Agenda 39: Reforming Healthcare by Expanding Market Competition – Trump’s Vision for 2024

Women's Journal Staff

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By: Meridian Beverly Hills Investment and Legal Group

Healthcare reform has been one of Donald Trump’s core issues throughout his political career. His 2024 platform builds upon the policies introduced during his first term, with a strong emphasis on expanding market competition as the key to lowering healthcare costs, improving quality, and increasing access to care. Trump argues that by promoting free-market principles, deregulating the healthcare industry, and fostering competition among insurance providers, the U.S. healthcare system can be transformed to better serve all Americans.

In this article, we will explore Trump’s healthcare reform agenda, focusing on his plan to expand market competition, the repeal and replacement of the Affordable Care Act (Obamacare), the promotion of Health Savings Accounts (HSAs), and efforts to increase transparency in healthcare pricing. Additionally, we will examine the support these proposals have garnered and the challenges they may face.

Repeal and Replace the Affordable Care Act

One of the cornerstones of Trump’s healthcare reform agenda is his commitment to repealing and replacing the Affordable Care Act (ACA), commonly known as Obamacare. During his first term, Trump and Congressional Republicans made several attempts to dismantle the ACA, arguing that it had resulted in higher premiums, fewer choices for consumers, and an over-reliance on government subsidies. While the ACA was not fully repealed, the individual mandate—which required Americans to have health insurance or face a penalty—was effectively eliminated.

For his 2024 platform, Trump continues to call for the full repeal of the ACA and the implementation of a healthcare system that relies more heavily on free-market competition. Trump argues that Obamacare’s regulations have stifled competition among insurers, leading to higher costs and fewer options for consumers. By removing the ACA’s mandates and regulations, Trump believes that insurance companies will be free to offer a wider variety of affordable plans, tailored to individual needs.

Expanding Competition Across State Lines

A key component of Trump’s vision for healthcare reform is the idea of allowing insurance companies to compete across state lines. Under the current system, insurance providers are largely restricted to offering plans within the states where they are licensed. Trump argues that this restriction limits competition and drives up prices by creating regional monopolies or oligopolies where a small number of insurers dominate the market.

By allowing insurers to sell policies across state lines, Trump believes that competition would increase, leading to lower premiums and more affordable coverage options for consumers. Supporters of this proposal argue that more competition would force insurers to offer better plans at lower prices, as they would be competing for customers on a national scale.

Critics, however, argue that simply allowing insurance companies to sell across state lines may not lead to the desired effects. They contend that differences in state regulations and consumer protection laws could create challenges for insurers trying to enter new markets. Moreover, opponents of the idea fear that it could result in a “race to the bottom”, where insurers flock to states with the least stringent regulations, potentially leading to plans with fewer consumer protections and lower-quality coverage.

Reforming Healthcare by Expanding Market Competition – Trump’s Vision for 2024

Photo Courtesy: Dr. Sarah Sun Liew / Meridian Beverly Hills Investment and Legal Group

Promoting Health Savings Accounts (HSAs)

Another central aspect of Trump’s healthcare reform agenda is his focus on expanding Health Savings Accounts (HSAs). HSAs are tax-advantaged savings accounts that allow individuals to set aside money for medical expenses. Trump has been a vocal proponent of HSAs, arguing that they provide individuals with more control over their healthcare spending and encourage personal responsibility in managing healthcare costs.

In his 2024 platform, Trump proposes increasing the contribution limits for HSAs, allowing individuals to save more money tax-free for medical expenses. He also supports allowing HSA funds to be used for a broader range of healthcare services, including over-the-counter medications and alternative treatments. By expanding the use of HSAs, Trump believes that individuals will have more flexibility in managing their healthcare expenses and that HSAs can serve as a tool for reducing overall healthcare costs by promoting consumer-driven healthcare.

Supporters of HSAs argue that they incentivize individuals to shop around for healthcare services, thereby fostering competition among providers and encouraging more price transparency. By giving individuals a stake in their healthcare spending, HSAs can help drive down costs and ensure that people are only paying for the services they actually need.

