Trump’s Health Care Overhaul: A Nation Divided but Ready for Change
President-elect Donald Trump is once again setting off debate with a plan to radically remake the U.S. health care system. His vision, bolstered by his ties with Robert F. Kennedy Jr. and Dr. Mehmet Oz, holds out the prospect of upending the health establishment in ways that speak to many Americans. The commitment to “Make America Healthy Again” (MAHA) is not simply a slogan; it is a rallying cry for millions frustrated by rising costs, declining health, and a system they believe no longer serves them.
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Steve McNair
12/2/20246 min read


President-elect Donald Trump is once again setting off debate with a plan to radically remake the U.S. health care system. His vision, bolstered by his ties with Robert F. Kennedy Jr. and Dr. Mehmet Oz, holds out the prospect of upending the health establishment in ways that speak to many Americans. The commitment to “Make America Healthy Again” (MAHA) is not simply a slogan; it is a rallying cry for millions frustrated by rising costs, declining health, and a system they believe no longer serves them.
For some, including Colin O'Banion, a physical therapist in Boulder, Colo., this bold vision also means hope for real change. A former Trump skeptic, O'Banion was drawn to the MAHA movement after feeling alienated during the pandemic. “We were shunned for not taking the COVID vaccines,” he said. He and his wife didn’t take the shots for themselves or their children, causing friction in their platonic circles. Looking to alternative health advocates, O'Banion began to question the bigger system.
“How can the richest nation in the world have so much chronic disease—obesity, diabetes, metabolic disorders?” O'Banion asked. “The system is broken. That’s why I voted for Trump. And he and Kennedy are pledging to do something about it.”
The Seeds of Distrust
O'Banion’s frustration is hardly unique. Across the country, confidence in health care had fallen drastically, especially during the pandemic. From vaccine mandates to hospital protocols, many Americans sense the system cares more about profits and control than actual care. Public figures such as Robert F. Kennedy Jr., who has rejected accepted narratives on vaccines and public health policies, have amplified this discontent.
“People are sick and tired of getting blown off,” said Savannah Fisher, 36, of St. Augustine, Fla. Having chronic pain for years, Fisher did not feel seen and heard by mainstream doctors. When she turned to alternative therapies, she found relief—and validation for her suspicion that the health care system didn’t work. “Kennedy understands that. He’s speaking up for people like myself.”
This rising skepticism didn’t develop overnight. Even before the pandemic, Americans struggled with failing health outcomes. Obesity, diabetes, and heart disease now run rampant, and millions of Americans feel abandoned by a system devoted to treating symptoms but leaving the underlying causes unaddressed.
“You have a public that is sicker than ever,” said Dr. Ashish Jha, the former COVID response coordinator for President Biden. “And they’re receptive to anybody who says, ‘The system is rigged. Let’s tear it down.’”
A Movement Takes Root
That strategic partnership with Kennedy and Dr. Oz mobilized voters right across the political spectrum. Some are traditional conservatives who respond to Kennedy’s anti-establishment rhetoric, while others are former Democrats turned off by their party’s failure to act on wider health issues. A CBS poll recently found that 47 percent of voters approved of Kennedy’s nomination to head up the Department of Health and Human Services, while 34 percent opposed it.
For many, Kennedy’s candidacy is an opportunity to rethink what health care should be. His criticism of pharmaceutical companies, factory farming, and processed foods resonates with Americans who believe the system has prioritized profits over people.
Michelle High, a 54-year-old cancer survivor who lives in Austin, Tex., is one supporter. After an oncologist told her that lifestyle changes wouldn’t improve her chances of survival, High sought out holistic medicine. She credits dietary changes and naturopathic care with aiding her recovery and is convinced that the health care system overlooks the obvious link between diet and disease. “They don’t want us looking there,” High said. “It feels dirty, like they are hiding something.”
A Shift in Party Loyalties
High isn’t the only one with those concerns. A lot of Democrats who had been Democrats are now with Trump, thanks to Kennedy’s ideas. In Georgia, Melinda Hicks—a lifelong Democrat—just recently cast her first-ever Republican vote.
