evidence: "Trump was not successful as president in undoing the ACA, but it was not for lack of trying," said Larry Levitt, executive vice president for health policy at KFF, a nonpartisan research group. "Trump encouraged congressional efforts to repeal and replace the ACA, and then took administrative steps to try to weaken it when the legislative route failed." On his first day in office, Trump signed an executive order proclaiming: "It is the policy of my Administration to seek the prompt repeal of the Patient Protection and Affordable Care Act." [...] In 2020, he endorsed a lawsuit that would have wiped out the ACA entirely. The case made it all the way to the Supreme Court, and the Trump administration formally asked the justices to rule for the challengers and terminate the law, despite the political risks as he sought re-election.