American Enterprise Institute - More public-sector funding, but more private-sector delivery and administration, too. After two years of Republican control of the presidency and both houses of Congress, it seems appropriate to consider the paths health policy and health care markets will likely follow for the remainder of President Donald Trump’s term and beyond.
Future political events will influence some of this path’s direction, but much of it will follow a trail already in place. A complete repeal and replace strategy for the Affordable Care Act (ACA) failed to garner sufficient Republican support in the Senate, but other administrative and legislative changes (e.g., the individual mandate, Cadillac tax, cost-sharing-reduction subsidies, risk corridor budget neutrality, Medicaid expansion, and insurance coverage requirements) have chipped away at pieces of Obamacare, and more efforts (e.g., association health plans, short-term insurance, and more permissive Medicaid waivers) are underway.1 Each Trump administration effort to alter various ACA provisions was cited by ACA defenders and critics alike as a potential...>>>