President Trump Delivers Remarks on Healthcare Price Transparency Initiative – Video and Transcript

Earlier today President Trump gave remarks and held a brief White House presser on the topic of healthcare pricing transparency. [Video and Transcript Below]


[Transcript] – THE PRESIDENT: Thank you very much, everybody. It’s a great honor. The stock market is up big today. It set a new record. I think it’s the 22nd time this year, and it’s over 100 times for the time that we’re in office. We’ve set over 100. I think it’s substantially more than 100. We’ll get the exact number because I know you wouldn’t want me to have that wrong. They don’t like that.

But we’re up over 100 times for the stock market. And that means jobs. That means companies are moving back into the United States that left. We have many, many companies coming back.

The employment numbers are at a record. The — or very close. And we just got a new number on African American employment. It’s the best it’s ever been. You could say employment or unemployment — they’re the best numbers they’ve ever been.

So we’re very proud of what’s happened with our economy. A few months ago, you were predicting a recession. Perhaps someday there will be a recession, but we have a long way to go. The consumer has never been stronger, and we’re going to make the consumer even stronger yet, with transparency, because they’re going to get much better pricing at hospitals. So I think we can probably add this to the number.

You saw median household income — for President Bush, eight years — was $450. For President Obama, for eight years — eight years, think of that — was $975. For President Trump — a little over two and a half years — when they did the final number, it was $5,000. And they add to that $2,000, thanks to Kevin and everybody. Thank you, Kevin. You’re behind me someplace, right? Add $2,000 or $2,500, Kevin. What would you say?

REPRESENTATIVE BRADY: Yeah. Right about there, Mr. President.

THE PRESIDENT: Right there? So let’s add $2,000, and then add $3,000 for regulation, and add something for the energy savings. So you have $10,000. So it’s $400 and $975 — that’s for eight and eight. And then, for two and half years, it’s $10,000. That’s not bad. But the consumer is very powerful, and this is going to make them more powerful.

So, welcome, everyone. This afternoon, we celebrate something that I’m very proud of: another major victory in our mission to deliver great healthcare at a price that you can afford. This will have a tremendous impact on prices.

A certain gentleman, who is in the room — who will say a couple of words — actually said this is more important than healthcare. And when he said that, my ears really perked up, and I listened. And they were right, and they gave me plenty of examples. And that person recently got the Presidential Medal of Freedom. His name is Art Laffer, and he’s a very talented guy.

Where is Art? Is he here? Yes?

DR. LAFFER: I’m sort of short today. (Laughter.)

THE PRESIDENT: Hello, Art. I didn’t see you. I didn’t see you back there. All right, stand up here. A great gentleman. And you brought a man here who’s the king of that world. And — hello. How are you? That’s the guy. And you made that statement to me: “More important than healthcare.” That was a big statement. As soon as I heard that, I said, “That sounds good to me.” It’s transparency.

So I signed, as you know, an executive order — historic. And we’re requiring price transparency in healthcare, forcing companies to compete for your business. It’s a very important thing that we’ve done here. I don’t think it’ll be covered by you, but it will be in the years to come.

Our goal was to give patients the knowledge they need about the real price of healthcare services. They’ll be able to check them, compare them, go to different locations, so they can shop for the highest-quality care at the lowest cost. And this is about high-quality care. You’re also looking at that. You’re looking at comparisons between talents, which is very important. And then, you’re also looking at cost. And, in some cases, you get the best doctor for the lowest cost. That’s a — that’s a good thing.

Today, I’m proud to announce two new actions implementing that order. First, we are finalizing a rule that will compel hospitals to publish prices publicly online for everyone to see and to compare. So you’re able to go online and compare all of the hospitals and the doctors and the prices, and, I assume, get résumés on doctors and see who you like.

And the good doctors — like, I assume these two guys are fantastic doctors, otherwise you wouldn’t be here. (Laughter.) And the bad doctors, I guess they have to go and hide someplace. I don’t know. Maybe they don’t do so well. I don’t know. But if they’re not good, we — we are more interested in the good ones. It’s called “rewarding talent.”

Second, we’re putting forward a proposed rule to require health insurance providers to disclose their pricing information to consumers. We’re giving American families control of their healthcare decisions. And the freedom to choose that care is right before them on the Internet and elsewhere, but on the Internet. Very, very open. Very transparent. That’s why it’s called transparency.

And this has been done on a small basis, on individual hospitals. In fact, Art, you were telling me about that, with your hospital, that you’re on the board of a hospital that did this.

I’d like you to actually — before I go further, I’d like you talk about that just for a second. Art Laffer. Art, just mention that, if you could.

DR. LAFFER: Yeah. You’ve got to lower it really far. (Laughter.) Sorry about that.

Let me, if I can, just say I was the chairman of the board of Centennial Hospital. We had some problems. But when you look at this, this is the biggest revolution I’ve seen in generations. I mean — and as opposed to most revolutions, this revolution saves lives; it doesn’t cost lives.

And, in this revolution, it saves money. You don’t have to spend money. And what you’ve seen here before is that we have no transparency whatsoever in medical. It’s like the hermit kingdom of industries. You don’t know what the price is. You don’t know what the outcome is. And you don’t know what the inputs are.

What this does is this pulls away the veil and allows people to see exactly what they can and what they do. And if I can say, I think this will lead to a phenomenal change in the U.S. outcome of employment output production. It’s just one of the industries that desperately needs this.

I’ll stop about here, but the last one I can remember being involved with was with Lady Thatcher when she privatized coal, steel, and the railroads. I mean, the changes there with Sir Keith Joseph. And this outdoes all of those revolutions, sir. It’s the most amazing of all time.

And it takes real leadership to do it and real practitioners to be able to get it through. And Secretary Azar is a great practitioner, and my buddy Larry Ku- — Larry Van Horn is also a great practitioner — as well as Larry Kudlow, by the way. (Laughter.) Thank you, sir.

THE PRESIDENT: And I’d like to have Larry maybe say a few words and explain what this is that we’re being — for the public.

DR. VAN HORN: Sure, Mr. President. This is a momentous day. Americans, year over year, have been faced with higher and higher healthcare costs, facing higher and higher obligation to pay for those out of their own wallets without information around the price and the quality associated with that.

The charges that have been put out are fictitious. Nobody pays the charges. This effort is to make real prices transparent. The net allowed amounts that drive the decision-making for patients every day will now be in their hands. They can make better trade-offs and have, hopefully, more money in their wallets and their paychecks to pay for all of the goods and services they need to live their lives.

So this is a very momentous day. And I appreciate the efforts of the administration all the way through in terms of being able to follow through and execute this.

THE PRESIDENT: And it we did max, right? We didn’t do a smaller version?

MR. VAN HORN: We did it max.


MR. VAN HORN: It’s A-plus.

THE PRESIDENT: I kept saying —

MR. VAN HORN: A-plus. (Laughter.)

THE PRESIDENT: There are versions of this. I said, “No, I don’t want the C or the D. I want the A-plus.” And we did it the A-plus, so I’m very happy with that. And I think you’re going to see things. It’s kicking in immediately. It’ll kick in as of today, but it’s going to really start going during the course of the year, the following year — this year coming. And you’ll see some results that are going to be actually incredible in terms of costs coming down and, I think, in terms of the quality of the care because you’re picking people that you’d want to be with.

