"From the get-go, the Trump Administration quickly sought to impair the success of the Affordable Care Act. In one of its first moves, the Department of Health and Human Services under the direction of Secretary Tom Price pulled advertising for the federal government’s enrollment entity, healthcare.gov. The advertising has proven important to reach 18 to 34-years-olds. Enrolling these “young invincibles” is crucial for stabilizing risk pools because they are generally healthier and seek less medical care. States running independent campaigns, like California and its insurance marketplace Covered California, have been very successful in recruiting young people. In an ironic twist, the Trump Administration used advertising funding intended for the promotion of the Affordable Care Act for a series of social media promotions attacking the law. Also, in mid-July, the Administration moved to end contracts for enrollment assistance in 18 major cities. Contractors helped individuals navigate the often challenging enrollment process in such places as libraries, businesses and urban neighborhoods in these cities which had been identified by the Obama Administration as high priority. Finally, the window for the next open enrollment period has been cut in half compared to previous years, thus making it difficult for time-pressed people and those who need enrollment help to enroll. Many of these actions have triggered calls for inquiries into potential malfeasance by Congress and the Government Accountability Office (GAO). Trump Administration officials have been actively traveling the country and pushing talking points that are often false, or, at the very least, highly misleading and incomplete."