President-elect Donald Trump spoke with Israeli Prime Minister Benjamin Netanyahuand Egyptian President Abdel Fattah Al Sisi on Wednesday and will have his first post-election meeting with President Barack Obama on Thursday to discuss the transfer of power between their two administrations in January.

Mr. Trump’s transition team has been gathering for months, and they packed into an office on Wednesday a block away from the White House to continue drafting blueprints for the new administration. Among the proposals: a policy that would ban many members of the transition team from lobbying the same federal agencies they are helping shape.

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The fourth open enrollment for health coverage under the Affordable Care Act opened Tuesday, a critical 90 days that the Obama administration hopes will boost participation and stabilize markets roiled by premium increases and insurer withdrawals.

HealthCare.gov and state equivalents began taking applications Tuesday morning from people signing up for individual health coverage and learning about their eligibility for subsidies. This year is especially critical because consumers so far have been sicker and older than expected, which has led to higher-than-anticipated costs.

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Donald Trump turned from attacking Hillary Clinton over her emails to focusing on voters’ pocketbook issues Tuesday, denouncing President Barack Obama’s health-care law and the recent rise in individual insurance premiums.

The Republican presidential nominee renewed his call to repeal and replace the law known as Obamacare on the first day of the official sign-up period for coverage under the law, and in the wake of significant rate increases in many battleground states.

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When Affordable Care Act insurance marketplaces launched in fall 2013, Arizona seemed like a success. Eight insurers competed to sign up consumers, offering a wide variety of plans and some of the lowest premiums in the country.

Today, with ACA enrollment starting Nov. 1, Arizonans will find in most counties only one insurer selling exchange plans for 2017. Premiums for some plans will be more than double this year, some of the biggest increases in the nation. Only last-minute maneuvering prevented one Arizona county from becoming the first in the nation to have no exchange insurers at all.

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In July analyst Paul Westra of the brokerage firm Stifel Nicolaus warned of a looming “restaurant recession,” noting that it might be the first sign of a more widespread U.S. recession in 2017. He said this in a bearish report that downgraded 11 restaurant stocks.

The facts on the ground support his gloomy forecast. Restaurant traffic has declined 2.8% from the start of the year through September, according to the Restaurant Industry Snapshot, a survey of some 25,000 restaurants by research firm TDn2K. At this pace, the firm said, “2016 would be the weakest annual performance since 2009, when the industry was recovering from the recession.”

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Next year’s enormous premium increases are merely the latest expression of Obamacare’s underlying problems, and the dysfunction is undermining the health security of Americans who lack employer coverage. A wave of major insurers have quit the exchanges, and those that are left have raised deductibles and copays and restricted choices of doctors and hospitals. The only way to break the Obamacare status quo is if the public returns a Republican Congress to Washington. If Republicans can hold the Senate amid a Clinton victory, they’d be in a better position to negotiate solutions along the lines of the House GOP “Better Way” blueprint that would start to repair the individual market and create incentives for more choice and competition.

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The Obama administration Monday confirmed a 25% average jump in premiums for the Affordable Care Act’s benchmark health plans and acknowledged later sign-up deadlines for hundreds of thousands of people whose insurers are dropping their plans because of rising costs.

Sharper increases had already been posted in states around the country. Market-leader insurers that are continuing to sell coverage through HealthCare.gov or a state equivalent have been granted average premium increases of 30% or more in Alabama, Delaware, Hawaii, Kansas, Mississippi and Texas. In states including Arizona, Illinois, Montana, Oklahoma, Pennsylvania and Tennessee, the approved rate increases for the market leader top 50%.

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President Obama took a health-care victory lap last week in Miami, celebrating “all the progress that we’ve made in controlling costs” and portraying the law’s critics as “false and politically motivated.” Does that apply to the actuaries at the Health and Human Services Department too? On Monday they reported that ObamaCare premiums will soar 25% on average next year, and this is “progress” all right, in the wrong direction.

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Insurer defections and rising premiums in the individual insurance market are spurring Democrats and Republicans alike to talk about changes to the 2010 Affordable Care Act.

For now, the conversations are largely aimed at their party’s base. President Barack Obama led his party’s cry on Thursday with suggestions that would further entrench the law, including the addition of a government-run health plan in parts of the country with limited competition. GOP lawmakers have continued to call for gutting the law, including proposals to waive its penalties for people who forgo coverage in areas with limited insurance options.

In each of these proposals, both sides have been largely talking past one another. Come January, they will have to talk to each other instead.

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Democrats are already looking beyond ObamaCare’s slow-motion failure, and Colorado is showing where many want to go next: Premiums across the state are set to rise 20.4% on average next year, and some have concluded that the solution is more central planning and taxation. Voters will decide on Nov. 8 whether to try the single-payer scheme that blew up in Vermont.

Amendment 69 would alter the state’s constitution to create a single-payer health system known as ColoradoCare. The idea is to replace premiums with tax dollars, and coverage for residents will allegedly include prescription drugs, hospitalization and more.

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