During his campaign, Trump vowed to repeal and replace the Affordable Care Act (ACA). In office, he scaled back the Act's implementation through executive orders 13765 and 13813. Trump expressed a desire to "let Obamacare fail"; his administration cut the ACA enrollment period in half and drastically reduced funding for advertising and other ways to encourage enrollment. Trump falsely claimed he saved the coverage of pre-existing conditions provided by the ACA. In June 2018, the Trump administration joined 18 Republican-led states in arguing before the Supreme Court that the elimination of the financial penalties associated with the individual mandate had rendered the ACA unconstitutional. If they had succeeded, it would have eliminated health insurance coverage for up to 23 million Americans. During the 2016 campaign, Trump promised to protect funding for Medicare and other social safety-net programs, but in January 2020, he suggested he was willing to consider cuts to such programs.
