How Trump's ACA 'Reversal' Funnels Billions Into the Trump Rx Grift

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How Trump's ACA 'Reversal' Funnels Billions Into the Trump Rx Grift

Let's cut through the noise. The reason the administration wanted the ACA subsidies to expire so badly—and the reason for the seemingly sudden "reversal" pushing for an extension—is because it’s the final, crucial step in a grift designed to make billions for the President and his allies.

This isn't about saving money; it’s about creating a captive market for "Trump Rx" by dismantling the public health system.

The Setup: What the Democrats Built (and the GOP Hated)

This entire scheme revolves around the Inflation Reduction Act (IRA), passed by Democrats and signed by Biden. For the first time ever, the IRA finally allowed CMS (Medicare and Medicaid Services) to negotiate directly with pharmaceutical manufacturers.

Republicans fought this for decades because negotiating drug prices is how universal healthcare works worldwide: huge purchasing power means huge savings, which means lower profits for Big Pharma. Lowering costs for Medicare also lowers the burden on taxpayers—a double win the GOP couldn't allow.

The first round of negotiations under Biden went incredibly well, slashing prices on 10 medications by up to 76% and saving Medicare an estimated $6 billion in the first year alone. The second round of 15 medications was announced just three days before the current administration took office.

The Trojan Horse: The Fake Drug Deal

This brings us to the supposed "victory" the administration is touting: the incredibly low prices he claims he negotiated for the GLP-1 weight loss medications for Medicare.

The Reality: That price ($245) is the highest he could have gotten us—barely under the legal ceiling that was already established by the IRA. He got us the worst deal he could have negotiated.

The quid pro quo for this bad Medicare deal is the heart of the scam: in exchange, these pharma giants (like Pfizer, and others on the 15-med list) were forced to make a deal with Trump Rx—the new discount "portal."

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The Final Play: Trump Rx and the Trump Jr. Connection

"Trump Rx" is not the government selling medicine; it’s a dot-gov portal connecting individuals to a private discount retailer on the other end.

Why would the administration push this so hard? Coincidentally, his son, Donald Trump Jr., sits on the board of Blink Rx, a company that performs this exact service. The connections are now obvious: use the power of the federal government to establish a massive new market funnel, and let your family and allies cash in as the private company on the receiving end.

Adding to the stench, pharma companies like Eli Lilly were allegedly promised that in exchange for the Trump Rx deal, they would not be subjected to any other IRA pricing mandates on future drugs. This means the President may have just signed away Medicare’s ability to lower any other prescription costs for some of the world’s largest pharmaceutical companies.

The Weapon: Why the ACA Had to Die

This is where the ACA subsidy expiration comes in: it’s the final step to guarantee the success of Trump Rx.

• The subsidies expire, premiums skyrocket for 22 million Americans.

• Millions are kicked off Medicaid or forced to downgrade their insurance.

• Millions of Americans are now forced to pay huge out-of-pocket costs for prescriptions, pushing them straight into the arms of discount retailers like Trump Rx.

But the final betrayal is his "reversal" to extend the subsidies: he wants the money put into HSAs (Health Savings Accounts), a format that does very little for health coverage but flows freely toward eligible health expenses—like prescriptions bought at the newly empowered discount retailers.

He's not just costing millions of Americans their health insurance. He's literally costing them their health coverage and then handing them the cash in a format that ensures it flows directly toward his private business venture.

The fun side to this dark story? This whole scheme was discovered because the President’s own ego did him in. He tried to claim credit for a low price that was already negotiated by the IRA, and when the chart (of a meeting where someone fainted) was examined closely, a Sharpied-out label exposed the original pricing source: a "Biden proposal."

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