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plan. What we know about his policies </span></h1> <p class="jxTEW Poyse uieav lqtkC HkWF HfYhe kGyAC "><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Trump previously said he wanted to repeal and replace the Affordable Care Act.</span></p> </div> <div class="QHblV nkdHX kvZxL hTosT whbOj " data-testid="prism-byline"> <div class="VZTD mLASH OcxMG oJce "> <div class="kKfXc VZTD rEPuv "> <div class="TQPvQ fVlAg HUcap kxY REjk UamUc WxHIR HhZOB yaUf VOJBn KMpjV XSbaH Umfib ukdDD "> <span class="tChGB zbFav ">By</span><span><a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" target="_blank" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/author/Mary_Kekatos?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB">Mary Kekatos</a></span> </div> <div class="VZTD mLASH gpiba "> <div class="xAPpq JQYD ZdbeE jTKbV pCRh "> September 11, 2024, 5:05 PM </div> </div> </div> </div> <div class="RwkLV Wowzl FokqZ LhXlJ FjRYD toBqx " data-testid="prism-share"> <div class="JpUfa aYoBt "> <ul class="MZaCt dUXCH nyWZo RnMws Hdwln WBHfo tAchw UDeQM XMkl NUfbq kqfZ "> <li class="WEJto "><button aria-label="Share Story on Facebook" class="theme-EWITS mLASH egFzk qXWHA ScoIf ZXRVe jIRH NoTgg OJpwZ uklrk wSPfd ofvJb nMRSd YIauu gGlNh ARCOA kyjTO xqlN aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo UVTAB ihLsD niWVk GYdIS Bdkqu iTpTL Esicv kOEGk WMbJE eVJEc TElCQ ZAqMY enocc pJSQ pvoyF aaksc OKklU ATKRo RfOGv neOGk fuOso DwqSE fnpin ArvQf dUniT Mzjkf Niff NKnwO ijAAn dEuPM vwJ JmUFf sgyq cRbVn sBVbK fCfdG oMkBz aOwuK XsORH EgRXa hMVHb LTwlP jJbTO CnYjj TiUFI qeCAC xqvdn JaQpT dAfv PNgfG fIWCu NewES UJNbG EgBCK UvFHa lCCRi XDQHW spAMS TPSuu sbdDW askuE VsLUC YHsrW pYmVc eHvZI qRTXS odcNV NzKLB DbNtg nKDCU gTRVo iCOvJ znFR hjDDH JboFf OBVry WDGKU nhtNI SSBnQ " data-testid="prism-Button" type="button" 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7.936 0 002.286-4.629 8.21 8.21 0 00-.971-4.857z" /> </svg></span></button> <div class="xdNAs rMQsN cELo NoeP BtinW YHmbu hWtE "></div> </div></li> </ul> </div> </div> </div> <div class=""> <div> <div class="FeaturedMedia"> <div class="ResponsiveWrapper"> <aside class="InlineElement InlineElement--content-width InlineElement--desktop InlineVideo FeaturedVideo" aria-label="Video"> <div class="SingleVideo"> <div class="MediaPlaceholder relative MediaPlaceholder--16x9 cursor-pointer" aria-hidden="false"> <figure class="Image aspect-ratio--parent MediaPlaceholder__Image"> <div class="RatioFrame aspect-ratio--16x9"></div> <div class="Image__Wrapper aspect-ratio--child"> <img aria-hidden="false" alt="" class="" data-mptype="image" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain_16x9.jpg?w=992"> </div> </figure> <div class="MediaPlaceholder__Overlay absolute-fill flex flex-center-all"> <div class="MediaPlaceholder__Button flex flex-center-all"> <svg focusable="false" aria-hidden="true" class="MediaPlaceholder__Icon MediaPlaceholder__Icon--video icon__svg" viewbox="0 0 24 24"> <use xlink:href="/web/20240914011617im_/https://abcnews.go.com/Health/trump-concepts-health-care-plan-policies/story?id=113583973#icon__controls__play"></use> </svg> </div> <div aria-hidden="true" class="MediaPlaceholder__Pill items-center absolute flex"> 5:26 </div> </div> <div class="MediaPlaceholder__PlaybackWrapper absolute-fill"></div> </div> <div class="Caption__Wrapper"> <div class="Caption"> <div class="Caption__TextWrapper"> <div class="Caption__Text" aria-live="polite"> <span class="Truncate Truncate--collapsed"><span><span class="RichText">Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate at the National Constitution Center in Philadelphia, on Sept. 10, 2024.</span></span></span> </div> </div><span aria-label="Saul Loeb/AFP via Getty Images" class="RichText Caption__Credit">Saul Loeb/AFP via Getty Images</span> </div> </div> </div> </aside> </div> </div> </div> </div> <div class="ScrollSpy_container"> <span></span> </div> <div class="XQpSH " data-testid="prism-divider"></div> <div class="xvlfx ZRifP TKoO eaKKC bOdfO " data-testid="prism-article-body"> <p class="EkqkG nlgHS yuUao MvWXB TjIXL aGjvy ebVHC">Health care was one of the topics at the forefront of <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/Politics/harris-trump-abc-news-debate-key-takeaways-fierce/story?id=113566351&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">Tuesday night's debate</a> between former President Donald Trump and Vice President Kamala Harris.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">Trump said he was interested in replacing the Affordable Care Act -- also known as "Obamacare" -- but implied that he didn't have any specific plans in place.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"Obamacare was lousy health care. Always was," Trump said. "It's not very good today and, what I said, that if we come up with something, we are working on things, we're going to do it and we're going to replace it."