Health Affairs September 18, 2025
Ahmad M. Hider, Dawn O'Connell, Nicholas L. Berlin

The Trump administration recently advanced a new phase of sweeping tariffs intended to address what it characterizes as unfair trade practices and persistent trade deficits. Since the spring, tariff rates and targeted countries have shifted repeatedly, with Chinese imports—once set at 145 percent—now under a 90-day pause until mid-November to allow further negotiations, while new duties of 25–50 percent on steel and aluminum, 25–35 percent on goods from Mexico and Canada, and a 10 percent baseline on most other imports have begun taking effect. Although framed as a strategy to bolster US manufacturing, reassert US economic dominance, and project geopolitical strength, these measures risk acute disruption to critical sectors such as health care. Hospitals and health systems—already strained by workforce...

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