Get the latest market trends in your inbox

Stay on top of the latest market trends and economic insights with the Axios Markets newsletter. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Denver news in your inbox

Catch up on the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Des Moines news in your inbox

Catch up on the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Minneapolis-St. Paul news in your inbox

Catch up on the most important stories affecting your hometown with Axios Minneapolis-St. Paul

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tampa-St. Petersburg news in your inbox

Catch up on the most important stories affecting your hometown with Axios Tampa-St. Petersburg

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

President Trump said in an exclusive interview with "Axios on HBO" that he'll reinstate protections for pre-existing conditions if a lawsuit — which his administration supports — guts the Affordable Care Act. But Republicans have never come up with a replacement plan that would offer the same level of protection as the ACA.

The intrigue: Trump also said Attorney General Jeff Sessions didn't give him a heads-up before urging a court to throw out the ACA's provisions on pre-existing conditions. But Sessions has said Trump signed off on the move.

The big picture: The Justice Department is arguing that the courts should strike down the Affordable Care Act’s individual mandate and toss out its protections for people with pre-existing conditions in the process.

  • If that position ultimately prevails, millions of people could lose their coverage or see their costs skyrocket.
  • Republican attorneys general want the court to strike down the entire law, which would have the same effect.

“It wouldn’t matter” if those ACA provisions are struck down, Trump said, “because pre-existing conditions, on anything we do, will be put into it.”

  • “I support terminating Obamacare, but if we terminate it, we will reinstitute pre-existing conditions in whatever we do,” he said.

Trump has said this throughout the midterm campaign season. But in the eight years since the ACA passed, Republicans have never proposed an alternative that would offer the same level of protection.

  • Their proposals have either been underfunded or have left gaps that would still expose some people to higher costs and denied coverage.

Where it stands: Judge Reed O’Connor, a George W. Bush appointee, is expected to rule any day now, and oral arguments seemed to go poorly for the ACA’s allies.

  • DOJ’s position in the case has already caused plenty of headaches for Republican candidates in the midterms.

Axios asked Trump whether Sessions had told him that this was coming.

  • “No, he didn’t, actually,” Trump said.
  • But Sessions has said he took this politically explosive position “with the approval of the President of the United States.”
  • The Justice Department referred questions about the discrepancy to the White House.
  • “Litigation decisions are typically handled through the White House Counsel’s office on behalf of the President,” White House Press Secretary Sarah Sanders said when asked about the conflicting answers. “The issue presented in this case is a technical constitutional issue and does not represent the Administration’s general position on pre-existing conditions.”

Go deeper:

Go deeper

USAID chief tests positive for coronavirus

An Air Force cargo jet delivers USAID supplies to Russia earlier this year. Photo: Mikhail Metzel/TASS via Getty Images

The acting administrator of the United States Agency for International Development informed senior staff Wednesday he has tested positive for coronavirus, two sources familiar with the call tell Axios.

Why it matters: John Barsa, who staffers say rarely wears a mask in their office, is the latest in a series of senior administration officials to contract the virus. His positive diagnosis comes amid broader turmoil at the agency following the election.

Bryan Walsh, author of Future
6 hours ago - Health

COVID-19 shows a bright future for vaccines

Illustration: Annelise Capossela/Axios

Promising results from COVID-19 vaccine trials offer hope not just that the pandemic could be ended sooner than expected, but that medicine itself may have a powerful new weapon.

Why it matters: Vaccines are, in the words of one expert, "the single most life-saving innovation ever," but progress had slowed in recent years. New gene-based technology that sped the arrival of the COVID vaccine will boost the overall field, and could even extend to mass killers like cancer.

7 hours ago - Health

Beware a Thanksgiving mirage

Illustration: Sarah Grillo/Axios

Don't be surprised if COVID metrics plunge over the next few days, only to spike next week.

Why it matters: The COVID Tracking Project warns of a "double-weekend pattern" on Thanksgiving — where the usual weekend backlog of data is tacked on to a holiday.