The biggest item that I applaud is making health insurance fully deductible under the US tax code for all individuals. This is an idea that will provide meaningful tax savings, especially for employees of companies that refuse to provide healthcare benefits. Due to the vagueness of many Trump positions, I am left to speculate how this would happen. I hope he would make health insurance an adjustment from income like health insurance is for the self-employed. However, even making it an unlimited itemized deduction would be a great change.
Other items I agree with include:
The individual mandate is something that was reprehensible. There are many American's who know their annual health care costs and are quite capable of budgeting accordingly. Granted, emergencies arise. However, that should only mandate cheaper catastrophic coverage requirements at most instead of the more expensive plans required by ACA. The power of the purse for healthcare decisions should be with individuals (with a possibly a catastrophic individual mandate at most).
I'm not sure if this will make all the difference, but removing interstate barriers for health insurance purchases can only help reduce costs. Last but not least, HSA's were a wonderful tax savings device created in the Bush years that was all but destroyed with Obamacare. I love the idea of making them effective tax savings engines again.
The items I don't care for include:
The first item seems to be a hint at keeping some of the bureaucracy that opponents of Obamacare hate. Many MD's and mid-level providers will complain that the over-reach of Obamacare into their work has reduced their ability to focus on the patient in order to satisfy bureaucratic requirements of the ACA. This price transparency requirement seems like more of the same overreach.
Medicaid before Obamacare had a sharp-cliff where recipients lose all benefits if there income exceeded a very small sum of income. I believe sharp benefit cut offs are a disincentive to work for many welfare recipients and that the current system gives recipients some breathing room to get into the work-force, gain experience, and increase their income until they can get jobs with solid benefits and income.
That last item that I disagree with is the idea of removing barriers for drug providers. Barriers in the pharmaceutical industry keep drugs safe. Even with the barriers we now have, drug providers have the guarantee of suits and paying damages for issues with side effects. Considering who is making this recommendation, gives me pause as well. "Who wants Trump chemo?"