How Trump and Harris' health care stances and policy plans compare

Vice President Kamala Harris and erstwhile President Donald Trump person different stances connected wellness attraction argumentation successful America, though successful nan 2024 statesmanlike election, wellness attraction has not played arsenic salient a domiciled successful nan run arsenic it did successful 2016 aliases moreover successful 2020. In those campaigns those connected nan near projected a extremist overhaul of Obamacare, while Republicans sought to repeal it. 

Harris has backed distant from single-payer wellness care

During her 2020 statesmanlike campaign, Harris' position connected nan early of backstage wellness security was sometimes confusing. In a superior statement successful 2019, Harris raised her manus erstwhile moderators asked candidates if they would get free of backstage wellness insurance. But past soon afterward, she said no, she would not destruct backstage wellness insurance. 

In April 2019, Harris co-sponsored Sen. Bernie Sanders' "Medicare for All" bill, which would person ended backstage wellness security and replaced it pinch a azygous government-run insurer for each Americans.

Harris released a wellness attraction scheme successful 2019 that would person put nan U.S. connected a way to government-backed wellness security complete 10 years but wouldn't destruct backstage wellness insurance. 

"We will let backstage insurers to connection Medicare plans arsenic portion of this strategy that adhere to strict Medicare requirements connected costs and benefits," Harris said astatine nan time. "Medicare will group nan rules of nan roadworthy for these plans, including value and quality, and backstage security companies will play by those rules, not nan different measurement around."

Trump often brings up Harris' past backing of "Medicare for All" connected nan run trail, accusing her of pledging to "force everyone onto socialist, government-run healthcare pinch precocious taxes and deadly hold times."

Harris' run says she will not push for single-payer authorities wellness insurance, should she go president. 

"I perfectly support and complete nan past 4 years arsenic vice president, backstage wellness attraction options, but what we request to do is support and turn nan Affordable Care Act," Harris said successful her statement against Trump. 

Trump says he has "concepts" of a wellness attraction plan 

During nan statement successful Philadelphia, Trump said he'd "replace" Obamacare, which Republicans successful Congress person mostly fixed up connected successful caller years. Trump and a Republican Congress tried to "repeal and replace" Obamacare successful 2017 and failed. 

"Obamacare was lousy healthcare ever was," Trump said. "It's not very bully today. And what I said that if we travel up pinch thing and we are moving connected things, we're going to do it and we're going to switch it."

One of nan moderators asked for elemental yes aliases nary reply — does he still not person a wellness attraction plan? 

"I person concepts of a plan," Trump said. "I'm not president correct now, but if we travel up pinch something, I would only alteration it if we travel up pinch thing that's amended and little expensive. And location are concepts and options we person to do that, and you'll beryllium proceeding astir it successful nan not excessively distant future."

At rallies, Harris has painted Trump's attacks connected nan Affordable Care Act arsenic endangering immoderate of nan law's astir celebrated provisions, for illustration ensuring sum for group pinch pre-existing conditions.

Trump has denied those claims. While president, he many times vowed that GOP efforts to switch Obamacare connected Capitol Hill would support protections for pre-existing conditions.

Trump struggled to travel up pinch a wellness attraction scheme while he was president, sometimes saying he would person a scheme retired successful "two weeks."

As president, Trump opposed Obamacare aft its passage, tweeting calls for its repeal dozens of times, but nan astir promising effort astatine repealing nan rule grounded pinch nan precocious Sen. John McCain's melodramatic thumbs-down ballot successful 2017.

Trump and Republicans person tried to repeal aliases weaken nan Affordable Care Act successful different ways, too. In December 2020, during the coronavirus pandemic, nan Trump management asked nan Supreme Court to overturn Obamacare. Its filing came connected nan aforesaid time nan authorities reported that adjacent to half a cardinal group who mislaid their wellness security amid nan economical shutdown signed up for sum done HealthCare.gov.

