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The Top Ten Ways Trump Would Sabotage Americans’ Health Care In A Second Term

By May 9, 2024No Comments

Last night, President Biden called out Donald Trump’s radical health agenda in his interview with CNN host Erin Burnett, noting Trump has promised to repeal the Affordable Care Act and rip away all of the progress to lower drug costs for people on Medicare. From trying to eliminate protections for pre-existing conditions, to gutting funding for Medicaid and his allegiance to drug companies over patients, Trump’s agenda has always been all about taking health care away and enriching big drug and insurance companies while they raise costs on Americans.

  1. Trump and His Allies Will Keep Working To Repeal The ACA And The Inflation Reduction Act. During his first term, Trump notoriously tried and failed multiple times to repeal the Affordable Care Act (ACA). All of the repeal bills that went through Congress would have caused millions of Americans to lose their health coverage and raised premiums for millions more. Trump’s repeal efforts would have ended Medicaid as we know it, putting the health care of children, seniors, working families, and people with disabilities at risk. During his 2024 campaign Trump has repeatedly reignited his calls to “terminate” the Affordable Care Act, which he claims is a “disaster,” and his MAGA allies in Congress are seeking to dismantle the Inflation Reduction Act and its provisions making prescription drugs and health care premiums more affordable for tens of millions of Americans.
  2. Trump Will Pack The Courts With Right Wing Ideologues. After failing to repeal the health care law in his first year as President, Trump took his war on America’s health care to a new level and went to court seeking to strike down the entire Affordable Care Act — including protections for pre-existing conditions. During his term, Trump packed the federal courts with anti-health care extremists, including the Supreme Court justices who overturned Roe v. Wade and District Court Judge Matthew Kacsmaryk who in the last two years alone has issued rulings that upend the entire FDA approval process and reject health protections for LGBTQ Americans.
  3. Trump Will Stand With Big Pharma Instead Of Working To Lower Drug Prices. Donald Trump came into office with a promise to lower drug costs, but instead, he gave drug companies billions in tax breaks. The year after his tax bill passed, the largest drug companies made $50 billion in profits and subsequently used their savings to invest billions more in stock buybacks for their shareholders. Meanwhile, thousands of drugs saw price increases during his administration. In a second term, Trump could take steps to weaken President Biden’s landmark legislation that allows Medicare to negotiate lower drug prices and will continue to fight to keep drug companies’ taxes low and protect their corporate loopholes.
  4. Trump Will Continue His War On Medicaid. A second Trump term will see a renewed war on Medicaid laid out in the “Project 2025” agenda released by Trump’s allies at the Heritage Foundation, which includes onerous paperwork requirements and block grants that would force radical cuts to Medicaid. These tried and failed policies are designed to throw people off of their coverage. Between encouraging states to impose red tape and paperwork requirements masquerading as work requirements, the first Trump administration worked tirelessly to dismantle Medicaid. After Arkansas imposed the nation’s first so-called “work requirements” program, more than 18,000 residents lost Medicaid coverage. Although state efforts were blocked by a federal judge several times, the Trump administration fought relentlessly to impose work reporting requirements in Medicaid. A GAO report found that the administrative costs to implement the failed work requirement programs in five states topped $400 million.
  5. At Least Two Million People Lost Coverage During The Trump Administration. Census data revealed the uninsured rate rose during Trump’s tenure for the first time since the implementation of the Affordable Care Act. The rate increased from 7.9 percent in 2017 to 8.5 percent in 2018, or by approximately 2 million people. More than one million children lost Medicaid coverage between 2017 and 2019. Health care experts pointed to a “chilling effect” from Trump-backed policies, including Medicaid work reporting requirements. Trump’s anti-immigration policies create a climate of fear among the immigrant community and their family members, which will lead eligible people to forgo health care for themselves and their children. This especially contributed to increased uninsurance among Hispanic families during the first Trump administration.
  6. Trump’s Budgets Slashed Medicare And Medicaid. Donald Trump’s proposed federal budget in 2019 would cut funding for Medicare by more than $800 billion and repeal the ACA. Additionally, the budget would cut $1.5 trillion from Medicaid, which would result in millions of people losing health coverage, cuts to nursing homes, and cuts to care for children with severe disabilities.
  7. The Trump Tax Scam Gave Hundreds Of Billions To Drug And Insurance Companies With Soaring Profits While Further Eroding Access To Health Care. Trump’s proudest achievement during his term was signing into law a Tax Bill that cut taxes for the wealthy and corporations, increased health care premiums for people who buy their own coverage, and laid the groundwork for repealing the ACA in the courts through California v. Texas. Trump’s Tax Bill repealed a key provision of the Affordable Care Act that required most people to have health coverage, which formed the basis of the Trump-Republican lawsuit that sought to overturn the Affordable Care Act. Additionally, the repeal of the individual mandate contributed to thousands of dollars in increased premiums on the individual market. Trump is openly campaigning on more of the same tax cuts for giant corporations and billionaires if he regains office in 2024.
  8. Trump Is Responsible For The Repeal of Roe v. Wade And The Devastating Consequences for Reproductive Health. Donald Trump boasts that his appointees to the Supreme Court “broke Roe v. Wade” and the consequences for women’s health have been catastrophic, from cruel and archaic abortion bans to devastating uncertainty about access to IVF and other reproductive care.  A second term would see more extreme judicial appointments and an all out push to use the Comstock Act to create a de facto national ban on abortions and sharply limit access to medications like mifepristone.
  9. Trump Cut Open Enrollment Funding, And Instead Funneled People Into Junk Plans That Do Not Include Protections For Pre-Existing Conditions. In 2017, the Trump administration cut the outreach advertising budget for Open Enrollment by 90 percent, from $100 million to just $10 million – which resulted in as many as 1.1 million fewer people getting covered. The Trump administration also slashed funding for non-profit health Navigator groups that help people shop for coverage from $36 million to $10 million. Trump’s CMS encouraged groups to use the remaining funds to push people to sign up for junk plans that skirt important consumer protections.
  10. Trump’s Policies Promoted Discrimination Against Women, People of Color And LGBTQ Americans. The Trump administration took multiple steps to make it harder for women, people of color, and LGBTQ Americans to access health care. For example, in August 2019, the Trump administration began enforcing a rule that bars certain federally-funded clinics from referring women for abortions. As a result, the nation’s largest recipient of Title X funds, Planned Parenthood, was forced to exit the program, losing $60 million in funding previously used to provide birth control and reproductive health care services for low-income women. Moreover, experts pointed to Trump’s immigration policies for having deterred many Latino families from getting coverage, resulting in steep coverage losses, especially for children. Trump also tried to make it easier for transgender Americans to be discriminated against in health care settings and allowed providers’ to refuse patient care on the basis of the provider’s personal beliefs, a move that undermined access to care for patients who already face health care disparities. A second Trump term would promise more of the same, with his allies already signaling that they plan to dramatically change the government’s interpretation of civil rights laws to focus on bogus “anti-white racism” rather than discrimination against people of color.