Here are all the ways Trump is sabotaging the ACA

[CousinIT]

Link to tweet

1: Buckle up, here are all the ways Trump is sabotaging the ACA. Premiums will ⬆️, enrollment will ⬇️, some insurers will exit.

2: On Jan. 20, Trump's first executive order directed agencies to weaken enforcement of the individual mandate.

3: This injected uncertainty into the markets. The IRS also reversed a policy to require reporting on tax returns.
White House Proposes New Rules to Steady Insurance Markets Under Health Law
As the Trump administration works to repeal the Affordable Care Act, it is moving to prevent a collapse of the public marketplaces in 2018.
https://www.nytimes.com/2017/02/15/us/politics/affordable-care-act-obamacare-trump.html

4: Also on Jan. 20, Trump started to purge the ACA enrollment website of useful information.
The Same Agency That Runs Obamacare Is Using Taxpayer Money to Undermine It
Three ways the Department of Health and Human Services has campaigned against the current health law.
https://www.nytimes.com/interactive/2017/09/04/us/hhs-anti-obamacare-campaign.html?mcubz=0

5: On Jan. 26, Trump cancelled millions of dollars of ads & outreach during the crucial final stretch of the enrollment period for 2017.

6: An estimated 500,000 people missed out on enrollment as a result.
Ex-Obama official: Trump 'sabotage' slowed healthcare enrollment
A former Obama administration official estimates that nearly 500,000 people missed out on ObamaCare enrollment this year because of moves by the Trump administration.
http://thehill.com/policy/healthcare/317757-former-obama-official-trump-blocked-500000-people-from-health-coverage

7: On Feb. 23, Trump extended transitional plans that do not comply with the ACA—increasing premiums for ACA plans.
Administration Allows States To Extend Transitional Policies Again | At the intersection of health, health care, and policy.
http://healthaffairs.org/blog/2017/02/23/administration-allows-states-to-extend-transitional-policies-again/

8: On April 18, Trump cut the open enrollment period in half. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-04-13-2.html

9: Also on April 18, Trump reduced tax credits by slightly reducing the value of plans credits are pegged to.

10: On May 4, the House passed Trumpcare. This whole time, the constant threat of repeal has injected uncertainty into the markets.

11: In the spring, Trump began threatening to default on payments for cost-sharing subsidies. This is increasing premiums by double digits.

12: In the summer, Trump unleashed a massive propaganda campaign against the ACA using taxpayer dollars.
The Same Agency That Runs Obamacare Is Using Taxpayer Money to Undermine It
Three ways the Department of Health and Human Services has campaigned against the current health law.
https://www.nytimes.com/interactive/2017/09/04/us/hhs-anti-obamacare-campaign.html?mcubz=0

13: On Aug. 10, it was first reported that Trump will not coordinate enrollment efforts with Latino groups.
EXCLUSIVE: Trump Admin Abandons Latino Outreach For Obamacare Sign-Ups
By early August in recent years, Luis Torres was in the midst of a health care blitz, meeting weekly with the Department of...
http://talkingpointsmemo.com/dc/trump-hhs-abandons-latino-outreach-on-obamacare

14: On Aug. 14, it was first reported that Trump will not coordinate enrollment efforts with lots of other groups.
EXCLUSIVE: Trump HHS Severs Key Partnerships For Obamacare Outreach
A wide array of groups that partnered for several years with the Department of Health and Human Services (HHS) and the...
http://talkingpointsmemo.com/dc/trump-hhs-obamacare-partnerships-promotion-sabotage

15: On Aug. 31, Trump announced a cut in funding for advertising for enrollment by 90%.
Trump Administration Sharply Cuts Spending on Health Law Enrollment
Officials said advertising and counseling to help people find and choose health plans is often ineffective. Supporters decried the decision as sabotage.
https://www.nytimes.com/2017/08/31/health/affordable-care-act-trump-spending.html

16: Also on Aug. 31, Trump announced a cut in funding for groups that help people enroll by 40%.

17: On Sept. 22, Trump announced a shutdown of the enrollment website every Sunday during open enrollment.
Sunday Hours: Obamacare Website To Be Shut Down For Portion of Most Weekends
The shutdown, which raised protests from navigator groups, will occur from midnight Saturday to 12 p.m. Sunday on all but one weekend.
https://khn.org/news/hhs-to-close-insurance-exchange-for-12-hours-on-sundays-during-enrollment/

18: On Sept. 27, it was first reported that Trump will not send HHS regional officials to local enrollment events.
The Trump Administration Is Pulling Out Of Obamacare Enrollment Events
The Department of Health and Human Services has told states that for the first time, it will not be sending its regional directors to help states with planning for the upcoming open enrollment period…
https://www.buzzfeed.com/katenocera/the-trump-administration-wont-support-state-obamacare?utm_term=.sim3QvVDw#.aqn4MLmOQ

19: On Sept. 29, Oklahoma was forced to withdraw its proposal for reinsurance that would have lowered premiums 30%.
https://www.ok.gov/health2/documents/Oklahoma%201332%20Waiver%20Withdrawal%209.29.17.pdf

20: Which brings us to TODAY. This executive order, while just a press release, will cause great confusion and depress enrollment.

21: Further, the eventual rule is likely to destabilize the small business market and to spike premiums in the exchanges. My statement:

[BigmanPigman]

1. Don't forget the biggie,

no more subsidies which will will cause millions to lose their insurance since it is not affordable to them. The people who have a serious illnesses will get worse and die as a result.

[CousinIT]

2. Media refuses to use the proper word: SABOTAGE

8 ways Trump is undercutting Obamacare without Congress ("undercutting"? - NO. It's SABOTAGE)

http://www.politico.com/interactives/2017/trump-undercutting-obamacare-aca/?lo=ap_c1