What did Donald Trump do today?

He clarified through a spokesperson that "insurance is not really the end goal" of his proposed Affordable Care Act replacement.

Trump has promised that his Obamacare replacement would be "insurance for everybody." But this morning, Mick Mulvaney, director of Trump's Office of Management and Budget, told MSNBC that the ACA is

a great way to get insurance and a lousy way to actually be able to go to the doctor. So we’re choosing instead to look at what we think is more important to ordinary people: Can they afford to go to the doctor? And we are convinced it will be possible for more people to get better care at the doctor under this this plan than it was under Obamacare.

Trump has hired the services of a personal physician for much of his life, but for most Americans, health care without health insurance is a mathematical impossibility, and has made medical bills the leading cause of bankruptcy. Little if anything in Trump's proposed plan would bring down the dollar cost of medical care for those forced to pay for it without good insurance.

Why should this bother me?

• Unless a president wants to create a single-payer health care system (like Medicare or a Canadian-style national health service), health insurance is absolutely essential to the "end goal" of health care.

• Voters may have thought that when candidate Trump promised "insurance for everybody," he meant insurance for everybody.