Politics and Current
Washington’s power has modified. Here’s how the ACA could change
Trump teased ACA overhaul; other Republican lawmakers have said changing the laws referred to as Obamacare can be a priority.
President-elect Donald Trump’s return to the White House could embolden Republicans who need to weaken or repeal the Affordable Care Act, but implementing such sweeping changes would still require overcoming procedural and political hurdles.
Trump, a longtime opponent of the ACA, expressed interest in changing the health law during the campaign. Additionally, some senior Republican lawmakers – who will now control each the House and Senate – have said changing the landmark 2010 laws referred to as Obamacare can be a priority. They argue that the law is simply too expensive and an overreach of the government’s powers.
The ruling trio is setting the stage for potentially seismic changes that could limit the expansion of Medicaid laws, raise uninsured rates, weaken patient protections and increase premium costs for hundreds of thousands of individuals.
“The Republicans’ plans — they don’t say they’re going to repeal the ACA, but their set of policies could amount to the same goal or worse,” said Sarah Lueck, vice chairman for health policy at the Center on Budget and Policy Priorities , a research and policy institute. “This can happen through legislation and regulation. We are ready for anything. It can take many forms.”
Over the years, Republicans in Congress have solid dozens of votes in an try and repeal the law. They didn’t accomplish that in 2017, when Trump became president, despite serving in each chambers and the White House, largely because some GOP lawmakers wouldn’t support laws they believed would cause such a marked increase in the uninsured rate .
Similar opposition to the amendment to the law may appear again, especially as polls show ACA protections are popular.
While neither Trump nor his GOP allies have detailed what they’d change, House Speaker Mike Johnson said last month that the A.C.A. needs “massive reform” and can be included in the party program if Trump wins.
Congress could theoretically amend the ACA and not using a single Democratic vote, using a process referred to as “reconciliation.” But the narrow margins by which Republicans control the House and Senate mean that only a handful of “no” votes could derail the effort.
Many of the more ambitious goals would require Congress. Some conservatives have called for changing the funding formula for Medicaid, the federal government’s medical health insurance program for low-income people and other people with disabilities. The idea could be to make use of budget reconciliation to get lawmakers to agree to cut back the share the federal government pays to the growing population. The group that will be most affected could be mostly higher-income adults and adults who do not need children, moderately than “traditional” Medicaid beneficiaries similar to pregnant women, children and other people with disabilities.
A conservative idea that will allow individuals to make use of ACA subsidies for exchange-traded plans that violate the health law would likely require Congress. This could encourage healthier people to make use of subsidies to purchase cheaper and stingier plans, raising premiums for older and sicker consumers who need more comprehensive coverage.
“This is like a plan to repeal the ACA,” said Cynthia Cox, vice chairman and director of the Affordable Care Act program at KFF, the nonprofit health information organization that owns KFF Health News. “It’s repeal by another name.”
Congress would likely be needed to pass a proposal to transfer a few of consumers’ ACA subsidies to health savings accounts to cover qualified medical expenses.
Trump could also decide to bypass Congress. He did so during his last term, when the Department of Health and Human Services invited states to use for waivers to change how they pay for Medicaid programs – limiting federal funds in exchange for greater state flexibility in running the program. Waivers are popular in each blue and red states as other changes to Medicaid are made.
“Trump will do whatever he thinks he can,” said Chris Edelson, an assistant professor of presidency at American University. “If he wants to do something, he’ll just do it.”
Republicans have an alternative choice to weaken the ACA: They simply cannot do anything. Temporary, increased subsidies that reduce the cost of premiums — and have contributed to the nation’s lowest-ever uninsured rate — will expire at the end of next 12 months without congressional motion. Then there could be contributions double or moreon average, for subsidized consumers from 12 states which have signed up for the federal ACA exchange – in accordance with KFF data.
This would mean fewer people could afford the costs of the ACA exchanges. And while the number of individuals covered by employer plans is prone to increase, it’s estimated that between 2024 and 2033 there can be a further 1.7 million uninsured people annually, in accordance with federal estimates.
Many of the states that will be hardest hit, including Texas and Florida, are represented in Congress by Republicans, which could prompt some lawmakers to think about ending the subsidies.
