“We will do it, and we will do it very, very quickly. It is a catastrophe,” says Trump.

With the Republicans maintaining in both the US Senate and  House of Representatives, Trump is expected to have less resistance than he would have had the Democrats taken control of one or both chambers of Congress. In recent years, the Republican-led House of Representatives has voted to rescind the PPACA more than 60 times without success due to opposition from President Obama. With Trump becoming president in January, the door is now open.

Should Obamacare be repealed, what will take its place?

How will Trump follow through to make health care more accessible, more affordable and of higher quality?

In March, Trump released his plan for health care with 7 main points of emphasis to lower healthcare costs:

  1.  A complete repeal of the PPACA, as no citizen should be forced to buy health insurance.

  2. Congress should break down state barriers to allow insurance companies to offer plans in any state, as long as the plan is in compliance with state requirements.

  3. Give people the ability to deduct insurance premium payments from taxes;businesses are already allowed this deduction. Further, review Medicaid options to make sure everyone who wants healthcare coverage is able to afford it.

  4. Establish tax-free Health Savings Accounts which could become part of an individual’s estate and passed on to heirs without an estate penalty. Additionally, all family members can use the account without penalty.

  5. A call for price transparency from providers and hospital organizations to allow individuals to shop for the best prices on treatments.

  6. Address Medicaid, including incentives, on the state level in order to ‘preserve our precious resources.’

  7. Break down barriers that prevent drug providers of less expensive, safe products from entering the free market, and allow consumers access to safe, imported drugs from overseas.

In May, a survey of 86 top leaders of hospitals, insurance companies, physician groups, trade associations and other not-for-profit advocacy groups was conducted regarding  policy options that the next president and Congress might address.

In favor of repealing and replacing the Patient Protection and Affordable Care Act?

  • Yes
  • No
  • It depends on the details
  • No opinion

In favor of allowing private insurers to sell across state lines?

  • Yes
  • No
  • It depends on the details
  • No opinion

In favor of expanding the use of health savings accounts to pay premiums and meet costs under high-deductible plans?

  • Yes
  • No
  • It depends on the details
  • No opinion

In favor of passing laws mandating pricing transparency for all providers?

  • Yes
  • No
  • It depends on the details
  • No opinion

In favor of taking aggressive measures to curb rising prescription drug prices?

  • Yes
  • No
  • It depends on the details
  • No opinion

Without more specific information and a formalized plan, there is no way to know what healthcare in the United States will look like going forward. It is a large, multifaceted issue that will not please everyone; what's good for one group may not be for another, and what benefits insurers may not be beneficial to individuals or healthcare providers. What will happen to the millions of people who were subsidized under Obamacare? Will certain groups be called upon to pay for subsidies through higher premiums or taxes? Questions are all that we have this point, and these questions will be answered over the course of the next 4 years.

Robert Lowes. Medscape Medical News. Trump Victory Offers Chance to Repeal Obamacare.
http://www.webmd.com/health-insurance/20161109/trump-wins-chance-to-dump-obamacare. Published 11/9/2016. Accessed 11/9/2016.

Amy Goldstein. Washington Post. Obamacare’s future in critical condition with Trump’s victory.
https://www.washingtonpost.com/national/health-science/acas-future-in-critical-condition-with-trumps-victory/2016/11/09/7c5587e8-a684-11e6-ba59-a7d93165c6d4_story.html. Published 11/9/2016. Accessed 11/9/2016.

Jessica Davis. Healtcare IT News. Donald Trump elected: His 7 point plan for healthcare.
http://www.healthcareitnews.com/news/donald-trump-elected-his-7-point-plan-healthcare. Published 11/9/2016. Accessed 11/9/2016.

Harris Meyer. Modern Healthcare. Trump upset will force healthcare leaders to rethink the future.
http://www.modernhealthcare.com/article/20161109/NEWS/161109917?utm_source=modernhealthcare&utm_medium=email&utm_content=20161109-NEWS-161109917&utm_campaign=mh-alert. Published 11/9/2016. Accessed 11/9/2016.

Shannon Muchmore. Modern Healthcare. Here's what CEOs think of candidates' healthcare ideas.
http://www.modernhealthcare.com/article/20160521/MAGAZINE/305219938. Published 11/9/2016. Accessed 5/21/2016.

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