Trump Unveils 'Great Healthcare Plan': Promises, Gaps, and Unanswered Questions

• Donald Trump's 'Great Healthcare Plan' aims to make healthcare more affordable, focusing on lowering prescription drug prices, reducing insurance premiums, and expanding price transparency.
• The plan proposes codifying 'Most Favoured Nation' pricing agreements with drugmakers and introducing a TrumpRx program for discounted medicines, though experts doubt significant overall drug spending reduction.
• It suggests sending federal subsidies directly to consumers for insurance, potentially offering cheaper plans outside ACA marketplaces for healthier individuals, but critics fear higher costs for sicker patients.
• The framework calls for restoring federal funding for cost-sharing subsidies, which could reduce out-of-pocket expenses for lower-income enrollees, previously eliminated during Trump's first term.
• The plan targets pharmacy benefit managers (PBMs) to end rebates and mandates price transparency for hospitals and insurers, but avoids changes to Medicare or Medicaid and does not extend expired ACA subsidies.

Why It Matters: Trump's healthcare plan promises affordability but leaves critical policy details and implementation to Congress.