On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as guardians of Medicare. Each presidential candidate accuses the other of backing spending cuts and other policies that would damage the health insurance program for older Americans.
But the election’s outcome could alter the very nature of the nearly 60-year-old federal program. More than half of Medicare beneficiaries are already enrolled in plans, called Medicare Advantage, run by commercial insurers, and if Trump wins, that proportion is expected to grow — perhaps dramatically.
Trump and many congressional Republicans have already taken steps to aggressively promote Medicare Advantage. And Project 2025, a political wish list produced by the conservative Heritage Foundation for the next presidency, calls for making insurer-run plans the default enrollment option for Medicare.
Williams, E., Rudowitz, R., Tolbert, J., Hinton, E., Burns, A., Chidambaram, P., & Raphael, J. (2024, September 6). What the outcome of the election could mean for Medicaid | KFF. KFF. https://www.kff.org/medicaid/issue-brief/what-the-outcome-of-the-election-could-mean-for-medicaid/
Armour, S. (2024, November 25). Election outcome could bring big changes to Medicare – KFF Health News. KFF Health News. https://kffhealthnews.org/news/article/medicare-advantage-privatization-trump-harris-election-outcome/