Keckley Report March 30, 2025
Paul Keckley

The health system is low hanging fruit for federal spending hawks and government reformers. It’s increasingly evident the Trump administration’s well aware.

The reasons are obvious:

  • Size: Healthcare represents 32% of total federal spending and is projected to increase at least 5% per year through 2032. Its workforce—18 million—is the largest and fastest growing of any sector in the economy—above rates of population growth
  • Satisfaction: Trust, confidence and satisfaction with the health system is at a historic low among consumers and non-healthcare employers. Affordability, accessibility, and transparency are widespread complaints and, among consumers, a significant majority across all demographic and partisan groups want fundamental change.

In Campaign 2024, Trump voters expressed more concern about inflation, the economy and...

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