</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div class="zzkIM UtCfs sXthe lyRMG XQpSH " data-testid="prism-divider"></div> <div> <section class="CHWlW ZgZTu FlDNH hQfuy feniZ wBpop uAyYK yJYJo OGgqj tQHio PCVZs Kiog iKqXF eeiyR " data-testid="prism-collection"> <div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp KzevM LFuuA jLoop liAe uMOq zYIfP pYgZk Mxrkk hsDdd lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ " data-testid="prism-card"> <a class="iVcn UbGlr ibBnq qdXbA VZTD DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc dVINO " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/Politics/fact-checking-kamala-harris-donald-trumps-1st-presidential/story?id=113567997&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" aria-label="MORE: Fact-checking Kamala Harris and Donald Trump's 1st presidential debate"> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq "> <div class="VZTD HNQqj QXDKT QBuju SHKi nCIGi NxHUa sJErG nJjCu dlVQH " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h3 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU " id="MOREFactcheckingKamaheadline">MORE: Fact-checking Kamala Harris and Donald Trump's 1st presidential debate</h3> <p class="PFoxV eBpQD KMxLo GpQCA tuAKv zuqUq WTxSK HxnoC JmHQS KlMT BEWVm " id="MOREFactcheckingKamabody"></p> </div> <div class="NwMid ExxYR tyAg WZxmx dWIDw ZxQhU " id="MOREFactcheckingKamaindicators"> <svg aria-hidden="true" class="prism-Iconography prism-Iconography--general-arrowRight" focusable="false" height="1em" viewbox="0 0 32 32" width="1em" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <path fill="currentColor" d="M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z" /> </svg> </div> </div> </div></a> </div> </section> </div> <div class="zzkIM UtCfs Ufjyt XQpSH " data-testid="prism-divider"></div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">When asked by ABC News moderator Linsey Davis to clarify if he had a health care plan, the former president said he had "concepts of a plan" to replace the ACA but provided no details.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"If we can come up with a plan that's going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it," Trump said.</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div data-testid="prism-ad-wrapper" style="transition:min-height 0.3s linear 1s" data-ad-placeholder="true"> <div data-box-type="fitt-adbox-fitt-article-inline-outstream" data-testid="prism-ad"> <div class="Ad fitt-article-inline-outstream ad-slot " data-slot-type="fitt-article-inline-outstream" data-slot-kvps="pos=fitt-article-inline-outstream-1"></div> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"But if we come up with something, I would only change it if we come up with something better and less expensive," he said later in the debate. "And there are concepts and options we have to do that. And you'll be hearing about it in the not-too-distant future."</p> <div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX "> <div> <div class="InlineImage GpQCA lZur asrEW " data-testid="prism-inline-image"> <figure class="kzIjN GNmeK pYrtp dSqFO " data-testid="prism-figure"> <div class="GpQCA lZur gIjeL " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <picture data-testid="prism-picture"> <source media="(max-width: 414px)" srcset="https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=375&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB,https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=750&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB 2x"> <source media="(min-width: 415px)" srcset="https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=750&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB,https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=1500&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB 2x"> <img alt="PHOTO: Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate in Philadelphia, on Sept. 10, 2024." class="hsDdd vBqtr KrDt SjwtZ hakZw HlUVI " data-testid="prism-image" draggable="false" loading="lazy" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg"> </picture> </div> </div> <figcaption> <div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption"> <div class="HXPPJ barbu IzgMt VcHIt uhSzI YGNMU cRAsZ xqMcl QtRul "> <span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate at the National Constitution Center in Philadelphia, on Sept. 10, 2024.</span></span></span> </div> <div class="qinlA IpWvx oqZz tylGM lyWxS nWcVF UhTug PPcLh "> <span class="YNujN JGtjI aZFDu rkKLh gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Saul Loeb/AFP via Getty Images</span> </div> </div> </figcaption> </figure> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">Last year, Trump <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://truthsocial.com/@realDonaldTrump/posts/111492215056460142?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">posted on Truth Social</a> that the ACA "sucks" and that he didn't want to "terminate" the law but "replace it with much better health care."</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">Dr. Dennis Scanlon, a distinguished professor of health policy and administration at Penn State, told ABC News there's been much less of a focus on repealing and replacing ACA from Trump than seen in 2016 and 2020.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"I think what's been noticeable in this election cycle [is] less discussion about the Affordable Care Act in terms of let's repeal it or get rid of it," he said. "I think last night in the debate, [Trump] basically straddled and said, 'You know, if I can figure out a way to make it better, and we're working on some concepts, we'll do it, but not, that we will get rid of it.' So I think that's just different from what it's been in the last two cycles."</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">Scanlon mentioned that repealing the ACA is not even mentioned in the official <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://www.presidency.ucsb.edu/documents/2024-republican-party-platform?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">2024 Republican Party platform</a>.</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div data-testid="prism-ad-wrapper" style="min-height:250px;transition:min-height 0.3s linear 0s" data-ad-placeholder="true"> <div data-box-type="fitt-adbox-fitt-article-inline-box" data-testid="prism-ad"> <div class="Ad fitt-article-inline-box ad-slot " data-slot-type="fitt-article-inline-box" data-slot-kvps="pos=fitt-article-inline-box"></div> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">In 2010, then-President Barack Obama <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://www.healthreformvotes.org/congress/roll-call-votes/h165-111.2010?