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Read the Full Report Card Here

Washington, D.C. – As Donald Trump prepares to deliver his State of the Union address, Protect Our Care is releasing a new report card grading the administration’s record on health care affordability. The verdict is clear: while Trump promised to lower costs for working families, health care is more expensive than ever, and big corporations are cashing in.

Over the past year, Trump and Republicans have made the largest health care cuts in history, including slashing Medicaid, ripped away Affordable Care Act tax credits, and rolled back critical protections, all to fund tax breaks for billionaires and big corporations. Now, the country is facing a GOP-made health care crisis. Premiums have doubled or even tripled for millions. Rural hospitals are shutting down. Families are delaying care, rationing prescriptions, and falling into medical debt just to stay afloat. At the same time, corporate profits have soared. Big drug companies reported more than $130 billion in earnings in 2025. Billionaires grew $1.5 trillion richer. Wall Street thrived. 

Public frustration is mounting. The cost of health care is now the top pocketbook concern for Americans, more pressing than groceries, rent, or electricity. The majority of Americans say Trump has raised their cost of living, and more than half say their health care costs have gone up in the past year. 

“The grade is in, and Trump is flunking,” said Protect Our Care President Brad Woodhouse. “He promised to lower costs, and instead he detonated family budgets. Premiums are skyrocketing, drug prices are outrageous, and hard-working people are being crushed under the weight. The only ones thriving are CEOs, corporate donors, and the billionaires he’s rewarding with tax breaks. No amount of showmanship during the State of the Union can erase the reality millions are facing at their kitchen tables. Americans were promised affordability — what they got was a bill they can’t afford.”

Trump’s Report Card:

  • Padding corporate profits: A+
  • Lowering the cost of health care: F
  • Improving rural health care: F
  • Lowering prescription drug prices: F
  • Cutting waste, fraud, and abuse: F
  • Selling out working families: A+