Medicine
fromFast Company
2 days agoThe $80,000 clue hiding in plain sight in U.S. healthcare
Genomic sequencing can identify genetic causes of neurological conditions but is often underutilized early in patient care.
Many of the medicines on TrumpRx include brand-name drugs that patients can find cheaper elsewhere as generics. For instance, Protonix for heartburn is available for $200 on TrumpRx, but the generic version, pantoprazole, costs less than $30 with a GoodRx coupon.
In light of the systemic dismantling of America's public health agencies, these moves essentially create a shadow infrastructure to maintain some of what is being lost. While this is a promising development, it does nothing to stop a troubling trend that has been emerging for some time: The country is quickly becoming fragmented along partisan lines when it comes to public health.
The issue is particularly critical right now for people who have insurance plans through the Affordable Care Act marketplace. Prices for those plans have skyrocketed this year after Congress failed to extend critical tax credits. Without those credits, monthly premiums for ACA plans have, on average, more than doubled. Early data on ACA enrollments for 2026 not only suggests that fewer people are signing up for the plans, but also that those who are enrolling are often choosing bronze plans, which are high-deductible plans.
The idea echoes a policy implemented during his first term, when Trump suggested that requiring hospitals to post their charges online could ease one of the most common gripes about the health care system the lack of upfront prices. To anyone who's gotten a bill three months after treatment only to find mysterious charges, the idea seemed intuitive. "You're able to go online and compare all of the hospitals and the doctors and the prices,"
In 2026, the US healthcare system is changing. Enhanced Affordable Care Act subsidies have expired, causing premiums for marketplace plans to spike - and pricing some families out of health insurance entirely. President Donald Trump's One Big Beautiful Bill Act will reduce coverage for some patients with Medicaid and funding for hospitals, especially those in rural areas. Costs for Medicare and private insurance are also rising: Employer-based healthcare premiums have increased by 9%, the largest rise in more than a decade.
Her monthly health insurance premium jumped from $3 to $164 a month in January, a cost too high for the single mom's tight budget. Her job as a dishwasher at Chili's barely covers rent, groceries, and other essentials. Like many Americans, Richards relies on the Affordable Care Act marketplace because her job doesn't offer health insurance.