Trump unveils his "Great Healthcare Plan."
Tangle
Isaac Saul
4.7 • 817 Ratings
🗓️ 21 January 2026
⏱️ 31 minutes
🧾️ Download transcript
Summary
On Thursday, January 15, President Donald Trump announced several proposals to lower health insurance costs, which he called “The Great Healthcare Plan.” The healthcare-reform framework focuses on four broad initiatives: lowering drug prices, lowering insurance premiums, holding big insurance companies accountable, and maximizing price transparency. Although the White House has not announced specific legislative proposals to enact the policy, Trump specified he would seek to make more medications available over the counter, regulate pharmacy benefit managers (PBMs), and require insurance companies to explain their costs in simple and clear language.
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Transcript
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| 0:00.0 | From executive producer Isaac Saul, this is Tangle. |
| 0:08.4 | This is Tangle. |
| 0:14.3 | Good morning, good afternoon, and good evening, and welcome to the Tangle podcast, a place where you get views from across the political spectrum, some independent thinking, and a little bit of our take. I'm your host, senior editor, Will Kayback. |
| 0:33.3 | Today's main story is one that you could be forgiven for not having paid much attention to |
| 0:39.6 | given everything else that's been in the news for the past week. I mean, really, just in the past 24 |
| 0:45.0 | hours, we've had big news on Donald Trump's Board of Peace in Gaza in the second phase of that |
| 0:50.7 | ceasefire deal, the ongoing protests against ICE in Minnesota and the federal |
| 0:55.3 | government's response, the Greenland issue that we covered yesterday and President Trump's |
| 1:00.1 | subsequent remarks about it today in Switzerland at the Davos conference. So there has been a ton |
| 1:06.0 | going on. A lot of it focused on world issues. But as I noted my take, it's a little funny that this story |
| 1:12.5 | has fell off the radar given how big of an issue it was in the 2024 campaign and really |
| 1:17.4 | throughout Trump's time in politics over the past decade. And that is his much-awaited, |
| 1:23.1 | much-anticipated health care plan, which he released last week amid several other health care-related |
| 1:28.9 | moves by Congress in the past few days. So we're going to break down what exactly is in the |
| 1:34.5 | plan and the proposal that Trump put forward last week, what the legislative prospects for those |
| 1:40.0 | proposals are, and what the scale of these reforms could actually look like in practice. |
| 1:46.1 | There's a lot to get into a little bit more of a policy focus today, which hopefully |
| 1:49.6 | feels like a nice change of pace. Before we dive in, though, I want to flag a Tangle service that |
| 1:55.7 | you might not know about, and that is subtext. So since October, over 13,000 members of the Tangle community have joined |
| 2:03.6 | us on the subtext platform, which is our free SMS messaging service that lets us connect |
| 2:09.7 | directly with you, our audience. So if you're a subtext subscriber, you can weigh in on our |
| 2:15.2 | coverage topics for the weeks through polls that we send out. You'll receive |
... |
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