Does Donald J. Trump realize that he is president? Is he saying he is going to actively sabotage the Affordable Care Act so that we the people will be reduced to begging for relief? Does he realize that one of the men standing next to him today, Health and Human Services Secretary Tom Price, has plenty of regulatory discretion over the health exchanges. Price can undermine the health of Americans in many ways. Or help make things easier for people trying to get health care via sensible and flexible administrative rules and regulations. Trump is never willing to be blamed, for anything, but from today forward controlling the “narrative” and deflecting accountability is going to get harder.