This article is an excerpt from the “2020 Mandate for Leadership: A Clear Vision for the Next Administration.” It looks back at policy decisions made by the Trump administration over the past four years. You can purchase your copy of “Mandate 2020” here.
The 2016 election produced a president and congressional majority committed to repealing and replacing Obamacare. Those efforts faltered during the summer of 2017.
In December of that year, Congress did enact a tax reform bill that eliminated the tax penalty on the uninsured. That change, effective January 2019, meant that Americans who were priced out of the individual health insurance market by Obamacare would no longer face IRS penalties. Aside from this measure of relief, however, Congress chose to leave Obamacare largely intact.
Some in both political parties favored doubling down on the law, seeking tens of billions in additional federal “bailout” payments to insurers that sell