Keckley Report January 20, 2025
The prologue to the Trump Presidency is history. It is marked by promises to reduce federal spending by $2 trillion, deport illegal immigrants and close the border, replace establishment appointees with MAGA true believers and Make America Healthy Again (MAHA). Today, the Trump team takes over.
For those who work in healthcare, these pledges are profoundly important. The healthcare industry is a primary target for Team Trump changes. Per the CBO, in 2023 (the last year data is available), the federal government spent $6.1 trillion–$1.7 trillion more than its revenues. That spending included $1.45 trillion for Medicare and Medicaid (24% of total federal spending and 30% of total healthcare spending)– 7.5% more than 2022 spending which increased 4.6%. The deficit...
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