First, 0- care needs to be destroyed.
1. Trump should repeat that the mandate won’t be enforced. Young and healthy won’t buy and insurance companies will pull out.
2. Bypass the weasels in congress and convene a health care summit with governors/ state legislators willing to come up with state solutions. Trump can grant all sorts of waivers for insurance companies to scuttle mandates and offer real catastrophic instance. They should also bring back the high risk pools. Menu pricing and “any willing provider” clauses (insurance companies can’t close networks to doctors as long as doctors are licensed) will allow for more transparency and competition. Pushing for Health Savings Accounts combined with catastrophic plans, portability, and tax deductible status will improve choice and competition. If middle class people have several thousand in an HSA, they can negotiate directly with doctor and facility for routine expenses such as labs, office visits, minor procedures. That where you will get price transparency and competition.
3. I agree with Trump that Medicaid and Medicare should negotiate with pharma as to prices. If pharma won’t come down wth price in US allow these Federal, Federal/state programs to find better prices elsewhere, i.e. Canada. I’m not too concerned that pharma will be less profitable. Remember, they are funding a lot of the enemedia via advertising.
“mandate won’t be enforced”
The government can’t say that because insurers will cite force majeure and terminate their plans.
I trust the Republicans not to enforce the mandates, but they can’t say so officially.