President Trump is suggesting here that people could use government subsidies to buy insurance that doesn’t comply with ACA rules, including coverage of pre-existing conditions. That could lower costs for healthy people, but send the ACA marketplace into a death spiral.
President Trump does not seem to be warming to the idea of extending the enhanced ACA premium tax credits, and instead is pushing to undermine the ACA itself.
Jan 15, 2026 18:01President Trump’s “Great Healthcare Plan” includes some ideas with bipartisan support, like more price transparency and regulating pharmacy benefit mangers. But, they’re wrapped in partisan proposals that would undermine the ACA.
President Trump has talked about having concepts of a health care plan. The plan he released today is, in fact, heavy on concepts and light on details.
