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From Kaiser Health News:

Kaiser Health News Original Stories

3. Political Cartoon: 'Reality Sandwich'

Kaiser Health News provides a fresh take on health policy developments with "Political Cartoon: 'Reality Sandwich'" by John Deering, Arkansas Democrat-Gazette.

Here's today's health policy haiku:


The magic number
For pregnancy – 40 weeks.
Shorter is too soon.

If you have a health policy haiku to share, please Contact Us and let us know if you want us to include your name. Keep in mind that we give extra points if you link back to a KHN original story.

Summaries Of The News:

Campaign 2016

4. Trump Says ACA 'Will Destroy Health Care In America,' Promises Special Session To Repeal It

The Republican candidate gave a speech on the first day of open enrollment capitalizing on the recent news of spiking premiums. Meanwhile, The Washington Post offers a view of what health care policy would look like under each candidate.

The Washington Post: Trump: If Obamacare Is Not Repealed, It ‘Will Destroy Health Care In America’
Republican presidential candidate Donald Trump vowed on Tuesday to summon Congress into a special session to end and replace the Affordable Care Act, as he portrayed the repeal of the contentious health-care law as a prime reason for voters to elect him. In midday remarks in the battleground state of Pennsylvania, Trump went slightly beyond his previous promise to try to end the ACA, widely known as Obamacare, on the first day of a Trump administration. But his call for a special session puzzled many, as the current Congress is scheduled to reconvene after the election, and the new one will gavel in January, before Inauguration Day. (Goldstein and Johnson, 11/1)

The Wall Street Journal: Donald Trump Shifts Attacks To Obamacare, Health-Care Costs
The Republican presidential nominee renewed his call to repeal and replace the law known as Obamacare on the first day of the official sign-up period for coverage under the law, and in the wake of significant rate increases in many battleground states. ... The event represented an effort to spotlight the health law’s woes and build on the political edge Mr. Trump believes he has gained in recent days as Mrs. Clinton has been thrown on the defensive by new revelations about her email. The focus on the impact of the health-care law took the campaign into an unusual detour into policy and economic issues that are of direct concern to voters in a campaign that has been dominated by personal attacks. (Hook and Radnofsky, 11/1)

Politico: Trump Wants 'Special Session' To Repeal Obamacare
Donald Trump on Tuesday vowed to immediately repeal and replace President Barack Obama’s signature health care law if he’s elected president next week. But Congress won’t be able to repeal and replace the health law quickly or easily. Even if Republicans keep control of the Senate, Democrats will likely have enough votes to filibuster a quick repeal bill. (McCaskill, 11/1)

The Hill: Trump Calls For Special Session Of Congress To Repeal ObamaCare 
Donald Trump on Tuesday vowed to call a “special session” of Congress to repeal ObamaCare if he wins the White House. If he’s elected, Trump said, Republicans “will be able to immediately repeal and replace ObamaCare.” “It’s one of the most important reasons why we must win on Nov. 8,” he said during a speech in Pennsylvania, a crucial battleground state.   It’s unclear why a special session would be required to roll back the law, because the new Congress would start work before the next president is inaugurated. (Sullivan and Kamisar, 11/1)

Los Angeles Times: Trump Warns That Obamacare Will 'Destroy American Healthcare Forever,' But Offers Few Details On How He'd Change It
Trump again offered little detail about how he would address rising health costs beyond vague pledges to reduce regulation of health insurance. He spent just eight minutes discussing healthcare in the speech, billed as a "special" address on the topic. But Trump’s new attacks come as state and federal officials nationwide open insurance marketplaces for 2017 enrollment amid widespread concerns about rising costs. (Levey, 11/1)

Bloomberg: Trump's Anti-Obamacare Speech Sheds Little Light On Replacement
In what his campaign billed as a major health-care speech Tuesday, Donald Trump offered no new details about his plan to replace Obamacare, but re-emphasized the need to repeal the 2010 law. The ideas outlined in Valley Forge, Pennsylvania, by the Republican presidential nominee—tax-free health savings accounts, insurance across state lines and sending Medicaid funds to states—were included in a white paper he unveiled in March. They largely match proposals popular among conservative policy advocates. (Kapur and Cirilli, 11/1)

