The plan offers discrete pots of money for HIV, childhood cancer and the opioid crisis, while shrinking the health infrastructure relied upon by many struggling with these issues.
By Amy Goldstein , Amy Goldstein Reporter covering health-care policy and other social policy issues Email Bio Follow Laurie McGinley and Laurie McGinley Reporter covering health and medicine Email Bio Follow Lena H. Sun Lena H.
On combating the opioid crisis — another promise mentioned in Trump’s State of the Union speech — Keith Humphreys, a psychiatry professor at Stanford University, called the budget “really negligent on a grand scale.” The budget would devote $4.8 billion at the Department of Health and Human Services to help stem the epidemic.
And despite the president’s promises not to harm Medicare, his budget envisions changes that would reduce spending on the popular program by $845 billion over the next decade — with the largest savings related to payment reductions to providers and new efforts to combat fraud and abuse. “I understand the pain,” Azar replied, saying the cut was in proportion to an overall 12 percent reduction in the HHS budget. “It’s a tough budget environment.”
Previous presidents, including Barack Obama, sought to slow spending on Medicare, in part to lengthen the life of a financially fragile trust fund for a section of the program that covers hospital stays. But this year’s budget “is at a different level and has broader implications,” proposing to slow funding for medical education, and reduce reimbursements to physicians and hospitals that care for a large share of patients who cannot afford to pay for their bills, Kahn said.
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