This afternoon, we’re grateful to be joined by Secretary Steve Mnuchin — wherever you may be, Steve. Where is Steve?



Secretary Gene Scalia. And I hear you’re really doing a job over there. Huh?

SECRETARY SCALIA: We’re doing our best.

THE PRESIDENT: Labor is doing okay. Your numbers are certainly doing very good. It’s a good time to be Department of Labor. Right? This is a —

SECRETARY SCALIA: A great story to tell.

THE PRESIDENT: Right. Thank you very much. Good.

Secretary Alex Azar. Thank you, Alex. Thank you. Thank you, Alex.

And Administrator Seema Verma. Thank you very much, Seema. Where’s Seema? This is an unusual group today. They’re spread all over the place.

I also want to welcome Representatives Kevin Brady, Michael Burgess, and Greg Walden. They’ve been so fantastic on getting us to a really good position with the taxes.

We’re going to be doing a major middle-income tax cut if we take back the House. And we’ll talking about that sometime later. But we’re going to be doing a very major middle-income tax cut, mostly devoted to middle income who have really been big beneficiaries of the tax cut we did, which was the largest in the history of our country. But we’re doing a major tax cut for the middle income, and that’ll be subject, obviously, to take — taking over the House, because Democrats like tax increases, not tax cuts.

I also want to thank our state leaders. We have a lot state leaders here today at the highest level, and I want to thank them for being here. And a special thanks again to highly respected economists, Dr. Art Laffer and Dr. Larry Van Horn.

And, really, it was those two people that came to my office. We were talking about Art, and we were all congratulating him because he did an incredible job over a lot of years with Ronald Reagan and beyond. And when I said, “The Presidential Medal of Freedom,” which is the highest civilian award you can get, he told me this little story about a certain hospital he was involved with where they did this. And every hospital has had just incredible experience with it. And I said, “Tell me more.” And then we got involved with Larry and Larry Kudlow also, by the way. And we had a little group of four people that talked about it a lot. And I think it’s going to have a tremendous impact.

And again, the statement was made: “This is bigger than healthcare.” And I think it will be. I think it’ll be more meaningful, in many ways. You’ll save so much money and you’ll get the care that you want, and you’ll choose the doctor you want, which was not possible despite the many pleas. You know, “You can have your plan and you can have your doctor.” Well, they turned out to be untrue statements about Obamacare.

For decades, hospitals, insurance companies, lobbyists, and special interests have hidden prices from consumers so they could drive up costs for you. And you had no idea what was happening. You’d get bills that were unbelievable and you have no idea why.

For example, researchers found that for the same MRI at the same hospital, patients were charged anywhere from $248 to $2,500. So, 10 times more, at the same hospital. I assume that would be different doctors within the same hospital. I don’t know if the hospitals are going to like me too much anymore with this, but that’s okay, right? That’s okay. I think the doctors are going to, actually.

In the Boston area, the price of delivering a baby can cost anywhere from roughly $4,700 to nearly $16,000. One survey found that within a single metro area, the highest negotiated price for a simple blood test was roughly 40 times more than the lowest price. They were given exactly the same service — in some cases, sent them to the same labs — and were charged 40 times more money.

Under the new price transparency rule we are finalizing today — and it will be all finalized — it is finalized; it’ll be put out today — all of that will change. Hospitals will soon be required to publish the price of everything from individual medical supplies to the total cost of common procedures.

Next, we will bring much-needed price transparency to insurance companies. I’m sure they’ll be thrilled. This will allow you to see your out-of-pocket costs and other vital price information before you go in for treatment. So you’re going to know what it’s going to be and you’re going to be able to have lots of choices, both in terms of doctors, hospitals, and price. And we’re stopping American patients from just getting, pure and simple — two words, very simple words: ripped off. Because they’ve been ripped off for years. For a lot of years.

With us today is Melissa Ural who works for a company that benefits from price transparency. And, Melissa, could you come up and say a few words?

MS. URAL: Thank you, sir.

THE PRESIDENT: Great. Thank you, Melissa. Thank you very much.

MS. URAL: Thank you, Mr. President. My name is Melissa Ural, and I am the vice president of human resources for HB Global. We are an employee-owned mechanical contracting company.

Transparent pricing initiative aligns with our ownership model because it allows employees to get the care that they need at the cost that they want.

Currently, we are partnering with a broker to work and negotiate prices for surgeries and other procedures at local surgical centers. This allows our employees to know what the procedure or what the cost will look like when they walk through the door.

This also allows our employees to get great care at a fraction of the cost, with the same quality and standard of care that they would have gotten, and they won’t receive any surprise bills.

Right now, we have some price transparency behind the scenes, but with full price transparency up front, our employees can make the best decisions possible.

We wouldn’t expect our employees to go buy a car or a house without knowing the price up front. Why should their healthcare be any different?

I want to thank the President for bringing this important initiative to the front. Thank you.

THE PRESIDENT: Thank you very much, Melissa. (Applause.)

MS. URAL: Thank you.

THE PRESIDENT: Thank you. Good job, Melissa.

We’re also joined by Kara Boeckel, who works for the same company and benefitted when her employer shopped for the best price on a surgery — a surgery that she needed. And I’d like to have Kara come up and please tell us about it. Kara? Please.

MS. BOECKEL: Thank you.


MS. BOECKEL: My name is Kara Boeckel and I work for HB Global, along with Melissa. And in January of this year, I had surgery on my ankle. I’m the sole provider of my two-year-old son, so this impact was huge for his and my day-to-day life.

When I initially went to an orthopedic urgent care, I had no idea what I was going to pay, no idea what the costs were going to be. I just know that I needed to get help. I ended up with a bill for over $1,000. This was an unexpected expense that my family now had to endure, and it had a huge impact on us.

I would — it was a huge stresser to know that I needed surgery and not know what the cost was going to be and how it was going to impact my life.

Thankfully, my company was able to work with a brokerage firm and shop around to know what prices were going to be beforehand. With insurance, the claim my company would have paid was $19,500, and we wouldn’t have known that cost until afterwards. By shopping around beforehand, we knew the claim was going to be $7,800, which is a 60 percent price difference. And it was at zero cost to me. I was even able to get the care out of the same facility that I was going to go to if I would have used my insurance.

I want to thank the President for making healthcare more transparent so that others in my situation don’t have to have these unexpected financial surprises and hardships.

THE PRESIDENT: Thank you very much.

MS. BOECKEL: Thank you. (Applause.)

THE PRESIDENT: Thank you very much, Kara. Also with us is Dr. Rick Schultz, Chief Medical Officer at Texas Free Market Surgery. Doctor, I’d like to have you come up and say a few words about what we’re doing and how we’re doing it. Thank you, Dr. Rick.

DR. SCHULTZ: Thank you. Well, thank you very much for having us here today. This is a very exciting day. I’d like to take a minute to talk about stewardship.

First, I’d like to thank Jesus for allowing me the opportunity and charging me with being a good steward of the opportunity and the abilities to practice orthopedic surgery in Texas for the last 20 years.

I’d also like to thank the President for his leadership and stewardship in this effort and the fact that, since he’s been elected, he trusts Americans to be courageous and make smart decisions with their own money and their own healthcare. And he knows that we’re smart enough to make good decisions now.

