Donald Trump’s policies are reshaping American health care
The Economist
February 19, 2026
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Donald Trump’s policies are reshaping American health care, with significant consequences for both the industry and politics. The article highlights the impact of these changes through the lens of Care Resource in Midtown Miami, a nonprofit clinic that serves as a safety-net medical facility. Despite its vibrant location and diverse patient population, the clinic is struggling to stay financially viable due to shifts in health insurance coverage. Over half of its patients in 2024 lacked health insurance, and this number is expected to rise as pandemic-era subsidies under the Affordable Care Act (ACA) marketplace come to an end. Without these financial supports, many individuals will find insurance unaffordable, leaving clinics like Care Resource vulnerable to closures or significant cutbacks.
The clinic’s director, Karin Sabey, describes the situation as a “house of cards,” emphasizing the delicate balance required to keep the facility operational. Historically, Care Resource has relied on a patchwork of funding sources, including grants, insurance payments, and pharmacy income. However, the loss of ACA subsidies will create immense financial strain, particularly for low-income patients who heavily depend on these programs. This scenario is not unique to Miami; it
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Originally published on The Economist on 2/19/2026