The U.S. clung to its health insurance gains last year, an unexpected outcome after President Donald Trump’s repeated tries to take apart the Obama-era coverage expansion, according to a major government survey released Tuesday. Overall, the survey from the Centers for Disease Control and Prevention found that 9.1 percent of Americans were uninsured in 2017, or a little more than 29 million people After nearly a year of Trump, that was almost the same as toward the end of the Obama administration. For perspective, the uninsured rate dropped from 16 percent since the Affordable Care Act was signed in 2010, which translates roughly to 19 million people gaining coverage. Despite all the noise and despite the chain-rattling Republicans have done with their failed attempts at repeal, at the end of the day the number of uninsured has stayed flat,” said health economist Gail Wilensky, a longtime GOP adviser. “That’s good news for the country, and it might turn out to be good news for Republicans when it comes time for the midterm elections.” But the CDC’s National Health Interview Survey also showed uninsured numbers edged higher for some groups, raising questions about potential problems this year and beyond. It doesn’t reflect congressional repeal of the health law’s unpopular requirement that individuals carry health insurance, since that doesn’t take effect until next year. Considered authoritative by experts, the CDC report contradicts popular story lines from both ends of the political spectrum. On the right, Trump and others warn that Obamacare is “imploding.” (Instead, enrollment is fairly resilient.) On the left, Democrats blame Trump administration “sabotage” for coverage losses. (No hemorrhaging was found.) “It’s a testament to the high value people place on health insurance,” said Katherine Hempstead, a senior health policy adviser at the nonpartisan Robert Wood Johnson Foundation. “People will tenaciously hang on to their health insurance.” Still, the survey found some worrisome indicators of issues potentially ahead:

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