The Trump administration may determine to stop defending the law against lawsuits in search of to overturn parts of it. One of the most characteristic cases questions the ACA requirement for insurers to cover some preventive services totally free, similar to cancer screenings and alcohol use counseling. About 150 million people now profit from the coverage requirement.
If the Justice Department withdrew its petition after Trump took office, plaintiffs wouldn’t need to comply with the coverage requirement — which could trigger similar challenges with broader consequences. A recent Supreme Court ruling left the door open to legal challenges from other employers and insurers in search of the same relief, said Zachary Baron, director of Georgetown University’s Center for Health Policy and Law.
Meanwhile, Trump could initiate changes from his first day in the Oval Office through executive orders, i.e. directives which have the force of law.
“Early executive orders will give us an idea of the policies the administration plans to pursue,” said Allison Orris, a senior fellow at the Center on Budget and Policy Priorities. “Early signaling through executive orders will send a message about what guidance, regulations and policies may follow.”
In fact, Trump relied heavily on these orders during his previous term: An October 2017 order directed federal agencies to start modifying the ACA and ultimately increased consumer access to health plans that were illegal. He could issue similar orders early in his latest term, using them to start the strategy of forcing changes in the law, similar to increased oversight of potential fraud.
The administration could take other steps early on that will conflict with the ACA, similar to limiting federal aid funding and helping people enroll in ACA plans. Both actions depressed registration during the previous Trump administration.
Trump could also use regulation to implement other conservative proposals, similar to expanding access to medical health insurance plans which can be inconsistent with ACA consumer protections.
The Biden administration has held back Trump’s efforts to expand so-called short-term health plans, disparaging the plans as “junk” insurance because they could not cover certain advantages and will refuse to cover individuals with pre-existing health problems.
The Trump administration is anticipated to make use of regulations to reverse Biden’s decision, allowing consumers to maintain and extend their plans for much longer.
But drafting the rules became rather more complicated after a Supreme Court ruling that said federal courts not needed to defer to federal agencies facing legal challenges to their authority. As a result, any Trump-era HHS rules may require greater efforts to dam them in the courts.
Some individuals with ACA plans say they’re concerned. Dylan Reed, a 43-year-old small business owner from Loveland, Colorado, remembers the pre-ACA days and doesn’t need to return to the days when insurance was difficult to get and he couldn’t afford.
In addition to attention deficit hyperactivity disorder and anxiety, he suffers from scleroderma, an autoimmune disease related to: joint pain and numbness in the limbs. Even on the ACA plan, he estimates he pays about $1,000 a month for medications alone.
He worries that without the ACA’s protections, it can be difficult to seek out coverage for his pre-existing conditions.
“It’s definitely a scary thought,” Reed said. “I probably would have survived. I would just be in so much pain.”
KFF Health News is a national newsroom dedicated to publishing in-depth journalism on health issues and is one among the predominant operating programs of KFF – an independent source of research, polls and journalism on health policy. Find out more about KFF.
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Politics and Current
Trump says he cannot guarantee that tariffs will not raise prices in the US and does not rule out retaliation
WASHINGTON (AP) – Donald Trump he said he couldn’t guarantee that his promised rates regarding key US foreign trade partners there will be no raise prices for American consumers and again suggested that some political rivals and federal officials who handled court cases against him must be imprisoned.
The president-elect also touched on monetary policy, immigration, abortion and health care, and U.S. involvement in Ukraine, Israel and elsewhere in a wide-ranging interview on NBC’s “Meet the Press” that aired Sunday.
Trump often mixed declarations with reservations, at one point warning that “everything is changing.”
Take a have a look at a few of the issues covered:
Trump wonders whether trade penalties could raise prices
Trump threatened widespread trade penalties but said he didn’t imagine it economists’ predictions that the additional costs of imported goods for U.S. businesses would result in higher domestic prices for consumers. He broke his promise that American households would not pay more for purchases.
“I can not guarantee anything. “I can’t guarantee tomorrow,” Trump said, apparently opening the door to accepting the reality that import fees typically operate once goods reach the retail market.
That’s a special approach from Trump’s typical speeches during the 2024 campaign, when he presented his decisions as a surefire approach to curb inflation.
In the interview, Trump defended the tariffs in general, saying the tariffs “make us rich.”
