Overnight Health Care: Manchin pitched Trump on reviving bipartisan ObamaCare fix | 4 in 10 don’t plan to get flu shots | Survey finds more than a quarter have pre-existing conditions

Happy Wednesday, and welcome to Overnight Health Care.

Sen. Joe ManchinJoseph (Joe) ManchinTrump nominees meet fiercest opposition from Warren, Sanders, Gillibrand Kentucky Democrat says primary challenge to McGrath 'might be helpful' McConnell's Democratic challenger McGrath backtracks on Kavanaugh comments MORE isn't giving up hope on a bipartisan ObamaCare fix, and more than a quarter of Americans have a pre-existing condition. Also, get your flu shot!

We'll start with the latest ObamaCare news:


Manchin pitched Trump on reviving bipartisan ObamaCare fix in meeting

Not everyone is giving up on the idea of a bipartisan ObamaCare fix.

Sen. Joe Manchin (D-W.Va.) pitched the idea to President TrumpDonald John TrumpPompeo changes staff for Russia meeting after concerns raised about top negotiator's ties: report House unravels with rise of 'Les Enfants Terrible' Ben Carson: Trump is not a racist and his comments were not racist MORE when the two had lunch on Monday.

"I said he's the one who can make a difference," Manchin said. "We already have a bipartisan agreement. If he signs onto it, it would be great."

The obstacles: A deal last year between Sens. Lamar AlexanderAndrew (Lamar) Lamar AlexanderThe Hill's Morning Report - Presented by JUUL Labs - Trump attack on progressive Dems draws sharp rebuke Republicans make U-turn on health care Trump announces, endorses ambassador to Japan's Tennessee Senate bid MORE (R-Tenn.) and Patty MurrayPatricia (Patty) Lynn MurrayOcasio-Cortez top aide emerges as lightning rod amid Democratic feud Political 'solutions' to surprise medical billing will make the problem worse On The Money: Labor secretary under fire over Epstein plea deal | Trump defends Acosta as Dems call for ouster | Biden releases tax returns showing steep rise in income | Tech giants to testify at House antitrust hearing MORE (D-Wash.) eventually fell apart amid a dispute over abortion. There is still no resolution to the question of whether to include abortion restrictions on new funding to stabilize ObamaCare, making the path forward for a deal difficult.

The ground has also shifted since last year, meaning Democrats would likely have different requests for a deal, including undoing Trump administration actions to allow cheaper, skimpier insurance plans. It would be hard for Republicans to support undoing Trump's actions.

What did Trump say in response? Unclear. Manchin did not describe in detail what Trump's reaction was, beyond saying, "I think he's going to look at it; I hope he does."

Read more here.


41 percent of adults don't plan to get flu shots, despite last year's deadly season

Fear has long tamped down the flu vaccine rate, and this season is no different. The poll released Wednesday by NORC at the University of Chicago showed that many who have no plans to get vaccinated believe they can get the flu from the shot, or they're concerned about other side effects.

Note: The CDC has long said you can't get the flu from the flu vaccine and side effects are generally mild.

Why it matters: 80,000 people died from the flu or flu-related complications last season -- the highest death toll in decades. Public health officials have pleaded with the public to get vaccinated this year, with Surgeon General Jerome Adams calling it a "social responsibility."

When healthy adults get vaccinated, it can not only protect them from the flu but also stop them from spreading it to children and the elderly, who have weaker immune systems, experts say.


  • Among adults with children under age 18, 39 percent said they don't vaccinate their children
  • Overall, 43 percent of adults reported getting flu vaccinations this year
  • People over the age of 60 reported the highest vaccination rate
  • Adults under age 45 are the least likely to report being vaccinated

Read more here.


More than a quarter of Americans have pre-existing conditions, according to a new Gallup Survey

27 percent of U.S. adults say they personally have a condition that an insurance company would consider pre-existing.

From the survey:

  • Another 17 percent say they don't have a pre-existing condition but another family member in their household does.
  • Altogether, 44 percent live in a household where someone has a pre-existing condition.

Why it matters: The survey comes as a federal judge continues his evaluation of a lawsuit filed by Republican attorneys general that seeks to overturn ObamaCare's protections for people with pre-existing conditions.

Read more about the survey here.


Wisconsin bill limits ability of new governor to withdraw from ACA lawsuit

Speaking of pre-existing conditions: A flurry of late night activity from the GOP-led Wisconsin state legislature will severely handicap the powers of incoming Democrats, especially Gov.-elect Tony Evers, to enact many of the health care policies they ran on.

According to the Milwaukee Journal Sentinel, the legislation sent to Gov. Scott Walker early this morning puts lawmakers in charge of litigation, allowing them to keep the state involved in the lawsuit to overturn ObamaCare.

Evers ran on protecting pre-existing conditions, and pledged to withdraw Wisconsin from the coalition of Republican attorneys general who brought the suit.  

The legislature also passed a bill that would codify the state's newly approved work requirements for Medicaid, as well as a first-in-the-nation policy requiring people to take drug tests to qualify for food stamps.

Earlier this week, dozens of leading health groups sounded the alarm in a letter to state legislators, urging them to rethink their plan.


What we're reading

In a first, a baby is born via a uterus transplant from a deceased donor (STAT)

No cash, no heart. Transplant centers need to know you can pay. (Kaiser Health News)

The push for diversity in medical school is slowly paying off (NPR)


State by state

Fight over Medicaid goes to Idaho's Supreme Court (Associated Press)

Mississippi Medicaid increases visits to doctors' offices (Associated Press)

With hospital merger, Massachusetts charts new course on health care (BostonGlobe.com)


From The Hill's opinion page

We can't talk about vaccines without talking about community

Health-care marketplace confusion -- here are all of the facts