Still, the Trump administration is pushing ahead with its position to invalidate the Affordable Care Act (ACA), with the Supreme Court scheduled to hear the case this fall
Trump told reporters: "We want to end health care for – under Obamacare because it's bad, and we're replacing it with good health care for far less money and that includes existing conditions." All the while, his administration has not yet promoted an alternative to the ACA.
Without health insurance for as many Americans as possible, it will be difficult to contain the pandemic.
The new coronavirus, Covid-19, is one of the most contagious diseases in the world. The key to controlling the spread is early diagnosis with widespread, accessible and free testing, followed by aggressive contact tracking and quarantine of contacts.
Health care for all other conditions also continues to occur during a pandemic. There is already concern that patients do not tend to their chronic conditions and heart attack, stroke and other life-threatening problems are missed because patients do not want to be exposed to Covid-19.
Removing health insurance will further aggravate existing health problems, which will not only aggravate health outcomes but also increase the overall cost of health care if people wait until they are critically ill before seeking care.
In addition to the potential loss of health insurance for the more than 20 million who currently depend on the ACA, the loss of the ACA can also cause Covid-19 itself to label the millions infected as uninsured.
Patients with severe effects of Covid-19 may end up with lasting conditions, including chronic lung and kidney conditions and even stroke and heart damage. Without ACA's protection for people with pre-existing conditions, patients who have recovered from Covid-19 can be denied health coverage.
To be sure, the Covid-19 pandemic has revealed many health problems. The pandemic can be a clearing call to reassess the whole way we deliver care. There are mistakes with the ACA that even advocates say need for improvement.
There will be time for reform, but now is not the moment to topple the entire system – not at the height of the outbreak, when thousands die every day.