“I always voted with my party, even when I was not thrilled with their policies,” Hicks said. “But Kennedy made that all different for me. He’s speaking to real health issues—obesity, chronic disease, the food system—that Democrats have neglected too long.”
Hicks pays thousands of dollars a year for alternative therapies her insurance does not cover, a pain point she hopes Kennedy’s leadership might help fix. “The system isn’t geared towards people like me,” she said. “We need someone who is going to challenge that.”
A Polarizing Agenda
Where Kennedy’s supporters view him as a visionary, his critics contend his proposals would be disastrous. Public health experts are alarmed at the prospect of replacing scientists and public health professionals with politically driven appointees like Kennedy and Dr. Oz, an arrangement that could undermine Americans’ trust in science and leave them vulnerable.
Trump’s first term included the deregulation of everything from school nutrition standards to pesticide approvals—all decisions that don’t exactly jibe with Kennedy’s professed obsession with clean food and healthy living. Critics are concerned that a second Trump administration would place more value in reducing regulations than addressing health disparities.
“It’s obesity, it’s healthier food—those are not the top five issues for most Americans,” said Mollyann Brodie, director of KFF’s Public Opinion and Survey Research Program. “Cost is going to be the most important for people.”
And while Kennedy’s obsession with toxins and organic diets attracts some, others see him as a little impractical or even fringe. Julie Conklin, a 67-year-old Californian, likes the sound of healthier lifestyles, but not Kennedy’s dependence on what she calls “junk science.”
The Cost of Care
Cost is still the central issue in the health care debate. Myron Randles, 62, who manages a building materials company in Riverside, Calif., has little confidence that either Trump or Kennedy will prove effective against the problem. “I think there are two health care systems,” Randles said. “One for the ultra-rich and one for the rest. I don’t trust Trump to do anything about that.”
And yet for many Americans, Kennedy’s willingness to rattle cages makes up for questions of practicality. Cindy James, a former corporate lawyer and now spiritual counselor, feels the MAHA movement is a watershed.
“People are awakening,” James said. “We are tired of being told what to do, especially when it pertains to our health.”
James, who had declined a COVID vaccine, felt vindicated by Trump’s win. “This is a freedom issue,” she said. “Freedom to decide for ourselves what we do with our bodies.”
A System Under Scrutiny
The frustrations fueling the MAHA movement are grounded in genuine problems. Escalating medical debt, restricted access to alternative therapies, and a feeling of alienation from conventional health care providers have propelled millions to find answers outside the Janes and Johns of medicine.
Kennedy’s critics say his preoccupation with issues such as fluoridated water and vaccine skepticism distracts from more urgent matters. But his critics see those positions as proof of his independence; his supporters point to them as signs of his independence and commitment to transparency.
“What Kennedy stands for is larger than any one policy,” O'Banion said. “It’s about dismantling a system that fails and building something that works instead.”
Trump’s Role in the Revolution
Now, as Trump prepares to make a return to the White House, his health care game plan is fast becoming a lightning rod for controversy. With the nomination of Kennedy to run the Department of Health and Human Services and Dr. Oz to lead Medicare and Medicaid, Trump has made clear his desire to shake up the status quo.
For backers like Hicks and James, this is just what the country needs. “Trump is the only one brave enough to disrupt,” Hicks said. “And Kennedy is a perfect partner for that.”
Critics fear, though, that the administration’s plans could make existing problems worse. Some public health officials say the sidelining of scientists in favor of political appointees could cause chaos.
The Road Ahead
Whether the MAHA movement brings real reform or instead deepens rifts is yet to be seen. What is clear is that Trump and Kennedy have both plugged into a deep reserve of frustration with the system as it now stands. Their pledge to put aside bureaucracy to focus on health and wellness has resonated with voters who feel neglected.
For O'Banion, the stakes can't get higher. “This isn’t about politics; this is about people,” he added. “It’s about the health of our families and the future.”
So, as Trump prepares to take office, the nation will be watching to see whether this promise can be delivered on—or whether the revolution they’ve sparked fizzles under the weight of its own ambition.”
Written by Steve McNair
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