Nav: Home

Health care leaders predict patients will lose under President Trump's health care plans

April 20, 2017

According to a newly released NEJM Catalyst Insights Report, health care executives and industry insiders expect patients - more than any other stakeholder - to be the big losers of any comprehensive health care plan from the Trump administration. Over 1,000 knowledgeable and influential executives, clinical leaders, and clinicians were surveyed ahead of last month's release and rejection of the American Health Care Act (AHCA).

The survey, taken in February 2017, asked respondents for their predictions of the effects of the Trump administration's health care plans. Nearly three-quarters (73 percent) said patients will be very or slightly negatively impacted. In addition, respondents were divided on the fate of the Affordable Care Act (ACA). More than 60 percent predicted that the ACA will be repealed -- with 27 percent of those indicating it will be repealed and replaced while 35 percent thought any the replacement would be indefinitely delayed. Meanwhile, almost 30 percent of those surveyed stated that the ACA would remain substantially intact.

"Overall, Insights Council members expressed pessimism about the health care landscape in the wake of the administration's proposed plans, citing no clear winners, only clear losers: patients, clinicians and provider organizations. Their concerns are being proved out in the administration's early moves," said Edward Prewitt, NEJM Catalyst's Editorial Director and a co-author of the report.

Insights Council members paint a bleak picture of the health care landscape under the Trump administration, predicting coverage for fewer U.S. citizens (74 percent of respondents), decreased benefits coverage (70 percent), increased premiums (69 percent) and decreased funding for research (67 percent). In addition, nearly 70 percent believe Medicaid enrollment will decrease.

Despite the longstanding call for ACA repeal from Republican lawmakers, and President Trump himself on the campaign trail, less than half of respondents (43 percent) thought a comprehensive plan on new health care regulations would pass in the first 12 months of the administration. Nearly one-quarter (24 percent) predicted that the plan will be revealed in the second year of the administration and 18 percent were skeptical that a plan will ever be put into place.

NEJM Catalyst Insights Reports are based on surveys of the NEJM Catalyst Insights Council, a qualified group of U.S. executives, clinical leaders, and clinicians at some of the most prestigious and influential organizations directly involved in health care delivery. The surveys focus on four key areas: Leadership, Care Redesign, Patient Engagement, and the New Marketplace.

A total of 1,058 completed surveys were included in the analysis with a margin of error of +/-3.0 percent. The makeup of respondents included 53 percent clinicians, 23 percent executives, and 24 percent clinical leaders. The geographic breakdown of respondents was 28 percent from the Northeast, 21 percent from the West, 23 percent from the Midwest, and 28 percent from the South. Notably, a significantly higher incidence of respondents from the South (32 percent) than the Northeast (23 percent) predicted that the ACA will be repealed and replaced.
-end-
For more on the NEJM Catalyst Insights Report on the impact of the Trump administration on health care, including respondent predictions about the future of the ACA, visit: http://catalyst.nejm.org. An index of all NEJM Catalyst Insights Reports can be found at http://catalyst.nejm.org/insights/.

About NEJM Catalyst

NEJM Catalyst offers a combination of multimedia content, web events, expert panels and new research. NEJM Catalyst connects health care executives, clinical leaders and clinicians with practical approaches and actionable steps to implement changes in their organizations that improve the value of health care delivery and patient care.

About NEJM Group

NEJM Group creates high-quality medical resources for research, learning, practice and professional development. Designed to meet the demand for essential medical knowledge and innovation among academic researchers and teachers, physicians, clinicians, executives and others in health care, NEJM Group products include the New England Journal of Medicine, NEJM Journal Watch, NEJM Knowledge+, NEJM Catalyst, and Resident 360. NEJM Group is a division of the Massachusetts Medical Society. For more information visit http://www.nejmgroup.org.

NEJM Group

Related Health Care Articles:

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.
Spending on primary care vs. other US health care expenditures
National health care survey data were used to assess the amount of money spent on primary care relative to other areas of health care spending in the US from 2002 to 2016.
MU Health Care neurologist publishes guidance related to COVID-19 and stroke care
A University of Missouri Health Care neurologist has published more than 40 new recommendations for evaluating and treating stroke patients based on international research examining the link between stroke and novel coronavirus (COVID-19).
Mental health of health care workers in china in hospitals with patients with COVID-19
This survey study of almost 1,300 health care workers in China at 34 hospitals equipped with fever clinics or wards for patients with COVID-19 reports on their mental health outcomes, including symptoms of depression, anxiety, insomnia and distress.
Large federal program aimed at providing better health care underfunds primary care
Despite a mandate to help patients make better-informed health care decisions, a ten-year research program established under the Affordable Care Act has funded a relatively small number of studies that examine primary care, the setting where the majority of patients in the US receive treatment.
International medical graduates care for Medicare patients with greater health care needs
A study by a Massachusetts General Hospital research team indicates that internal medicine physicians who are graduates of medical schools outside the US care for Medicare patients with more complex medical needs than those cared for by graduates of American medical schools.
The Lancet Global Health: Improved access to care not sufficient to improve health, as epidemic of poor quality care revealed
Of the 8.6 million deaths from conditions treatable by health care, poor-quality care is responsible for an estimated 5 million deaths per year -- more than deaths due to insufficient access to care (3.6 million) .
Under Affordable Care Act, Americans have had more preventive care for heart health
By reducing out-of-pocket costs for preventive treatment, the Affordable Care Act appears to have encouraged more people to have health screenings related to their cardiovascular health.
High-deductible health care plans curb both cost and usage, including preventive care
A team of researchers based at IUPUI has conducted the first systematic review of studies examining the relationship between high-deductible health care plans and the use of health care services.
Medical expenditures rise in most categories except primary care physicians and home health care
This article was published in the July/August 2017 issue of Annals of Family Medicine research journal.
More Health Care News and Health Care Current Events

Trending Science News

Current Coronavirus (COVID-19) News

Top Science Podcasts

We have hand picked the top science podcasts of 2020.
Now Playing: TED Radio Hour

Making Amends
What makes a true apology? What does it mean to make amends for past mistakes? This hour, TED speakers explore how repairing the wrongs of the past is the first step toward healing for the future. Guests include historian and preservationist Brent Leggs, law professor Martha Minow, librarian Dawn Wacek, and playwright V (formerly Eve Ensler).
Now Playing: Science for the People

#565 The Great Wide Indoors
We're all spending a bit more time indoors this summer than we probably figured. But did you ever stop to think about why the places we live and work as designed the way they are? And how they could be designed better? We're talking with Emily Anthes about her new book "The Great Indoors: The Surprising Science of how Buildings Shape our Behavior, Health and Happiness".
Now Playing: Radiolab

The Third. A TED Talk.
Jad gives a TED talk about his life as a journalist and how Radiolab has evolved over the years. Here's how TED described it:How do you end a story? Host of Radiolab Jad Abumrad tells how his search for an answer led him home to the mountains of Tennessee, where he met an unexpected teacher: Dolly Parton.Jad Nicholas Abumrad is a Lebanese-American radio host, composer and producer. He is the founder of the syndicated public radio program Radiolab, which is broadcast on over 600 radio stations nationwide and is downloaded more than 120 million times a year as a podcast. He also created More Perfect, a podcast that tells the stories behind the Supreme Court's most famous decisions. And most recently, Dolly Parton's America, a nine-episode podcast exploring the life and times of the iconic country music star. Abumrad has received three Peabody Awards and was named a MacArthur Fellow in 2011.