Nothing: Trump won't be able to change it
Trump and the republicans will eliminate it
It will get changes made but remain
He'll shoot for Universal Health Care at the horror of the republicans
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Look at the deaths and delays for care at the VA (americas single payer)
Canadians had to sue the Candian Goverment for the right to purchase US STYLE PRIVATE insurance because people were being left to suffer and die waiting for Care.
The UK has the horror called Ambulance Stacking where patients are trapped in ambulances for 8-10 hours because the ER refuses to admit them because it hurts their response times, which effects their reembursment.
Anyway, I was just spitballing, throwing that out there. I don't dislike it though off the top of my head.
What do you mean by medical savings accounts? Are you suggesting that the government fund them to a certain amount for individuals? And the above and beyond that individuals shoulder the burden? If so, that would likely cost way more than necessary. If you are just talking about subsidizing those with pre-existing conditions I think you could do it cheaper if you lumped it all into one group.
Hopefully they take out the mandate but I highly doubt Trump will take out the pre-existing condition part, that would be political suicide. I suspect Trump will fix it considerably but I don't think he will get rid of it.
A medical savings account is where employers are required to take a percentage of your pay (or a set amount) and pay it into a medical savings account that you pay medical bills with. That amount of money that you EARN and is taken to put into that savings account is NOT counted as income, its not taxable. You can even look at how to take money back out at some point if it goes over a certain amount (possibly taxing what you take out that doesnt go to medical or giving the bonus of not taxing it).
So that medical account would pay for your med costs. IF you have something catastrophic....car accident, disease etc, then it goes to the tax payer to cover (maybe the patient pays out some small fees for services).