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Trump Will Put Patients Over the Bureaucrats Who Drive Up Healthcare Costs![]() The following content is sponsored by Americans for Limited Government. The Trump administration should set its sights on the middlemen who drive up healthcare costs. In his quest to eliminate wasteful federal spending, President Trump has a Cheesecake Factory-sized menu to choose from when it comes to healthcare. Once the Trump administration turns its attention to this sector, it will quickly discover that foreign aid was a mere appetizer to the fatty center of America’s bloated health apparatus. Take Medicaid, the government health program meant to provide coverage to low-income and disabled Americans. In 2023 alone, the nonpartisan Government Accountability Office found the program lost $50 billion to “improper payments,” a term used to describe waste and fraud. That’s more than USAID’s total budget for the year. Last year, the Federal Trade Commission claimed that Pharmacy Benefit Managers (PBMs) “abused their economic power by rigging pharmaceutical supply chain competition in their favor, forcing patients to pay more for life-saving medication. According to the complaint, these PBMs, known as the Big Three, together administer about 80 percent of all prescriptions in the United States.” PBMs’ combined revenue is over $1 trillion. It equals 22 percent of national health expenditures. This begs the question, what makes American healthcare so different than the others – and the answer
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