Here's what Trump is doing to personally make the ACA's exchanges fail:
NY Times: Opponents of President Barack Obama’s signature legislative achievement have made what may be a self-fulfilling prophecy: They repeatedly forecast the collapse of the health law, and then push it along.It really is this simple:
Frustrated state officials have ideas for stabilizing the individual insurance market, but they say they cannot figure out where to make their case because they have been bounced from one agency to another in the Trump administration.
“We have trouble discerning who has decision-making authority,” said Julie Mix McPeak, the Tennessee insurance commissioner and president-elect of the National Association of Insurance Commissioners, which represents state officials. “We reached out to the Department of Health and Human Services. They referred us to the Office of Management and Budget, which referred us to the Department of Justice. We reached out to the White House Office of Intergovernmental Affairs.”
The Trump administration has sent mixed signals, reflecting an internal debate about whether to stabilize insurance markets or let them deteriorate further. Mr. Trump has said he could cut off the subsidies at any time if he wanted to.
In an interview with The Wall Street Journal last month, Mr. Trump threatened to withhold subsidy payments from insurers as a way to induce Democrats to negotiate with him on a replacement for the Affordable Care Act.
If those payments are not made, Mr. Trump said, “Obamacare is gone, just gone.”