Trump’s latest Executive Order forces healthcare price transparency, shaking up an industry that thrived on secrecy and price gouging
By ljdevon // 2025-02-27
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  • President Donald Trump signs an executive order mandating healthcare providers and insurers to publicly disclose prices.
  • The move aims to empower consumers to shop for better deals, potentially driving down healthcare costs.
  • Critics, including insurance industry groups, argue the policy could raise premiums and disrupt the bargaining process.
  • Trump’s 2019 transparency rules saw limited compliance, with only 14% of hospitals fully adhering by 2022.

A legacy of secrecy and exploitation

President Donald Trump has signed an executive order demanding healthcare providers and insurers to publicly disclose their prices, a move that could revolutionize the way Americans access and pay for medical care. The order, signed on [insert date], directs federal regulators to enforce stricter compliance with transparency rules introduced in 2019, which have been largely ignored by the healthcare industry. This latest action seeks to dismantle decades of secrecy surrounding healthcare costs, a system that has long favored insurers and providers while leaving patients in the dark. The healthcare industry has historically operated behind closed doors, with prices negotiated privately between hospitals, doctors, pharmaceutical companies, and insurers. These negotiations have been fiercely guarded, with industry players arguing that confidentiality is essential to maintaining their bargaining power. However, this lack of transparency has left consumers powerless, unable to compare prices or make informed decisions about their care. Trump’s executive order aims to change that, forcing the industry to reveal the actual costs of common tests and procedures, from MRIs to colonoscopies. For decades, the American healthcare system has rewarded insurers and providers at the expense of patients. The lack of price transparency has allowed hospitals to charge exorbitant fees for routine procedures, while insurers have profited from the confusion. According to the White House, the new order directs the Departments of Treasury, Labor, and Health and Human Services to “rapidly implement and enforce” transparency rules that were “slow-walked” by previous administrations. This includes requiring hospitals and insurers to disclose actual prices, not just estimates, and ensuring that prices are comparable across different providers. Andrew Bremberg, former director of the Domestic Policy Council under Trump, hailed the order as a “major statement” that will “help millions of Americans.” He added, “Healthcare price transparency will be a cornerstone in President Trump’s healthcare legacy.” However, the move has faced fierce opposition from industry groups. Hospital associations have argued that disclosing prices violates their First Amendment rights and undermines their ability to negotiate with insurers. Insurance groups, meanwhile, claim that the policy could backfire, driving up premiums rather than lowering costs. Despite these objections, Trump has remained steadfast in his commitment to transparency, pushing forward with the order even as legal challenges loom.

A history of half-hearted compliance

Trump’s 2019 executive order, which required hospitals to publicly post their prices, saw limited success. By 2022, only 14% of hospitals were fully compliant, with many institutions opting to pay the $300-a-day fine rather than reveal their pricing structures. The new order seeks to close these loopholes, updating enforcement policies to ensure compliance and imposing stricter penalties for non-compliance. Cynthia Fisher, founder and chairman of PatientRightsAdvocate.org, praised the move, stating, “Real prices will forever transform the American healthcare system. Price transparency unleashes competition and shifts the power to the true purchasers of care—patients, employers, and taxpayers—allowing them to lower their costs and be protected from overcharges.” Fisher’s comments highlight the potential for transparency to empower consumers. “Why would anyone pay 3,000 for an MRI when they could get the same quality for 300?” she asked. “Likewise, no patient would agree to pay a 12,000 colonoscopy bill when the fair market price is around 1,000.”

A broader push for transparency

Trump’s latest executive order comes on the heels of another initiative aimed at expanding access to and reducing the costs of in vitro fertilization (IVF). The president also issued a presidential memorandum calling for “radical transparency requirements” across the federal government, which he believes could reduce wasteful spending. Barbara Collura, president and CEO of Resolve: The National Infertility Association, expressed optimism about the IVF order, stating, “The biggest barriers for people to building their families are the out-of-pocket costs, the lack of insurance coverage for this care.” While the long-term impact of Trump’s healthcare transparency rules remains uncertain, the potential for change is undeniable. If the order withstands legal scrutiny, it could fundamentally reshape the healthcare market, shifting power from insurers and providers to patients and their families.

A seismic shift in healthcare

The American healthcare system has long been a labyrinth of hidden costs and opaque negotiations, a system designed to benefit the few at the expense of the many. Trump’s executive order represents a seismic shift, a bold attempt to dismantle the status quo and empower consumers. By forcing providers and insurers to reveal their prices, the order could unleash a wave of competition, driving down costs and giving patients the tools they need to make informed decisions. In a nation where healthcare accounts for nearly 18% of the economy, the stakes could not be higher. For too long, families, taxpayers, and businesses have borne the brunt of a system that prioritizes profits over people. Trump’s transparency initiative is a step toward accountability, a move that could finally bring the healthcare industry into the light. Whether it succeeds or fails, one thing is certain: the era of secrecy is over, and the fight for a fairer, more transparent system has just begun. Sources include: Dailymail.co.uk PatientsRightAdvocate.org Enoch, Brighteon.ai
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