Objective of the Plan
- Lower healthcare costs for Americans.
- Extend expiring ACA subsidies temporarily while transitioning to a new system.
- Shift financial benefits from insurance companies to individuals.
Proposed Measures
- Two-year extension of Enhanced Premium Tax Credits (originally expanded during COVID-19).
- Income eligibility cap for subsidies at 700% of the federal poverty line to prevent wealthy Americans from benefiting.
- Minimum premium payments to ensure cost-sharing.
- Encourage Health Savings Accounts (HSAs) and direct tax credits to individuals rather than insurers.
- Push for cost-sharing reductions that were previously blocked in Congress.
Financial Impact
- Congressional Budget Office (CBO) estimates reforms could:
  - Lower premiums by 12.7%.
  - Save taxpayers $30.8 billion.
- Criticism of ACA for being “unsustainable” and increasing premiums by 80% since passage.
Political Context
- Democrats opposed previous Republican attempts to include cost-sharing reductions in legislation.
- Debate over whether reforms should be bipartisan or passed via budget reconciliation.
- Trump emphasizes “power to the people” by allowing individuals to control healthcare spending.
Underlying Philosophy
- There is a strong focus on consumer choice and freedom.
- Opposition to government-managed healthcare and subsidies flowing to insurance companies.
- A belief that direct-to-consumer funding will reduce corruption and lower costs.

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