Even without congressional action, a second Trump administration will likely support major changes to Medicaid and the Affordable Care Act’s marketplaces, affecting millions of Americans.
President-elect Donald J. Trump has promised to “keep men out of women’s sports” and withhold Medicare and Medicaid funding from hospitals that provide gender transition treatment to minors.
With a decisive margin in the Senate, Republicans, who have shown their willingness to accommodate the president-elect, will have the numbers to overcome divisions over his personnel and policies.
Democrats picked up two seats in New York and defended others in Michigan and New Mexico, but Republican gains have narrowed their path, setting up a potential G.O.P. trifecta.
In the end, Donald J. Trump is not the historical aberration some thought he was, but instead a transformational force reshaping the modern United States in his own image.
Tim Sheehy, a wealthy Republican businessman, was dogged by controversies during the campaign. But Senator Jon Tester, a Democrat, could not outrun the demographic shift in his deep-red state.
America’s democracy will again be put to the test, and its government will veer sharply to the right. Kamala Harris and Democrats were dealt stunning defeats across the country.