However, critics of HSAs argue that they primarily benefit higher-income individuals who can afford to contribute significant amounts of money to their accounts. Low-income individuals, who often struggle to cover basic healthcare expenses, may not have the financial means to take full advantage of HSAs. Additionally, some argue that HSAs do little to address the larger issue of rising healthcare costs and unequal access to care.

Increasing Price Transparency in Healthcare

One of Trump’s key healthcare reforms during his first term was his focus on price transparency in the healthcare industry. In 2019, his administration issued an executive order requiring hospitals and healthcare providers to disclose the prices of their services upfront, allowing consumers to see what they would be charged for various medical procedures. This rule, which took effect in 2021, aimed to empower patients by giving them the information they need to compare prices and make informed decisions about their care.

For 2024, Trump’s platform includes proposals to expand price transparency even further, ensuring that insurance companies, pharmaceutical companies, and healthcare providers provide clear, easily accessible information about the costs of their services and medications. Trump believes that by increasing transparency, the healthcare market can become more competitive, driving down prices as patients become more informed and selective about their choices.

Supporters of this initiative argue that healthcare has long been plagued by a lack of transparency, with patients often receiving unexpected and inflated medical bills for services they didn’t know would be so expensive. By making prices more transparent, Trump’s supporters believe that patients will be able to shop around for more affordable care, creating competition that ultimately reduces costs across the industry.

Critics, however, argue that price transparency alone is not enough to solve the problem of rising healthcare costs. While knowing the cost of a procedure in advance is important, many argue that patients—especially in emergencies—do not have the luxury of shopping around for the ideal price. Moreover, opponents point out that healthcare pricing is often complicated by factors such as insurance contracts and network agreements, which can make it difficult for patients to accurately assess their out-of-pocket costs.

Expanding Deregulation in the Healthcare Industry

Another significant element of Trump’s 2024 healthcare agenda is his commitment to deregulating the healthcare industry. Trump argues that excessive regulations imposed by the Affordable Care Act (ACA) and other federal mandates have driven up healthcare costs and limited innovation in the industry. His platform calls for the removal of regulatory barriers that he believes stifle competition and prevent new healthcare solutions from entering the market.

For example, Trump has proposed streamlining the FDA’s approval process for new drugs and medical devices, arguing that lengthy bureaucratic delays prevent patients from accessing life-saving treatments. He also supports reducing regulations on healthcare providers and telemedicine services, which have grown in popularity during the COVID-19 pandemic.

Supporters of deregulation argue that reducing bureaucratic red tape will allow healthcare providers, pharmaceutical companies, and innovators to bring new solutions to the market more quickly, ultimately benefiting patients by increasing access to care and driving down costs. They contend that market-driven competition will incentivize providers to offer better services at lower prices.

However, critics of deregulation argue that removing important regulations could compromise patient safety and lead to lower standards of care. They point to the potential risks of speeding up drug approvals or loosening regulations on healthcare providers, which could result in unsafe products or practices being introduced to the market.

Challenges and Criticism

While Trump’s healthcare reform agenda has garnered strong support from conservative voters, free-market advocates, and many business groups, it also faces significant challenges from healthcare advocates and Democrats, who argue that these proposals would reduce access to care and undermine protections for individuals with pre-existing conditions.

Critics argue that repealing the ACA would leave millions of Americans without health insurance, particularly those who rely on the Medicaid expansion or subsidized marketplace plans. They contend that Trump’s free-market approach does not address the underlying issues of high healthcare costs and unequal access to care, particularly for low-income and uninsured individuals.

Conclusion

Donald Trump’s 2024 healthcare agenda centers on the belief that free-market competition is the key to lowering costs, improving quality, and expanding access to care. By repealing the ACA, promoting HSAs, increasing price transparency, and deregulating the healthcare industry, Trump aims to create a healthcare system that empowers consumers and fosters innovation.

While these policies have received strong support from conservatives and free-market advocates, they also face significant opposition from Democrats and healthcare advocates who argue that market-driven reforms may leave many Americans without affordable access to care. As the 2024 election approaches, Trump’s healthcare proposals will continue to be a focal point of the national debate over the future of the U.S. healthcare system.