The Trump campaign continued its dance of bamboozlement on where the Republican Party actually stands when it comes to gutting the Affordable Care Act (ACA) on Tuesday night, after House Speaker Mike Johnson (R-LA) acknowledged that Republicans will tackle “massive reform” of Obamacare should Donald Trump win the presidency and the GOP keep the House.
In a statement issued just after NBC News first reported on Johnson’s remarks, the campaign claimed that Trump does not support repealing the Affordable Care Act, attempting to put some distance between Trump’s vague “concepts of a plan” to supposedly improve the ACA and Johnson’s all out “no Obamacare” admission.
“This is not President Trump’s policy position,” campaign spokeswoman Karoline Leavitt said in a statement Tuesday night. “As President Trump has said, he will make our healthcare system better by increasing transparency, promoting choice and competition, and expanding access to new affordable healthcare and insurance options.”
Republicans’ longstanding interest in repealing the ACA is a political liability for Trump this cycle and, similar to his abortion policy positions, he’s avoided publicly endorsing anything specific about what he wants Congress to do should he win back the White House and control of the upper and lower chambers. During his first term, Trump and the all-Republican Congress attempted unsuccessfully to repeal the law.
The campaign’s clean up statement distancing Trump from Johnson comes just a day after the House Speaker indicated that Republicans are planning to either get rid of the popular ACA or substantially gut it during a campaign event in Bethlehem, Pennsylvania the Republican speaker attended for House candidate Ryan Mackenzie (R).
“Health care reform’s going to be a big part of the agenda. When I say we’re going to have a very aggressive first 100 days agenda, we got a lot of things still on the table,” Johnson said on Monday, according to a video obtained by NBC News.
“No Obamacare?” an event attendee asked Johnson.
“No Obamacare,” Johnson responded, reportedly rolling his eyes. “The ACA is so deeply ingrained, we need massive reform to make this work, and we got a lot of ideas on how to do that.”
“We want to take a blowtorch to the regulatory state. These agencies have been weaponized against the people. It’s crushing the free market; it’s like a boot on the neck of job creators and entrepreneurs and risk takers. And so health care is one of the sectors, and we need this across the board,” Johnson continued. “And Trump’s going to go big. I mean, he’s only going to have one more term. Can’t run for re-election. And so he’s going to be thinking about legacy, and we’re going to fix these things.”
The 14-year-old ACA, which provides health coverage to tens of millions of Americans, has been a frequent target of Republicans.
Over the years, congressional Republicans have tried and failed to overturn Obamacare on many occasions.
During his 2016 presidential campaign Trump himself vowed to repeal Obamacare. During his presidency he tried several times to do just that, with the Senate in the summer of 2017 coming just one vote shy of overturning the ACA. Backlash to Republicans’ failed attempts to repeal the law helped Democrats take back the House in 2018. Since then, Republicans have tried to soften their stance on the issue to a position of reform over repeal.
“I don’t want to terminate Obamacare, I want to REPLACE IT with MUCH BETTER HEALTHCARE. Obamacare Sucks!!!” Trump said in a Truth Social post in November 2023.
Trump’s been vague about his position ever since. In September, during the only presidential debate between Vice President Kamala Harris and Trump, the former president said Republicans will replace Obamacare under a second Trump presidency.
“Obamacare was lousy health care. Always was. It’s not very good today,” Trump said during the debate. “And what I said, that if we come up with something, and we are working on things, we’re going to do it and we’re going to replace it.”
When pressed about the specifics of his replacement plan, the former president did not offer anything beyond the now-infamous allusion to having “concepts of a plan.”
Meanwhile, drawing a stark contrast, Harris and Democrats have been campaigning on protecting and expanding Obamacare, highlighting Trump and the GOP’s past efforts to revoke the health coverage program every chance they get.
“Speaker Mike Johnson is making it clear — if Donald Trump wins, he and his Project 2025 allies in Congress will make sure there is ‘no Obamacare,’” Sarafina Chitika, a Harris campaign spokeswoman, said in a statement, according to the Washington Post. “That means higher health-care costs for millions of families and ripping away protections from Americans with preexisting conditions like diabetes, asthma, or cancer.”
FRIST! No cat.
Tonight at 6: The verbatim words of a stone liar.
He speaks, we record.
Closing the barn door after the horse has already left.
Too late.
But I’m also not certain how much impact this will have. So many have already voted and those that were going to vote for TIFBG will still do so, as long as the ‘other’ is the one that gets hurt.
Won’t change Harris voters at all.
The ACA is based on Romneycare, which was always the Republican health insurance plan. So the GOP was left without an alternative, because Obama stole theirs. And that’s what’s wrong with the ACA – the best feature was Medicaid expansion, which wasn’t a right-wing idea and 25 states rejected it.
President Obama promised his plan would have a public option, and there would not be a for-profit private insurance mandate. Then he and his congressional allies delivered the opposite of what was promised, even though they had enough votes in the House and Senate to do it right.
What’s better than the ACA? Medicare for All. I’m guessing Trump and MAGA Mike are not advocating that.