Donald Berwick writes in the New York Times:
"..they can starve the agencies that have to administer the law, making it hard for them to do their jobs. They can make it riskier for insurance companies to participate and can decrease enforcement of requirements that policies cover a basic set of benefits. The new administrator of Medicare and Medicaid, Seema Verma, favors giving states waivers to avoid some of the law’s provisions, weakening coverage and increasing out-of-pocket costs. "
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