Author Archives: Joanne Kenen

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at She welcomes questions and suggestions on health reform resources and tip sheets at

What many Trump supporters believe about the promised elimination of the ACA

Photo: Matt Johnson via Flickr

Photo: Matt Johnson via Flickr

Many people who gained coverage under the Affordable Care Act voted for Donald Trump, even though he promised to get rid of it and has not been crystal clear about what he would put in its place.

Sarah Kliff of Vox traveled to Whitley County in Kentucky to find out why. In that county, the uninsured rate dropped by 60 percent (from 25 percent in 2013 to 10 percent now, according to Enroll America). Yet, 82 percent of them voted for Trump. Continue reading

ACA rollback likely to imperil Medicaid expansion

Kaiser Family Foundation

Kaiser Family Foundation

The New York Times Magazine’s recent feature, “Life in Obamacare’s dead zone,” looked at the Medicaid gap we’ve frequently written about since the Supreme Court in 2012 made the ACA expansion optional for states.

The article describes how people who fall into the bizarre coverage gap – in which they are too poor to get subsidized coverage that people just a few slim rungs up the income ladder can get – cobble together care, or just do without, often with pretty grim consequences. Continue reading

Trump’s nominee to lead HHS wrote conservative ACA replacement plan

Tom Price

Tom Price

President-elect Donald Trump has selected Dr. Tom Price, an orthopedic surgeon from Georgia who has served in the House for six terms, to serve as his secretary of Health and Human Services.

That’s a signal that the Trump administration is going to pursue a very conservative health policy agenda – and not just on repealing the Affordable Care Act. Continue reading

How will the election affect the business of health care?


Donald J. Trump

The Washington Post has taken a post-election look at 15 major industries in a story aptly titled, “Mr. Business Goes to Washington. NOW WHAT?” The overview was written by Thomas Heath, with health care industry input from Carolyn Johnson.

The Post story divided industries into “winners” (assuming no major recession) and “it’s complicated.” Health care – naturally – fell under “complicated.” Continue reading

Getting from Obamacare to Trumpcare

Photo: Matt Johnson via Flickr

Photo: Matt Johnson via Flickr

A few quick thoughts on health reform and the election — we’ll be coming back to this, of course, as we learn more (and get more sleep!)

Republicans can’t just repeal the entire Affordable Care Act. Democrats will still have enough votes to filibuster – and they will.

That doesn’t mean President-elect Trump and the GOP majority can’t unravel a great deal of the law. They can – and that’s one reason Families USA and other advocacy groups went into emergency mode to figure out how to defend it. Continue reading