U.S. President Donald Trump sought to woo seniors on Thursday with an executive order aimed at strengthening the Medicare health program by reducing regulations, curbing fraud, and providing faster access to new medical devices and therapies.
The order, which Trump discussed during a visit to a retirement community in Florida known as the Villages, is the Republican president's answer to some Democrats who are pushing for a broad and expensive expansion of Medicare to cover all Americans.
Trump referred to such proposals as socialist and pledged to prevent them from coming to fruition, a political promise with an eye toward his 2020 re-election campaign in which healthcare is likely to be a major issue.
"They want to raid Medicare to fund a thing called socialism," Trump told an enthusiastic crowd in Florida, a political swing state that is critical to his goal of keeping the White House.
The executive order follows measures his administration rolled out in recent months designed to curtail drug prices and correct other perceived problems with the U.S. healthcare system. Policy experts say the efforts are unlikely to slow the tide of rising drug prices in a meaningful way.
Trump suggested that drug companies were backing impeachment efforts in Washington, which he considers a "hoax," as a way to sabotage his efforts to make prescriptions affordable.
"We're lowering the cost of prescription drugs, taking on the pharmaceutical companies. And you think that's easy? It's not easy... I wouldn't be surprised if the hoax didn't come from some of the people that we're taking on," he said.
Medicare covers Americans who are 65 and older and includes traditional fee-for-service coverage in which the government pays healthcare providers directly and Medicare Advantage plans, in which private insurers manage patient benefits on its behalf.
Seniors are a key political constituency in America because a high percentage of them vote.
The order pushes for Medicare to use more medical telehealth services, which is care delivered by phone or digital means, leading to cost reductions by reducing expensive emergency room visits, an administration official told Reuters ahead of the
The order directs the government to work to allow private insurers that operate Medicare Advantage plans to use new plan pricing methods, such as allowing beneficiaries to share in the savings when they choose lower-cost health services.
It also aims to bring payments for the traditional Medicare fee-for-service program in line with payments for Medicare Advantage.
Trump's plans contrast with the Medicare for All program promoted by Bernie Sanders, a Democratic socialist who is running to become the Democratic Party's nominee against Trump in the 2020 presidential election.
Sanders' proposal, backed by left-leaning Democrats but opposed by moderates such as former Vice President Joe Biden, would create a single-payer system, effectively eliminating private insurance by providing government coverage to everyone, using the Medicare model.
"Medicare for All is Medicare for none," said Seema Verma, the administrator of the U.S. Centers for Medicare and Medicaid Services, on a conference call with reporters, calling the proposal a "pipe dream" that would lead to higher taxes.
Sanders has argued that Americans would pay less for healthcare under his plan.
The White House is eager to show Trump making progress on healthcare, an issue Democrats successfully used to garner support and take control of the House of Representatives in the 2018 midterm elections. Trump campaigned in 2016 on a promise to repeal and replace the Affordable Care Act, his predecessor President Barack Obama's signature healthcare law also known as "Obamacare." So far he has not repealed or replaced it.
In July, the U.S. Department of Health and Human Services (HHS) said it would propose a rule for imports of cheaper drugs from Canada into the United States. A formal rule has not yet been unveiled.
The administration also issued an executive order in June demanding hospitals and insurers make prices they charge patients more transparent. Another in July encouraged novel treatments for kidney disease.
Trump considered other proposals that did not reach fruition.
A federal judge in July shot down an executive order that would have forced drugmakers to display list prices in advertisements, and Trump scrapped another planned order that would have banned some rebate payments drugmakers make to payers.
The administration is mulling a plan to tie some Medicare reimbursement rates for drugs to the price paid for those drugs by foreign governments, Reuters reported.