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Washington’s power has modified. Here’s how the ACA could change

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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.

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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.

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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.

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“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.”

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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.

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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.

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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.

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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.

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“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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This article was originally published on : thegrio.com
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Trump wants to pay Rwanda to take deported from us

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Trump, rally shooting, assignation at temp, contempt, deportation, migrants


The Rwandan government and the Trump administration are talking a few possible agreement that may allow kigali to receive deported from the United States-in this Africans and other residents, he was not rwanda-he was touched.

According to an official in Rwanda, it is predicted that discussions on potential financial compensation and other logistics details will take place in the following two weeks. Both US and Rwandan officials confirmed that negotiations They are within the technique of moving residents of third country deported from the USA to Rwanda.

Secretary of State Marco Rubio was very loud in regards to the willingness of Trump’s administration to send people to other countries, even countries from which individuals don’t necessarily come.

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“We work with other countries to say:” We want to send you probably the most vile people, “he said during a television meeting of the office when he was sitting next to Donald Trump. Rubio also said that the “further from America, the higher”.

The same agreement with the Salvador, under which some deportatts are imprisoned within the notorious Cecot prison on this country, led to quite a lot of processes against Trump’s administration.

However, other countries, equivalent to Panama and Mexico, whose President Claudia Sheinbaum publicly threw herself as an opponent of Trump, agreed to accept the deported ones who don’t come from these countries.

According to the article from 2024, Rwanda, like Salvador, accused of violating human rights of his residents The arrest and torture of the families of the banished residents who’re critics of the country. In addition, according to the UN investigators, the Rwanda government is accused of supporting a bunch of rebels, in addition to for suppression and murder, arrest or disappearance of their political opponents.

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According to their latest reports, Rwanda lobbyes as a destination of the deportation People who haven’t been Rwandans for years who’ve been critical of the Rwanda government, described as an attempt to wash their popularity as a spot where human rights abuse are crazy.

According to the United States official, who worked on relations in Rwanda within the Biden administration: “The more cozy that Rwanda will reach Trump’s administration, the less likely that they are pressed to make a license,” probably giving them a lever in peaceful conversations, Trump’s administration tries between the Democratic Republic of Congo and Rwana.

Jeffery Smith, executive director of the Non-profit pro-democracy organization, Vanguard Africa, described any plan to deport immigrants to Rwanda as “morally and legally reprehensible, to continue,” this is just a trick to get positive headers and a cynical way during which to force Western rule, equivalent to the US They are right.

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(Tagstranslat) deportations

This article was originally published on : www.blackenterprise.com
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Politics and Current

Donald Trump’s attempt to embarrass Keisha Lance Bottoms with online cancellation, when he announces that she has already given up the fiery clamp

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Even after the day he returned to the oval office for the second term, Donald Trump once more showed that nothing would break through the rush of the fact that he has no job.

Early on Tuesday morning, shortly after midnight, Trump began to Social truth With his latest staff news, after all entitled “You are released”, his abused signature with the reality show “The Apprentice”.

“Our first day in the White House is not over yet!” Trump wrote. “My presidential staff office actively identifies and removes over a thousand presidential denominators from the previous administration, who do not agree with our vision of making America again.”

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The mayor of Atlanta Keisha Lance Bottoms was called N-Słow in a text message after she refused to open her city again, despite the decision of Governor Brian Kemp. (Photo of Rich Graessle/Icon Sportswire via Getty Images)

In other words, released – including the joint chiefs of staff Marek Milley, serving the National Infrastructure Advisory Council, chef Jose Andres, from the President’s Council for Sport, Fitness and Nutrition and former mayor of Atlanta Keish Lance Bottom, from the President’s Export Council – were critical without delay and the current president.

But it seems that Andres and Bottoms defeated a brand new boss.

Writing on X, Andres said that he gave up last week. “My two -year term is over”, the famous chef wrote.

A day late and a brief dollar … My resignation from the President’s Export Council was made on January 4, with the effect yesterday, “wrote Bottoms in a statement issued on Tuesday.” You cannot decelerate someone who has already given up. From all the things that are happening in the world, I’m undecided why I’m in the mind of Donald Trump at 1:30 after his inauguration, but I count as a badge of honor. “

Bottoms will not be a surprise. She proved that she was a talented surrogate in the Joe Biden 2020 campaign, based on her experiences cooperating with Trump as the mayor of Atlanta. A couple of weeks after the election, Anderson Cooper from CNN said: “He will eat his own children, I am sure that if he considered it careful.”

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In his statement on Tuesday, Bottoms scolded the president for waste of time to staff, when his attention is required elsewhere.

“I hope that his attention to detail will be much more lit when it comes to world matters,” she said. “There are real problems that require attention all over the world. No matter how you voted, I think we can all agree, that aiming with me with a man who feeds resettled people in Los Angeles and arranged military general in the early morning hours through social media, is not the best use of time for the President of the United States.”