The Philadelphia Inquirer: In King Of Prussia, Trump And Pence Offer Their Alternative To Obamacare
Seeking to boost their chances in the critical Philadelphia suburbs, Donald Trump and Gov. Mike Pence used a campaign stop in King of Prussia on Tuesday to denounce the Affordable Care Act and for the first time offer specifics on a health-care alternative under a Trump presidency. The Republican candidate presented his plan to 700 invited guests at the DoubleTree hotel, saying it would repeal and replace President Obama's health-care law, one he said has "devastated" people with health-care costs "that are more than their mortgages or rent." (McCabe, 11/2)

ABC News: Donald Trump, Mike Pence Slam 'Obamacare,' Call On Congress To Repeal It
In Democratic-leaning Pennsylvania, a state where the campaign claims it is increasing ad spending, Trump appealed to minority communities and millennials. "In many instances, their health care costs are more than their mortgage costs, more than their rent --which by the way is a first in American history," Trump said. "This is particularly unfair to millennials and younger Americans generally, who will be totally crushed by these massive health care costs before they even get started on their journey through life." (Santucci, De La Cuetara and Smith, 11/1)

The Washington Post: The Future Of Health Care, According To Clinton Or Trump
Many Americans’ health care — and the roiling health-care debate in Washington — is likely to be very different depending on whether Democrat Hillary Clinton or Republican Donald Trump becomes the next president. We looked at what both have said they would do with major aspects of the health-care system. (Goldstein, 11/1)

Politico: Bill Clinton Spars With Heckler Over Obamacare
Bill Clinton on Tuesday tangled with a heckler at a Florida rally who threw back at the former president the remarks he made in October that Obamacare was the "craziest thing in the world." Clinton, who has at times gotten heated on the campaign trail, especially bristled at the suggestion that he would support repealing President Barack Obama's signature health care law. (Griffiths, 11/1)

Health Law Issues And Implementation

5. Administration Goes All Out To Encourage Sign-Ups As Critical Open Enrollment Kicks Off

In a year of roiling marketplaces, the Obama administration pushes hard to make the fourth enrollment period successful. Meanwhile, media outlets report on exchange news from Massachusetts, Tennessee, Minnesota, Maryland and California.

Morning Consult: Administration Crosses Fingers For Robust Obamacare Enrollment
Consumer advocates and Obama administration officials started working Tuesday to sign up millions of consumers for Obamacare coverage as the fourth open enrollment period kicks off. Kevin Counihan, the CEO of, said the administration is going “all out” this year with an education campaign and on-the-ground partnerships to encourage sign-ups. The administration needs a successful enrollment to ease concerns about the cost of insurance under the Affordable Care Act. (McIntire, 11/1)

The Hill: HHS Chief Kicks Off ObamaCare Signup Period
The Obama administration is hitting the airwaves Tuesday to promote the final ObamaCare signup period of Obama's presidency. Health and Human Services (HHS) Secretary Sylvia Mathews Burwell took part in nearly a dozen radio and TV interviews to kick off the first day of ObamaCare’s open enrollment period for the federal marketplace. This year, health officials hope to boost ObamaCare’s numbers by 1 million to reach a total of 13.8 million customers. (Ferris, 11/1)

The Wall Street Journal: Health Law Enrollment Opens Amid Volatility
The fourth open enrollment for health coverage under the Affordable Care Act opened Tuesday, a critical 90 days that the Obama administration hopes will boost participation and stabilize markets roiled by premium increases and insurer withdrawals. and state equivalents began taking applications Tuesday morning from people signing up for individual health coverage and learning about their eligibility for subsidies. (Armour and Radnofsky, 11/1)

The Washington Post: Where Obamacare Prices Are Rising Dramatically
Open enrollment for the insurance exchanges created by the Affordable Care Act kicks off Tuesday, and there’s a good chance consumers logging on to compare plans will face some sticker shock. Monthly insurance premiums for popular plans on are rising by 25 percent on average next year, according to government data. But the increases will be more dramatic in certain parts of the country, especially for consumers not receiving subsidies, the numbers show. (Marte, 11/1)

Boston Globe: Health Insurance Turmoil Expected As Rates Climb For Some Consumers
Massachusetts Health Connector officials are bracing for disruption as people who buy their own health insurance start signing up for coverage on Tuesday, the first day of the three-month enrollment period. A significant minority of Connector customers face big increases in premiums and may decide to change plans. The Connector estimates that nearly one-quarter of its subscribers will have to pay premiums that are at least 15 percent higher in 2017 if they want to keep their current plan. But most Connector customers will see small increases or even decreases in their premium costs. (Freyer, 11/1)