The biggest lie in Trump’s State of the Union speech

Feb 2006
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California
If you have an expensive health condition, and you don’t know much about President Trump’s record on health care, then his Tuesday night State of the Union address was reassuring.

“I have also made an ironclad pledge to American families,” Trump claimed. “We will always protect patients with preexisting conditions.”

The bad news for people with preexisting conditions is that this “ironclad pledge” is a lie. Trump and his administration have fought hard — in all three branches of government — to strip people with preexisting health conditions of the protections they enjoy under the Affordable Care Act. Indeed, if Trump has his way, those protections will cease to exist.

Obamacare provides that insurers in the individual health insurance market must cover people with preexisting conditions, and it forbids those insurers from charging higher premiums to people with such conditions — a practice known as “community rating.”

The executive branch cannot, acting on its own, eliminate community rating altogether. But the Trump administration has fought hard to undermine it. In 2018, for example, it handed down a rule expanding the use of short term insurance plans to that do not cover many services, and that may exclude people with preexisting conditions.

The mere existence of these plans can drive up premiums for people with expensive preexisting conditions, because these skimpy plans will lure healthy consumers away from more generous plans. That risks creating a segregated market. Healthy consumers will buy cheap, watered-down plans, while people with expensive medical conditions will be concentrated into much more expensive plans.

In Congress, meanwhile, Trump supported legislation seeking to repeal Obamacare or drastically water down its protections. One bill backed by Trump, the American Health Care Act, would have allowed many insurers to charge higher premiums — potentially prohibitively high premiums — to patients with preexisting conditions.

Meanwhile, the Trump administration is currently asking the courts to repeal Obamacare almost in its entirety. If the courts ultimately embrace the administration’s position, that will mean that all of Obamacare’s protections for people with preexisting conditions will be struck down.

 

RNG

Forum Staff
Apr 2013
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La La Land North
Multiple commentators noted that although the prepared SOTU had him guaranteeing that pre-existing conditions would be covered, in the speech he delivered he did not say that.
 
Dec 2006
26,358
12,404
New Haven, CT
Multiple commentators noted that although the prepared SOTU had him guaranteeing that pre-existing conditions would be covered, in the speech he delivered he did not say that.
I watrched the speech, and indeed he DID say that it was an ironclad promise.
 
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RNG

Forum Staff
Apr 2013
41,272
29,556
La La Land North
I watrched the speech, and indeed he DID say that it was an ironclad promise.
I didn't watch, but several commentators, as I said, pointed out the lack of the word "guarantee". If you listened, I will believe you.

However, his administration still has motions before the court to remove those provisions from the current Obamacare. That in itself makes it a lie.
 
Feb 2020
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270
dfw, texas
I could not find a video of him saying it, and there is no way I was going to watch that lying ass lie for an hour, but here is a fact check that claims he said it during the speech-

HEALTH CARE
TRUMP: “We will always protect patients with preexisting conditions.”
THE FACTS: That's a promise, not a guarantee.
The Trump administration is backing a lawsuit by conservative-led states that would overturn the entire Affordable Care Act, including its guarantees that people cannot be turned down or charged more for health insurance because of preexisting medical problems.

 
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