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Trump Versus Clinton: Reforming Medicare/Medicaid

Donald Trump

Trump has promised to "preserve Medicare for future generations," and to "review basic options for Medicaid and work with states to ensure that those who want healthcare coverage can have it."

He would also administer Medicaid money to the states in the form of block grants, removing "federal overhead." States would have incentives to seek out and eliminate Medicaid fraud, waste, and abuse, he said.

Trump has also said he would take care of low-income people "maybe through concepts of Medicare," according to the website On the Issues. He also pledged to save Social Security, Medicare, and Medicaid "without cutting it to the bone" at the Iowa Freedom Summit in 2015, according to the Des Moines Register.

Hillary Clinton

Clinton has pledged to support allowing people over 55 years of age to buy into Medicare. And she wants to explore cost-effective ways to make more healthcare providers eligible for telehealth reimbursement under Medicare and other programs, including federally qualified health centers and rural health clinics. She would also work with governors to expand Medicaid in every state, and make enrollment through Medicaid and the Affordable Care Act easier. She would also expand reimbursement systems for collaborative care models in Medicare and Medicaid, and has pledged to increase state compliance with Medicaid compliance for children with developmental disabilities, including autism.

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[Trump portrait by Michael Vadon, CC BY-SA 2.0. Clinton portrait by Gage Skidmore, CC BY-SA 3.0.]

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