Two aspects of healthcare

Trump, the executive, and Congress the legislators and funding agents must converge on a solution ensuring that American citizens have affordable health care. It isn't about having access; it is about insurance.

The prescribed outcome is this:

• All Americans are insured with healthcare services and prescription drugs of equal quality at a rate of 100% provided. 

That is the citizens' demand and requirements for the government to address.

The rule:

• Individuals will pay at rates proportional to their income and with variable subsidies from 100% to zero.

The competitive cost threshold:

• Americans compete among developed nations with health care cost be one element. Cost management must factor in global competition among competing nations.

The executive and legislative branches must collaborate with participating communities including providers, drug producers, and consumers to set cost and quality performance standards and metrics.

The two aspects are 1) cost and 2) quality. Not having a solution that ensures all Americans equally is not an option. It is an executive and legislative performance requirement.

"TRUMP'S BARGAINING CHIP ON HEALTH REFORM - President Donald Trump wants to use the ACA's cost-sharing subsidy program as leverage to draw Democrats to the negotiating table on health care reform, POLITICO's Dan Diamond and Josh Dawsey report. Trump could quickly destroy the Obamacare marketplaces if he chooses to scrap the program, worth an estimated $7 billion this year. The subsidies, which go to help insurers pay for low-income customers, are the subject of a long-standing lawsuit brought by the House of Representatives that the White House could choose to drop at any time. 

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Democrats, for their part, are adamant that they won't negotiate on subsidies, which lower medical costs for nearly 7 million Obamacare customers.
One reason why Trump should keep paying the subsidies ... Deciding to continue the subsidies for now also gives the administration more legislative options, according to Ed Lorenzen of the Committee for a Responsible Federal Budget." 

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