What Trump Has Proposed for Healthcare in a Second Administration

Donald Trump has promised sweeping action in a second administration.

The former president and now president-elect often skipped over details but through more than a year of policy pronouncements and written statements outlined a wide-ranging agenda.

Here’s a look at what Trump has proposed when it comes to abortion and healthcare:

Abortion

Trump played down abortion as a second-term priority, even as he took credit for the Supreme Court ending a woman’s federal right to terminate a pregnancy and returning abortion regulation to state governments. At Trump’s insistence, the GOP platform, for the first time in decades, did not call for a national ban on abortion. Trump maintains that overturning Roe v. Wade is enough on the federal level.

Still, Trump has not said explicitly that he would veto national abortion restrictions if they reached his desk. And in an example of how the conservative movement might proceed with or without Trump, anti-abortion activists note that the GOP platform still asserts that a fetus should have due process protections under the 14th Amendment’s equal protection clause. That constitutional argument is a roadmap for conservatives to seek a national abortion ban through federal courts.

Social Security, Medicare, and Medicaid

Trump insists he would protect Social Security and Medicare, popular programs geared toward older Americans and among the biggest pieces of the federal spending pie each year. There are questions about how his proposal not to tax tip and overtime wages might affect Social Security and Medicare. If such plans eventually involved only income taxes, the entitlement programs would not be affected. But exempting those wages from payroll taxes would reduce the funding stream for Social Security and Medicare outlays. Trump has talked little about Medicaid but his first administration, in general, defaulted to approving state requests for waivers of various federal rules and it broadly endorsed state-level work requirements for recipients.

Affordable Care Act and Healthcare

As he has since 2015, Trump calls for repealing the Affordable Care Act and its subsidized health insurance marketplaces. But he still has not proposed a replacement: In a September debate, he insisted he had the “concepts of a plan.” In the latter stages of the campaign, Trump played up his alliance with former presidential candidate Robert F. Kennedy Jr., a longtime critic of vaccines and of pesticides used in U.S. agriculture. Trump repeatedly told rally crowds that he would put Kennedy in charge of “making America healthy again.”

Tariffs and Trade

Trump’s posture on international trade is to distrust world markets as harmful to American interests. He promises to reinstitute an August 2020 executive order requiring that the FDA buy “essential” medications only from U.S. companies. He pledges to block purchases of “any vital infrastructure” in the U.S. by Chinese buyers.

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