Trump Signs Sweeping Order That Could Gut Obamacare

President Donald Trump signed a sweeping executive order that encourages federal agencies to dismantle large parts of Obamacare, possibly including the hugely unpopular mandate requiring most Americans to purchase insurance. Such steps would make the market “sicker and on average more expensive,” says David Anderson, a health policy analyst who’s studied the law’s insurance regulations. “It may lead to carriers reconsidering their participation for the 2018 plan year.”

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Global Health Advice for Trump Administration

Nationalism and isolationism that marked the president-elect’s campaign are a concern if they continue, says one faculty member, Gavin Yamey, professor of the practice of global health. “Those of us working in global health will need to pay very close attention to whether the U.S. starts retreating from its impressive record on global health research and development,” Yamey says.

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Exhibit A for Republican Obamacare Repeal Challenge: People with HIV


HIV experts in Republican states have already been wrestling with the issue of caring for patients with HIV. Earlier this year, North Carolina became the 48th U.S. state to permit the use of federal grant money via the Ryan White HIV/AIDS program to pay insurance premiums for people with HIV. “We’re late to the party, and now the party may be over,” says Allison Rice, director of the Health Justice Clinic at Duke Law.

Read More in The New York Times



NC Governor Pledges to Expand Medicaid, Despite State Law

Gov. Roy Cooper may want to get expansion approved before Obama leaves office, given Medicaid expansion’s uncertain future under a Trump administration — and before the state negotiates details of the ongoing reform with the federal government, says Don Taylor, a Sanford School of Public Policy professor specializing in health care policy.

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Why Health Care Leaders are Worried About Their Industry

“However the Trump administration and the Republican U.S. Congress replace or revamp the Affordable Care Act, it is unlikely to halt America’s ongoing move from the rightfully maligned fee-for-service payment system to one that pays for ‘value'” — the quality of outcomes relative to the price, write Dr. Kevin Schulman and a colleague from Johns Hopkins.

Read More in Harvard Business Review