Was recently carried out by The Atlanta Journal-ConstitutionBottoms said that the critical point in her relationship with the Trump administration appeared during a pandemic, citing the lack of predictability in dealing with the crisis.

“I give an example, among the pandemic, the comments that the president presented whether it was injected with bleach or really encouraged people to trust science in Covid,” she said.

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She criticized his use of federal agents to suppress demonstration over excessive strength by law enforcement agencies, signing a protest letter with dozens of other leaders of enormous cities.

Botty was the mayor of Atlanta in 2018–2021 before joining the Biden administration in 2022 as a senior advisor and director of the public commitment office. She returned to DC in 2023 to lead the import advice.

https://www.youtube.com/watch?v=nicwjeliniu

(Tagstranslate) Donald Trump (T) Keisha Lance Bottoms

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Kamala Harris made a historic president: the new book gives her a breakthrough journey through photos – essence

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The 107-day Kamala Harris campaign for the president of the United States was greater than a political run-it was a seismic moment in America’s history. Although the race didn’t end with victory, Harris broke the barriers with relentless determination, historical milestones and a message of joy that many inspired.

In the new book, IN The authors of Deborah Willis and Kevin Merida capture the transformation journey of Vice President Harris with convincing photography and great history. This book that hit stores on December 17 offers an intimate and refined portrait of Harris’s life, a formidable profession and a historical campaign, combining their public triumphs with personal moments that shaped its groundbreaking entrance.

Kamala Harris made a historic president's run: the new book gives her a breakthrough journey through photos
Simon and Schuster

This is a story that each Merida, journalist, in addition to the creator, in addition to Willis, photographer and photo historian, needed to be told, no matter the campaign’s consequence. “You know, sometimes we can simply take a story for granted. This person was the first and that, but literally broke the barriers and broke the ceilings not made of glass, but made of bricks at every level,” says Merida. “She is the first black American woman who is a vice president and the first of the main political party who received the president’s nomination and who had to be fully mastered.”

Thanks to over 150 photos, the iconic quotes and the most vital events from the vertical life and profession of Vice President Willis and Merida provide a photographic biography that consolidates Harris’s history as a testimony to progress and strength of possibilities.

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The book offers an intimate have a look at its historical 107-day campaign to the President of the United States, launched after President Biden announced that he wouldn’t search for re-election. “It was different than everything we saw,” says Merida.

“107 days to conduct a campaign when we are used to presidential campaigns that were two years old in creation … The Democratic Party merged around this one candidate after the president decided not to run, so we were dealing with history only in the campaign and how it happened … so chronicly that we wanted to capture him in real time,” he adds.

“When she announced her campaign, I was surprised that many people in news ignored the history of her history,” says Willis, who tried to inform the layered story of Harris’s personal and skilled journey. “I wanted to show her identity – she had many – as a sister, daughter, mother. I wanted to show influential experiences that shaped her through photos,” adds Willis.

Kamala Harris made a historic president's run: the new book gives her a breakthrough journey through photos

One of the most striking elements of the book is concentration on joy – a topic often omitted in political narratives, but a deliberate purpose of this book. Willis and Merida claim that they intended to capture the joy and emotional resonance of the campaign-often inverted aspect of political travels.

This approach reflects their previous cooperation, which described the groundbreaking campaign of former President Barack Obama from 2008, with a similar attention to humanity behind the story.

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“We were looking for ways to find the joy of the campaign, this emotional experience, which is often ignored during the campaign,” divides Willis from Essence. “When we noticed the door of the door to the door, the touch of the heart, the selfie that created the language that he directed me as a photographer to look at the eyes of the people he is looking at … those exchanges that created a desire to be part of the world of Harris,” he adds.

Kamala Harris made a historic president's run: the new book gives her a breakthrough journey through photos
US President Joe Biden (L) and the US Vice President and the candidate for the President of Democratic Kamala Harris pose for a selfie with fans at the end of the campaign rally at the International Brotherhood of Electrical Workers (IBEW) Local 5 in Pittsburgh in Pennsylvania, September 2, 2024 (photo Brendan Malialowski / AFP) (Photo Mrenowski / AFP / AFP vopts.

Book visualizations are a powerful tool for telling stories, with paintings akin to Harris engaging with young fans, sharing cordial moments together with his team and covering community members on the campaign trail. These photos provide readers with a sense of joy and combination that defined her sprint to the White House.

Both authors perceive their work as a tribute to Harris’s immunity and the wider impact of her journey. “Books are souvenirs … There is nothing stronger than visual images, because you can come back and you can consider and study them,” notes Merida.

Willis emphasized the importance of sharing the amazing journey of Harris. “We wanted to show the world not only what she achieved, but as she achieved it,” he says.

Thanks to the cooperation of Willis and Merida, they created a work that not only celebrates the achievements of Kamali Harris, but additionally inspires readers to see in history. As Merida put it: “Nobody arrives. Success is based on the influence, perseverance and belief that tomorrow can be better than today. The story of Kamali is proof of this.”

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