How a Donald Trump presidency would change health care, from Medicaid to chronic disease

WASHINGTON — A second Trump presidency could mean significant changes to health care access and costs, even if former President Trump is still working out the details.

There’s been plenty of conjecture about what the former president would do if he retakes the presidency in Tuesday’s elections. Democrats have campaigned heavily against the Project 2025 agenda put out by a conservative think tank, despite Trump insisting he does not endorse the blueprint.

The outsized attention given that proposal has eclipsed some of the former president’s own words about his priorities with respect to abortion access, addiction policy and insurance coverage, surrogates and former officials say. Without many details from Trump himself during the campaign, they point to actions in his first administration.

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