HEALTH LAW FATE LIKELY TO SHAPE - The New York Times · 2019-11-11 · C M Y K Nxxx,200-03,A6-11...
Transcript of HEALTH LAW FATE LIKELY TO SHAPE - The New York Times · 2019-11-11 · C M Y K Nxxx,200-03,A6-11...
![Page 1: HEALTH LAW FATE LIKELY TO SHAPE - The New York Times · 2019-11-11 · C M Y K Nxxx,200-03,A6-11 ,00,Bs-4C,E21 U(D54G1D)y+[!#!=!#!. Hillary Clinton was campaign-ing for her husband](https://reader033.fdocuments.us/reader033/viewer/2022043017/5f39e246143a3465d27b2662/html5/thumbnails/1.jpg)
C M Y K Nxxx,2016-10-03,A,001,Bs-4C,E2
U(D54G1D)y+[!#!=!#!.
Hillary Clinton was campaign-ing for her husband in January1992 when she learned of therace’s newest flare-up: GenniferFlowers had just released tapes ofphone calls with Bill Clinton toback up her claim they had had anaffair.
Other candidates had beendriven out of races by accusationsof infidelity. But now, at a cold,dark airfield in South Dakota,Mrs. Clinton was questioningcampaign aides by phone andvowing to fight back on behalf ofher husband.
“Who’s tracking down all the re-search on Gennifer?” she asked,according to a journalist travelingwith her at the time.
The enduring image of Mrs.Clinton from that campaign was a“60 Minutes” interview in whichshe told the country she was notblindly supporting her husbandout of wifely duty. “I’m not sitting
here, some little woman standingby my man like Tammy Wynette,”she said.
But stand by she did, holdingany pain or doubts in check as thecampaign battled to keep the Clin-
tons’ political aspirations alive.Last week, Donald J. Trump, the
Republican presidential nominee,criticized Mrs. Clinton over Mr.Clinton’s affairs and her responseto them, and said he might talk
more about the issue in the finalweeks before the election.
That could be a treacherousstrategy for Mr. Trump, given hisown past infidelity and question-able treatment of women. Manyvoters, particularly women, mightsee Mrs. Clinton being blamed forher husband’s conduct.
It could also remind voters of asearing period in American his-tory, and in Mrs. Clinton’s life.
Confronting a spouse’s unfaith-fulness is painful under any cir-cumstance. For Mrs. Clinton, ithappened repeatedly and in themost public of ways, unfolding atthe dawn of the 24/7 news cycle,and later in impeachment pro-ceedings that convulsed the na-tion.
Outwardly, she remained stoicand defiant, defending her hus-band as a progression of womenand well-funded conservative op-eratives accused Mr. Clinton of be-havior unbecoming the leader of
Her Husband Accused of Affairs, a Defiant Clinton Fought BackBy MEGAN TWOHEY
Hillary Clinton campaigned on Sunday in Charlotte, N.C.TODD HEISLER/THE NEW YORK TIMES
Continued on Page A15
VALERIO MEZZANOTTI FOR THE NEW YORK TIMES
Part of the Comme des Garçons collection in Paris. The de-signer, Rei Kawakubo, may land a show at the Met. Page C8.
A Look That’s Museum-Worthy?
WASHINGTON — The fiercestruggle to enact and carry out theAffordable Care Act was sup-posed to put an end to 75 years offighting for a health care systemto insure all Americans. Instead,the law’s troubles could make itjust a way station on the road toanother, more stable health caresystem, the shape of which couldbe determined on Election Day.
Seeing a lack of competition inmany of the health law’s online in-surance marketplaces, HillaryClinton, President Obama andmuch of the Democratic Party arecalling for more government, notless.
The departing president, thewoman who seeks to replace himand nearly one-third of the Senatehave endorsed a new govern-ment-sponsored health plan, theso-called public option, to giveconsumers an additional choice. Asignificant number of Democrats,for whom Senator Bernie Sandersspoke in the primaries, favor a sin-gle-payer arrangement, whichcould take the form of Medicarefor all.
Donald J. Trump and Republi-cans in Congress would go in thedirection of less government, re-ducing federal regulation and re-quirements so insurance wouldcost less and no-frills optionscould proliferate. Mr. Trumpwould, for example, encouragegreater use of health savings ac-counts, allow insurance policies tobe purchased across state linesand let people take tax deductionsfor insurance premium payments.
In such divergent proposals liesan emerging truth: Mr. Obama’ssignature domestic achievementwill almost certainly have tochange to survive. The two partiesagree that for too many people,health plans in the individual in-surance market are still too ex-pensive and inaccessible.
“Employer markets are fairlystable, but the individual insur-ance market does not feel stable atall,” said Janet S. Trautwein, thechief executive of the National As-sociation of Health Underwriters,which represents more than100,000 agents and brokers whospecialize in health insurance. “Inmany states, the individual mar-ket is in a shambles.”
