We are non-partisan here and would not presume to take sides in the debate over the future of health care in America.  Mr. Biden said he has a plan but did not elaborate during the debates, so we are not sure what it is except to continue the Affordable Care Act or make it stronger. Mr. Trump keeps saying he has a plan and the Republican Party has a plan, but they are not promoting it…but…Mr. Trump did come out with an “America-First Healthcare Plan” on October 4.  Here are the highlights, which is more of a recap of what Mr. Trump has done since taking office.  There is definitely some planning here:

  • Signed a repeal of the individual mandate in 2017
  • Increased availability of short-term medical plans (though they’re banned in California)
  • Expansion of Health Reimbursement Arrangements
  • Expansion of Health Savings Accounts
  • Increased access to telehealth plans following the COVID 19 pandemic
  • More plan options and reduced benchmark inflation
  • Reduction of drug prices and more generic approvals
  • Reduction of some drug costs for Medicare beneficiaries
  • Repeal of ACA medical device tax, annual fee on health care providers and Cadillac tax
  • Increased transparency in hospital/insurance coordination (effect remains to be seen)
  • Announcement of four principles to avoid surprise medical billing
  • Protecting individuals with pre-existing conditions
  • Improved access to health plans
  • New orders to support small community and rural hospitals
  • Demonstrated dedication to protecting and improving care for those in need
  • Modernization of Medicare – but where and what?
  • Substance Abuse Disorder Prevention

Not sure who did what and when and how, but it’s out there.