'Trump and the GOP are still undermining the health law. Its sabotage efforts in 2018 included cutting off subsidy reimbursement payments for low-income enrollees, slashing the marketing budget by 90% &gouging the outreach-assistance budget by 40%. Next year adds the repeal of the individual mandate & the expansion of non-Obamacare-compliant policies that don’t include the law’s patient protections. People who earn too much to qualify for financial assistance for policies purchased through the A.C.A.’s health insurance exchanges— five million now enrolled, including three to four million enrolled off-exchange — will pay for that sabotage in higher premiums. (Another nearly five million are uninsured and priced out of the market.) In the graphic you will see how much more these unsubsidized enrollees will have to lay out in 2019.