White House spokeswoman Sarah Huckabee Sanders said the judge's decision "vindicates President Trump's position that Obamacare is unconstitutional". "We'll be able to get great health care". The Affordable Care Act touched nearly every aspect of health care, from Medicare and Medicaid to generic biologic drugs, the Indian Health Service, and public health changes like calorie counts on menus.
Gasch said she's open to other ideas if it improves affordable healthcare.
"Nearly a decade of constant and cynical assault on what was supposed to be a compromise bill has pushed the Democratic Party left on health care policy, and persuaded Democrats everywhere that trying to compromise or placate Republicans is foolish", wrote Klein. They vowed to support protections for Americans with pre-existing conditions, even if they backed the lawsuit or legislation that would undo those provisions. All eyes would be on Trump's latest confirmed justice, Brett Kavanaugh, whose opinions about the health care law have been fiercely debated on the right. "Opposing Obamacare has become reflexive GOP orthodoxy, but they just spent six months saying they'd protect pre-existing conditions".
Twenty Republican-led states brought the lawsuit.
On December 14, 2018, a federal district judge sitting in Texas ruled that, without the so-called "individual mandate" which requires individual taxpayers to maintain minimum essential coverage, the rest of the Patient Protection and Affordable Care Act as amended (widely known as the "ACA") is "INVALID".
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On Friday, O'Connor ruled that after Trump signed a $1.5 trillion tax bill passed by Congress previous year that eliminated the penalties, the individual mandate could no longer be considered constitutional.
The case will be appealed, said Hill, and it will take many years to get to the Supreme Court, so "nothing is happening" with regard to the high deductibles involved in many Obamacare plans.
Jost noted that the 5th U.S. Circuit Court of Appeals, which will hear any appeal in the case, is considered the most conservative federal appeals court in the country. The plaintiffs argued that because the Supreme Court upheld the ACA in 2012 as a constitutional use of its taxing power, the elimination of the tax makes the rest of the law unconstitutional. The case will likely head to the Supreme Court. But, "O'Connor is so far off the reservation here that virtually any (appeals) panel will reverse him", Jost said. Senate Democratic Leader Chuck Schumer said he wants a vote in Congress to intervene in the case.
A Supreme Court ruling in their favor would be Republicans' only shot at overturning the law in the foreseeable future, with Democrats taking control of the House in January.
Republican Sen. Susan Collins of ME, who was one of the key votes thwarting a GOP effort to rollback the 2010 health care law as part of a dramatic late night session of the Senate, said she thought the broad sweep of the O'Connor ruling would be overturned on appeal. Health care was the top issue for about one-fourth of voters in the November election, ahead of immigration and jobs and the economy, according to VoteCast, a nationwide survey for the Associated Press.
"Thanks to everyday Americans speaking out, Trump/GOP failed to repeal #ACA & its important provisions like pre-existing conditions protections, coverage for young people on parent's plan til age 26, #Medicare savings & improvements Trump/GOP then commenced to undermine the law".