Mr. Obama himself, while boast-
NEXT PRESIDENTLIKELY TO SHAPEHEALTH LAW FATE
CHANGES SEEN AS NEEDED
Troubles in InsuranceMarketplaces Draw
Divergent Plans
By ROBERT PEAR
Continued on Page A14
Donald J. Trump and his alliesstruggled on Sunday to move be-yond the revelation that he mighthave been able to legally avoidnearly two decades of federal in-come taxation, putting new pres-sure on the candidate just as hetries to recover from a lacklusterdebate performance.
Mr. Trump’s campaign lurchedbetween refusing to acknowledgethat the 1995 tax records, portionsof which were published on Satur-day night by The New York Times,were bona fide, to insisting thathis not having paid taxes was evi-dence of his unrivaled business
prowess.The Times report, based on doc-
uments obtained by the newspa-per, showed that Mr. Trump, theRepublican nominee, declared a$916 million loss on his 1995 in-come tax returns, which couldhave allowed him to legally avoidpaying any federal income taxesfor up to 18 years.
At a rally in Lancaster County,Pa., that began shortly before thearticle was published, Mr. Trumpseemed jarred by the pending rev-elation, shifting from topic totopic; mocking his Democratic ri-val, Hillary Clinton, for havinghad pneumonia; and insinuatingthat she might have cheated onher husband.
The performance capped a
bruising week for Mr. Trump, whowent from a widely panned debateperformance against Mrs. Clintonon Sept. 26 to repeatedly mockingAlicia Machado, a former MissUniverse who is Hispanic, includ-ing with a string of Twitter postsaround 5 a.m. on Friday. ThatTwitter storm raised new ques-tions about Mr. Trump’s tem-perament, for which Mrs. Clintonhas often criticized him.
Mr. Trump is now limping intothe final five weeks of a race inwhich he has lost the momentum,some of his allies acknowledged.
“This is the most importantweek of his campaign,” said NewtGingrich, a former House speaker
Campaign Struggles to Move Past Tax RevelationBy MAGGIE HABERMANand NICHOLAS FANDOS
Continued on Page A16
Now we know: Donald J.Trump racked up losses so hugein the early 1990s that he would-n’t have had to pay federal orNew York State income tax on
nearly a billion dol-lars in income.
None of this seemsto have made theslightest dent in Mr.Trump’s opulentlifestyle over the
years. At the nadir of his person-al financial crisis in the early1990s, his lenders put him on anannual “budget” of $450,000 in
personal expenses — more thanenough to sustain his lifestyle oflavish homes, private jets, coun-try clubs and golf courses —even as he was using the taxcode to avoid paying any federalincome tax.
It’s hard to imagine a starkercontrast with the vast number ofAmericans who struggle to bothpay taxes and make ends meet,or a more damning indictment ofa tax code that makes that possi-ble.
“If it wasn’t clear before, it isnow: The tax code is tilted to-
ward the rich in its statutoryframework, its exceptions, and inhow it is enforced and adminis-tered,” said Steven M. Rosenthal,a real estate tax specialist andsenior fellow at the Urban-Brook-ings Tax Policy Center.
“The American public,” hesaid, “needs to wake up and senda message that the tax codeshould be written to generaterevenue and enforced to collectit, not to favor wealthy real es-tate developers and other specialinterests and their lobbyists.”
Trump, the Tax Code and a Loophole for the Rich
JAMES B.STEWARTCOMMON
SENSE
Continued on Page A17
The man entered the Red Robinrestaurant inside the Staten Is-land Mall two minutes after 6 p.m.on a Friday. He walked straightpast the booths and tables and en-tered the men’s room.
A manager would find himthere seven minutes later, lying onthe floor with a needle and foam-ing at the mouth.
His name was Jonathan Ayers,27, and he was declared deadwithin the hour that evening, Sept.9, of an apparent heroin overdose.
Mr. Ayers’s fatal overdose wasthe latest addition to a body countwithout precedent. So far in 2016,there have been 71 deaths that ap-pear to be from heroin overdoseson the island, the RichmondCounty district attorney’s officesaid, already on pace to more thandouble the record set two yearsago. Nine people died of heroinoverdoses in a recent 10-day peri-od, prosecutors said.
Mr. Ayers left behind an ac-count of his addiction. After hisdeath, his mother, Ann Ayers, andbrother, Christopher, found a jour-nal he had kept for the last coupleof years that chronicled the lies hehad told them to conceal hiscontinued dependence on drugs.
“I lie mostly I think because Iam scared of being judged for thetruth,” Mr. Ayers wrote in May2015. “This journal is where I tellthe truth.” Through the journal,his family would come to know theson and brother they had lost, andsee the thoughts of a heroin ad-dict.
