The reason he’s saying that is the bet that either the Senate, the House, or both will change hands next year and they will force Trump to accept their terms. Trump has the upper hand right now and this is the hill to die on.
Having most 250% to 350% of FPL households pay premiums twice to three times as much as they should might well be the hill the Republican Party and the USA die on.
For health care, bring on market force:
1. Break most hospitals into two highly competitive entities
2. Convert other hospitals into real estate leasing entities with competing surgical suites and nursing wings
3. Separate out drug coverage so hospital systems can run care coverage systems and cut out insurance company overhead and meddlers.
4. Create interstate drug plans that don’t have to cover every drug. To qualify for exchange listing and federal subsidies, they would have to most (~80% or more) in all important types (large volume recombinant, small volume recombinant, breakthroughs under patent, etc.). Group and exchange plans to offer vouchers at plan set amounts for out-of-formulary drugs.
5. These drug plans would be all the formulary drugs the doctors (and AI) prescribe with co-pays equal to manufacturing cost
6. Have drug patents limited by government sourced product revenue and overall domestic government health care spending and not by time [so drug companies have an incentive to minimize government health care funding]
7. Require Kirchoff patent collapse to a single entity upon FDA marketing approval of a covered entity
8. reform medical education, breaking down medicine and dentistry into simpler chunks and start it in the first year of college
9. replace most primary doctoring with AI
(human doctor would confirm AI diagnosis, prescribe radiation imaging/treatment, and voucher/government co-pay drugs)