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.