The New York Times article highlights the concerns of Republicans regarding President Trump’s hands-off approach to healthcare. Despite the party’s long-standing goal of repealing and replacing the Affordable Care Act (ACA), also known as Obamacare, Trump has taken a surprisingly passive stance on the issue. This has left many Republicans frustrated and worried about the potential consequences of inaction.

The article notes that Trump’s approach to healthcare has been marked by a lack of clear direction and leadership. Unlike his predecessors, who actively worked to shape healthcare policy, Trump has largely delegated the issue to Congress. This has resulted in a lack of cohesion and coordination among Republican lawmakers, who are struggling to come up with a unified plan to replace the ACA.

The consequences of Trump’s hands-off approach are already being felt. The ACA’s individual mandate, which requires individuals to purchase health insurance, has been repealed, and the administration has expanded the use of short-term, limited-duration insurance plans, which are not required to cover pre-existing conditions. These changes have led to increased uncertainty and instability in the healthcare market, causing premiums to rise and coverage to decline.

Many Republicans are concerned that Trump’s inaction on healthcare will hurt the party’s chances in the 2020 elections. The ACA remains a highly popular program, and the party’s failure to provide a viable alternative could alienate voters who rely on the program for health coverage. Furthermore, the lack of a clear healthcare plan could also undermine the party’s ability to attract moderate voters who are looking for a more pragmatic approach to healthcare reform.

The article quotes several Republican lawmakers and strategists who express frustration with Trump’s approach to healthcare. They argue that the party needs to take a more proactive and coordinated approach to healthcare reform, rather than relying on the courts to dismantle the ACA. Some have even suggested that the party should work with Democrats to find common ground on healthcare reform, rather than trying to repeal the ACA outright.

Overall, the article suggests that Trump’s hands-off approach to healthcare is a problem for Republicans, who are struggling to come up with a unified plan to replace the ACA. The party’s failure to provide a viable alternative to the ACA could have significant consequences for the 2020 elections and beyond. As the healthcare debate continues to unfold, it remains to be seen whether Trump will take a more active role in shaping healthcare policy or continue to delegate the issue to Congress.