Two-Page "Great Healthcare Plan" Provides "Absolutely No Detail", Would Speed Destruction Of Remnant ACA
Donald Trump has finally unveiled his long-awaited framework for healthcare affordability, almost a year and a half after announcing during a pre-election presidential debate that he had the concepts of a plan for healthcare reform. The short document, titled the Great Healthcare Plan, provides four headline objectives, but few specific details as to how they will be achieved.
The Trump administration says it intends to lower prescription prices and healthcare premiums; hold big insurance companies accountable by requiring them to publish their claim costs, overheads and profits; and push insurers and medical providers to provide greater transparency over pricing.
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The plan clearly opposes extension of the expiring ACA marketplace subsidies, without which roughly 4 million people will end up uninsured and many millions more will see their marketplace premiums double or increase by even more. Instead, the plan criticizes the enhanced subsidies and talks about sending money to individuals directly to purchase coverage on their own, said Edwin Park, a research professor at the McCourt School of Public Policy at Georgetown University.
Park said the plan also appropriates the cost-sharing reductions under the Affordable Care Act, which would have the effect of reducing premium tax credit amounts for those eligible for subsidies (while lowering unsubsidized premiums). The result would actually be more uninsured as low-income people see smaller subsidies and higher premiums they cannot afford. Park added: The plan includes absolutely no detail even though the president and the administration have been promising a credible health plan within two weeks for many, many years. Instead, as in the past, this plan is more about increasing the number of uninsured, on top of the 10 million who will already lose coverage under HR1, the budget reconciliation law from last summer.
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https://www.theguardian.com/us-news/2026/jan/15/trump-healthcare-reform-framework