[254][255] Trump falsely claimed he saved the coverage of pre-existing conditions provided by the ACA.[256] In June 2018, the Trump administration joined 18 Republican-led states in arguing before the Supreme Court that the elimination of the individual mandate had rendered the ACA unconstitutional.[257][258] If they had succeeded, it would have eliminated health insurance coverage for up to 23 million Americans.[257] During the 2016 campaign, Trump promised to protect funding for Medicare and other social safety-net programs, but in January 2020, he suggested he was willing to consider cuts to such programs.[259]
In response to the opioid epidemic, Trump signed legislation in 2018 to increase funding for drug treatments, but was widely criticized for failing to make a concrete strategy. U.S. opioid overdose deaths declined slightly in 2018, but surged to a record 50,052 deaths in 2019.[260]

Social issues
Main article: Social policy of Donald Trump
Trump said in 2016 that he was committed to appointing "pro-life" justices, pledging to appoint justices who would "automatically" overturn Roe v. Wade.