This policy — this transparency will be the fuel for healthcare innovation very similar to what we’re doing with Texas Free Market Surgery and Texas Medical Management. Right now, every day, we take good care of patients at a very fair price, and it’s completely transparent. This is not something in the future; this is something we’re doing today. If you don’t believe me, just check out our website.

Finally, I’d really like to challenge the Americans that this is a right that you’re getting back, to know the price of your healthcare. This is going to be a fight. This is very disruptive. The people who are currently making a lot of money off of us are going to fight this tooth and nail. If you aren’t ready to fight for this, then don’t complain when it gets taken away from you.

Mr. President, thank you for stepping into the gap, taking the slings and arrows, and helping to get this going.

THE PRESIDENT: Thank you very much. Thank you.

DR. SCHULTZ: Thank you. (Applause.)

THE PRESIDENT: Thank you. I think, if I could, I’d like to have Kevin Brady come up just for a second and talk about what we’ve done with the individual mandate and how that’s just a part of our — a small part, but it’s a very big part in terms of healthcare; what we did with respect to our tax cuts and our reforms. And you might want to discuss the individual mandate. Getting rid of it was such a big deal. Thank you.

REPRESENTATIVE BRADY: So thank you — thank you, Mr. President. So, first, thank you for being the President who led on letting people keep more of what they earn so they can afford healthcare costs, utility costs, college costs, all of which has seemed to go up.

Secondly, thank you for — when we saw the failings of the Affordable Care Act, especially forcing average Texans, average Americans, into buying healthcare they couldn’t use and couldn’t afford, you stepped forward with Congress to eliminate, effectively, that mandate. So — which was another tax cut on the American people.

You’ve also created association health plans. Because if you’re in a small business — if you work for a small business or have one, you’ve been left behind under the Affordable Care Act. Your plans that allow our small businesses to join together to afford healthcare the way the big companies do — they’re cutting prices 30 and 40 percent, making healthcare affordable again. Hugely helpful.

And then, today, as Art Laffer has pointed out — and you too, Mr. President — look, patients are confused. Families don’t know what things cost. You can’t shop around and don’t understand the price. This, pulling back the curtain on healthcare prices, will help competition occur; give us, as families and patients, choices ahead of time; and will ultimately lower the healthcare costs.

And I’ll close with this: It’s easy to have quality care or affordable care. The goal is to have both. Making these prices transparent allow our families and our businesses to have quality care and affordable at the same time. This really is transformational. Thank you, Mr. President. (Applause.)

THE PRESIDENT: Thank you very much. It all, sort of, fits in. It’s like a puzzle. And I see my friend, Greg. I can’t believe you’re going to be leaving Congress one of these days. I was so disappointed to see that, but you’re fantastic. And we all work together with everybody — all of us.

Come on up here, the two of you. I’d like you to discuss Right to Try a little bit. And, I mean, you think about — it’s really a very important part of healthcare.


THE PRESIDENT: The ultimate part of healthcare. And for 45 years, they’ve been trying to get it passed and they couldn’t do it. And Greg Walden, the three of us plus a lot, we’ve got it done.


THE PRESIDENT: Congressman, thank you very much.

REPRESENTATIVE WALDEN: Hear, hear. Thank you, Mr. President.

THE PRESIDENT: Go ahead. Please.

REPRESENTATIVE WALDEN: Well, thank you, Mr. President. We’ve never had a President lean further, farther forward on behalf of patients than President Donald Trump. (Applause.) And we finally got into law — we finally got into law Right to Try. Now you’re going to get in place “Right to Know.” (Laughter.) We should have the right to know what these things cost.

This is — I was here with you when you talked about surprise medical billing. And we are very close to legislating on that, Mr. President. And that is a huge win for consumers. This is a huge win for consumers. You’re doing the right thing. And Dr. Mike Burgess, who was my Chairman of the Subcommittee on Health Care, now the top Republican on healthcare, has really been a leader in this effort as well, Mr. President.

And your team, working with the Secretaries and Seema and others, have been at the forefront of this. And Americans are benefitting. And the one thing I hear about is what Kevin Brady talked about: We want affordable care, we want innovation, but we have to be able to afford it. And you can’t know what things cost if they won’t tell you. And it’s all hidden back behind the curtain.

So, Mr. President, thanks for your leadership and your team’s leadership.

THE PRESIDENT: Thank you. Michael, say a few words, please.

REPRESENTATIVE BURGESS: Well, what I hear from constituents all the time — I practiced medicine for 25 years — they’re concerned with the cost and complexity of healthcare. This is a major step — major step — in delivering on that promise for patients.

Look, there’s another party in town that just wants to take away all your choices and give you one choice. This President is trying to expand your choices. That’s a better choice.

THE PRESIDENT: Thank you, Michael. (Applause.)


THE PRESIDENT: Thank you. Thank you very much.

So the actions that we’re announcing today are only the latest steps in our campaign to deliver great healthcare for American patients. Our efforts to reduce the price of prescription drugs — and I don’t know if you know that, but this is the first time, Secretary Azar, I think in 51 years, that prices have actually gone down —


THE PRESIDENT: — for prescription drugs. So, that’s quite an achievement.

And if we had the help of the Democrats, which we don’t — it’s a shame, because we could knock drug prices down so low. We will be giving states the right to go to other countries to buy their drugs, because other countries — because they don’t have these crazy, arcane rules that we could fix so quickly if we had the help of the Democrats. But they want the price of drugs to say high, I suppose.

But we brought it down the most in 51 years, and we’re very proud of that. But we can bring them down much more. And one of the things I’m doing is, as an example, Canada will pay much less for drugs because they don’t have to pay for research and development, so their pricing is much cheaper. So we’ll buy — I’m working with Ron DeSantis in Florida and some other governors — great governors. And they’re going to buy from other countries and skip all of the nonsense. And I think, ultimately, what that’s going to do is the drug companies will bring the price of their drugs down, or they’ll buy from other countries. That’s okay, too.

The same pill, made in the same factory, made by the same company, sells for 50, 60, and 70 percent less in one country than it does in another. And we’re always the high country. So, I’m going to be giving governors the right, very shortly, to buy — I’ve already given some the right — to buy their — their prescription drugs from other countries. And we avoid — we skirt a lot of — a lot — that probably sounds like a pretty good idea to you. What do you think, huh?

DR. LAFFER: We love it. (Laughter.)

THE PRESIDENT: You, as the great economist. So, anyway.

So, the actions that we’re announcing today are the latest steps. Our efforts to reduce the price of prescription drugs — we’re going to have some tremendous results. We could do it so simply if we had any kind of help from the Democrats. But they’re doing so many other things, namely one: wasting a lot of time. And very bad for our country, what they’re doing.

And they should approve USMCA. By the way, it’s the greatest trade deal ever made. (Applause.) And they should stop playing games. And, you know, Mexico signed it many months ago. Canada keeps calling me: “When is this deal going to happen? Is this deal going to happen?” And it’s sitting on Nancy Pelosi’s desk for about three months, four months. Nervous Nancy — she needs a little nervous energy to get it done because all she has to do is put it up. She’s got plenty of Democrat votes. A lot of Democrats are pushing her, but she doesn’t want to do it because she doesn’t want to have a victory for the American people. And that’s all it is. So either she does it or she doesn’t do it.

