On Thursday, President Trump officially submitted “The Great Healthcare Plan” to Congress, aiming to completely overhaul the current U.S. healthcare system. This plan introduces six key policy highlights that have garnered significant attention.
The government will cease providing billions of dollars in taxpayer subsidies to large insurance companies and instead direct these funds directly to eligible Americans. This money will be deposited into individuals’ Health Savings Accounts (HSAs), allowing people to choose their insurance and care services independently, implementing a “money follows the person” approach.
Trump emphasized, “The money belongs to you, and then you take that money to purchase your own healthcare services… The large insurance companies lost, and the people of our country won.”
The plan will formalize the “Most-Favored-Nation” drug price agreement, ensuring that Americans do not pay more for drugs than the global lowest prices. Through the Trumprx.gov website, individuals can access affordable medications directly.
Trump pointed out, “This will lead to an 80% to 90% decrease in drug prices, unprecedented figures. Your prescription drug prices will significantly drop, with many prices on Trumprx.gov being reduced by 300%, 400%, or even 500% starting this month. We will transition from paying the highest global prices to paying the lowest.”
By fully funding the long-neglected “Cost-Sharing Reduction program” within the comprehensive bill, it is expected to average a 10% to 15% reduction in premiums for the most popular Obamacare related plans.
Trump stated, “Obamacare was designed to make insurance companies rich, I call it the ‘Unaffordable Care Act’. My plan will stop the government from rewarding insurance companies and instead directly send the money to the people to reduce your premiums.”
The plan mandates the discontinuation of kickbacks and rebates between Pharmacy Benefit Managers (PBMs) and insurance brokers. Trump believes these backroom deals are the main culprits behind inflated premiums, and eliminating rebates could save taxpayers at least $36 billion.
Trump said, “My plan ends the massive kickbacks given to insurance brokers and middlemen, these practices only drive up costs. We need to stop sacrificing the public’s interest for the profit of special interest groups.”
Establishing “Plain English Insurance” standards is another key feature of the plan. All insurance companies are required to disclose coverage details in plain language and publicly share data on their profits, claims ratios, denial rates, without using obscure professional terms to deceive consumers.
Trump emphasized, “As the saying goes, sunlight is the best disinfectant. My plan mandates that all insurance companies disclose rates and comparisons in very plain and understandable English. They must disclose how much they take from you and how much they pay out in claims, hiding behind jargon is no longer acceptable.”
Any hospital or clinic accepting Medicare or Medicaid must prominently display a complete price list at its entrance or prominent location. This ensures that patients can see costs clearly before treatment, preventing “shockingly high bills”.
Trump reiterated, “This requires any hospital to prominently display all prices at its premises, so you never get surprised, and can easily shop around to find the best deal. You will ultimately get the best of both worlds: a better deal and better care.”
The core transformation of the plan lies in completely reversing the flow of funds, reclaiming medical authority from large institutions and returning it to ordinary Americans. President Trump reiterated that the era of Americans paying the highest drug prices globally must end, and the government will lock in the international negotiation achievements during his tenure through legal means, urging Congress to immediately pass this framework to provide “immediate relief”.