In nan case, Texas and different GOP-led states based on that nan ACA had successful principle been rendered unconstitutional aft Congress passed nan 2017 Trump taxation cut, which had eliminated nan unpopular fines for not having wellness security but near successful spot its security sum requirement. The Supreme Court rejected nan challenge.

In 2018, nan Trump management temporarily suspended consequence accommodation payments to insurers — money that's utilized to money insurers pinch sicker, higher-cost patients. In 2017, nan Trump management shortened nan enrollment play and shut down nan national healthcare exchange for 12 hours astir each Sunday.

Harris wants to proceed Biden's crackdown connected pharmaceutical companies 

Harris has called for broadening parts of nan Inflation Reduction Act that target supplier prices, successful summation to "cracking down" connected supplier manufacturers and security "middlemen" that thrust up costs.

Harris formed nan tie-breaking ballot successful 2022 for nan Inflation Reduction Act, which allows Medicare to discuss supplier prices for its much than 60 cardinal members. 

So far, nan Biden management has group caps for nan value of a number of narcotics for Medicare patients, including Eliquis for humor clots, Entresto for bosom nonaccomplishment and insulin. Those will return effect successful 2026.

Harris backs extending nan law's ceilings connected insulin prices and out-of-pocket spending beyond Medicare, arsenic immoderate successful Congress person proposed. Harris besides wants to grow nan speech program, allowing Medicare to group caps for much narcotics astatine a faster pace.

Trump has besides pledged to little supplier prices, though his run precocious distanced itself from a connection it had floated: reviving a arguable effort to necktie Medicare prices to different countries, which was rolled back successful 2021 amid aggregate ineligible challenges.

Trump says he wants to instruction IVF coverage, but Republicans successful Congress aren't truthful keen 

Trump has said he wants either nan authorities to money successful vitro-fertilization (IVF) aliases to instruction that backstage security companies salary for nan costly and intensive fertility procedure. 

Infertility advocates have backed these kinds of proposals connected Capitol Hill. One measure touted by a fistful of House Republicans complete nan summertime would person required backstage wellness security plans to screen nan procedure. 

But Republicans connected Capitol Hill don't each needfully spot oculus to oculus pinch Trump connected mandating IVF coverage. IVF is an costly procedure, costing betwixt $12,000 and $24,000 per cycle. And galore couples request aggregate IVF cycles to person a baby, since only astir 36% of cycles resulting successful a unrecorded commencement for women ages 35-37 utilizing their ain eggs. That percent drops to 8% per rhythm for women complete 40 utilizing their ain eggs. 

Senate Republicans person twice blocked legislation that would protect entree to IVF and require security companies to screen fertility care, a ballot Senate Democrats took to tie attraction to Trump's statements astir fertility coverage. Only 2 Republicans — Sens. Susan Collins of Maine and Lisa Murkowski of Alaska — voted pinch Democrats successful favour of nan legislation. 

"If Donald Trump and Republicans want to protect people's correct to entree IVF, they tin ballot yes connected it," Sen. Tammy Duckworth of Illinois, who sponsored nan legislation, told CBS News up of nan vote. "He's shown that it only takes 1 condemnation from him, and nan Republican Party will autumn successful statement down him."

Senate Republicans person many times expressed support for IVF, while claiming Democrats' authorities goes excessively far. Sens. Ted Cruz of Texas and Katie Britt of Alabama introduced their ain package to protect entree to IVF this year, but Democrats rejected it, questioning its scope and enforcement measures. 

Other Republicans, for illustration erstwhile Gov. Nikki Haley, person said entree to IVF is simply a bully thing, but sum shouldn't beryllium mandated. 

"Both of my children were products of fertility [treatments]," she told CBS News' "Face nan Nation." "We want that action to beryllium disposable to everyone. But nan measurement you do it is you don't instruction coverage. Instead, you spell and you make judge that sum is accessible, and you make judge that you're doing everything you tin to make it affordable."

More than a twelve states and Washington, D.C., already instruction that immoderate backstage security plans screen IVF.

Kaia Hubbard and Alexander Tin contributed to this report.