The law has always been polarizing. When the Patient Protection & Affordable Care Act, as it is officially known, passed in 2010, it was considered the most dramatic overhaul of American health care in modern history.
But Trump also told CBS’ “60 Minutes” that he wants to keep some of the more popular parts of the law.
Considering what Trump has said about the plan in the past, what is possible in Congress and what the public seems to love and hate about the plan, here’s a look at what part of Obamacare might make it into Trumpcare.
What many people like about Obamacare
Coverage for people with pre-existing conditions
A popular part of Obamacare is the elimination of insurance companies’ ability to use health status, medical history and gender to determine whether you are eligible for coverage. Nor can insurance companies use your health status to decide what benefits you get or what premiums you’re charged.
One in two Americans has a pre-existing condition, according to an analysis from the Centers for Medicare & Medicaid Services. Of those people, 25 million — 46% — were uninsured prior to the ACA.
This part of the law became “one of the strongest assets,” Trump told “60 Minutes,” and he’d like to keep it.
20-somethings on their parents’ insurance
Trump told Lesley Stahl on “60 Minutes” that he will “very much try and keep that.” He added that it “adds cost, but it’s very much something we’re going to try and keep.”
No limits on annual or lifetime coverage
Prior to Obamacare, insurance companies could drop coverage when you were at your sickest. You could actually tap out your insurance resources, and the companies could set a dollar limit on what they’d spend on your care.
Anyone who exceeded their limit was on the hook to pay for their care out of pocket. This part of the ACA was particularly popular with people who needed expensive drugs to fight rare diseases and those treated for cancers that required long hospital stays and lengthy chemotherapy. Many in those communities ended up facing medical bankruptcy, having to foot the bill for their own care.
The ACA ended limits on marketplace plans and on most insurance plans people got through their jobs.
No-cost preventive care
Obamacare allowed insured people to receive some health-care services at no cost. Basic services meant to keep you healthy like blood pressure checks, depression and HIV screenings, flu shots, breastfeeding supplies, mammograms and contraception, among other measures, were all covered.
Contraceptives were the only item in the list that remained controversial, at least for some institutions with religious affiliations.
Improved hospital quality
Incentives in the ACA started to move health care from a fee-for-service model to one that rewards quality of care.
But there are plenty of parts of the law Trump and others despise that will probably have to change.
What many people hate about Obamacare
Premiums skyrocketed an average of 22% for the benchmark plan in 2017. The spikes are felt unevenly, depending on location. In states where insurers pulled out of the marketplace, the prices went up significantly.
In Oklahoma, for instance, the average premium price went up 69%. In Arizona, premiums more than doubled, and in Indiana, where there is more competition, the benchmark plan is 3% cheaper.
Trump said one way he’ll bring down costs is to allow people to buy insurance across state lines. He argues that that encourages competition.
“It’ll be great health care for much less money,” Trump told “60 Minutes.”
Required coverage and fewer choices
Some don’t like being told by their government that they have to have insurance. Over half of Republicans polled by Kaiser said they’d like to repeal the requirement that nearly all Americans have health insurance or pay a fine.
People also complained about the kind of insurance available in marketplaces, especially as the number of insurers shrunk.
To keep costs down, marketplace insurers narrowed their provider networks, meaning people have fewer doctor and hospital options.
Constant plan changes
The shrinking pool of insurers means people often have to investigate new plans when they re-enroll. Filling out additional paperwork and researching options have been a constant source of frustration.
Small business burdens