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB#:~:text=Passed%20House%20March%2021%2C%202010,unanimous%20in%20opposing%20the%20bill." target="_blank">signed the ACA into law</a>, requiring most Americans to have insurance and directing states to create health insurance exchanges to allow residents to sign up for insurance if they don't receive coverage via an employer.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">During his administration, Trump attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div class="zzkIM UtCfs sXthe lyRMG XQpSH " data-testid="prism-divider"></div> <div> <section class="CHWlW ZgZTu FlDNH hQfuy feniZ wBpop uAyYK yJYJo OGgqj tQHio PCVZs Kiog iKqXF eeiyR " data-testid="prism-collection"> <div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp KzevM LFuuA jLoop liAe uMOq zYIfP pYgZk Mxrkk hsDdd lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ " data-testid="prism-card"> <a class="iVcn UbGlr ibBnq qdXbA VZTD DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc dVINO " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/Politics/economic-fact-checks-kamala-harris-donald-trumps-1st/story?id=113580112&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" aria-label="MORE: Fact-checking economic claims Trump and Harris made at debate"> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq "> <div class="VZTD HNQqj QXDKT QBuju SHKi nCIGi NxHUa sJErG nJjCu dlVQH " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h3 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU " id="MOREFactcheckingeconheadline">MORE: Fact-checking economic claims Trump and Harris made at debate</h3> <p class="PFoxV eBpQD KMxLo GpQCA tuAKv zuqUq WTxSK HxnoC JmHQS KlMT BEWVm " id="MOREFactcheckingeconbody"></p> </div> <div class="NwMid ExxYR tyAg WZxmx dWIDw ZxQhU " id="MOREFactcheckingeconindicators"> <svg aria-hidden="true" class="prism-Iconography prism-Iconography--general-arrowRight" focusable="false" height="1em" viewbox="0 0 32 32" width="1em" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <path fill="currentColor" d="M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z" /> </svg> </div> </div> </div></a> </div> </section> </div> <div class="zzkIM UtCfs Ufjyt XQpSH " data-testid="prism-divider"></div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called "skinny repeal" in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://news.gallup.com/poll/246134/uninsured-rate-rises-four-year-high.aspx?g_source=link_NEWSV9&amp;g_medium=NEWSFEED&amp;g_campaign=item_&amp;g_content=U.S.%2520Uninsured%2520Rate%2520Rises%2520to%2520Four-Year%2520High&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">Gallup</a> said may have reduced participation in the insurance marketplace.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">At the end of 2019, 13.7% of adults were without health insurance at the end of 2018, the highest level seen since early 2014, according to Gallup data.</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div data-testid="prism-ad-wrapper" style="transition:min-height 0.3s linear 1s" data-ad-placeholder="true"> <div data-box-type="fitt-adbox-fitt-article-inline-outstream" data-testid="prism-ad"> <div class="Ad fitt-article-inline-outstream ad-slot " data-slot-type="fitt-article-inline-outstream" data-slot-kvps="pos=fitt-article-inline-outstream-2"></div> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">In December 2019, Trump issued an <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://www.cms.gov/newsroom/press-releases/trump-administration-announces-historic-price-transparency-requirements-increase-competition-and?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB#:~:text=Comprehensive%20Machine%2DReadable%20File%3A%20Hospitals,all%20items%20and%20services%20on" target="_blank">executive order</a> requiring all hospitals to make public standard charges, payer-specific negotiated charges, the amount the hospital is willing to accept in cash and the minimum and maximum negotiated charges.</p> <div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX "> <div> <div class="InlineImage GpQCA lZur asrEW " data-testid="prism-inline-image"> <figure class="kzIjN GNmeK pYrtp dSqFO " data-testid="prism-figure"> <div class="GpQCA lZur gIjeL " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <picture data-testid="prism-picture"> <source media="(max-width: 414px)" srcset="https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=375&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB,https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=750&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB 2x"> <source media="(min-width: 415px)" srcset="https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=750&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB,https://web-archive-org.translate.goog/web/20240914011617im_/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=1500&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB 2x"> <img alt="PHOTO: Former President and Republican presidential candidate Donald Trump speaks during a presidential debate with Vice President and Democratic presidential candidate Kamala Harris at the National Constitution Center in Philadelphia, on Sept. 10, 2024." class="hsDdd vBqtr KrDt SjwtZ hakZw HlUVI " data-testid="prism-image" draggable="false" loading="lazy" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg"> </picture> </div> </div> <figcaption> <div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption"> <div class="HXPPJ barbu IzgMt VcHIt uhSzI YGNMU cRAsZ xqMcl QtRul "> <span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Former US President and Republican presidential candidate Donald Trump speaks during a presidential debate with US Vice President and Democratic presidential candidate Kamala Harris at the National Constitution Center in Philadelphia, on Sept. 10, 2024.