As the United States surpassed over 200,000 confirmed cases of COVID-19 and over 5,000 deaths, Trump declined to reopen the federal health care exchange at Healthcare.gov for a special enrollment period.

While free testing for COVID-19 has been authorized, there are no provisions or support for Americans without healthcare that require further treatment.

As of 2018, over 28,000,000 Americans were uninsured.

Trump has repeatedly claimed that he is responsible for saving provisions for pre-existing conditions. However, there is an ongoing lawsuit by Republican states to repeal the Affordable Care Act, which instituted the provisions.

A few days prior to the decision on opening enrollment, Trump tweeted to brag about his television ratings.

US Census Bureau – Health Insurance Coverage in the United States: 2018
Politico – Trump rejects Obamacare special enrollment period amid pandemic
Business Insider – Trump is refusing to reopen the Obamacare exchanges to help millions of uninsured Americans get coverage during the coronavirus pandemic
Vanity Fair – Americans Can’t Sign Up for Health Insurance During a Global Pandemic, Trump Decides
Politico – Supreme Court will hear major challenge to Obamacare
Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU)