The debate on healthcare reform in the United States has been a topic of discussion for many years. With President Trump’s election and his promise to repeal and replace the Affordable Care Act , also known as Obamacare, there have been numerous changes within the healthcare industry over the past four years.
Here, we will examine President Trump’s impact on healthcare through his policies and executive actions, as well as discuss the future of healthcare in America.
The ACA Under Attack: Attempts to Repeal and Replace
One of President Trump’s major campaign promises was to repeal and replace the ACA. The ACA had provided healthcare coverage to millions of Americans who were previously uninsured or underinsured. However, supporters of repealing it argued that it increased premiums for some individuals and placed too much governmental control over healthcare decisions.
Attempted Repeals through Congress
President Trump attempted multiple times to repeal and replace the ACA through congressional action between 2017-2018 but could not gain enough support from Republicans or Democrats due to disunity. In December 2019, a federal court ruled elements of Obamacare unconstitutional which proponents believed would ultimately lead its complete elimination by legal means.
Executive Action Through Administrative Decision
On October 12th, 2017 just before midnight US Time President Donald J. Trump signed an executive order titled “Promoting Healthcare Choice And Competition Across The United States”. This bill allowed association health plans which are designed specifically small businesses situated across state lines allowing employees access larger insurance benefits at lower costs without having any government intervention promoting more market driven competition.
Under Section 1115 waivers approved during Presiden’t Term states could take approaches other than traditional Medicaid reimbursement models such as per capita grants aimed at driving down spending said Harvard Public Health School professor John McDonough There was also approval to requirements for Medicaid beneficiaries to satisfy new work requirements that was challenged in a number of states as seen in Arkansas. The Biden Administration has indicated it will be looking at reversing the decision on Work Requirements but President Trump’s courting of health insurance coverage elite involved promoting the aspect reforming Medicaid under his watch.
Drug Pricing Initiatives
President Trump’s administration introduced drug pricing initiatives aimed at helping Americans to better afford prescription drugs according to the US Health and Human Services secretary Alex Azar. Additionally, In May 2018 the government produced an initiative which would require drug companies including their list prices in televised ads.
COVID-19 Pandemic Response
The COVID-19 pandemic exposed weaknesses within healthcare systems across the globe, particularly in countries such as Italy and Spain where hospitals faced overcrowding issues due to a lack of resources and staff. In America too, there were gaps in PPE supply chains leading shortages. Under President Trump measures were taken such as increased funding for telemedicine treatment, direct funding by executional action for vaccinations procurement with Operation Warpspeed then through whome a vaccine arrived in record time but also discounted accuracies regarding regulating supplies of equipment used this approach globally labeled “America First” made domestic health policies polarising.
Has President Trump successfully replaced Obamacare?
A: No, he failed multiple times to repeal and replace Obamacare through congressional action.
What executive order did President Trump sign regarding healthcare?
A: He signed an executive order titled “Promoting Healthcare Choice And Competition Across The United States” allowing association health plans designed specifically small businesses situated across state lines promoting more market driven competition.
Did President Trump introduce any initiatives related to drug pricing?
A: Yes, his administration introduced drug pricing initiatives aimed at helping Americans better afford prescription drugs.
What impact did President Trump have on Medicaid recipients?
A: His presidency allowed work requirements to become law and approved Section 1115 waivers that made it legal for states to take approaches other than traditional Medicaid reimbursement models like per capita grants aiming to drive down spending.
What did President Trump do in response to the COVID-19 pandemic?
A: Some of the measures taken include increased funding for telemedicine treatment, direct funding for vaccinations procurement through Operation Warp speed.