But Mexico wants to know what’s happening. Canada wants to know what’s happening. They could live without it. Because it’s a great deal for us. They could live without it. And they want to know what’s going on.

We eliminated the Obamacare individual mandate penalty, and we’re expanding affordable alternatives which cost up to 60 percent less than Obamacare plans. And it could be even quite a bit higher than that, in some cases. And we will always protect patients with preexisting conditions, and, as I’ve been saying lately, and also patients with preexisting physicians. (Laughter.) I thought that was good. I made it in one speech. I said, “You know, people like that.” But it’s true, because you didn’t have your doctor, you didn’t have your plan. And now you have the plan and you have the doctor. So, it’s pretty good.

In everything we do, my administration is fighting for the rights of American consumers, the wellbeing of American patients, and the health of American people. We’re taking on the bureaucrats in more ways than one. You probably notice that, right? We’re taking on a lot bureaucrats. We’re taking on the insurance companies, and we’re taking on the special interests.

And that’s one of the difficulties I have in Washington because I’ve taken on a lot of the establishment. And a lot of the politicians are taken care of by the establishment, and they don’t like that I take on the establishment. But I’m taking it on for the consumer, for the American people. And that’s why you see prices going down. And you haven’t seen anything yet. Things are going to happen that will be shocking. But there are people in Washington — as I say, there are people in the swamp that don’t like what I’m doing for that reason.

We will not rest until every American has access to the highest quality, most affordable healthcare anywhere in the world.

And, again, I want to thank you all. And I’d like to ask Secretary Azar to come up and say a few words. Thank you very much. Thank you. (Applause.)

SECRETARY AZAR: Well, thank you very much, Mr. President. And thank you for your leadership. You asked us, as you said earlier, to deliver “A-plus” transparency in healthcare. Well, right now, our system wouldn’t even get a passing grade on transparency. Patients are at the mercy of a shadowy system with no control over their care. But thanks to your leadership and your transparency executive order, we’re changing that.

The changes you described, what we’re doing at HHS, will be revolutionary to our healthcare system — perhaps the biggest single change that President Trump has made to Americans’ healthcare experience. More than 70 percent of the most common hospital services are shoppable. We’re delivering American patients the information they need to make the right choices for themselves.

That’s crucial to the kind of system that we’re building for American patients with affordable, personalized, patient-centric care that puts you in control and treats you like a human being and not like a number.

So thank you, Mr. President, for delivering American patients the affordability that you need, the options and control that you want, and the quality that you deserve.

A key leader in this work has been Administrator Verma, who will now say a few words. Seema. (Applause.)


First of all, I want to thank the President because people have been talking about price transparency forever. We all know that what’s been going on in the healthcare system has been wrong. It’s not fair that patients don’t know the cost of the services that they’re going to get. But only one man has been willing to stand up to special interests and do what’s right for patients and put them back in control of their healthcare. So, thank you, President Trump.

THE PRESIDENT: Thank you very much.

ADMINISTRATOR VERMA: Really appreciate it.

THE PRESIDENT: Thank you very much.


THE PRESIDENT: Thank you very much. Thank you. (Applause.)

So, after many, many years, we finally have transparency. It’s going into effect today. It will have a tremendous impact. It will, sort of, go in sections and stages, but it all begins today. And within about 12 months, I think it’ll be fully implemented — and, we can even say, probably a shorter period of time than that. Some of it’s complex and some of it’s very easy. But it’s all very good. It’s — there’s never been anything like this.

So the word is “transparency,” and I love transparency in many ways. And this is going to be something that’s going to be — it’s going to be incredible for the consumer, for the patient. I think it’s going to be really good for the good doctors, maybe not so good for other doctors. I think it’s going to be really good for the great hospitals, frankly. And it’s very exciting.

And it’s something that again, Art, I want to thank you very much because you really did bring it to my attention and I appreciate it very much. Thank you very much.

Yeah, please.

Q Mr. President, what do you say to Democrats that say you were witness tampering this morning when you made that tweet (inaudible) Ambassador Yovanovitch?

THE PRESIDENT: You don’t want to talk about transparency?

Q Well, (inaudible).

THE PRESIDENT: You know, I’ll talk about transparency. I like transparency here. And I’m the most transparent President in history.

And I’ll tell you about what tampering is. Tampering is when a guy like Shifty Shift [sic] doesn’t let us have lawyers. Tampering is when Schiff doesn’t let us have witnesses, doesn’t let us speak. I’ve been watching today. For the first time, I started watching and it’s really sad when you see people not allowed to ask questions. It’s totally — nobody has ever had such horrible due process. There was no due process. And I think it’s —

Q Republicans have been asking questions all day.

THE PRESIDENT: — I think it’s considered a joke all over Washington and all over the world. The Republicans are given no due process whatsoever. We’re not allowed to do anything. It’s a disgrace what’s happening. But you know what? The American public understands it. And that’s why the poll numbers are so good. And that’s why other things are so good. What they’re doing in Washington with that hearing — and, by the way, it’s a political process. It’s not a legal process.

So if I have somebody saying, I’m allowed to speak up. If somebody says about me, we’re not allowed to have any kind of representation, we’re not allowed to have almost anything. And nobody has seen anything like it. In the history of our country there has never been a disgrace like what’s going on right now. So, you know what? I — I have the right to speak. I have freedom of speech, just as other people do. But they’ve taken away the Republicans’ rights.

And I watched today, as certain very talented people wanted to ask questions, and they weren’t even allowed to ask questions — Republicans. They weren’t allowed to ask questions. It’s a very sad thing.

Go ahead.

Q Why did you attack her?

Q Sir, with your freedom, were you trying to intimidate Ambassador Yovanovitch?

THE PRESIDENT: I just want to have a total — I want freedom of speech. That’s a political process. The Republicans have been treated very badly. And I watched a little bit of it today. I wasn’t able to yesterday because we had the President of Turkey here, and I wasn’t able to watch much. I watched some of it this morning. I thought it was a disgrace.

When we have great Republican representatives — people elected by the people — and they’re not allowed to even ask a question, they’re not allowed to make a statement; we’re not allowed to have witnesses; we’re not allowed to have legal counsel, White House Counsel — it’s a disgrace and it’s an embarrassment to our nation.

Q Do you believe your tweets and your words can be intimidating, sir?

THE PRESIDENT: Yes — go ahead, please.

Q Sir, do you believe your tweets and words —

THE PRESIDENT: Quiet. Quiet.

Q — can be intimidating, sir?

THE PRESIDENT: Quiet. Please.

Q Sir, do you believe your tweets and words can be intimidating?

THE PRESIDENT: I don’t think so at all.

Go ahead.

Q Mr. President, do you think you’re going to get impeached?

THE PRESIDENT: Well, I shouldn’t be. In fact, I thought, last night, it ended. Because last night, I was in Louisiana, where we’re going to hopefully elect a great governor — a Republican governor. And I was getting off the plane, and they handed me a statement that was just made by the Foreign Minister and President of the Ukraine.

And Ukraine — they came out loud and clear that there was no linkage whatsoever, not even a little bit. And you saw it. You all saw it. I said, “Oh, well, that ends the impeachment.” And you people don’t even report it.

