Trump’s cuts can affect public health spending

Rate of understanding the financing structure of the United States Health System goes through how it remains a system based on the private assurance and provision of services. And so it continues despite the fact that several Democratic presidents, outstandingly Obama and to the lesser extent Clinton, have tried to implement changes aimed at guaranteeing real access to health services in this country. Despite these attempts that US system remains the most inefficient and expensive in the world.

With the purpose of clarifying how US federal public spending can be impacted by the cuts announced by Trump, the Kaiser Foundation has just carried out an analysis in this regard (24/25). Trump and Republican congressmen are looking to cut trillions of dollars to the mandatory federal expenditure to extend non -mandatory financing, whose duration would expire in 2025. This is called health programs are an obvious target because they correspond to a substantial part of the federal expenditure.

The three most exposed programs are in the first place Medicaid for the most lacking population; Medicare is also included for the elderly population and the affordable Care Act, known today as Obamacareafter the multiple modifications made to the original.

To them are added in the so -called Reconciliatory discussion of the federal budget non -mandatory programs by law, such as the financing of health care of veterans; An important number of federal health agencies such as the National Institute of Health, similar to high specialty and research institutes, with 19 percent, disease control centers with 4 percentage points and global health with another 4.

This indicates that public spending to maintain a basically private system is huge and falls largely on the poorest population. The cuts to the veterans program, who have been soldiers in the endless EU wars in different parts of the world, would be especially scandalous. It is also to remember that the growing use of drugs in this country has its roots in the defeat in the Vietnam War.

Possible federal spending cuts in high probability programs and services will result in loss of health insurance and lack of access to services, the increase in catastrophic health spending, and eventually increase mortality between exposed groups and with low income. However, the groups insured through health insurance will also lose coverage, as well as people in areas not considered profitable, for example, in rural areas. And if that were not enough, public officials eliminated by Elon Musk’s office, Government Efficiency Department (Doge), without attachment to the law.

It should be remembered that health inequality is not new, but a long -term event. It is also a situation that most surveys show that most of the Americans disapprove. And yet, most Trump voters put their access to health services at risk.

To understand this situation, not only in the US, it should be remembered that health as an integral part of well -being costs a lot of money, especially when health and prevention education are weak. It also happens because we suffer from a very medicalized culture both among health workers and among the population.