We all know that Donald Trump’s win over Hillary Clinton was the biggest political upset in American history.
But it wasn’t even close to being the biggest defeat.
The election of President Donald Trump marked the end of an era.
It was the most consequential election in American political history.
Now, a few years later, we’re all still dying.
This election is shaping up to be the most important since World War II.
It may even be the last.
That’s the argument for why the death toll in the first days of the Trump administration has now reached the highest in American politics since World Wars II.
The death toll has already surpassed 1.5 million.
The number of people who are homeless in the United States has grown by over 3 million, and the number of adults with severe mental illness has more than doubled.
The national debt is at its highest level in at least a century, and we’re still struggling to keep our infrastructure up to date.
But for every death toll, we’ve also seen a surge in the number and scope of people receiving health care, and a dramatic decrease in homelessness and homelessness-related costs.
As the Trump presidency draws to a close, we can see that many Americans are now dying of natural causes, and that millions more Americans are being exposed to the consequences of climate change, air pollution, water pollution, and other environmental disasters.
The toll from these tragedies has been stark.
The National Institutes of Health reports that in 2018 alone, the cost of treating the roughly 1.4 million Americans with severe, chronic, or life-threatening diseases, as well as the 6 million adults with disabilities, was about $2.5 trillion.
And those costs were rising as the opioid crisis unfolded.
In the weeks following Trump’s victory, a number of Republican governors, including the New York governors Andrew Cuomo and Chris Christie, announced that they would be canceling their states’ Medicaid expansions.
That led to a sharp decline in Medicaid spending in many of those states, leading to a steep increase in the costs of care for the sick.
But what many of these governors were doing was not necessarily repealing the Affordable Care Act, as some conservatives would have us believe.
Rather, they were rolling back the ACA in order to give states more flexibility in implementing their own Medicaid programs.
In 2018, the Congressional Budget Office projected that repealing the ACA would reduce the federal deficit by about $816 billion, while increasing the federal debt by $5.3 trillion.
The CBO also estimated that repealing and replacing the ACA with something like a health-care system that doesn’t work well, that costs more and is less efficient would cost about $6,700 per person over the next 10 years.
That is $3,400 more per person than we were paying in 2018, and about $200 more than we are paying now.
This is a massive increase in federal debt.
In 2017, the CBO estimated that the ACA’s cost-sharing reductions would have saved about $600 billion over the 10 years, or $2,700 for every American, who bought insurance on the ACA marketplaces.
But the CBO said that under the Congressional budget process, the Trump plan would have cost $1,900 for every person on the marketplaces who purchased their coverage on the federal marketplace.
It’s not surprising that the CBO found that the plan’s coverage expansion would have hurt states that were able to enroll people into the market.
So the fact that the health-insurance marketplaces would have been a disaster for many states and millions of people if not for the ACA was just one more reason to cut federal spending.
But a lot of Republicans in Congress have been more than happy to let the health insurance market collapse under Trump’s leadership.
A number of them have tried to force a repeal of the ACA by arguing that the Medicaid expansion was an unnecessary expansion of the federal government, and thus the federal budget deficit.
A CBO report published last week found that if states had continued to expand Medicaid under the ACA, they would have increased their federal deficit and the federal share of health-cost-sharing payments by an additional $2 trillion.
But if states did not expand Medicaid, that federal deficit would have dropped to zero and the share of spending that would have gone to Medicaid would have grown to a whopping $10 trillion.
So it’s not that the expansion of Medicaid has caused the federal deficits or the health costs that are increasing, it’s that the expanded federal role in health care has been responsible for the cost increases.
We’ve been told that the number one reason that the Affordable Health Care Act has cost so much is because people are losing coverage and are turning to the health exchanges to get care.
But we’re not really sure that’s the reason.
According to a new analysis, the ACA is not doing much to keep people from getting health insurance, and it’s also not doing anything to help the millions of Americans who are