Look, the press is unbelievably dishonest. That was a major statement put out last night by the Foreign Minister of Ukraine and also by the President of Ukraine, and you don’t even report it. It’s a disgrace. Because it’s sad. There was absolutely no linkage. We had a perfect conversation.

And I also, because of transparency — whether it’s medical transparency or just transparency, generally — I also put out, today, a statement. And in the statement, we released — and then Congressman Nunes read — a call that I had with the President of Ukraine. And it was a great call. It was a very nice call. Everybody said it was perfect. I always say it was equally as good as the other call.

And I put it out today, and nobody even wants to report it. Because it was so good, they don’t want to report it.

Look, if we had an honest press in this country, we would be so well served. And you know what? When I look at your approval numbers, they’re the worst they’ve ever been in the history of our country. The media, the approval numbers — they are horrible. And you ought to get yourself back and you ought to put yourself back in a position where people respect the media again.

And I know some great journalists, I know some great people in the media, but there aren’t enough of them. There’s a lot of dishonesty. And many of you, I just consider members of the Democrats, and it’s a shame.

Okay. Thank you all very much. Thank you. (Applause.)

END 2:47 P.M. EST

This entry was posted in Big Government, Obamacare, President Trump, Uncategorized. Bookmark the permalink.

75 Responses to President Trump Delivers Remarks on Healthcare Price Transparency Initiative – Video and Transcript

  1. covfefe999 says:

    I had a self-paid EKG done a couple of years ago. When they found out I was paying cash and wouldn’t be billing insurance, they cut the price in half. Not kidding.

    Liked by 14 people

    • All Too Much says:

      I had a similar experience with an MRI a few years ago.
      In to inquire, treated and given results all in the same day.

      Liked by 3 people

      • Carly says:

        I’ve read online that even if you have insurance, and expect to pay a steep deductible, to tell the medical billing office that you don’t have insurance so they will give you the better rate. Something to think about if you have low premiums and high deductibles.

        Liked by 3 people

    • Interesting covfefe999.

      My elderly parents had an experience that went the opposite way.

      They live in southern Arizona right next to the Mexican border.

      To make a long story short my Dad needed an ambulance ride to the hospital from home.

      It involved some specialized care but nothing life threatening.

      My ever vigilant Mom makes a point to read all of the itemized bills and found out that this ride cost $12,000 for a 4 mile ride.

      She called the hospital thinking there must be a mistake and was told no mistake.

      My parents have very good insurance both medicare but also private.

      I told her that I believed hospitals and medical companies charged some with good insurance more and those with no insurance or a more moderate plan less.

      The hospital where my Dad was taken serves many illegals.

      Some one has to make up for what they do not pay.

      Liked by 5 people

      • ristvan says:

        When my late dad was medivaced by helicopter from near his Fort Washington Md home to tertiary care hospital Ianova in Va (about 10 miles across the Patomic) where he died days later of a cerebral hemorrhage hematoma, they tried to charge me (the estate) $7500 for the helivac.
        He was on Tricare. (Military plus subsequent other government benefits (over 40 years total service, 21 gun salute full honors burial at Arlington.)
        It only took this Harvard lawyer a year plus to get that ‘little’mistake fixed. God help the rest of us. PDJT is onto something BIG with this drug stuff.

        Liked by 14 people

        • Paula S Daly says:

          Ristvan, I’ve been working on this for 12 years, here in SC, to have price transparency like Surgery Center of OKlahoma has had for years, that moved all their surgery centers and Hospitals to post their pricing up front, which brought down medical costs. Competition works. Ins. only pays 30-50 percent of what the Hospital and Docs charge, and Medicare is 20-30 percent. Been doing this stuff for ever… the middle man doesn’t like it, but too damn bad. It took an outsider to get it done! Another reason to hate him. Sorry about your father… our’s too, filled those big shoes!

          Liked by 4 people

        • Amazing, glad you won.

          My Mom was only required to pay the co-payment so she was not stuck with the whole $12,000.

          But the enormous and over the top $12,000 charge of a 4 mile ambulance ride really made her mad.

          My Dad had only been home from the hospital for a few days after heart surgery (quadruple bypass).

          He just had to go out and check on his beloved horses and in doing so he over did it and passed out.

          We took one look at him grey faced, sweating and shaking and called the paramedic’s instead of driving him ourselves.

          But we were still astonished at the $12,000 bill.

          And how sad for your family after losing your Dad to go into litigation with medial bills.

          Grieving families have enough to handle without problems like that.

          As you say “God help the rest of us”.

          Liked by 2 people

        • sDee says:

          With an RN and two doctors in the family I can attest that it is worse than most could imagine. Local university hospital tried to DNR my mother in-law who lived 5 more years after we intervened. We have all agreed to never let another in the hospital without an advocate overseeing, and, at all times possible, someone at the bedside.

          Our primary care doctor does not participate in insurance plans or hospital network monopolies. She of course would not be allowed to coordinate our care should we be hospitalized. I hope soon we can find a way to give her that authority.

          Liked by 6 people

      • Right to reply says:

        They paid 12,000 cash, or insurance? I guess hospitals don’t mind over charging insurance giants. Transparency is a good thing. Watch the Socialist medics cut their throats to treat you for free lol

        Liked by 2 people

        • Sorry my story was not clear.

          The bill for the ambulance ride was $12,000.

          My parents paid a small co-payment and the rest was left up to the insurance company to either pay all of it or to negotiate it to a smaller payment.

          The point I was trying to make was the hospital was charging my Dad a huge amount of money for a fairly run of the mill ambulance ride.

          We believed it to be because my parents had excellent insurance and the hospital was charging patients with good insurance 3 to 4 times what they charged low income patients for the exact same procedure.

          This hospital is right on the border and delivers many many anchor babies.

          Many illegal mothers bring their sick children who are also illegals across to receive care at this hospital.

          The hospital must make up for these patients who will never pay.

          So the hospital charges patients will good insurance much more.

          This drives up the cost of insurance premiums for all of us.

          I do not have much sympathy for the insurance giants either but check out what illegals and others who receive medical care at taxpayer expense to the cost for the rest of us.

          We will always have our own poor with us but paying for the care of the rest of the worlds poor is causing havoc with many of our hospitals.

          And I believe if they are county hospitals receiving state or other government funds they can not turn anyone away.

          They must treat any one and every one who shows up in their emergency room.

          It is a complicated problem and will take a while to fix, but I think that Pres Trump has made a good start.

          Liked by 2 people

    • Sentient says:

      They cut the price by half after they found out you didn’t have insurance because they usually can’t extract more than half of the sticker price from most people. They’d probably have cut the price by 75-90% if you were an insurance company. I had a $116,000 medical bill get cut to $14,000 once it was processed by insurance. The high (fake) sticker price serves to scare people into paying outrageous insurance premiums.

      Liked by 3 people

      • covfefe999 says:

        I DID have insurance, I just wasn’t going to bill this to insurance. I paid the true cost of the EKG. It was very reasonable, too.

        Liked by 2 people

        • covfefe999 says:

          Don’t read anything more into what I wrote than what is actually there. I think you might have been envisioning some kind of emergency visit and I didn’t have insurance. That wasn’t the situation at all.


