Vice President JD Vance on Thursday teased a “great” healthcare plan being developed by the Trump administration, promising that the goal is to significantly reduce costs for American families.
Speaking during a fireside chat with Breitbart’s Matt Boyle in Washington, D.C., Vance addressed the high cost of premiums and the impending expiration of Affordable Care Act (ACA) subsidies.
The Vice President stressed that President Donald Trump is focused on fixing a “broken” system rather than engaging in partisan political battles.
“I don’t want to get ahead of the president … because we had a very, very good meeting in the Oval Office yesterday,” Vance said. “I think that we have a great healthcare plan coming together. I think that it’s going to get Republican and Democrat support. And I think the president, look, right now, American people, the American people get crap healthcare and they pay way too much for it”.
Vance praised the president’s leadership, noting that Trump is willing to tackle healthcare reform—a topic Republicans traditionally avoid—with the mindset that “Politics be damned”. Vance expressed the administration’s willingness to work with Democrats if they are “willing to fix it”.
The urgency of healthcare reform is underscored by the expected expiration of ACA subsidies at the end of 2025. If these subsidies lapse, subsidized patients could face a sharp increase in monthly payments, according to an analysis by the Kaiser Family Foundation.
Republicans are reluctant to extend the enhanced ACA subsidies without also including an alternative approach focused on directly compensating consumers.
President Trump cemented this strategy in a recent social media post, stating that Congress should not “waste your time” negotiating an extension, declaring: “THE ONLY HEALTHCARE I WILL SUPPORT OR APPROVE IS SENDING THE MONEY DIRECTLY BACK TO THE PEOPLE”.
Specific GOP proposals suggest sending money directly to consumers, sometimes structured as funding for a Health Savings Account (HSA).
Senate health committee Chair Bill Cassidy (R-La.) outlined a proposal to provide funds for an HSA to help cover out-of-pocket costs for individuals opting for bronze-level ACA plans.
This move is intended to shift money away from insurance companies and empower consumers to shop for services.
There are also moves to help make it easier for Americans to explore options such as healthcare sharing ministries.
The Health Care Sharing Ministry Tax Parity Act, introduced by Senator Ted Budd of North Carolina, would for the first time allow members of these faith-based health sharing organizations to deduct their membership costs from their annual tax bills—a privilege long reserved for those with traditional health insurance.
A bill introduced in the House by Representatives Mike Kelly of Pennsylvania, Greg Murphy of North Carolina, and Chris Smith of New Jersey, would classify regular HCSM expenses as eligible medical care expenses, making them tax-deductible for the first time.
Supporters say this would not only level the playing field for HCSM members but also encourage more Americans to consider these ministries as an alternative to traditional insurance, especially as premiums for ACA plans continue to rise.
The growing appeal of HCSMs is rooted in their promise of lower costs and greater autonomy. Unlike conventional insurance, HCSMs are tax-exempt, faith-based charities that facilitate payments for medical care bills among members who share common ethical or religious beliefs. Members typically pay a monthly share amount, which is then used to cover the medical expenses of others in the group.
Advocates say this model restores the patient-doctor relationship, allows patients to choose their providers, and brings price transparency by negotiating medical bills down to what they describe as the “true fair and just cost of care”.