On the campaign trail, President Trump promised to tear up the Affordable Care Act, and replace it with something else. What he in fact did was issue a rather vague executive order... moreOn the campaign trail, President Trump promised to tear up the Affordable Care Act, and replace it with something else. What he in fact did was issue a rather vague executive order asking people to try to mitigate some of the effects of it, in making some people's premiums go up. He has not torn it up.