President Donald Trump on Wednesday sent out another tweet on health care. Republicans will totally protect people with Pre-Existing Conditions, he wrote. Democrats will not!

By now, the fundamental dishonesty of that statement shouldnt require explanation.

Anybody even dimly aware of recent history specifically, the part where Democrats passed the Affordable Care Act, only to have Republicans spend eight years trying to repeal it should recognize the claim as a lie .

And anybody unfamiliar with that saga could simply have paid attention this week, when the Trump administration announced a major reinterpretation of the Affordable Care Acts insurance rules . The change means that states can undermine some of the laws key provisions that help people with serious medical problems.

It is only the latest example of Trump trying to accomplish through regulation what Republicans have been unable, so far, to achieve through legislation.

On Wednesday, with the tweet and later a speech in Wisconsin , Trump pretended none of this was happening. Just like he has before . Just like he is almost certain to do again on Thursday, when he gives a speech at the Department of Health and Human Services.

And its not only Trump engaging in this sort of deception.