</span></span></span> </div> <div class="qinlA IpWvx oqZz tylGM lyWxS nWcVF UhTug PPcLh "> <span class="YNujN JGtjI aZFDu rkKLh gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">Saul Loeb/AFP via Getty Images</span> </div> </div> </figcaption> </figure> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"This an area where an attempt has been made ... but the way it has played out has been challenging and not very effective," Scanlon said, referring to a <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://www.kff.org/health-costs/issue-brief/ongoing-challenges-with-hospital-price-transparency/?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">KFF analysis</a> which found that transparency data was often inconsistent and confusing. "Such transparency is fundamental to reform and improvement in health care markets."</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">In a statement to ABC News, Karoline Leavitt, national press secretary for the Trump campaign, restated the former president's commitment to release details soon.</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">"As President Trump said, he will release more details but his overall position on health care remains the same: bring down costs and increase the quality of care by improving competition in the market place," she said. "This is a stark contrast to Kamala Harris' support for a socialist government takeover of our healthcare system which would force people off their private plans and result in lower quality care."</p> <p class="EkqkG nlgHS yuUao lqtkC TjIXL aGjvy">During the debate, Harris criticized Trump's previous attempts to repeal the ACA, saying she wants to grow and expand the legislation. Her <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://kamalaharris.com/issues/?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" target="_blank">campaign platform</a> mentions expanding the $35 cap on insulin and $2,000 cap on out-of-pocket prescription medication costs for seniors to all Americans.</p> <div class="oLzSq QrHMO GbsKS pvsTF EhJPu vPlOC zNYgW OsTsW AMhAA daRVX ISNQ sKyCY eRftA acPPc ebfE nFwaT MCnQE mEeeY SmBjI xegrY VvTxJ iulOd NIuqO zzscu lzDCc aHUBM hbvnu OjMNy eQqcx SVqKB GQmdz jaoD iShaE ONJdw vrZxD OnRTz gbbfF roDbV kRoBe oMlSS gfNzt oJhud eXZcf zhVlX "> <div data-testid="prism-ad-wrapper" style="transition:min-height 0.3s linear 1s" data-ad-placeholder="true"> <div data-box-type="fitt-adbox-fitt-article-inline-outstream" data-testid="prism-ad"> <div class="Ad fitt-article-inline-outstream ad-slot " data-slot-type="fitt-article-inline-outstream" data-slot-kvps="pos=fitt-article-inline-outstream-3"></div> </div> </div> </div> <p class="EkqkG nlgHS yuUao lqtkC eTIW sUzSN">"There's been a little bit of detail from the Harris campaign, but I would say also not much," Scanlon said. "There's some discussion about negotiating drugs, insulin prices, there has been some work done in that ... but there's a lot more to be done."</p> </div> <div> <div data-testid="prism-tags"> <h2 class="QOIir pZjYK JKlkC RZhHM ">Related Topics</h2> <ul class="VZTD UeCOM dAmzA ltDkr qBPOY uoPjL "> <li class=" "><a class="theme-HLysv theme-HReFq mLASH egFzk qXWHA ScoIf zYXIH jIRH wNxoc OJpwZ eqFg wSPfd ofvJb bMrzT LaUnX EgONj ibBnq kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX oIWqB mzm sXtkB yayQB vXSTR ENhiS dQa-Du SVBll bpBbX GpQCA tuAKv xTell wdAqb ZqGqs LVAIE TnrRA uECag DcwSV XnBOJ cELRj SUAFz XzYk zkmjG aSyef pFen hoNVj TQOOL Haltu NafGB KpEhF jyjDy kZHqU FZKIw QddLR SKDYB UmcQM giepU cTjQC aRMla MMxXy fFMcX PbMFf hJRbU MRTyf iFJTR koyYF TkdYt DZNRX MALjb VUFMN " data-testid="prism-Tag" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/alerts/DonaldTrump?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" data-pos="0"><span 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src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/8c371f83-3cf0-4e67-8dd7-fa29f55b317f/debate-1-gty-er-240911_1726070922097_hpMain_1x1.jpg?w=208"> </div> </div> </div> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq xuArw ZLXw kSqqG "> <div class="VZTD rEPuv QXDKT aimoN " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU dMSoH tuAKv " id="Debateprovesclimatecheadline">Debate proves climate change not 2024 priority</h2> </div> </div> <div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG aimoN "> <div class="VZTD rEPuv ltDkr QXDKT "> <ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "> <li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="DebateprovesclimatecpubDate"> <div class="theme-eGZms theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN gGlNh ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm bVept 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OwbFk QuuaM "> <div class="GpQCA lZur oVsVV uMOq " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/06fd92da-3da6-44e1-8e03-cd83ee428055/abc-debate-120-gty-gmh-240910_1726018503322_hpMain_1x1.jpg?w=208"> </div> </div> </div> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq xuArw ZLXw kSqqG "> <div class="VZTD rEPuv QXDKT aimoN " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU dMSoH tuAKv " id="Undecidedvotersreactheadline">Undecided voters react to the ABC News debate</h2> </div> </div> <div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG aimoN "> <div class="VZTD rEPuv ltDkr QXDKT "> <ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "> <li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="UndecidedvotersreactpubDate"> <div class="theme-eGZms theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN gGlNh ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM yHyni pzxXD AbcH