{"id":38134,"date":"2024-11-13T22:49:14","date_gmt":"2024-11-13T22:49:14","guid":{"rendered":"https:\/\/isafespend.com\/?p=38134"},"modified":"2024-11-13T22:49:15","modified_gmt":"2024-11-13T22:49:15","slug":"what-a-trump-administration-will-mean-for-older-adults","status":"publish","type":"post","link":"https:\/\/isafespend.com\/?p=38134","title":{"rendered":"What A Trump Administration Will Mean For Older Adults"},"content":{"rendered":"<div>\n<p>Donald Trump\u2019s return to the White House, coupled with Republican control of the Senate and possibly of the House, could result in a far more limited government role in the care of frail older adults and younger people with disabilities.<\/p>\n<p>Most immediately, Trump\u2019s proposed mass deportations would make the current shortage of care workers much worse, increasing the burden on family caregivers.<\/p>\n<p>Trump himself has shown relatively little interest in health-related issues. But he\u2019s surrounded by past and current advisers who are deeply committed to making major changes in health and long-term care. For example, Project 2025, written by a group of first-term Trump advisers, would fundamentally restructure federal health policy.<\/p>\n<p>Here\u2019s a more detailed look at some key issues:<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>Social Security<\/strong><\/h2>\n<p>Despite Social Security\u2019s inexorable path toward insolvency within a decade, Trump has steadfastly opposed any benefit cuts or payroll tax increases. Instead, he proposed exempting Social Security benefits from income tax, which would effectively raise benefits for those higher-income retirees now subject to the levy.<\/p>\n<p><fbs-ad position=\"inread\" progressive=\"\" ad-id=\"article-0-inread\" aria-hidden=\"true\" role=\"presentation\"><\/fbs-ad><\/p>\n<p>My colleagues at the Tax Policy Center estimate the measure would boost after-tax incomes by an average of $3,400 for those who can take advantage of the tax cut. But low-income retirees would get no benefit since they already are exempt from the tax.<\/p>\n<p>Since those taxes currently are poured back into the retirement system, repealing them would drain $1.5 trillion from the Social Security and Medicare trust funds over the next decade.<\/p>\n<p>However, thanks to complicated congressional budget rules, Trump will likely struggle to win legislative approval of this idea, even with full GOP control of Congress.<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>Health Care<\/strong><\/h2>\n<p>Medicare Advantage managed care currently covers more than half of Medicare enrollees, according to a KFF report. But critics say the plans are overpaid. Some members of the new administration and Congress may look to slow the growth of MA payments to lower Medicare costs. But others will push to increase payments and ease regulation to boost enrollment. Project 2025 proposed making MA the default option in Medicare.<\/p>\n<p>In 2022, Congress opened the door for Medicare to negotiate prices for a limited number of drugs. Manufacturers are suing to block the initiative and Trump is likely to kill it. On the other hand, Trump may also ease access to generic drugs, which could lower some prices.<\/p>\n<p>One huge uncertainty: Robert F. Kennedy Jr.\u2019s role in health policy. In his victory speech, Trump said Kennedy \u201cis going to help make America healthy again. And now he&#8217;s a great guy and he really means it. He wants to do some things, and we&#8217;re gonna let him go to it.\u201d<\/p>\n<p>Given the unpredictability of both men, it is hard to know what that means. Would Kennedy\u2019s opposition to vaccines affect availability of jabs important to older adults for conditions such as flu, Covid-19, pneumonia, shingles, and RSV? Would Medicare continue to pay for them? In addition, Trump\u2019s tariffs would increase the cost of many drugs, which are produced overseas.<\/p>\n<p>Trump also is likely to make big changes at the National Institutes for Health, the Centers for Disease Control, and the Food and Drug Administration. One result: Quicker federal approval of new drugs, which may benefit some consumers but increase risks for others.<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>Long-Term Care Financing<\/strong><\/h2>\n<p>Vice-president Kamala Harris made expanding Medicare to include home-based long-term care a key plank in her campaign. President Joe Biden tried, with limited success, to expand Medicaid\u2019s home-based long-term care program. Washington State enacted a public long-term care insurance program and other states are mulling the idea.<\/p>\n<p>While the Republican platform also endorsed expanding home-based care, it never said how. And Trump was largely silent on the issue throughout the campaign. It is certain, however, that the new administration will make no effort to expand long-term care financing through Medicare, Medicaid, or public insurance.<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>Caregiving<\/strong><\/h2>\n<p>Trump\u2019s highest priority is deporting tens of millions of immigrants and closing the borders to new ones. That would place enormous pressure on the supply of nurses, nurses\u2019 aides, and other health care workers, making an already severe labor shortage vastly worse. And that will only put more of a burden on family caregivers, especially for those older adults and younger people with disabilities living at home.<\/p>\n<p>Democratic efforts to create a federal paid family leave program will likely die. Instead, Trump has proposed an unspecified tax credit for family caregivers.<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>The Older Americans Act<\/strong><\/h2>\n<p>The broad-based law that provides a range of government services, from home-based meal delivery to falls prevention, also could face funding reductions. The Trump administration may not take the lead in pursuing these cuts (it didn\u2019t in his first term) but congressional Republicans, looking to slash government, might do so.<\/p>\n<h2 class=\"subhead-embed color-accent bg-base font-accent font-size text-align\"><strong>Nursing Homes<\/strong><\/h2>\n<p>This probably is the easiest call. The Trump administration almost surely will kill Biden\u2019s effort to impose minimum staffing standards on nursing homes. Trump could withdraw the rules or, even stop defending the government against industry lawsuits attempting to block them. But either way, he\u2019ll block government efforts to increase staffing at nursing facilities.<\/p>\n<p>Trump\u2019s second term will be highly consequential for older adults, younger people with disabilities, and their families. Many of his initiatives will likely not be to their benefit.<\/p>\n<\/div>\n<p>Read the full article <a href=\"https:\/\/www.forbes.com\/sites\/howardgleckman\/2024\/11\/11\/what-a-trump-administration-will-mean-for-older-adults\/\" target=\"_blank\" rel=\"noopener\">here<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Donald Trump\u2019s return to the White House, coupled with Republican control of the Senate and possibly of the House, could result in a far more limited government role in the care of frail older adults and younger people with disabilities. Most immediately, Trump\u2019s proposed mass deportations would make the current shortage of care workers much<\/p>\n","protected":false},"author":1,"featured_media":38135,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"class_list":{"0":"post-38134","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-retirement"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What A Trump Administration Will Mean For Older Adults | iSafeSpend<\/title>\n<meta name=\"description\" content=\"Donald Trump\u2019s return to the White House, coupled with Republican control of the Senate and possibly of the House, could result in a far more limited\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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