He announced that on the first day of his term in January he would impose a 25% tariff on all goods imported from Mexico and Canada unless those countries satisfactorily stop illegal immigration and the flow of illegal drugs equivalent to fentanyl into the United States. He also threatened to impose tariffs on China to force the country to limit fentanyl production.
“I just want to have a level, fast but fair playing field,” Trump said.
Trump suggests revenge against his opponents without claiming to have an interest in revenge
He has made conflicting statements about how he would approach justice after winning the election, although he was convicted of 34 felonies in a New York state court and charged in other cases with handling national security secrets and efforts to overturn his loss to a Democrat in 2020 Joe Biden.
“Frankly, they should go to jail,” Trump said of members of Congress who investigated the Capitol riot by his supporters who wanted him to remain in power.
The president-elect has emphasized his case that he could use the justice system against others, including special counsel Jack Smith, who prosecuted the case involving Trump’s role in the siege on January 6, 2021. Trump confirmed his plan to pardon convicted supporters for the role they played in the riot, saying that he will take these actions on his first day in office.
As for the idea of revenge triggering potential criminal prosecutions, Trump said: “I actually have every right to accomplish that. I’m a top law enforcement officer, you recognize that. I’m the president. But that doesn’t interest me.”
At the same time, Trump named lawmakers on the House special committee that investigated the rebel, citing Rep. Bennie Thompson, R-Mississippi, and former Rep. Liz Cheney, R-Wyo.
“Cheney was behind this… as was Bennie Thompson and everyone on this committee,” Trump said.
Asked specifically whether he would direct his administration to pursue the cases, he replied “No” and suggested he did not expect the FBI to quickly investigate his political enemies.
But at one other point, Trump said he would go away the issue to Pam Bondi, his pick for attorney general. “I want her to do whatever she wants,” he said.
Many leading Democrats have taken such threats, no matter Trump’s inconsistencies, seriously enough that Biden is considering issuing a blanket, preventive pardon to guard key members of his outgoing administration.
Trump appeared to backtrack on his campaign rhetoric calling for an investigation into Biden, saying, “I have no intention of going back to the past.”
Swift motion is coming on immigration
Trump has repeatedly mentioned his guarantees to seal the U.S.-Mexico border and deport tens of millions of people who find themselves in the U.S. illegally as a part of a mass deportation program.
“I think you have to do this,” he said.
He has suggested that he would try to make use of executive motion to finish “birthright” citizenship, under which individuals born in the U.S. are considered residents – although such protections are provided for in the Constitution.
Asked specifically about the future of people that were delivered to the country illegally as children and have been protected against deportation in recent years, Trump said: “I want to work something out,” indicating he may look to Congress for an answer.
But Trump also said he “don’t want to break up families” with mixed legal status, “so the only way not to break up the family is to keep them together and send them all away.”
Trump commits to NATO, setting conditions, but criticizes Putin and Ukraine
Trump, long a critic of NATO members for not spending more on their very own defense, said he would “absolutely” remain in the alliance “if they pay their bills.”
Pressed on whether he would withdraw if he was dissatisfied with allies’ commitments, Trump said he wanted the United States to be treated “fairly” on trade and defense issues.
He wavered on NATO’s priority of containing Russia and President Vladimir Putin.
Trump suggested that Ukraine should prepare for less U.S. help to defend against Putin’s invasion. “Probably. Yeah, probably. Sure,” Trump said about Washington cutting aid to Ukraine. Separately, Trump did called for a right away ceasefire.
Asked about Putin, Trump initially said he had not spoken to the Russian leader since last month’s election, but then insisted: “I haven’t spoken to him lately.” Trump said under pressure, adding that he didn’t need to “impede negotiations.”
Trump says Powell is protected at the Fed, but Wray is not at the FBI
The president-elect has said he has no intention, at the least for now, of asking Federal Reserve Chairman Jerome Powell to step down before the end of Powell’s term in 2028. Trump said during the campaign that presidents must have more to say on Fed policyincluding rates of interest.
Trump has not provided any job guarantees to FBI Director Christopher Wray, whose term ends in 2027.
Asked about Wray, Trump said, “Well, it seems pretty obvious” that if the Senate confirms Kash Patel as Trump’s nominee select the head of the FBI, then “he’s going to take another person’s place, right? Someone is that this person you’re talking about.
