If he can’t kill it by vote, maybe he can starve it to death.

That seems to be Donald Trump’s intensified approach to the repeal-replace efforts on the Affordable Care Act, with BuzzFeed reporting that the Department of Health and Human Services will not be sending any regional directors to help states with planning for the upcoming open enrollment period this year.

According to the report, this is the first time that regional directors won’t be assisting states. Mississippi’s health care advocates found out via an e-mail on Monday, confirming news from a BuzzFeed source that “all of the department’s 10 regional directors were told to not to participate in state-based events promoting open enrollment.”

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