zUtsb " data-testid="prism-Badge"> <span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV pCRh ">Sep 11, 4:46 PM</span></span> </div></li> </ul> </div> </div> </div></a> </div> <div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp KzevM LFuuA jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv HNQqj " data-testid="prism-card"> <a class="iVcn UbGlr ibBnq qdXbA VZTD DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc xuArw ZLXw kSqqG " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/US/appeals-court-hear-trumps-request-lift-limited-gag/story?id=113620122&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" aria-label="Appeals court won't hear Trump gag order request 2024-09-12T19:57:00Z"> <div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ iRFVw qrShQ ZZxEf jCA-DP TucPs MWLZF PEVz zHngH VbrfA zZsl kjmkg OwbFk QuuaM "> <div class="GpQCA lZur oVsVV uMOq " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/d4d4a937-9d4c-4237-9c52-905295d458c6/trump-ap-jt-240827_1724796432171_hpMain_1x1.jpg?w=208"> </div> </div> </div> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq xuArw ZLXw kSqqG "> <div class="VZTD rEPuv QXDKT aimoN " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU dMSoH tuAKv " id="Appealscourtwonthearheadline">Appeals court won't hear Trump gag order request</h2> </div> </div> <div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG aimoN "> <div class="VZTD rEPuv ltDkr QXDKT "> <ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "> <li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="AppealscourtwonthearpubDate"> <div class="theme-eGZms theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN gGlNh ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM yHyni pzxXD AbcH zUtsb " data-testid="prism-Badge"> <span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV pCRh ">Sep 12, 3:57 PM</span></span> </div></li> </ul> </div> </div> </div></a> </div> <div class="rRTs EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp KzevM LFuuA jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv HNQqj " data-testid="prism-card"> <a class="iVcn UbGlr ibBnq qdXbA VZTD DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc xuArw ZLXw kSqqG " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/US/garland-vow-doj-political-weapon/story?id=113612186&amp;_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" aria-label="Garland vows DOJ won't be 'political weapon' 2024-09-12T19:53:00Z"> <div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ iRFVw qrShQ ZZxEf jCA-DP TucPs MWLZF PEVz zHngH VbrfA zZsl kjmkg OwbFk QuuaM "> <div class="GpQCA lZur oVsVV uMOq " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/ca76b5e2-7cba-41cd-ae11-973ce0ce0571/garland-main_1726119450140_hpMain_1x1.jpg?w=208"> </div> </div> </div> <div class="QGHKv iVcn VZTD rEPuv ICwhc ibBnq xuArw ZLXw kSqqG "> <div class="VZTD rEPuv QXDKT aimoN " data-testid="prism-meta"> <div class="CJAFL gDeX "> <h2 class="PFoxV eBpQD rcQBv bQtjQ lQUdN GpQCA mAkiF FvMyr WvoqU dMSoH tuAKv " id="GarlandvowsDOJwontbeheadline">Garland vows DOJ won't be 'political weapon'</h2> </div> </div> <div class="RVPG cTzRP UzlIl VXIwh hCp lZur YOODG aimoN "> <div class="VZTD rEPuv ltDkr QXDKT "> <ul class="tfFRZ zOGtW VZTD UeCOM RzKoN JEct YaqUo BedyR UoVV WtEci dSKvB seFhp "> <li class="tuAKv fzeHv eSWW VUFMN SdBAb AQSxL xBxr " id="GarlandvowsDOJwontbepubDate"> <div class="theme-eGZms theme-aMvDO mLASH egFzk qXWHA ScoIf zRKnP jIRH wNxoc OJpwZ BOFPn wSPfd ofvJb bMrzT RGoaN gGlNh ARCOA kyjTO lvyBv aANqO aNnIu GDslh LjPJo RpDvg YYtC rTpcz EDgo SIwmX sWWJW mzm bVept SEPRz LRqoM kzZQf xGdAb hBvCD fQMZM yHyni pzxXD AbcH zUtsb " data-testid="prism-Badge"> <span class="QXDKT rGjeC tuAKv iMbiE "><span class="awXxV jTKbV pCRh ">Sep 12, 3:53 PM</span></span> </div></li> </ul> </div> </div> </div></a> </div> <div class="EwJTR UpiKB sKbok RsAxh msYPt zKjNI SXHxp OaElp KzevM LFuuA jLoop liAe uMOq zYIfP pYgZk Mxrkk VZTD lZur TPpRg NoUSU igcMP DtJWr QgBvn DFdlJ QGHKv HNQqj " data-testid="prism-card"> <a class="iVcn UbGlr ibBnq qdXbA VZTD DbOXS tqUtK GpWVU iJYzE QGHKv HNQqj ICwhc xuArw ZLXw kSqqG " data-testid="prism-linkbase" href="https://web-archive-org.translate.goog/web/20240914011617/https://abcnews.go.com/Sports/wireStory/hall-famer-joe-schmidt-helped-detroit-lions-win-113639290?_x_tr_sl=auto&amp;_x_tr_tl=en&amp;_x_tr_hl=en-GB" aria-label="Hall of Fame Lions linebacker Joe Schmidt dies 2024-09-12T18:29:41Z"> <div class="hsDdd GpQCA lZur BOsoU YMZw dihEb srtah LmIPo JzlZQ iRFVw qrShQ ZZxEf jCA-DP TucPs MWLZF PEVz zHngH VbrfA zZsl kjmkg OwbFk QuuaM "> <div class="GpQCA lZur oVsVV uMOq " data-testid="prism-ratio-frame"> <div class="FvQLF iLTd NqeUA UzzHi iWsMV "> <img alt="" class="hsDdd " data-testid="prism-image" draggable="false" src="https://web.archive.org/web/20240914011617im_/https://i.abcnewsfe.com/a/cf1b3fb1-4dc2-45fe-95f4-d24207e4c3dd/wirestory_274a65b1a0bc11ed83ff3c219cee77e8_square.jpg?w=208"> </div> </div> </div> <div class="QGHKv iVcn VZTD 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and Harris asked about the Affordable Care Act","description":"Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate at the National Constitution Center in Philadelphia, on Sept. 10, 2024.","credit":"Saul Loeb/AFP via Getty Images","streams":{"m3u8":{"16x9":"https://web.archive.org/web/20240914011617/https://service-pkgabcnews.akamaized.net/opp/hls/abcnews/2024/09/240910_abc_debate_clip12_affordable_care_act_1030_,500,800,1200,1800,2500,3200,4500,.mp4.csmil/playlist.m3u8"}},"autoplay":true,"muted":true,"shouldDockPlayer":true,"section":"Health","appProps":{}},"section":"Health","appProps":{}},"config":{}},{"name":"Divider","props":{},"config":{},"usesArticleObject":true},{"name":"Body","props":{"body":[[{"type":"p","content":["Health care was one of the topics at the forefront of ",{"type":"a","content":["Tuesday night's debate"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://abcnews.go.com/Politics/harris-trump-abc-news-debate-key-takeaways-fierce/story?id=113566351","target":"_blank"}}," between former President Donald Trump and Vice President Kamala Harris."]