Staten Island has been home toa heroin epidemic for severalyears, and it rivals the Bronx forthe highest rate of deaths fromheroin overdoses in New YorkCity. The drug arrived to meet de-mand for opiates and fill the voidleft by law enforcement crack-downs on prescription pills, whichwere widely abused there.
Heroin, much cheaper thanpills, became the drug of choicefor the mostly white, middle-classneighborhoods on the island’ssouth end. It was brought in bulkfrom other boroughs and New Jer-sey, and easily found on the islandas an attractive diversion forbored and restless young people— creating a crisis for law enforce-ment, treatment programs andthe parents of addicts, who haveseen too many of their childrenend up in jail or the morgue.
Since 2010, the number of ar-rests on the island in which heroinor pills were found on the suspecthas increased tenfold, to over1,000 last year. Deaths attributedto heroin overdoses have also ris-
Staten IslandConfronts Rise
In Overdoses
A Story of Struggle in an Addict’s Diary
By MICHAEL WILSON
Continued on Page A21
Paul Krugman PAGE A23
EDITORIAL, OP-ED A22-23
Neville Marriner, a British conductorresponsible for some of the best-sellingclassical recordings, was 92. PAGE B7
OBITUARIES B7-8
Leader of a Top Orchestra
A college student lost his leg in CentralPark in July. His family is still lookingfor answers. Crime Scene. PAGE A18
Park Blast Remains a Mystery
A gang with roots in Los Angeles and ElSalvador is suspected in four recentkillings in a Long Island town. PAGE A18
NEW YORK A18-21
‘They Keep Finding Bodies’
Being Latino in Florida has almostalways meant being Republican. Butthe demographic mix is changing, andso are voter registrations. PAGE A11
NATIONAL A11-17
Florida’s Changing Latino Vote
An investigative journalist says he hasuncovered the true identity of the best-selling author Elena Ferrante. PAGE C1
ARTS C1-6
An Enduring Literary Mystery
While Twitter weighs a sale, the ques-tion is who will buy a platform thatpulses with venom. Mediator. PAGE B1
What Awaits a Twitter Buyer
Deutsche Bank has cultivated bankerswith expertise in cutting-edge financialinstruments, but that could be a liabilityin today’s market. PAGE B1
BUSINESS DAY B1-6
A Bank Intent on Taking RisksThe Mets will face Madison Bumgarner,the San Francisco Giants’ playoff ace, inWednesday’s wild-card game. PAGE D1
SPORTSMONDAY D1-8
Mets Draw a Postseason Ace
With Ryan Moore’s win in singles, theAmericans prevailed against Europe forthe first time since 2008. PAGE D1
U.S. Reclaims the Ryder Cup
BOGOTÁ, Colombia — A Co-lombian peace deal that the presi-dent and the country’s largestrebel group had signed just daysbefore was defeated in a referen-dum on Sunday, leaving the fate ofa 52-year war suddenly uncertain.
A narrow margin divided theyes-or-no vote, with 50.2 percentof Colombians rejecting the peacedeal and 49.8 percent voting in fa-vor, the government said.
The result was a deep embar-rassment for President JuanManuel Santos. Just last week,Mr. Santos had joined arms withleaders of the RevolutionaryArmed Forces of Colombia, or theFARC, who apologized on nationaltelevision during a signing cere-mony.
The surprise surge by the “no”vote — nearly all major polls hadindicated resounding approval —left the country in a dazed uncer-tainty not seen since Britain votedin June to leave the European Un-ion. And it left the future of rebelswho had planned to rejoin Co-lombia as civilians — indeed, thefuture of the war itself, which bothsides had declared over — un-known.
Both sides vowed they would
Supporters of a peace agreement that had been years in the making watched referendum results on Sunday in Bogotá, Colombia.ARIANA CUBILLOS/ASSOCIATED PRESS
Continued on Page A8
Colombia VoteOverturns DealTo End Its War
By JULIA SYMMES COBBand NICHOLAS CASEY
All year, Spain has had no elected na-tional government. For some Spaniards,this is a wonderful thing. PAGE A4
INTERNATIONAL A3-10
No Government? No Problem
Prime Minister Theresa May, below,outlined plans for Britain to leave theEuropean Union in 2019. PAGE A4
‘Brexit’ Timeline Takes FormShirley Jaffe, who found a new audiencein the 1990s working in a style rich incolor and energy, was 92. PAGE B8
American Painter in Paris
VOL. CLXVI . . . No. 57,374 © 2016 The New York Times Company NEW YORK, MONDAY, OCTOBER 3, 2016
Late Edition
$2.50
Today, morning clouds and fog, sun-shine later, a shower, high 73. To-night, an evening shower, mostlycloudy, low 59. Tomorrow, damp,high 66. Weather map, Page A24.