The Venerable New England Journal Of Medicine Rips Into Tom Price, Trump's Pick For HHS
In a new editorial in the New England Journal of Medicine, (NEJM) based on his history in politics, Tom Price looks to go in a different direction.
Ostensibly, he emphasizes the importance of making our health care system “more responsive and affordable to meet the needs of America’s patients and those who care for them.” But as compared with his predecessors’ actions, Price’s record demonstrates less concern for the sick, the poor, and the health of the public and much greater concern for the economic well-being of their physician caregivers.
he calls his ACA replacement plan “Empowering Patients First Act” while it does just the opposite.
His proposal for replacing the ACA is H.R. 2300, the Empowering Patients First Act,5 which would eliminate the ACA’s Medicaid expansion and replace its subsidies with flat tax credits based on age, not income ($1,200 per year for someone 18 to 35 years of age; $3,000 for someone 50 or older, with an additional one-time credit of $1,000 toward a health savings account). Price’s plan is regressive: it offers much greater subsidies relative to income for purchasers with high incomes and much more meager subsidies for those with low incomes.
Insurance companies will see a windfall under his plan but they aren’t the only beneficiaries of his plan.
Whereas Price’s actions to date have not reflected the tradition of the physician as advocate for the poor and vulnerable, they do harken back to an earlier tradition in American medicine: the physician advocate as protector of the guild.
Trump looks to dismantle HHS and Tom Price is his guy to do it.
The HHS Department oversees a broad set of health programs that touch about half of all Americans. Over five decades and the administrations of nine presidents, both Democratic and Republican secretaries have used these programs to protect the most vulnerable Americans. The proposed nomination of Tom Price to HHS highlights a sharp contrast between this tradition of compassionate leadership and the priorities of the incoming administration.