          • Sentient says:

            Thanks. I didn’t mean to sound like a know-it-all (or if I did, I’m sorry), especially to an esteemed Treeper. My situation was an ambulance ride to a level-III trauma center and five days in intensive care. Multiple broken bones and CT scans, but no surgery. They almost rushed me into open-heart surgery but thankfully decided to wait a few days to see if my seemingly ruptured aorta was really a blemish on the CT scan (which it apparently was). It was eye-opening to see a $116,000 invoice turn into an actual cost of $14,000. I paid my $5,600 deductible and insurance paid the remaining $8,400.

            Liked by 1 person

            • cdquarles says:

              In August, last year, I threw a blood clot to my lungs and nearly died. The ride to the tertiary care unit billed amount was $800 for 50 miles (most of the bill was mileage). Insurance allowed (I am on Medicare) a fraction of that. Of that fraction, they paid 80%. I ended up with 20%. Of that, I still owe about $100 that I pay on each month The tertiary care billed a bit more than $150,000. Insurance allowed 15% and paid about $14K, leaving me owing a bit less than $1000. I subsequently had to go to the local hospital for another issue. They billed $15,000, were allowed $1500 and I got billed about $200. I have a few other bills owed to the same hospital that I am paying on, now totaling about $300.

              Recall that HIPAA made it illegal to bill insurance a higher rate than it billed anyone else, so all get billed the “top line” yet no-one pays it. Medicare used to pay a small amount for charity care and then there are Diagnosis Related Groups and Capitation payments. Rube Goldberg would be amazed. What the providers want is enough cash flow to provide services, and remember, malpractice insurance for a single doctor these days can easily top $100,000 per year and Lord knows what it is for tertiary care facilities, though likely lower for smaller community facilities. If they are forced to take large discounts, then they *must* charge a large amount on the top line.

              Interestingly enough, my primary care physician gets almost all of what she charges top line, and that’s less than what a plumber would charge ;p, for fixing my drains. I have to wonder if there are capitation payments involved somewhere. Still, her charges have not gone up much.

              When it costs $billions to bring a drug to market and many won’t make it, someone has to foot that bill. Historically, that has been private pay patients then private insurance patients In the USA. Reproducing that drug is relatively low cost, especially spread over billions of doses over many years. Until Part D, Medicare paid very little outside of institutions, for pharmaceuticals.

              It is complicated business, yet transparency will work. And yes, learn how to read the Explanation of Benefits letter(s) you get. I caught an egregious mistake that way and it was promptly rectified.


    • Tiffthis says:

      I had friends who’s child needed a helmet to fix a flat spot on the head, they said it would be $4,000. My friend talked to billing and said she couldn’t afford anything like that- the biller replied: “so you and ur husband are separated and he’s not paying child support (wink, wink)?” My friend replied “yes” (even though they are totally married) then the biller gave her the helmet for $700

      Liked by 2 people

      • Georgia says:

        Those helmets for “flat spots” are the newest scam I hear they’ve figured out– cash business– the “flat spots” resolve by themselves in almost all cases I understand…without a $4,000 helmet….

        Liked by 3 people

    • Paula S Daly says:

      We pay cash for every medical procedure, and let them know it up front… it’s always 50% less. Plus we use our HSA

      Liked by 2 people

      • covfefe999 says:

        I wish I could find some kind of emergency-only health care plan. I would pay cash for my routine care.

        Liked by 1 person

        • Redzone says:

          In FL, United has a relatively new short-term policy that can renew for up to 3 yrs. It is not ObamaCare; they care about pre-existing conditions. Family of 4 premium dropped to around $900 / mo, down from my $2,400 / mo ObamaCare Bronze with huge deductibles.

          I thought I’d roll the dice and so far so good, but no significant claims to really test it out, which is good. I believe this type of policy became available due to some of the changes our good PT was able to achieve.

          Liked by 2 people

        • Tdaly says:

          It’s a high deductible plan with an HSA.


    • markone1blog says:

      That’s good to hear. Our deductible seems to have doubled every two or three years since Obamacare passed.

      Liked by 2 people

    • sDee says:

      Years ago we found an integrative medical specialist who refused to accept insurance and their protocols.

      Our health improved. She got us off nearly all meds. Never filed an insurance claim. We paid cash with her and her network of independents who gave significant cash discounts. Total cost out of pocket for the year was less than one month’s Obamacare premium!

      These networks of doctors whob refuse insurance and have left their provider monopoly are growing. We recently moved and found a concierge doctor with same financial model.

      Liked by 3 people

      • covfefe999 says:

        I’m going to have to read more about this. Since Trump removed the penalty tax for not having an Obamacare-compliant insurance policy, I’m going to explore my options.


        • sDee says:

          Start with doctors who do not accept insurance. They are not bound to medical protocols written by pharma and insurance companies, hence they can focus on patient- unique evaluation, treatment and nutrition/diet. Integrative doctors and concierge are often doing this having left big practice groups and insurance.


  2. Publius2016 says:

    Insurance takes 20% to 200% off the top! 45 said insurance is next…

    Liked by 2 people

    • covfefe999 says:

      We need to give him House and Senate majorities for 2020 and it will be done, I’m sure!

      Liked by 3 people

      • Blaze says:

        Sure it might get done if you ban the lobbyist from DC. If not then good luck!

        Liked by 1 person

        • Mr. T. says:

          Blaze, if we can take back the house and maintain control of the senate, we just might get it done. Ryan is gone from the house, so if we regain control, the US Chamber of Commerce loving buttkisser, won’t be around to screw us over again. The RINO embarrassment from my state, McCain, is gone. When he ran for reelection in 2016, he promised to work to repeal Obamacare. As was typical for lying McCain, he instead cast the deciding vote in favor of keeping it. Assuming POTUS is reelected, he’ll have a lot more experience under his belt as president, and push the congress a lot harder to overhaul the healthcare/health insurance mess than he did before we lost the house in 2018.

          I guess what it comes down to is we need to work hard to get rid of the obstructionists on both sides of the aisle, including losers like Mitt Romney, whose favorability ratings in Utah are dropping like a rock falling from the top of the Empire State Building.

          Liked by 1 person

    • psmcd says:

      I think insurance is limited to 10% profit. The big question is 10% of what? If they are allowed profit on an inflated hospital list price but actual (discounted) cost to insurance is 20% of list (which is the true price the hospital needs to operate at a profit) there is huge incentive to post list prices that far exceed actual price. On a $100,000 bill, is insurance allowed a profit limit of $10,000 yet pay only $20,000 to the hospital, plus hypothetical internal insurance costs of $1,000, for a total actual cost $21,000? 10% profit on $21,000 would be a $2,100 markup. $10,000 – $2,100 = $7,900. I think that $7,900 difference is why the US sees medical list prices that are 500% higher than the rest of the developed world. The US medical system is a racket that is not tolerated in any other free market business. The entire US medical system from insurance (including medicare & medicaid), doctors, pharma, hospitals etc is involved in price fixing and will not be fixed until every one of them is recognized as a participant in a racket. In any other business they would be in jail.


