In the Battle of Obamacare Gulch, House Republicans and their commander-in-chief, President Trump, bugled "Retreat!" loud and clear last month.
Trump immediately tweeted to his troops that the enemy would soon destroy itself anyway. "ObamaCare will explode and we will all get together and piece together a great healthcare plan for THE PEOPLE," he declared.
The important question then became whether the Trump administration would actively try to sabotage the Affordable Care Act through unilateral, executive actions. A caper like that poses big risks for Trump and the Republicans if consumers suffer; they might actually have to take responsibility for their words and actions, something they haven't had to do since at least 2008.
The administration has now quietly made one key decision that will help stabilize the insurance marketplace and that insurance companies like. Though Trump, as president, has not so far shown he values consistency or transparency in government, this could be a sign that Trump and his sappers will not try to blow up Obamacare to clear the battlefield for Trumpcare.
This raises the very realistic prospect that even this early in Trump's term, Obamacare might be sneaking into safety and, possibly, improvement. Here are five reasons that may happen.
• In response to probing by Robert Pear of the New York Times, one of the top reporters on health care, the Department of Health and Human Services announced it would continue to reimburse insurance companies for reductions in deductibles and other out-of-pocket costs they give to low income consumers, as the ACA requires. These are called "cost-sharing" subsidies and they are anathema to many conservatives who see them as corporate welfare and social welfare — the worst of both worlds. In fact, House Republicans filed a lawsuit arguing the "cost-sharing" payments were illegal because they were expenditures not approved by the proper congressional appropriations process.
But insurance companies needed to know immediately if Trump and HHS Secretary Tom Price were going to pull the plug on the "cost-sharing" payments. If they did, some companies were likely to pull out of some markets. That possibly could have started the kind of implosion Trump seems to wish for. Now the insurance companies don't have to worry.
In fact, influential House Republicans actually are pushing colleagues to pass a legislative fix that would create a legit appropriation for the "cost-sharing" payments, rendering the lawsuit moot.