This article is available to subscribers. Subscribe now. Already have an account? Sign in PerspectiveFree Preview This article was published on August 9, 2017, at NEJM.org. From Harvard University, Cambridge (A.M.), and the Harvard T.H. Chan School of Public Health, Boston (A.M.J.) — both in Massachusetts; the Warren Alpert Medical School, Brown University, Providence, RI (A.M.J.); and the University of Michigan Law School and the Institute for Healthcare Policy and Innovation, University of Michigan — both in Ann Arbor (N.B.).
Though congressional efforts to repeal and replace the Affordable Care Act (ACA) seem to have stalled, the Trump administration retains broad executive authority to reshape the health care landscape. Perhaps the most consequential choices that the administration will make pertain to Medicaid, which August 9, 2017 covers more than 1 in 5 Americans.