Well remembered for urging the House to “pass the bill so we can see what’s in it,” House Speaker Nancy Pelosi has urged caution on Medicare for All, believing that the Affordable Care Act is still the best path to ‘quality, affordable care’  She clarified in an interview that Medicare for All, for most people, simply means “coverage for all” which then does not necessitate using a single payer system as advocated by Bernie Sanders.

President Trump, meanwhile, got support to drop the ACA when a District Court judge in Northern Texas said that ACA was unconstitutional.  There is an appeal filed from a group of Attorneys General protesting this move.  The administration continues to side with the court, with the Justice Department writing it had “determined that the district court’s judgment should be affirmed” and will file a brief. This in spite of the opposition of HHS Secretary Alex Azar and Attorney General William Barr.