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Trump is out of touch.

Their idea has been tried before but let to medical bankruptcies.

https://www.fiercehealthcare.com/payers/trumps-idea-health-accounts-has-been-tried-millions-patients-have-ended-debt

To borrow a line from The Sopranos.

What Trump does not know about Healthcare could fill a book.

Or from Hamlet: "There are more things in heaven and earth...than are dreamt of in your philosophy"

Here is my story.

In 1990, I was diagnosed with lymphoma.
I am currently in my third remission.
Three things had to happen for me to reach this third remission: ACA repeal failed, Cancer research, and successful appeal of denial of payment.

In 2002 and 2019 it returned as diffuse large B-cell lymphoma.
In 2017, Trump unsuccessfully tried to repeal the ACA.
In 2019, I went through 4 unsuccessful treatments over 2 years; they all failed.
ACA helped save my life with making life time limits forbidden.

The fifth treatment was successful; which was great news because I was at risk for paralysis.
Also, in this term, Trump has significantly cut cancer research.
The fifth treatment that was successful was approved by FDA just the year before.

Any weaknesses that exist in ACA have more to do with private healthcare industry in this company than any government bureaucracy.
Private healthcare insurance makes decisions on what treatment that they will approve.
I am currently up for treatment authorization renewal this month; we will see what happens.
When I started the treatment, they initially approved, rescinded their approval, approved again.
BTW, the treatment which I have every 3 years cost just under 1 million dollars; insurer gets a discount at roughly 50%.