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Last year, in his first address to a joint session of Congress, President Donald Trump made several promises to the American people about what type of health care plan he would support. Tonight, as he makes his first official State of the Union address, we know he and his Republican allies in Congress broke those promises.

PRESIDENT TRUMP BROKE HIS PROMISE ON LOWERING HEALTH COSTS

WHAT TRUMP SAID: “The way to make health insurance available to everyone is to lower the cost of health insurance, and that is what we are going do.”

WHAT TRUMP DID: The health repeal plan House Republicans passed last year, and President Trump supported, ripped coverage away from 24 million people and raised premiums 20 percent. It imposed an age tax on older Americans by allowing insurers to charge people over 50 five times more.

PRESIDENT TRUMP BROKE HIS PROMISE ON PROTECTING PEOPLE WITH PRE-EXISTING CONDITIONS

WHAT TRUMP SAID:We should ensure that Americans with preexisting conditions have access to coverage, and that we have a stable transition for Americans currently enrolled in the healthcare exchanges.”

WHAT TRUMP DID: The health repeal plan that House Republicans passed, and President Trump supported, raised costs on people with pre-existing conditions by allowing states to let insurers charge them more. This surcharge could be in the six figures: up to $4,270 for asthma, $17,060 for pregnancy, $26,180 for rheumatoid arthritis and $140,510 for metastatic cancer. The Trump Administration has also proposed rules that, if finalized, will allow health insurers to skirt protections for pre-existing conditions.

PRESIDENT TRUMP BROKE HIS PROMISE ON MEDICAID

WHAT TRUMP SAID: “We should give our great state governors the resources and flexibility they need with Medicaid to make sure no one is left out.”

WHAT TRUMP DID: The health repeal bill House Republicans passed, and President Trump supported, ended Medicaid as we know it, slashing it to the tune of $839 billion, or 25 percent, and converting it into a “per capita cap”, thus ending guaranteed coverage for everyone who qualifies, chiefly seniors, children and people with disabilities. It also ended Medicaid expansion. As a result, 14 million people were estimated to lose their coverage under the plan.

PRESIDENT TRUMP BROKE HIS PROMISE ON WOMEN’S HEALTH

WHAT TRUMP SAID:My administration wants to work with members of both parties to … invest in women’s health…”

WHAT TRUMP DID: The Trump Administration and its Republican allies in Congress waged a war on women’s health last year, including efforts to defund Planned Parenthood; taking direct aim at birth control by rolling back the copay-free coverage requirement in the Affordable Care Act; proposing drastic cuts to Medicaid; putting anti-choice judges on the federal bench; and raising costs on women by making them pay more for maternity care.

PRESIDENT TRUMP BROKE HIS PROMISE ON OPIOIDS

WHAT TRUMP SAID:We will expand treatment for those who have become so badly addicted.”

WHAT TRUMP DID: The House repeal plan Republicans passed, and President Trump supported, would make the opioid crisis worse. The repeal bill eliminated the parity requirement that mental health and addiction services be covered under the Medicaid expansion, and the plan put states on the hook for the full cost of dealing with the crisis by proposing drastic Medicaid cuts.

PRESIDENT TRUMP BROKE HIS PROMISE ON PRESCRIPTION DRUGS

WHAT TRUMP SAID: “[We should] work to bring down the artificially high price of drugs, and bring them down immediately.”

WHAT TRUMP DID: Bringing down prescription drug prices has not been a priority for the Trump Administration this past year. Just yesterday, President Trump installed a former Big Pharma executive, Alex Azar, as the new secretary of Health and Human Services.