The stealth battle began on Inauguration Day, when Mr. Trump signed an executive order giving his agencies wide latitude to weaken the law.
Almost immediately, the Department of Health and Human Services scaled back advertising aimed at encouraging people to enroll in a health insurance plan by the Jan. 31 deadline for 2017.
No surprise, then, that sign-ups for this year came in a bit short of expectations.
Next, the Internal Revenue Service announced that it would continue to allow taxpayers to file their returns without indicating whether they had complied with the mandate to have insurance. Assertions to the contrary notwithstanding, this was quickly interpreted to mean that those failing to comply with the health care act’s insurance requirement would not be assessed penalties.
These may sound like small potatoes, but the requirement that all Americans have insurance is at the heart of Obamacare. Without maximum participation of healthy, young Americans in the insurance exchanges, insurers cannot afford the cost of covering older, less healthy individuals.
That’s the essence of why companies have been dropping out of the marketplace, creating the risk that counties in states like Tennessee and Arizona may have no insurers participating.
You can read the rest at the New York Times.