},{"type":"p","content":["Trump said he was interested in replacing the Affordable Care Act -- also known as \"Obamacare\" -- but implied that he didn't have any specific plans in place."]},{"type":"p","content":["\"Obamacare was lousy health care. Always was,\" Trump said. \"It's not very good today and, what I said, that if we come up with something, we are working on things, we're going to do it and we're going to replace it.\""]},{"type":"inline","content":{"name":"ContentPromo","props":{"cards":[{"headline":"MORE: Fact-checking Kamala Harris and Donald Trump's 1st presidential debate","link":"https://web.archive.org/web/20240914011617/https://abcnews.go.com/Politics/fact-checking-kamala-harris-donald-trumps-1st-presidential/story?id=113567997","type":"floating","inline":true,"image":null,"indicators":{"contentType":{"key":null,"ref":null,"props":{"icon":{"key":"general-arrowRight","paths":[{"d":"M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z","fill":"currentColor","clipRule":null,"fillRule":null}],"viewBox":"0 0 32 32","title":"Arrow Right"},"ariaLabel":null,"size":"1em","viewBox":"0 0 32 32"},"_owner":null}}}],"dividerEnabled":true,"style":{"IconsConfig":{"isArray":true,"arrayKey":"cards","propkey":"indicators.contentType","iconPath":"general.arrowRight","elementName":"ContentPromo","exceptionKey":"image"}}},"context":{},"config":{}}},{"type":"p","content":["When asked by ABC News moderator Linsey Davis to clarify if he had a health care plan, the former president said he had \"concepts of a plan\" to replace the ACA but provided no details."]},{"type":"p","content":["\"If we can come up with a plan that's going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it,\" Trump said."]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"kvps":{"pos":"fitt-article-inline-outstream-1"},"type":"fitt-article-inline-outstream","className":"fitt-article-inline-outstream"},"placeholders":{"compact":{"ratio":0.5625,"delay":1},"regular":{"ratio":0.5625,"delay":1}}},"context":{},"config":{}}},{"type":"p","content":["\"But if we come up with something, I would only change it if we come up with something better and less expensive,\" he said later in the debate. \"And there are concepts and options we have to do that. And you'll be hearing about it in the not-too-distant future.\""]},{"type":"inline","content":{"name":"Image","props":{"link":{},"caption":{"credit":"Saul Loeb/AFP via Getty Images","text":"Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate at the National Constitution Center in Philadelphia, on Sept. 10, 2024.","lines":2,"showMoreAriaLabel":"Show More about Image Caption"},"image":{"alt":"PHOTO: Former President and Republican presidential candidate Donald Trump speaks as Vice President and Democratic presidential candidate Kamala Harris listens listens during a presidential debate in Philadelphia, on Sept. 10, 2024.","src":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg","loading":"lazy","sources":[{"src":{"x1":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=375","x2":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=750"},"max":414},{"src":{"x1":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=750","x2":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/b4912a89-dd64-4254-8003-14c2efac5fa5/trump1-gty-ml-240911_1726074764923_hpMain.jpg?w=1500"},"min":415}]},"ratio":"3x2"},"context":{},"config":{"align":"full"}}},{"type":"p","content":["Last year, Trump ",{"type":"a","content":["posted on Truth Social"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://truthsocial.com/@realDonaldTrump/posts/111492215056460142","target":"_blank"}}," that the ACA \"sucks\" and that he didn't want to \"terminate\" the law but \"replace it with much better health care.\""]},{"type":"p","content":["Dr. Dennis Scanlon, a distinguished professor of health policy and administration at Penn State, told ABC News there's been much less of a focus on repealing and replacing ACA from Trump than seen in 2016 and 2020."]},{"type":"p","content":["\"I think what's been noticeable in this election cycle [is] less discussion about the Affordable Care Act in terms of let's repeal it or get rid of it,\" he said. \"I think last night in the debate, [Trump] basically straddled and said, 'You know, if I can figure out a way to make it better, and we're working on some concepts, we'll do it, but not, that we will get rid of it.' So I think that's just different from what it's been in the last two cycles.\""]},{"type":"p","content":["Scanlon mentioned that repealing the ACA is not even mentioned in the official ",{"type":"a","content":["2024 Republican Party platform"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://www.presidency.ucsb.edu/documents/2024-republican-party-platform","target":"_blank"}},"."]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"type":"fitt-article-inline-box","className":"fitt-article-inline-box"},"placeholders":{"compact":{"size":[0,250]},"regular":{"size":[0,250]}}},"context":{},"config":{}}},{"type":"p","content":["In 2010, then-President Barack Obama ",{"type":"a","content":["signed the ACA into law"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://www.healthreformvotes.org/congress/roll-call-votes/h165-111.2010#:~:text=Passed%20House%20March%2021%2C%202010,unanimous%20in%20opposing%20the%20bill.","target":"_blank"}},", requiring most Americans to have insurance and directing states to create health insurance exchanges to allow residents to sign up for insurance if they don't receive coverage via an employer."]