(Photo illustration by The Bulwark / Photos: Getty, Shutterstock) IT HAS BEEN SIX MONTHS since Donald Trump and congressional Republicans refused to renew temporary, enhanced subsidies for the Affordable Care Act, causing premiums to jump for more than 20 million Americans. And at first, it seemed like things might not work out so badly, all things considered. In January, the administration reported that initial signups were down by just 1.5 million.