Trump's " Executive Order on An America-First Healthcare Plan"

[NRSKarenRN, BSN, RN]

Not a true healthcare insurance plan at all.... doesn't compare to the  Affordable Care Act aka Obamacare.

Executive Order on An America-First Healthcare Plan

Quote

 

Section 1.  Purpose.  Since January 20, 2017, my Administration has been committed to the goal of bringing great healthcare to the American people and putting patients first.  To that end, my Administration has taken monumental steps to improve the efficiency and quality of healthcare in the United States.

(a)  My Administration has been committed to restoring choice and control to the American patient....

(b)  My Administration has been ceaseless in its efforts to lower costs to make healthcare more affordable for American patients....

(c)  My Administration has been dedicated to providing better care for all Americans....

Sec. 2.  Policy.  It has been and will continue to be the policy of the United States to give Americans seeking healthcare more choice, lower costs, and better care and to ensure that Americans with pre-existing conditions can obtain the insurance of their choice at affordable rates.

Sec. 3.  Giving Americans More Choice in Healthcare.  The Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health and Human Services shall maintain and build upon existing actions to expand access to and options for affordable healthcare.

Sec. 4.  Lowering Healthcare Costs for Americans.  (a)  The Secretary of Health and Human Services, in coordination with the Commissioner of Food and Drugs, shall maintain and build upon existing actions to expand access to affordable medicines, including accelerating the approvals of new generic and biosimilar drugs and facilitating the safe importation of affordable prescription drugs from abroad.

(b)  The Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health and Human Services shall maintain and build upon existing actions to ensure consumers have access to meaningful price and quality information prior to the delivery of care.

(I)    Recognizing that both chambers of the Congress have made substantial progress towards a solution to end surprise billing, the Secretary of Health and Human Services shall work with the Congress to reach a legislative solution by December 31, 2020.

(ii)   In the event a legislative solution is not reached by December 31, 2020, the Secretary of Health and Human Services shall take administrative action to prevent a patient from receiving a bill for out-of-pocket expenses that the patient could not have reasonably foreseen.

(iii)  Within 180 days of the date of this order, the Secretary of Health and Human Services shall update the Medicare.gov Hospital Compare website to inform beneficiaries of hospital billing quality, including:

(A)  whether the hospital is in compliance with the Hospital Price Transparency Final Rule, as amended (84 Fed. Reg. 65524), effective January 1, 2021;

(B)  whether, upon discharge, the hospital provides patients with a receipt that includes a list of itemized services received during a hospital stay; and

(C)  how often the hospital pursues legal action against patients, including to garnish wages, to place a lien on a patient’s home, or to withdraw money from a patient’s income tax refund.

(c)  The Secretary of Health and Human Services, in coordination with the Administrator of CMS, shall maintain and build upon existing actions to reduce waste, fraud, and abuse in the healthcare system.

Sec. 5.  Providing Better Care to Americans.  (a)  The Secretary of Health and Human Services and the Secretary of Veterans Affairs shall maintain and build upon existing actions to improve quality in the delivery of care for veterans.

(b)  The Secretary of Health and Human Services shall continue to promote medical innovations to find novel and improved treatments for COVID-19, Alzheimer’s disease, sickle cell disease, pediatric cancer, and other conditions threatening the well-being of Americans.

Sec. 6.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:

(I)   the authority granted by law to an executive department or agency, or the head thereof; or

(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

https://www.whitehouse.gov/presidential-actions/executive-order-america-first-healthcare-plan/

 

 

[NRSKarenRN, BSN, RN]

 

[toomuchbaloney]

Trump can't deliver on a health plan so he'll just rebrand the ACA. 

Now we can call it DonTCare.

[NRSKarenRN, BSN, RN]

 

[MunoRN, RN]

It's an impressively long way of saying "Congress should come with a plan, if if they don't then in 3 months maybe we (the executive branch) will think about coming up with a plan".

[Nyabuto Myles, BSN, MSN, RN, EMT-I]

The Congress have an upper hand to come up with a favorable and long lasting plan. If they fail to do so, the Executive would take over and initiate a long lasting plan. 

[toomuchbaloney]

3 hours ago, Nyabuto Myles said:

The Congress have an upper hand to come up with a favorable and long lasting plan. If they fail to do so, the Executive would take over and initiate a long lasting plan. 

I giggled a little bit when I read that. 

What do you suppose the executive is waiting for? Why hasn't the executive offered any specifics in guidance or leadership as to how his team would propose improving our health care delivery and payment system? Does the executive even realize that growing numbers of Americans have decreasing access to healthcare during a pandemic?

