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The latest health care reform actions will face legal challenges as well as other criticisms. (Photo: Shutterstock)

U.S. President Donald Trump spent much of the year seething as his Republican allies in Congress failed to pass legislation to repeal and replace the Affordable Care Act, as Trump had promised during his campaign. On Thursday, he took a flurry of steps that he said were meant to replace “piece by piece” what he called “a broken mess.”

Democrats call his actions just the latest in a series of efforts to sabotage Obamacare, as the ACA is called. Insurers and health-care groups say Trump’s moves will lead to higher costs for consumers and could potentially destabilize the marketplaces Obamacare created to serve millions of Americans. The enrollment period for next year’s coverage begins Nov. 1.

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