Axios – Trump is still the one who won’t be president.
The Affordable Care Act remains the law of the land.
The country’s health care system remains intact.
But the president of the United States is not the only one who is not involved in shaping and maintaining the law.
His administration is still in the business of putting out policy papers.
That means he is the one with the final say on what is and isn’t in the law, and it is his job to push it through.
The President of the US can’t be trusted to be a patient and a provider.
So, what happens when he has to go to a state to do that?
That’s what the White House is talking about today, as it announced that President Trump is not participating in the reinsurance plan that is designed to help states set aside more of the costs of the ACA.
What does that mean?
It means that President Donald Trump and the Republican leadership in Congress are not going to do their job as a part of this plan.
It means the president is not getting to keep his promise to the American people to repeal and replace the Affordable Care Bill.
It’s a bad idea, and the Trump administration and the White Houses spokespeople have been spinning the president’s failure to take part in this plan as a sign that he’s not interested in doing it.
But that’s not the case.
The reinsurance program has been designed to ensure that states have the money they need to set aside for their own costs.
States will be able to do what they want with that money.
The administration is working on a similar plan that would also help states.
The question is, can states afford to pay for it?
This is the real reason the president decided to leave town.
If states can’t make up the difference, they will have to bear the cost.
What’s that cost?
It’s not just the $700 billion in federal money that states are receiving for reinsurance.
It is a $300 billion increase in federal spending.
That increase would be offset by a $200 billion cut in state spending, which will make up a little more than two-thirds of the $1.5 trillion the administration hopes to spend in the next decade.
It sounds like the administration is making a deal with states to reduce their cost-sharing.
But in fact, it is an agreement with the states to limit how much of that money goes to help the states cover their own cost of reinsurance, so they won’t have to pay more.
In other words, states can afford to be responsible for their costs.
And that’s a win for the states.
But, there is more.
The Trump administration is also trying to set up a system in which states can have a “buy-in” provision, which means that if they want to take advantage of the reinsure money they will be allowed to do so.
But states will have the option to reject that offer.
That will create an incentive for states to do things like wait longer for insurance, to not expand Medicaid, to limit the number of people that they cover.
That could mean states would have to cut back on services.
It could mean they would have fewer doctors or nurses or hospitals or people they serve.
That’s the potential for chaos.
And it’s a terrible system.
The problem is that it also sets up a situation where states are losing control over how much federal money they use.
That can have serious consequences for the people who are getting their insurance.
For example, a recent study found that some of the states that received federal reinsurance funds had the highest rates of uninsured people in the country.
States like New York and California were the most likely to lose that money, and they also experienced the highest levels of high-cost health care services.
The president wants to put states on a path to take back control of their health care costs, but he’s got to do it in a way that protects the American public.
In the end, the president will be judged by his record, not his tweets.