Trump is absolute on Social Security, not abortion and medical insurance
Trump promised that the government’s efficiency efforts under Elon Musk and Vivek Ramaswamy would not threaten Social Security. “We do not affect social safety, except that we make it more effective,” he said. He added that “we’re not raising the age or anything like that.”
He didn’t speak in much detail about abortion or the long-promised amendment to the Affordable Care Act.
On abortion, Trump continued its inconsistencies and said he “probably” won’t try to limit access to abortion pills, which currently cause most abortions, in keeping with the Guttmacher Institute, which supports abortion rights. But when pressed on whether he would commit to the position, Trump replied: “Well, I agree. That is, do things change. I think they are changing.”
A repetition of his line Debate on September 10 v. Vice President Kamala Harris, Trump again stated that he had “concepts” for a plan to switch the 2010 Affordable Care Act, which he called “lousy health care.”
He added that any version of Trump would supply insurance coverage for Americans with pre-existing health conditions. He did not explain how such a project would differ from the establishment or the way it could fulfill his desire for “better health care for less money.”
Politics and Current
St. Day Louis Marks Wesley Bell in honor of the first black prosecutor
December 6 in St. Louis has officially been declared Wesley Bell Day to honor the county’s first black prosecutor.
According to Local leaders held a celebratory event at the St. County Department of Justice. Louis, after which County Executive Sam Page made a press release. Bell made history along with his appointment to this position, which he has held since 2019.
He called the recognition “a great honor” that belongs to the community he serves.
“For me, this is a testament to the men and women of the St. County Prosecutor’s Office. Louis, who wake up every day with the idea of public safety, with the idea of treating our victims with the dignity and respect they deserve, and keeping this region safe. In this way, it is a great honor for us,” he said.
Bell took over as St. County prosecutor. Louis after defeating longtime Democratic incumbent Bob McCulloch in the primary. After McCulloch’s controversial decision to not prosecute the officer who fatally shot Black teenager Michael Brown in 2014, Bell ran a campaign that prioritized criminal justice reform. His platform included community policing and progressive marijuana policies that were passed shortly after taking office.
During his tenure, Bell established the Diversion Commission and the Incident Review Unit. The unit enables people wrongly convicted to submit a request to the prosecutor to reconsider their case. Bell sees the measure, a first in the nation, as a step toward criminal justice reform.
But Bell will transcend local politics to assist his St. Louis on a national scale. He was recently elected to the United States House of Representatives, representing Missouri’s 1st District.
“This job, and my future job, is about work,” he added. “It’s about representing the interests of my constituents. People here in this region.
Although Bell will proceed to serve St. Louis in a distinct capability, the race to appoint his successor continues, and the escalating dispute between Page and Missouri Gov. Mike Parson continues. Page has already announced his selection of the next prosecutor, but the GOP leader said he plans to make the nomination.
Politics and Current
68-year-old black Georgia man knocked to the ground and brutally arrested at a red light fights for justice after three-year legal nightmare
It’s taken greater than three years, but Jeffrey Lemon finally got his day in court.
A 68-year-old Black man was arrested in Georgia under questionable circumstances in 2021 after Clayton County sheriff’s deputies threw him to the ground and put a knee on his back after he was accused of running a red light in suburban Atlanta County.
He was charged with obstruction and red light violations, in addition to possession of a small amount of marijuana, which police present in a pipe in the trunk of his automobile after his arrest. He ended up spending two nights in jail.
But the case dragged on for greater than three years until his attorney filed a motion for a speedy trial last month. The trial is scheduled to start Monday, and Lemon hopes prosecutors will drop the case without forcing a trial.
“I hope they throw everything away, but it’s a corrupt system, so I don’t know what to expect,” Lemon told Atlanta Black Star in a phone interview.
Lemon also said he was offered a plea deal late Thursday wherein prosecutors would drop the marijuana and red light charges if he pleaded guilty to the obstruction charge, but he declined to take the deal because he plans to file a lawsuit if he’s cleared of all charges. .
Arresting deputies Jon House and Demetrius Valentine each resigned after the incident, but House, who initiated the traffic stop, was rehired three months later.