[Nyabuto Myles, BSN, MSN, RN, EMT-I]

Toomuchbaloney... You are right in your opinion, however, remember Congress writes and debates the laws that govern the United States, and it can override presidential vetoes. This means that the Congress need to come up with long lasting laws. 

[toomuchbaloney]

2 hours ago, Nyabuto Myles said:

Toomuchbaloney... You are right in your opinion, however, remember Congress writes and debates the laws that govern the United States, and it can override presidential vetoes. This means that the Congress need to come up with long lasting laws. 

LOL

The Executive is an incompetent liar who is, once again, dragging out his lies about health care in this country.  To motivate his cult. Again.

Donald Trump has no plan for improving healthcare in the USA. Trump doesn't care that millions have lost coverage just this year alone. 

The GOP has no plan for improving healthcare in the USA. Trump has no plan.  It's a con.

All of that talk and language is nonsense campaign rhetoric and propaganda.  All of it.  The GOP is currently engaged in an attempt to remove all of the protections and regulations of the ACA with no plans for protecting the health of we the people. It's plain as day.

[NRSKarenRN, BSN, RN]

It's been 3 /12 yrs since Trump elected President --had plenty of time to work on bipartisan healthcare plan even after this statement:

Feb 27, 2017

President Trump: 'Nobody Knew Health Care Was So Complicated

House has been busy passing legislation --all sitting on Mitch McConnell's desk---only ones scheduled for a vote are Judicial appointments.

Newsweek  Feb 2020:

'Grim Reaper' Mitch McConnell Admits There Are 395 House Bills Sitting in the Senate: 'We're Not Going to Pass Those'

NPR:

May 15th, 2020  House passed $3 Trillion Coronavirus Relief Bill -desperately needed, still sitting on McConnell's desk.

 

Health Affairs  6/26/2020

DOJ, Republican AGs Ask Supreme Court To Strike Down ACA

Quote

On June 25, 2020, a Texas-led coalition of 18 Republican states, two individuals, and the Trump administration filed opening briefs in California v. Texas. All parties maintained their position that the entire Affordable Care Act (ACA) should be declared invalid by the Supreme Court. The Trump administration continues to take a confusing position on standing and remedy but, in any event, argues that the entire ACA should be declared invalid. This post briefly summarizes the history of the lawsuit; the opening briefs from the respondents; and what comes next.

The respondents take this position despite COVID-19, which is not mentioned by name. The briefs from the states and individuals do refer to the pandemic but only as an “extratextual consideration” that the Court should ignore. The briefs also do not grapple with the fact that the lawsuit, if successful, could lead to coverage losses for about 23.3 million Americans. Whether the ACA is good policy or not, they argue, “miss[es] the point.”

Anticipating these briefs, Democrats used this week to strike a clear contrast. Democrats in the U.S. House of Representatives introduced new legislation to expand upon the ACA and strengthen the Medicaid program. The House Energy and Commerce Committee released a report on its investigation of insurers and brokers that offer short-term plans (an ACA alternative promoted by the Trump administration). And former Vice President Joe Biden referred to the Trump administration’s position in Texas as a “heartless crusade to take health care protections away from American families.”...

https://www.healthaffairs.org/do/10.1377/hblog20200626.180922/full/

The Supreme Court justices will begin hearing arguments in the case on Nov. 10, a full week after voters will decide who will lead the country in the 2020 general election.

This is one of the reasons that Democrats feel the nominee to replace Justice Ruth Ginsberg should be appointed by the WINNER of the election as to not influence this hearing.

[MunoRN, RN]

On 9/25/2020 at 7:41 AM, Nyabuto Myles said:

Toomuchbaloney... You are right in your opinion, however, remember Congress writes and debates the laws that govern the United States, and it can override presidential vetoes. This means that the Congress need to come up with long lasting laws. 

Healthcare reform bills that have come out of Congress in just the last year:

• Keeping Healthcare Affordable Act of 2019
• Choose Medicare Act
• Medicare for All Act (in both House and Senate)
• Medicare X-choice Act
• The CHOICE Act
• Medicare at 50 Act
• Medicare Buy-In and Healthcare Stabilization Act of 2019
• State Public Option Act
• Medicare for America Act of 2019

 

 

[subee, MSN, CRNA]

Sorry, I'm confused here.  I only see two bills on your list passed by the House and the Senate.  What good are the rest that can't get by Mitch McConnell.  Have any of these bills actually been passed into law?  I don't recognize that any of these have been implemented (or are you being sarcastic and I missed it?):)