As Michigan voters take part in the 2024 Republican primary, the spotlight is on the contrasting positions of leading candidates, former President Donald Trump and former Gov. Nikki Haley, on key health care issues.
Donald Trump has worked hard to repeal the Affordable Care Act (ACA), commonly known as Obamacare, during his presidency, but he has remained relatively passive on the topic lately. Despite his initial efforts to dismantle the ACA, Trump faced major obstacles in Congress and ultimately overturned the landmark bill signed by his predecessor, Barack Obama. I couldn't.
Notably, Trump took action during his presidency to address the opioid epidemic, increasing funding for substance use disorder treatment and declaring a public health emergency. But in the campaign leading up to his 2024 election, President Trump's focus has shifted to combating the fentanyl epidemic and targeting drug cartels, particularly those operating in Mexico.
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In contrast, former South Carolina Governor Nikki Haley is adamantly opposed to the Affordable Care Act. During her tenure as governor, she was one of the few state leaders to refuse to expand Medicaid benefits under the ACA.
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During her campaign, Haley pledged to support a Medicare program for individuals over 40, while proposing reforms for younger generations. Central to her health care platform are efforts to limit Medicare benefits for wealthy Americans and expand Medicare Advantage, a program promoted by private companies but reimbursed by the government.
President Trump's relative silence on the issue stands in contrast to Haley's firm stance on the Affordable Care Act and Medicare reform proposals.
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Jeremy Yurow is a political reporting fellow at the USA TODAY Network based in Hawaii. He can be reached at JYurow@gannett.com or X @JeremyYurow.