“The arrogance I experienced from Officer J. House and Sgt. Valentine… completely disregarded me as a human being,” he wrote in a letter wherein he presented his version of the arrest.
Lemon’s arrest got here a month after the death of Clayton County Sheriff Victor Hill was accused faces federal charges after he was accused of tying pretrial detainees to a restraint chair for hours in violation of their civil rights. Hill was convicted and sentenced to 18 months in prison in March 2023, but he was released after serving lower than a 12 months.
Throughout this time, nonetheless, Lemon’s case has remained pending, which he believes is because the officers try to cover up their illegal behavior and prevent him from filing a lawsuit.
Arrest
The incident occurred on May 27, 2021, when Lemon was driving his Camaro on Valley Hill Road and noticed a Clayton County sheriff’s deputy behind him, who turned out to be House.
He stated that he was in the left inside lane and needed to enter the right outside lane to make a right turn in front of him, nonetheless, when he stopped his automobile at a red light, the deputy pulled the patrol automobile next to him into the right lane.
He said the deputy then refused to move forward when the light turned green, stopping Lemon from entering the lane.
Lemon said he waited a few seconds, hoping the deputy would move, but then moved to the next intersection when it became clear the deputy was not going to move.
He testified that when he turned right at the next intersection, the light turned green, but the deputy stopped him and accused him of running a red light.
Lemon told the deputy that he didn’t run the red light, but gave him his license, but the deputy began accusing him of trying to avoid him, and that is when he realized the deputy was trying to escalate the interaction, and as he tried to call his daughter and friend, but he didn’t. they replied.
He then called 911 because he feared for his life when the deputy began accusing him of things he didn’t do, and that is when House called for backup.
Valentine arrived and threatened to taser him if he didn’t get out of the automobile, so he complied under duress, which occurred when Valentine tackled him to the ground and House put his knee on his neck.
“I felt humiliated,” he said. “For the guy to come up and not try to have any dialogue. He just immediately walked up and said, “Get your ass on the ground before I kick you.”
He said that when he was arrested, he was on his way to rent a latest house, so he had $1,800 in money with him, but authorities didn’t allow him to use the money to bail, forcing him to stay in jail for two days.
“They didn’t want to take the money, so I had to carry it in my shoe throughout my stay in prison,” he said.
He said the aggressive arrest put him in a state of so-called cervical stenosis, where he’s currently in constant pain and has already spent hundreds of dollars on medical bills.
Report
The House deputy describes the arrest in a very different light, stating in his report that he became suspicious when Lemon failed to stop at the intersection after the light turned green, believing he was doing all the pieces in his power to avoid being stopped.
He further claimed that as Lemon moved forward, turning right, he ran a red light and that is when House stopped him.
However, this claim contradicts his initial claim because if Lemon was truly trying to avoid being stopped, he would never have run a red light knowing the deputy was behind him.
House also claimed that he began to fear for his life after he noticed a knife in the center console of Lemon’s vehicle and then called for backup and ordered him out of the automobile, but Lemon stated that the knife was never there.
“There was no knife,” Lemon said. “I would like to see their list of things they faraway from my automobile. This will show there was no knife.
House stated in his report that he found pot in the trunk while taking a listing of things in the automobile, which he ordered confiscated. He also claimed that “evidence was dropped in the sheriff’s office room,” but didn’t specifically mention the alleged knife placed in the room.
Valentine resigned two weeks later without explanation, according to personnel records obtained by Atlanta Black Star. He was then hired by the nearby Fairburn, Georgia Police Department the following month.
Personnel records obtained from the Clayton County Sheriff’s Office show House resigned in November 2021 because he was dissatisfied with “a change in the mission of this agency that does not align with my personal goals.”
House was then hired by the nearby Riverdale Police Department, only to resign from the job three months later because “the city-provided health insurance is expensive and does not provide adequate health care for my family,” according to a resignation letter obtained by Atlanta. Black Star.
He was then rehired by the Clayton County Sheriff’s Office in March 2022 and stays employed.
Lemon believes there may be body camera and dash cam video that might prove his innocence, but when Atlanta Black Star asked public authorities for any available footage of the arrest, the Clayton County Sheriff’s Office said “no records exist” ” regarding arrest.
“That sounds like another lie,” Lemon said.
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