},{"type":"p","content":["During his administration, Trump attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions."]},{"type":"inline","content":{"name":"ContentPromo","props":{"cards":[{"headline":"MORE: Fact-checking economic claims Trump and Harris made at debate","link":"https://web.archive.org/web/20240914011617/https://abcnews.go.com/Politics/economic-fact-checks-kamala-harris-donald-trumps-1st/story?id=113580112","type":"floating","inline":true,"image":null,"indicators":{"contentType":{"key":null,"ref":null,"props":{"icon":{"key":"general-arrowRight","paths":[{"d":"M0 14.398h26.006L17.361 5.42l2.309-2.221L32 16.001 19.67 28.799l-2.309-2.222 8.645-8.976H0v-3.203z","fill":"currentColor","clipRule":null,"fillRule":null}],"viewBox":"0 0 32 32","title":"Arrow Right"},"ariaLabel":null,"size":"1em","viewBox":"0 0 32 32"},"_owner":null}}}],"dividerEnabled":true,"style":{"IconsConfig":{"isArray":true,"arrayKey":"cards","propkey":"indicators.contentType","iconPath":"general.arrowRight","elementName":"ContentPromo","exceptionKey":"image"}}},"context":{},"config":{}}},{"type":"p","content":["The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called \"skinny repeal\" in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill."]},{"type":"p","content":["In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which ",{"type":"a","content":["Gallup"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://news.gallup.com/poll/246134/uninsured-rate-rises-four-year-high.aspx?g_source=link_NEWSV9&g_medium=NEWSFEED&g_campaign=item_&g_content=U.S.%2520Uninsured%2520Rate%2520Rises%2520to%2520Four-Year%2520High","target":"_blank"}}," said may have reduced participation in the insurance marketplace."]},{"type":"p","content":["At the end of 2019, 13.7% of adults were without health insurance at the end of 2018, the highest level seen since early 2014, according to Gallup data."]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"kvps":{"pos":"fitt-article-inline-outstream-2"},"type":"fitt-article-inline-outstream","className":"fitt-article-inline-outstream"},"placeholders":{"compact":{"ratio":0.5625,"delay":1},"regular":{"ratio":0.5625,"delay":1}}},"context":{},"config":{}}},{"type":"p","content":["In December 2019, Trump issued an ",{"type":"a","content":["executive order"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://www.cms.gov/newsroom/press-releases/trump-administration-announces-historic-price-transparency-requirements-increase-competition-and#:~:text=Comprehensive%20Machine%2DReadable%20File%3A%20Hospitals,all%20items%20and%20services%20on","target":"_blank"}}," requiring all hospitals to make public standard charges, payer-specific negotiated charges, the amount the hospital is willing to accept in cash and the minimum and maximum negotiated charges."]},{"type":"inline","content":{"name":"Image","props":{"link":{},"caption":{"credit":"Saul Loeb/AFP via Getty Images","text":"Former US President and Republican presidential candidate Donald Trump speaks during a presidential debate with US Vice President and Democratic presidential candidate Kamala Harris at the National Constitution Center in Philadelphia, on Sept. 10, 2024.","lines":2,"showMoreAriaLabel":"Show More about Image Caption"},"image":{"alt":"PHOTO: Former President and Republican presidential candidate Donald Trump speaks during a presidential debate with Vice President and Democratic presidential candidate Kamala Harris at the National Constitution Center in Philadelphia, on Sept. 10, 2024.","src":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg","loading":"lazy","sources":[{"src":{"x1":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=375","x2":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=750"},"max":414},{"src":{"x1":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=750","x2":"https://web.archive.org/web/20240914011617/https://i.abcnewsfe.com/a/bfb2372e-9478-4dd0-9307-bb879a6c2531/debate2-gty-ml-240911_1726074712371_hpEmbed_3x2.jpg?w=1500"},"min":415}]},"ratio":"3x2"},"context":{},"config":{"align":"full"}}},{"type":"p","content":["\"This an area where an attempt has been made ... but the way it has played out has been challenging and not very effective,\" Scanlon said, referring to a ",{"type":"a","content":["KFF analysis"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://www.kff.org/health-costs/issue-brief/ongoing-challenges-with-hospital-price-transparency/","target":"_blank"}}," which found that transparency data was often inconsistent and confusing. \"Such transparency is fundamental to reform and improvement in health care markets.\""]},{"type":"p","content":["In a statement to ABC News, Karoline Leavitt, national press secretary for the Trump campaign, restated the former president's commitment to release details soon."]},{"type":"p","content":["\"As President Trump said, he will release more details but his overall position on health care remains the same: bring down costs and increase the quality of care by improving competition in the market place,\" she said. \"This is a stark contrast to Kamala Harris' support for a socialist government takeover of our healthcare system which would force people off their private plans and result in lower quality care.\""]},{"type":"p","content":["During the debate, Harris criticized Trump's previous attempts to repeal the ACA, saying she wants to grow and expand the legislation. Her ",{"type":"a","content":["campaign platform"],"attrs":{"href":"https://web.archive.org/web/20240914011617/https://kamalaharris.com/issues/","target":"_blank"}}," mentions expanding the $35 cap on insulin and $2,000 cap on out-of-pocket prescription medication costs for seniors to all Americans."]