed the priorities of the incoming Biden administration and challenges in health care access and affordability exacerbated by the pandemic.

  • On President-elect Biden dealing with the pandemic: "[He] was elected above all else for an effective response to the crisis. And that means the first round of legislation has to focus on more effective vaccination, more effective testing, reopening the economy, and giving people the economic support they need."
  • On people not getting the care they need during the pandemic: "We've seen a lot of health care complications because people did not get help. We don't have a strong public health system in this country...Most people did not get help. If they were at risk for infections, they had to go find a way to get tested on their own."

Rep. Greg Walden unpacked the value of telemedicine and creating an affordable, patient-centered health care system.

  • How technology can bridge existing health gaps: "We've learned the importance and practicality of getting health care closer to the patient. I'm speaking specifically about telemedicine. I think it can be both cost-effective and so much more convenient for the patient...You shouldn't have to rush into a hospital for everything you need."

Axios Vice President Yolanda Taylor Brignoni hosted a View from the Top segment with the CEO of OptumHealth, UnitedHealth Group, Dr. Wyatt W. Decker, who discussed the pandemic as a moment for the industry to think differently about how they provide accessible care.

  • On the potential for telemedicine: "Let's put the decision-making, good information, and support in the hands of a person and help provide them with digital tools that can give them easy access to health care with excellent outcomes. We [can] do this in a whole variety of ways by providing telehealth solutions."

Thank you UnitedHealth Group for sponsoring this event.

Mike Pompeo shells out for media makeover

Via "Fox News Sunday"

Mike Pompeo's political action committee spent $30,000 on media training from last March to June — the most on any service beyond payroll during the first six months of 2021.

Why it matters: The former secretary of State hasn't just been losing weight but working to hone his media skills amid speculation about a possible presidential run, records show.

Bipartisan infrastructure group takes on election reform

Illustration: Sarah Grillo/Axios

The bipartisan group focused on updating the Electoral Count Act of 1887 is seizing on this recess period to court senators more freely.

Why it matters: The group is led by Sen. Susan Collins (R-Maine) and includes many members who helped reach the bipartisan infrastructure deal. They see themselves as the only hope of creating an election reform package able to muster 60 votes in the Senate.

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