In the final days of the campaign, stark disagreements between Vice President Kamala Harris and former President Donald Trump over the future of American health care are on display in particular, in sober warnings about abortion access, the specter of future cuts to the Affordable Care Act, and bold pronouncements about empowering activists eager to change course and clean house. Trump and his campaign have been vague about plans on health care policies, though current and former Trump aides have published blueprints that go well beyond reversing programs in force under the Biden administration, to overhauling public health agencies and enabling Trump to quickly fire officials who disagree.
Harris, on the other hand, has staked out positions primarily preserving and protecting existing health care access on abortion, transgender health care, insurance coverage, and more. Here are some of the most consequential changes in health policies that could hinge on who wins the White House.
The election is likely to affect the cost of health insurance for millions who buy coverage on the Affordable Care Act marketplaces. That's because extra, pandemic-era subsidies that lower the cost of premiums will expire at the end of 2025 unless Congress and the next president act.
About 19.7 million people with ACA coverage benefit from a subsidy 92% of all enrollees. The expanded subsidies, started in 2021, helped increase ACA enrollment to a record high and reduce the uninsured rate to a record low.
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