Many areas face the unfortunate reality of having poor access to healthcare. This lack of proximity to medical facilities can lead to delayed diagnoses and difficulties in receiving timely treatment. For example, in some rural communities, the distance to the nearest hospital can be several hours away. This not only poses a burden on patients but also affects the overall health outcomes of the population. Studies have shown that in such areas, the prevalence of certain diseases is higher due to delayed medical attention.
Moreover, the limited availability of healthcare providers in these regions can further exacerbate the problem. There may be a shortage of doctors, nurses, and other medical staff, making it even more challenging for residents to access the care they need. This shortage can also lead to long waiting times for appointments and procedures, adding to the frustration and inconvenience of seeking medical help.
Another significant issue is the presence of food deserts in these same areas. Food deserts are defined as areas with limited access to fresh and nutritious food. Instead, residents are often left with limited options such as convenience stores that primarily sell processed and high-calorie foods. This lack of access to healthy food can have a detrimental impact on the health and well-being of the community.
Research has indicated that individuals living in food deserts are more likely to suffer from diet-related diseases such as obesity, diabetes, and heart disease. The absence of fresh produce and healthy food options makes it difficult for people to maintain a balanced diet and make nutritious choices. This, in turn, can lead to a cycle of poor health and increased healthcare costs.
The relationship between healthcare and food is undeniable. Poor access to healthcare can make it difficult for individuals to manage their chronic conditions and prevent the onset of new diseases. At the same time, a diet lacking in essential nutrients can weaken the immune system and make individuals more susceptible to illness.
For example, a person with diabetes who lives in a food desert may have limited access to the proper medications and supplies needed to manage their condition. Additionally, the lack of healthy food options can make it challenging to follow a diabetic diet, further complicating their health situation. On the other hand, providing access to fresh food and improving healthcare services in these areas can have a positive impact on the overall health of the community.
President Joe Biden's enhanced ACA subsidies, which have been providing lower premiums and reduced out-of-pocket costs for Americans on Medicare and Medicaid, are set to expire in 2025. At that point, Trump and a Republican-led Congress will need to decide whether to renew or end these subsidies. The potential consequences of this decision are far-reaching.
Ending the subsidies would save the government money but could restrict healthcare options for those who need them. According to the Congressional Budget Office, nearly 4 million people could drop coverage in 2026 if the subsidies expire. This highlights the importance of this decision and its impact on the lives of millions.
Biden's expansion of the ACA has increased financial assistance for those already on ACA plans and lifted the income eligibility cap. This has made healthcare more accessible for some middle-class families who were previously priced out. Since 2020, the number of people with ACA marketplace coverage has grown by 88%, from 11.4 million to 21.4 million.
However, the future of these subsidies and the ACA itself remains uncertain. Trump's stance on healthcare and his cost-cutting agenda could lead to significant changes in the healthcare landscape.
Tesla CEO Elon Musk and former GOP presidential candidate Vivek Ramaswamy have been tapped by Trump to lead a new Department of Government Efficiency. They plan to propose cuts for the government's most costly programs, including Medicare and Medicaid. Trump's nominees for the top healthcare positions, such as Robert F. Kennedy Jr. leading the Department of Health and Human Services and Dr. Mehmet Oz leading the Centers for Medicare and Medicaid Services, have not outlined specific plans for affordable healthcare.
In an opinion piece in 2020, Oz said he supports a universal healthcare plan, but this stance may be at odds with the Trump administration's cost-cutting agenda. Any move by Trump to change ACA policies would need congressional approval, and insurers need to submit their plan proposals next summer for the 2026 enrollment period.