      • cdquarles says:

        Locally, insurance companies must pay out about 85% of their premiums in claims cost. So their profit is what is left after claims, then their own labor, then their other actual costs of doing business. They also must keep enough money set aside to cover bad years, remember they’re betting and if you bet incorrectly often enough … and the government must get its vigorish, too. Insurance net profits are not anywhere near what people think they are (like most businesses).


  3. Carly says:

    Walmart is test piloting a medical center in Georgia. It has dental, eye, and medical all under one roof with, get this, published prices up front. I have a friend who works at Walmart and they are trying to expand the services it offers now at its locations across the country, via their pharmacies.

    Liked by 4 people

  4. JG3 says:

    Sharp looking tie! Mr. President. Looking good!


  5. gingergal says:

    So much anxiety involved with going to the doctor. Not only are you sick or in pain, you don’t know if you will be gouged financially.

    Liked by 1 person

    • The Demon Slick says:

      This is huge. Media is ignoring it. This will introduce the free market back into the healthcare system. What downward pressure on prices was there? None really. Now there will be. Competition.

      Liked by 3 people

  6. Somebody's Gramma says:

    Altho I appreciate the President’s efforts, the problem still remains: Obamacare profoundly wrecked healthcare and premiums are still ridiculously high. And the Dems want to turn it into Medicare-for-All and wreck it even further. I think the President’s goal with this is to make cost transparent so people can shop around, and that might drive prices down because the hospitals will be forced to compete. I hope that works. Not everyone has cash to pay for MRI’s and out patient surgeries.

    Liked by 2 people

  7. JG3 says:

    THE PRESIDENT: Thank you very much, Kara. Also with us is Dr. Rick Schultz, Chief Medical Officer at Texas Free Market Surgery. Doctor, I’d like to have you come up and say a few words about what we’re doing and how we’re doing it. Thank you, Dr. Rick.

    DR. SCHULTZ: Thank you. Well, thank you very much for having us here today. This is a very exciting day. I’d like to take a minute to talk about stewardship.

    First, I’d like to thank Jesus for allowing me the opportunity and charging me with being a good steward of the opportunity and the abilities to practice orthopedic surgery in Texas for the last 20 years.

    I’d also like to thank the President for his leadership and stewardship in this effort and the fact that, since he’s been elected, he trusts Americans to be courageous and make smart decisions with their own money and their own healthcare. And he knows that we’re smart enough to make good decisions now.

    This policy — this transparency will be the fuel for healthcare innovation very similar to what we’re doing with Texas Free Market Surgery and Texas Medical Management. Right now, every day, we take good care of patients at a very fair price, and it’s completely transparent. This is not something in the future; this is something we’re doing today. If you don’t believe me, just check out our website.

    Finally, I’d really like to challenge the Americans that this is a right that you’re getting back, to know the price of your healthcare. This is going to be a fight. This is very disruptive. The people who are currently making a lot of money off of us are going to fight this tooth and nail. If you aren’t ready to fight for this, then don’t complain when it gets taken away from you.

    Mr. President, thank you for stepping into the gap, taking the slings and arrows, and helping to get this going.

    THE PRESIDENT: Thank you very much. Thank you.

    DR. SCHULTZ: Thank you. (Applause.)

    Liked by 1 person

  8. todayistheday99 says:

    I consider the media members of the DemonRats. Or is it DemonRats the members of the media. The time old age question of the chicken or the egg.

    Liked by 1 person

  9. ristvan says:

    Some very rough data backing PDJT, from someone who has been on the ‘drug+equivalents’ front since start of 2001.
    For big pharma, cost of goods is about 9%. Of course that does not repay R&D.
    But R&D is ‘only’ about 12-15% of revenue.
    Marketing, including TV ads legal in only one other country worldwide, is about 40%. Think all the ED and Paoriasis ads currently flooding channels.
    And big pharma net profit is still about 25%. Obscene. Good normal is <10%.

    So PDJT has a big fat target here.

    Liked by 5 people

  10. A2 says:

    Excellent 👏👏👏


  11. Dutchman says:

    Off topic, so put me in suspension or,whatever. Just saw that PDJT commuted sentences of several military officers. Breaking news. Gonna be grounds for impeachment, for sure!

    Gonna drive libs crazy, a ‘shot across the bow’, by our President!

    Liked by 4 people

    • Patience says:

      Dutchman, Gonna drive libs crazIER

      (fixed it)


      • Dutchman says:

        I’m not sure, at THIS point, that there are DEGREES. WHAT comes after batsh*t crazy?

        Its kinda a binary condition. Crazy or deplorable.

        Liked by 1 person

        • ann says:

          Malicious narcissists & sociopaths aren’t technically crazy, but enjoy wielding power and enduring fear.
          That’s probably why we justifiably are being driven crazy. ♥️

          my daughter


          • Dutchman says:

            Mine, too. And her Mother, my ex. Sociopath, or as they renamed it “asocial pwrsonality disorder. One of a # of conditions psychologists have no cure for.

            Liked by 1 person

            • ann says:

              Dutch, Often antisocial pD burn out, age out, so to speak. But don’t mistake that for being trustworthy!


              • Dutchman says:

                Wouldn’t think of it, ann. And I see you are REALLY familiar, as am I.

                Yes, observed the “burn out”, I think the,work necesary, to maintain the fascade, just gets to require a lot of energy to maintain.

                For me, the comfort is knowing they will grow old alone, unloved and unwanted. But I’m not BITTER or anything, lol.

                Scars are deep, but I survived, so stronger and wiser. Can now,spot one 3 blocks,away, other side of street.
                “And I won’t be fooled,…AGAIIIIN!”

                “IFI saw that you were drowning, I would not lend,a hand!”

                Music can be such a comfort!

                Liked by 1 person

  12. vikingmom says:

    This news is huge!! Not only does it give the actual consumer a voice in how they spend their money, but it will drive down the cost of insurance for companies (especially small businesses), which will then free up those dollars to give raises to their workers.

    I think the main reason the Ds and the COC have been fighting legislation like this is that it will also open up the books to see how much every working American is paying to provide “free” services to illegals and those on welfare. They won’t be able to hide those numbers so easily anymore!

    Liked by 3 people

  13. Andrea Reed says:

    I just have to say this. I saw an interview with Jamie Diamond today. And I can’t believe what he is saying. He was and is the worst CEO. I worked under him. After he took over Bank One Chicago. He came in and changed us from small town to corporate. He implemented a process that trickled down to us managers. It was a back room dial for dollars atmosphere. He invited us to a managers meeting where he put on stage brand new employees and said these were our replacements if we didn’t perform. He is an evil man. He was invited into the Obama White House to help write Obama care. He pretends to have the best interest of our country in his mind. Nothing could be farther from the truth. Jamie Diamond is evil. He always will be. Nobody should ever be a manager this way again. Lucky for me. I found a great job at a credit union. No more of that sort of pressure. No more non support. No more inhumanity. The way he allowed these people to treat us was in humane. This man is nothing more than an aristocratic who plays both sides for his own gain. I know more people like me. We want the truth to be known.

    Liked by 1 person

  14. Patience says:

    Ahh, once again President Trump –a man of his word– is draining the thieving-swamp.
    >Truly, a man of We The People.

    President Trump is a one man army!

    Liked by 2 people

  15. Paula S Daly says:

    This should be the biggest thing yet in his presdentry. The Middlemen have been milking us dry for decades! Thank you PDJT for doing this.

