Too bad there is not another presidential debate this week. The moderator would be able to ask the most important question of our time: When it comes to a comprehensive health insurance program, which is better: ObamaCare or what the Trump administration has proposed to replace it with? 

It’s a trick question, because to date, after four years of promising a better health insurance plan, there is no Trump administration plan.

The Affordable Care Act (ACA), better known as ObamaCare, which passed in 2010, extended coverage to millions of uninsured Americans by expanding Medicaid. Thirty-nine states have since elected to expand eligibility. For others not covered by their employer’s plan, new health insurance exchanges were created to allow individuals to buy health insurance.

Additionally, the ACA set federal standards for health insurers that offer plans to individuals, small groups as well as employer-sponsored health benefit plans.  For the first time, these standards under current law prohibit insurers from: 1) denying coverage to those with pre-existing conditions; and 2) excluding adult children up to age 26 from their parents’ plan. 

Donald TrumpDonald John TrumpDes Moines mayor says he’s worried about coronavirus spread at Trump rally Judiciary Committee Democrats pen second letter to DOJ over Barrett disclosures: ‘raises more questions that it answers’ Trump asks campaign to schedule daily events for him until election: report MORE vowed to repeal the ACA and replace it with something better.  Trump has asked Americans to trust him to do this rather than developing or proposing an insurance alternative. Instead he has issued executive orders that apply only to people who already have health insurance (e.g. permitting states to pursue lowering drug costs and expanding the kind of health expenses that can be deducted from one’s health savings account; expanding access to telehealth). 

Promising to