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Fact Check: 'We Don't Have Health Care In This Country,' Trump Says

President Trump gave a eulogy on Thursday for the Affordable Care Act, also known as Obamacare.

"Obamacare is collapsing. It's dead. It's gone," Trump said in a news conference with Colombian President Juan Manuel Santos.

"There's nothing to compare it to because we don't have health care in this country," he went on.

That left some Obamacare customers scratching their heads — figuratively — on Twitter.

Doktor Zoom, for example, wondered why he's still paying a premium.

In fact, we do have health care in this country — quite a lot of it. The U.S. spent about $3.2 trillion on health care in 2015, or nearly $10,000 per person. It accounts for 17.8 percent of GDP.

But the president wasn't talking about health care per se. He was talking about Obamacare, which Republicans are trying to replace with legislation currently in the hands of the Senate.

Even the picture of the current health law isn't as bad as Trump tried to paint it, though. In the years since the Affordable Care Act went into effect, the uninsured rate fell to about 10 percent, the lowest level in U.S. history. About 10 million people have bought insurance through the exchanges created by the health care law. Another 10 million got coverage through the expansion of Medicaid.

That's not to say the Obamacare marketplaces aren't struggling. In some states insurers are pulling out of the markets because they're losing money, as Trump pointed out.

"Aetna just pulled out. Other insurance companies are pulling out," he said.

That's true. Aetna pulled out of all the Obamacare exchanges. In some states — Tennessee and Iowa, for example — there are areas that risk having no insurer at all. And premiums have been rising across the country.

Still, the overall Obamacare picture isn't so stark.

Standard & Poors, for example, said last month that insurance companies that offer health plans on the exchanges are losing less money than ever, and the markets are becoming more stable. The Kaiser Family Foundation says more than half the population has the choice of three or more insurers if it wants to buy a policy on the exchanges. And most people who get insurance through the Affordable Care Act receive subsidies to offset the rate increases.

Several insurance companies, however, have said the uncertainty caused by Republican efforts to repeal the law have led them to either pull out of the markets or raise their rates for next year.

So when Trump says, as he did today, "Obamacare is a fallacy. It's dead," that's not exactly true.

But he hopes to help make it so.

Copyright 2021 NPR. To see more, visit https://www.npr.org.

Alison Fitzgerald Kodjak is a health policy correspondent on NPR's Science Desk.
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