},{"type":"inline","content":{"name":"Ad","props":{"ad":{"kvps":{"pos":"fitt-article-inline-outstream-3"},"type":"fitt-article-inline-outstream","className":"fitt-article-inline-outstream"},"placeholders":{"compact":{"ratio":0.5625,"delay":1},"regular":{"ratio":0.5625,"delay":1}}},"context":{},"config":{}}},{"type":"p","content":["\"There's been a little bit of detail from the Harris campaign, but I would say also not much,\" Scanlon said. \"There's some discussion about negotiating drugs, insulin prices, there has been some work done in that ... but there's a lot more to be 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debate</a> between former President Donald Trump and Vice President Kamala Harris.</p><p>Trump said he was interested in replacing the Affordable Care Act -- also known as \"Obamacare\" -- but implied that he didn't have any specific plans in place.</p><p>\"Obamacare was lousy health care. Always was,\" Trump said. \"It's not very good today and, what I said, that if we come up with something, we are working on things, we're going to do it and we're going to replace it.\"</p><p><inline1></p><p>When asked by ABC News moderator Linsey Davis to clarify if he had a health care plan, the former president said he had \"concepts of a plan\" to replace the ACA but provided no details.</p><p>\"If we can come up with a plan that's going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it,\" Trump said.</p><p>\"But if we come up with something, I would only change it if we come up with something better and less expensive,\" he said later in the debate. \"And there are concepts and options we have to do that. And you'll be hearing about it in the not-too-distant future.\"</p><p><inline2></p><p>Last year, Trump <a href=\"https://truthsocial.com/@realDonaldTrump/posts/111492215056460142\" target=\"_blank\">posted on Truth Social</a> that the ACA \"sucks\" and that he didn't want to \"terminate\" the law but \"replace it with much better health care.\"</p><p>Dr. Dennis Scanlon, a distinguished professor of health policy and administration at Penn State, told ABC News there's been much less of a focus on repealing and replacing ACA from Trump than seen in 2016 and 2020.</p><p>\"I think what's been noticeable in this election cycle [is] less discussion about the Affordable Care Act in terms of let's repeal it or get rid of it,\" he said. \"I think last night in the debate, [Trump] basically straddled and said, 'You know, if I can figure out a way to make it better, and we're working on some concepts, we'll do it, but not, that we will get rid of it.' So I think that's just different from what it's been in the last two cycles.\"</p><p>Scanlon mentioned that repealing the ACA is not even mentioned in the official <a href=\"https://www.presidency.ucsb.edu/documents/2024-republican-party-platform\" target=\"_blank\">2024 Republican Party platform</a>.</p><p>In 2010, then-President Barack Obama <a href=\"https://www.healthreformvotes.org/congress/roll-call-votes/h165-111.2010#:~:text=Passed%20House%20March%2021%2C%202010,unanimous%20in%20opposing%20the%20bill.\" target=\"_blank\">signed the ACA into law</a>, requiring most Americans to have insurance and directing states to create health insurance exchanges to allow residents to sign up for insurance if they don't receive coverage via an employer.</p><p>During his administration, Trump attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.</p><p><inline3></p><p>The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called \"skinny repeal\" in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill.</p><p>In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which <a href=\"https://news.gallup.com/poll/246134/uninsured-rate-rises-four-year-high.aspx?g_source=link_NEWSV9&g_medium=NEWSFEED&g_campaign=item_&g_content=U.S.%2520Uninsured%2520Rate%2520Rises%2520to%2520Four-Year%2520High\" target=\"_blank\">Gallup</a> said may have reduced participation in the insurance marketplace.</p><p>At the end of 2019, 13.7% of adults were without health insurance at the end of 2018, the highest level seen since early 2014, according to Gallup data.</p><p>In December 2019, Trump issued an <a href=\"https://www.cms.gov/newsroom/press-releases/trump-administration-announces-historic-price-transparency-requirements-increase-competition-and#:~:text=Comprehensive%20Machine%2DReadable%20File%3A%20Hospitals,all%20items%20and%20services%20on\" target=\"_blank\">executive order</a> requiring all hospitals to make public standard charges, payer-specific negotiated charges, the amount the hospital is willing to accept in cash and the minimum and maximum negotiated charges.</p><p><inline4></p><p>\"This an area where an attempt has been made ... but the way it has played out has been challenging and not very effective,\" Scanlon said, referring to a <a href=\"https://www.kff.org/health-costs/issue-brief/ongoing-challenges-with-hospital-price-transparency/\" target=\"_blank\">KFF analysis</a> which found that transparency data was often inconsistent and confusing. \"Such transparency is fundamental to reform and improvement in health care markets.\"</p><p>In a statement to ABC News, Karoline Leavitt, national press secretary for the Trump campaign, restated the former president's commitment to release details soon.</p><p>\"As President Trump said, he will release more details but his overall position on health care remains the same: bring down costs and increase the quality of care by improving competition in the market place,\" she said. \"This is a stark contrast to Kamala Harris' support for a socialist government takeover of our healthcare system which would force people off their private plans and result in lower quality care.\"</p><p>During the debate, Harris criticized Trump's previous attempts to repeal the ACA, saying she wants to grow and expand the legislation. 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