Oct 18, 2017

Trump’s mixed signals on health care deal

Trump met with Senate Finance Committee chairman Orrin Hatch and other committee members this morning. Photo: Susan Walsh / AP

White House press secretary Sarah Huckabee Sanders now says President Trump doesn't support the bipartisan Senate health care deal in its current form. That should settle questions about his position for now, but that's after 24 hours of mixed signals that left some of his own advisers unclear where he really stands, as recently as this morning.

What we're hearing: Before Sanders' briefing this afternoon, a senior administration official told us that everyone is hearing what they want to hear, and nobody knows exactly what Trump wants from hour to hour or where he will land. To some extent, his own advisers are never completely sure. But it's fair to say that everyone who is remotely conservative inside the administration is pushing not to keep funding the Affordable Care Act's insurer subsidies without serious concessions.

What's at stake: The deal by Sens. Lamar Alexander and Patty Murray would fund the insurer subsidies for two years, as well as the rest of this year, after Trump said he was going to cut them off. In exchange, states would get an easier waiver process so they don't have to follow all of the ACA coverage rules.

What Trump has said:

  • Yesterday, after meeting with the Greek prime minister: “it is a short-term solution so that we don't have this very dangerous little period — including dangerous periods for insurance companies, by the way ... For a period of one year, two years, we will have a very good solution. But we're going to have a great solution, ultimately, for health care."
  • Last night, in speech to the Heritage Foundation: "While I commend the bipartisan work done by Senators Alexander and Murray -- and I do commend it -- I continue to believe Congress must find a solution to the Obamacare mess instead of providing bailouts to insurance companies."
  • This morning on Twitter, after Axios event with Alexander: "I am supportive of Lamar as a person & also of the process, but I can never support bailing out ins co's who have made a fortune w/ O'Care."
  • This morning, before a meeting with Senate Finance Committee members: "If something can happen, that's fine. But I won't do anything to enrich the insurance companies."

What Sanders said this afternoon: "A good step in the right direction," but “it's not a full approach, and we want something that goes a little bit farther."

Who's against the deal: House Speaker Paul Ryan — which would make it hard to get the bill through the House, even if it gets through the Senate. Office of Management and Budget director Mick Mulvaney has also said the administration wouldn't support an Alexander-Murray bill without big concessions.

Who's for it: It's clearly in Democrats' interests to keep the ACA markets from falling apart, but there's also significant support among Senate Republicans for stabilizing the markets, Sen. John Thune told Caitlin Owens yesterday.

Go deeper: Mike Allen on Trump's improvisational style.

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Trump attacks Schumer for impeachment in letter about coronavirus crisis

President Trump briefs reports on April 2. Photo: Win McNamee/Getty Images

President Trump accused Senate Minority Leader Chuck Schumer of failing to prepare New York for the coronavirus crisis, writing in a scathing letter on Thursday that Schumer was too focused on the "ridiculous impeachment hoax" and that he's been "missing in action."

Why it matters: It's a blistering response to Schumer urging Trump to assign a senior military officer to enforce the Defense Production Act to produce more medical supplies.

World coronavirus updates: Confirmed cases top 1 million

Data: The Center for Systems Science and Engineering at Johns Hopkins, the CDC and China's Health Ministry. Note: China numbers are for the mainland only and U.S. numbers include repatriated citizens and confirmed plus presumptive cases from the CDC

Novel coronavirus infections have hit the 1 million mark after "near exponential growth" that's reached "almost every country," World Health Organization Director-General Tedros Adhanom Ghebreyesus said Thursday.

The big picture: The global death toll exceeded 50,000 on Thursday, per Johns Hopkins data. Italy has reported nearly 14,000 deaths. Governments around the world have introduced public health and economic measures to try and curb the impact of the virus.

Go deeperArrowUpdated 30 mins ago - Health

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 6 p.m. ET: 1,007,997 — Total deaths: 52,771 — Total recoveries: 210,055Map.
  2. U.S.: Total confirmed cases as of 6 p.m. ET: 236,339 — Total deaths: 5,648 — Total recoveries: 8,861Map.
  3. 2020 update: The Democratic National Committee said its July convention will be postponed until August because of the coronavirus.
  4. Jobs latest: The coronavirus unemployment numbers are like a natural disaster hitting every state
  5. Public health latest: FDA allows blood donations from gay men after 3-month waiting period, citing "urgent need."
  6. U.S.S. Theodore Roosevelt: Navy removes captain of aircraft carrier who sounded alarm about coronavirus.
  7. What should I do? Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  8. Other resources: CDC on how to avoid the virus, what to do if you get it.

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