Trump’s Best Health Care Idea

15 Apr 2026 | John Goodman, What's New

Shawn Rocco/Associated Press


Healthcare usually benefits Democrats politically, but some of the most important health-policy changes of the past decade have come from Donald Trump’s White House. Now his administration is proposing a reform that could change the U.S. healthcare system as radically as Barack Obama’s Affordable Care Act did.

This latest proposed reform, the 2027 ACA Exchange Rule, would allow health insurers to offer nonnetwork plans on market exchanges where people buy their own insurance. Today, most healthcare plans cover care only from doctors and hospitals with which they have contracts for treatment and payment. Under the new rule, health insurers would be able to set “reference prices”—say, for an MRI or a knee replacement—that would apply regardless of which provider a patient chooses.

Read the full article on the Wall Street Journal website.

John C. Goodman is President of the Goodman Institute and Senior Fellow at The Independent Institute. His books include the soon-to-be-published updated edition of Priceless: Curing the Healthcare Crisis, the widely acclaimed A Better Choice: Healthcare Solutions for America, and New Way to Care: Social Protections that Put Families First. The Wall Street Journal and National Journal, among other media, have called him the “Father of Health Savings Accounts.”

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