    Liked by 2 people

  16. Sentient says:

    This is great news. I hope nothing (like a Court) blocks this. On a related note: Bernie Sanders has proposed legislation to make it illegal to charge more (for a particular basket of important medicines) than the average priced charged in 6-7 other, specified, industrialized country. It’s an attempt to stop Americans being charged more than Germans, Brits, etc. for the same drug. Another way would be to allow reimportation of drugs from other countries. I don’t know the perfect mechanism to equalize drug prices across the globe, but it’s part of an America First mindset. The president should consider working with Sanders, co-opting his plan and/or doing it one better by listing more medicines. It would make libs’ heads explode, be a populist, America First approach and also fulfill one of the president’s 2016 campaign promises.


  17. ChampagneReady says:

    By the end of his term in 2025, they better be clearing the space for his image to be carved into Mt. Rushmore.

    Liked by 3 people

  18. Dee Paul Deje says:

    The Trumpster still working 24/7 to MAGA while the Democrats stand around and jerk each other off in front of the presstitutes.

    Liked by 4 people

  19. Rynn69 says:

    This is great, but Americans would be wise to question all medications they are prescribed with their physician.

    For some reason, Americans have a blind trust in healthcare. Not to sound brutally honest, but like an auto shop a business is driven by more business. I would encourage EVERY American to research the medications they are on, question the necessity of those medications, and get second opinions from other physicians on big diagnoses.


    Liked by 1 person

  20. wodiej says:

    There needs to be a conscience but since the industry has chosen the path of greed, competition is the next step. It is just plain evil to overcharge for medications and healthcare. My 83 year old mother has been diagnosed with dementia and needs to go to memory care soon. $7000+ a month. What does this include? Helping her to the bathroom, shower, giving medication and watching her drool on herself in a building that looks like it was built during the depression. And then they take every dime she has worked her whole life for. It’s DISGUSTING the way vets, seniors and other vulnerable people are being used for the love of money.

    Liked by 2 people

  21. Frank says:

    I work in a medical lab at a hospital. Our supplies and equipment are very expensive, but the per-slide or per-test costs to the patient are actually pretty reasonable, considering our material investment and the fact that pathologists and other specialists have to read the slides or results. I can’t say that any other department is reasonably priced, but at least the testing being done behind the scenes is kept about as cheap as they can do it.

    Of course, even then the pricing varies from lab to lab. My previous employer is a well-known hospital, so they leverage their brand to charge unbelievably exorbitant prices for everything, including routine testing. They also pay their lab staff significantly less than other nearby hospitals. It is nothing short of scandalous, and I look forward to watching them suffer when they have to tell patients what everything costs.


  22. This is one of the most important and far reaching health care reforms that has been accomplished by any President in recent years. Yet all the media wants to talk about is the phony impeachment scam. Sickening.

    Liked by 1 person

  23. CountryDoc says:

    It is beginning. Like he addressed globalism, his greatest weapon is sunlight. Notice the media (representatives of those in power) have been very quiet, contrasted to the times of the obamacare build up and since Obama left office. They don’t want to disturb or uncover the ~ 2-3 TRILLION dollars being siphoned off the american people, driven by fear of loss of healthcare, stoked by exorbitant prices.

    A series of para-medical industries have been gradually developed that are siphoning off the nations healthcare dollars

    Ideally, the purpose of our healthcare system is not to make the sick well, but to assist you in taking excellent care of yourself, and give you access to what you cannot provide by yourself. That involves lifestyle habits of excellent diet and keeping physically fit. Patients need assistance with diagnosis, and treatment, sometimes including medication and procedures. We need for that person or healthcare team to be someone who knows us well, follows us with long-term continuity, and most importantly, This is with us in every silo of healthcare: Emergency room, hospital, ICU, specialty visits, nursing home, homebound requiring healthcare, hospice, and decisions about the risk/benefit of care to our quality of life in the last years of our life.

    I am a family physician. I have also been heavily involved in geriatrics, chronic disease, palliative care, and hospice. The role of primary care docs: Family practice, internal medicine, pediatrics is being destroyed. The health care system does not want us there because we get in the way of their extortionist activities.

    These paramedical industries, started with motherhood and apple pie benevolent intents, are being transformed into extensive profits centers, and as soon as they become profitable they are brought up by the insurance companies. Pharmacy benefit managers (Experss scripts), Case management companies, pharmacies, urgent care clinics, even hospices and the newer palliative care organizations, are being owned by the insurance companies. We must get insurance companies out of the businesses of also delivering care or making medical decisions.

    Insurance companies,including Medicare (which by the way is the largest industry in the world) get money from taxpayers or employer’s first. Increasingly they are being given almost all of the control, via withholding payment or requiring free work to be done by licensed professionals: Physicians, nurse practitioners, physician assistants, nurses, etc.

    The US pays $11,000 per person. The next most expensive countries pay about 5000 in US dollars, and most well below 4,000. Where is that money going?

    You would not believe how insane it is to practice good primary care in this country. Physicians are leaving in droves. Many are going into direct primary care, getting out of the insurance business altogether and having patients pain Stipend monthly for a defined scope of primary care services. Many are doing chairs care, charging patients monthy premiums in addition to insurance, in order to remain their physicians.

    In the insurance industry, a physician must carry a panel of 1200-2500 patients and have an incredibly high overhead, and can only practice mediocre medicine if he is very good with management. With direct cast payment, physicians can take excellent care of 300-500 patients, make salaries commensurate with their 13 year education, and greatly simplify and increase the value of care delivered to their patients.

    Of course the insurance company and large hospital systems are fighting these rebellion vigorously.

    Liked by 1 person

    • yadent says:

      It appears what is needed are more medical operations such the Surgical Center of Oklahoma. Also as I noted before, enforceable punishment. Notice that there was ‘no threat to enforce 15 USC Chapter 1, which already exists, has twice been challenged to the Supreme Court for health-care firms and both times the health and insurance industry lost. In other words we already know that 15 USC Chapter 1, which provides for one hundred million dollar fines for corporations PER INSTANCE and ten years in prison for all persons involved, applies to this conduct.’ Want to stop bad conduct, ENFORCE EXISTING LAW.


    • Seneca the Elder says:

      Country doc- thanks for a great post!


    • Rynn69 says:

      This is exactly right – truth.


  24. Got243kids says:

    My sister is a nurse. 14 years ago I asked her how much for a hernia operation? She stared at me.
    I asked why I can’t get a bid on the needed operation when I’m forced to bid remodeling projects as a carpenter, risking my business every time? She could not provide me a response.

    This will change everything for the better. The med industry will cry foul… “it’s so beneath us, we’re educated, we’re above such petty requirements… blah blah”

    Thank you President Trump!

    I still haven’t received the operation.


    • Frank says:

      Hospital staff never know the price of anything. Only the billing department has that info.

      If you’re still considering surgery, go with a private practice that specializes in “outpatient routine surgery.” These private places will tell you up front what everything costs in cash or with insurance, from diagnosis to procedure, post-op pathology and follow-up visits. You can just search that stuff online, for the most part. They’ll put their prices in writing, too. Even if you’re not interested in surgery, a fifty-buck hernia belt can make life a lot more comfortable and safe. Take care.


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