Let's all remember that we are dealing with politics and politicians. They will make grand claims about having done even small things and they usually get away with it. As an example, while president, Bill Clinton pushed an anti-smoking bill pretty hard. The bill basically restricted cigarette advertising. Just one month after the bill was signed, Clinton declared that he had single-handedly solved the country's smoking problem. Never mind that it was now 1998 and smoking had been in sharp decline, due to social pressures, since the 1970s. Before the bill was signed, US cigarette consumption per person was already about 60% below its peak in the 60s. The slope of the curve did not change due to the bill.
So, Trump says he repealed ACA. The entire text of the executive order is on the White House website (www.whitehouse.gov
). It's pretty brief. Although in the first article, he claims that it is his intent to repeal ACA, nothing in the current order does so. The actual title is "Executive Order Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal"
What the EO does is:
- Grants authorities to states to seek methods of reducing the economic and regulatory burdens of the law - on not just the states, but also on citizens (referred to as "recipients of health care services"). It does not, anywhere, say that they should consider reducing expenses for health insurance companies or employers!
- Encourages the creation of an open market "with the goal of achieving and preserving maximum options for patients and consumers."
To be honest, Obama himself, when asked by the press, what was his biggest regret, answered "Obamacare". He says he was not involved in it enough and the resulting program was far too burdensome in terms of cost and regulations, and he wished he could remain in a position of influence so that he could (then came a list that is pretty much what Trump proposed).
So, I expect that the problems of ACA, as recognized by people on both sides of the aisle, will be addressed - nothing this big can be implemented this fast and be done right. And, after exactly the kinds of alterations that would have been done no matter who's in office, Trump will take credit and claim he killed Obamacare.
Exactly the same behavior every president exhibits.