Former President Donald Trump’s election victory And his impending return to the White House is likely to bring changes that will shrink the nation’s public health insurance program, imposing new barriers to health insurance while increasing uninsured rates. That’s going to happen. abortion and other reproductive health care.
The repercussions will be felt far beyond Washington, D.C., and may include erosion. Affordable Medical Care Actconsumer protections, the imposition of work requirements in Medicaid and defunding of safety net insurance, and challenges to federal agencies that protect public health. Possible efforts to limit the mailing of abortion pills could lead to stricter abortion regulations nationwide.
and whether the elevation of vaccine skeptic Robert F. Kennedy Jr. to Trump’s inner circle of advisers will allow for public health interventions backed by rigorous science. Fluoridation of public water supplies Or vaccinating children could be stigmatized.
Trump’s victory would give skeptics and critics of federal health programs and policies a much broader platform. In the worst-case scenario, public health officials worry that the United States could see an increase in preventable diseases. Declining public trust in established science. And debunked concepts, such as the link between vaccines and autism, have been adopted as policy. President Trump said: NBC News interview On November 3, he said he would “make a decision” about banning some vaccines and would consult with Kennedy, whom he called “a very talented person.”
President Trump has said he will not try to repeal the Affordable Care Act again, but his administration will have to make an immediate decision next year on whether to support an extension of enhanced premium subsidies for Obamacare insurance plans. It will be. Without sufficient subsidies, Significant increase in insurance premiums As a result, enrollment is expected to decline. Current uninsured rate, Approximately 8%will almost certainly rise.
The details of the policy do not go far beyond the “concept of the plan” that President Trump described during his debate with Harris, but Vice President-elect J.D. Vance later said the administration would seek to introduce more competition into the ACA market. said.
The Republican Party was expected to claim a Senate majorityIn addition to the White House control of the House of Commons It remained unresolved early Wednesday.
According to polls, the ACA gained support among the peoplewhich includes provisions such as protections for pre-existing conditions and allowing young people to stay on their family’s health insurance until they turn 26.
Trump supporters and people who have worked in his administration say the former president wants to improve the law in ways that reduce costs. They say he has already taken a hard line on lowering high medical costs, pointing out that he has undertaken the following initiatives during his term as president: Pioneer Price Transparency in medical expenses.
“I think he will build on his first term when it comes to affordability,” said Brian Blaze, who served as President Trump’s health adviser from 2017 to 2019. He said there would be “much more emphasis” on economic policy compared to a Democratic administration. “Minimize fraud and waste.”
Efforts to weaken the ACA could include cutting enrollment assistance funding to help consumers buy more health insurance. Not compliant with ACA consumer protections And they allow insurance companies to charge sicker people higher premiums.
Democrats say they expect the worst.
“We know what their agenda is,” said Leslie Dutch, executive director of Protect Our Care, a health policy and advocacy group in Washington, D.C. He helped implement the ACA during the Obama administration. “They’re going to raise costs for millions of Americans and strip insurance from millions of Americans while giving tax breaks to the wealthy.”
Theo Merkel, director of the private health care reform initiative at Blais’ right-wing Paragon Health Institute, said of the strengthened ACA subsidies: Extended by the Inflation Control Act There will be no plan improvements or premium reductions in 2022. He said the low value of the plan was being compensated for with increased government subsidies.
Other Trump supporters say the next president may support keeping Medicare mandates. drug price negotiationanother provision for IRAs. Merkel, who worked in President Trump’s first White House, said President Trump has advocated lowering drug prices and in 2020 moved ahead with a pilot model that would link the prices of some Medicare drugs to overseas cost savings. It is said that The pharmaceutical industry successfully sued to block the program.
Several names have already been floated around Mr. Trump as possible candidates to lead the Department of Health and Human Services. Among them are former Louisiana governors Bobby Jindal and Seema Verma, who ran the Centers for Medicare and Medicaid Services during the Trump administration.
Kennedy, who stopped running for president as an independent and endorsed Trump, told supporters that Trump had promised him control of HHS. Mr. Trump publicly said before Election Day that he would give Mr. Kennedy a larger role in his administration, but getting Senate confirmation for a Cabinet post may be difficult.
President Trump has vowed to protect Medicare and said he supports funding home care benefits, but was less specific about Medicaid, which provides insurance to low-income and disabled people. Some health analysts expect the program to be particularly susceptible to spending cuts, potentially funding an extension of tax cuts that expire at the end of next year.
Possible changes include imposing work requirements on beneficiaries in some states. The administration and Congressional Republicans may also try to overhaul the way Medicaid is funded. Currently, the federal government pays states a variable percentage of the program costs. Conservatives have long sought to cap federal allocations to states, which critics say would lead to severe cuts.
“Medicaid is going to be a big target in the Trump administration,” said Larry Levitt, executive vice president of health policy at KFF, a health information nonprofit that includes KFF Health News.
The future possibilities for reproductive health rights are less clear.
trump said Decisions on abortion restrictions It should be left to the states. Thirteen states ban abortion with some exceptions, while another 28 states restrict abortion procedures based on gestational age. According to the Guttmacher Institutea research and policy organization focused on advancing reproductive rights. Before the election, President Trump said he would not sign a nationwide abortion ban.
President Trump will either rescind FDA approval to restrict access to the abortion drug, which is used in more than half of abortions, or a 19th-century law that abortion opponents have banned from shipping the drug. It could move to either implement the Comstock Act. President Trump has said he does not intend to use the law generally to ban mail delivery of drugs.
KFF Health News is a national newsroom that produces in-depth journalism on health issues and is one of KFF’s core operating programs and an independent source of health policy research, polling and journalism. Click here for details KFF.
