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With the Trump administration in office for more than two months now, major policy changes and proposals are taking shape. Some could dramatically impact healthcare access, costs and innovation. Last month, I asked you about these changes and how you felt about the Trump administration’s early record on healthcare. Here are the results with my analysis below the graphic:

My thoughts: Last month’s survey sends a clear message: More than 80% of respondents gave the Trump administration a “D” or “F” on healthcare-related policy so far, with just 1 in 10 voters assigning a grade of “A” or “B.” That kind of consensus, especially on such a politically charged topic, is rare.

The reader data suggest there is broad support for a science-based approach to healthcare. Many readers appear concerned by policies that undercut public health infrastructure, reduce access to medical insurance or weaken America’s pandemic readiness. That said, the results weren’t uniformly negative. There was overwhelming support for two key proposals: expanding access to in vitro fertilization (IVF) and requiring greater price transparency from providers.

I view the latter as a sign of growing healthcare consumerism—Americans want more control over both the cost and availability of care. It is logical to want to know what something will cost before getting it. But the opaque nature of healthcare has for decades hidden the details of pricing. Hopefully, transparency will come soon.

Thanks to all who voted! To participate in future surveys, and for access to timely news and opinion on American healthcare, sign up for my free (and ad-free) newsletter Monthly Musings on American Healthcare.

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Dr. Robert Pearl is the former CEO of The Permanente Medical Group, the nation’s largest physician group. He’s a Forbes contributor, bestselling author, Stanford University professor, and host of two healthcare podcasts. Check out Pearl’s newest book, ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine with all profits going to Doctors Without Borders.

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