Trump’s Health Plan Fails to Curb Rising Affordable Care Act Premiums

Recently, President Trump announced a new healthcare initiative named the “Great Healthcare Plan.” This announcement was made through a social media video, followed by a fact sheet released by the White House. However, the plan notably does not address the rising premiums faced by individuals purchasing insurance via HealthCare.gov.
Outline of the Great Healthcare Plan
The Great Healthcare Plan is structured around four main pillars:
- Drug price reforms
- Health insurance reforms
- Price transparency for health costs
- Fraud protections and safeguards
Dr. Mehmet Oz, the chief of Medicare and Medicaid, highlighted that this proposal serves as a broad framework, yet specific policy details remain vague. Reporters were advised to refer further questions to a White House official, who confirmed that this legislation would not replace other potential laws.
Comparison with the Affordable Care Act
Both Trump and Oz suggested their plan might act as a substitute for the Affordable Care Act (ACA). Nevertheless, this new framework is much narrower than the ACA, which was enacted without any Republican votes in 2010. Ongoing bipartisan discussions in the Senate aim to extend ACA subsidies, a move that Trump’s plan does not obstruct but does not support either.
Cynthia Cox from KFF expressed concerns. She noted that this proposal appears to be a collection of Republican ideas and does not tackle the escalating premium issues that many Americans are experiencing.
Negotiations on Enhanced Subsidies
Sen. Bernie Moreno, R-Ohio, who is playing a key role in bipartisan talks to revive enhanced subsidies, praised Trump’s initiative. However, he indicated that the absence of subsidies in Trump’s proposal does not hinder negotiations. Moreno criticized the lack of cooperation from Democratic leaders in Congress.
Meanwhile, a House-passed bill aiming for a three-year extension of these subsidies has faced resistance in the Senate. Nonetheless, Senate Minority Leader Chuck Schumer supports the initiative. Sen. Lisa Murkowski, R-Alaska, remains optimistic about the bipartisan efforts, stating that there may still be time to negotiate an agreement.
Final Decisions for Families
As the ACA open enrollment period came to a close, families faced critical decisions about their health insurance coverage. Many had to choose between paying higher premiums or risking lack of coverage. Murkowski emphasized the importance of salvaging a deal, particularly for those affected by the rise in costs.




