US President Donald Trump's early action on medical care shows that he may intend to erase some plans to wake up the wake -ups to reduce the scope of underwriting under the public insurance plan.

Soon after he entered the White House, he released the policy maker, healthcare executives and supporters of patients, trying to read tea to determine what is about to happen. Although these instructions are not as swollen by the command issued at the beginning of the first term, it provides a possible roadmap. Health researchers say that these instructions may increase the number of unpaid Americans and weaken Safety network protection.

However, Trump's initial command has little impact immediately. His government will have to take further regulatory steps to completely reverse Biden's policy, and these actions are unclear to guide the direction of the new president to guide the US medical care system.

"Everyone is looking for signals that Trump may do on many health issues. In the early EOS (executing orders), Trump did not show his card." Including a health policy, including KFF Health News Studies, public opinion surveys and news agency KFF Health Policy Executive Vice President Larry Levitt said.

A series of administrative orders and other actions issued by Trump on the first day of his tenure include the instructions of his former President Joe Biden, who revoked his former President Joe Biden, which promoted the "Acts for the Affairs Medical Act" and "Medical Subsidies" 》 Reduce drug costs and expand coverage.

Nicholas Bagley, a professor of law at the University of Michigan, said: "Generally speaking, in general, it is just an internal memorandum:" Hey, Agent, what can you do? "" There may be reasons to worry about , But this is the situation. "

This is because changes to the established laws such as ACA or medical subsidies usually require new rules to formulate or Congress litigation, and both may take several months. Trump has not won the Senate's confirmation to lead the federal health institution, including the anti -vaccine radicals, Robert F Kennedy JR, and he has nominated the former Democratic presidential candidate of the Ministry of Health and Public Service (HHS). On January 20, he appointed Dorothy Fink, a doctor in the HHS Women's Health Office as the agent secretary of the department.

During the term of Biden, his government did implement a change in consistent with his health order, including extending the entry of ACA, increasing the funds for helping people enrollment and supporting the reduction of inflation bills. Help people buy the scope of underwriting. After the Trump administration fell, under Biden, the admission rate of ACA plans soared, reaching the highest record in records every year. In 2025, more than 24 million people recruited a planned medical bill plan.

Trump's withdrawal of the drug order calls for testing the medical insurance and medical subsidy service centers to reduce the cost of drug costs. The health plan of people 65 and above, and states are trying to try to buy some expensive cells and gene therapy through unity to get better prices.

This may indicate that Trump expects that there is less pricing at this semester, and even return drug price negotiations in medical insurance.

The White House did not respond to the request for comment.

Joseph Antos of the US Enterprise Research Institute of the Right Research Group said Biden's experiments in reducing drug prices did not stand out completely. Antos said that, in view of the idea of ​​reducing prices paid by the United States and other countries, he was confused about Trump's administrative order.

"As you know, Trump is one of the loyal supporters," Antos said. "Reducing the price of drugs is an easy thing to recognize."

In other moves, Trump also canceled Bayon's order on race and gender fairness, and issued an order to assert that only gender men and women. Under the leadership of the Biden government, HHS supports medical care for gender of transgender people, and provides guidance for civil rights protection for transgender young people. Trump's faith in gender has exacerbated the LGBTQ+community he will seek concerns about restricting this care.

Civil Rights Promoting Group Lambda Legal, Lambda Legal, Omar Gonzalez-Pagan said: "Government predictions will not be able to protect and seek discriminatory cross-gender, and anyone else thinks is 'others'.". "We are always preparing to respond to the government's discrimination, just like the success we have done before, and defend the ability of transgender people to obtain the required care, including medical subsidies and medical insurance."

Trump also stopped new regulations that are developing until the new government can review it. He can give up some of the advice that the Biden government has not yet completed, including expanding the coverage of confrontation with obesity drugs through Medicare and Medicaid, and the rules of nicotine levels in tobacco products. Katie Keith, a professor at Georgen University, is represented by the representative. The director of the White House Gender Policy Committee under the leadership of Georgen University, the director of the White House Gender Policy Committee, wrote in the forefront of health affairs.

She wrote: "Interestingly, he did not disturb the three execution orders of President Bayeng and the presidential memorandum on reproductive medical care."

However, Trump instructed top brass to find other commands or memo in his government to revoke. (He revoked the Biden Order of the Creation of the Gender Policy Committee.)

Democrats criticized Trump's healthy actions. Alex Floyd, a spokesman for the National Committee of the Democratic Party, said in a statement: "Trump once again proves that he lies to the American people and does not care about reducing costs-only the most suitable for himself and him Super wealthy friends ".

Some policy experts said that Trump decided to end a decision to end a competitive administrative order aimed at improving the "Act of Affairs Medical Act" and medical subsidies, which may indicate the reduction and change of these two plans. His government had previously opened work requirements in Medicaid (the federal government plan for low -income adults, children and disabled people), and previously released guidance to enable states to restrict federal medical subsidy funds. Medical subsidies and related children's health insurance plans cover more than 79 million people.

Chris Pope, a senior researcher at Manhattan Institute of Manhattan Institute, said: "Medical subsidies will become the focus because it becomes so huge." "It grew up after being popular. The regulations have expanded, such as using a healthy social decisive factor. "

The government can re -evaluate the measures taken by the Biden government to allow medical subsidies to pay daily expenditure in some states. Some states believe that it will affect the health of their beneficiaries, including air conditioning, dining and housing.

One of Trump's instructions provides emergency price relief and "eliminates unnecessary administrative expenses and rent -seeking behaviors to improve medical care costs." (Seeking rent is an economic concept, which describes the use of political systems to obtain economic benefits without creating other interests for society.)

Keith wrote in her health affairs article: "It is not clear what this means, and it will be interesting to see the agent's response."

Policy experts such as Edwin Park (Edwin Park) and other policy experts also pointed out that Republicans are trying to propose budget proposals, which may lead to a large amount of medical subsidy funds, partly because they pay tax reduction measures.

Sarah Lueck, Vice President of Health Policy, Budget and Policy Centers for Left -Langing Research Group, also pointed out the Congress: "On the one hand, what we see from Trump's execution order is important because it shows us to us They are in the direction of policy changes.