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Trump likes main Obamacare provisions ‘very much’

US President-elect Donald Trump has said in an interview he is open to leaving intact key parts of President Barack Obama’s healthcare bill._92409421_hi036281407

Mr Trump, who has pledged repeatedly to repeal the 2010 law, signalled he was receptive to a compromise after visiting the White House on Thursday.

He told the Wall Street Journal he favours keeping two pillars of the bill because “I like those very much”.

One is a ban on insurers denying coverage for pre-existing conditions.

The other provision that the president-elect told the newspaper he favours allows young adults to be insured on their parents’ policies.

Mr Trump told the Journal it was his hour-and-a-half meeting with Mr Obama that had made him reconsider his calls for an all-out repeal of the Affordable Care Act.

“I told him I will look at his suggestions, and out of respect, I will do that,” the president-elect said at Trump Tower.

“Either Obamacare will be amended, or repealed and replaced.”

The interview was published just as Mr Trump shook up his presidential transition team, demoting New Jersey Governor Chris Christie to vice-chairman.

“Repeal and replace” – with emphasis on the former over the latter – has been the Republican mantra when it comes to Barack Obama’s healthcare reform for the past six years. Candidate Donald Trump echoed this when he labelled the programme a “disaster” and promised something much better if he were elected president.

Just days after the US public gave Mr Trump the keys to the Oval Office, however, he said there are parts of Mr Obama’s signature legislative achievement worth keeping.

The challenge for the president-elect is that the Obamacare features he praises – such as its mandate that insurers cover pre-existing medical conditions – are made possible by portions of the law he has condemned, like requiring all Americans to obtain insurance.

Keeping the law’s carrots while abandoning its sticks could prove difficult.

Complicating the matter is that a “revise and reform” effort may not fly with Mr Trump’s ardent supporters and the cadre of arch-conservative politicians in Congress, who want to tear up the law “root and branch”.

Mr Trump often broke with Republican orthodoxy while campaigning and didn’t pay a political price. He may learn that as president he won’t get far without his party establishment’s help.

During the election campaign, Mr Trump said the government-run health insurance marketplace was “a total disaster” and “a catastrophe”.

“Obamacare is just blowing up,” he said only last month, while promising his own plan would deliver “great healthcare at a fraction of the cost”.

While running for president, Mr Trump did not offer much detail on what he envisaged would be Obamacare’s replacement.

The Republican’s plan included tax-deductible health savings accounts and allowing insurers to sell coverage across state lines.