Political Theater and the Great Healthcare Plan

Document Type

Article

Publication Date

4-14-2026

ISSN

0098-7484

Publisher

JAMA Network

Language

en-US

Abstract

In January 2026, the White House outlined what it calls the Great Healthcare Plan, a policy framework intended to make US health care more affordable (Table). Rather than a detailed legislative proposal, the plan is presented primarily through fact sheets and public statements.

The plan bundles 9 different proposals, including drug pricing changes, expanded over-the-counter (OTC) drug availability, modifications to subsidies in the individual market, reforms to pharmaceutical benefit managers (PBMs), and a bundle of ideas around transparency. At a moment when public concern about affordability is acute, the proposal may have political appeal. Yet a closer examination suggests that the plan’s reach is narrow, its savings modest, and its claims far broader than its likely effects.

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