122-612: (Redirected from Trump Administration ) Presidency of Donald Trump may refer to: First presidency of Donald Trump , the United States presidential administration from 2017 to 2021 Second presidency of Donald Trump , the United States presidential administration set to begin in 2025 See also [ edit ] Timeline of the Donald Trump presidencies Cabinet of Donald Trump (disambiguation) First 100 days of
244-501: A "deductible") at the beginning of the 60 days of $ 1632 as of 2024. Days 61–90 require a co-payment of $ 408 per day as of 2024. The beneficiary is also allocated "lifetime reserve days" that can be used after 90 days. These lifetime reserve days require a copayment of $ 816 per day as of 2024, and the beneficiary can use a total of only 60 of these days throughout their lifetime. A new pool of 90 hospital days, with new copays of $ 1632 in 2024 and $ 408 per day for days 61–90, starts only after
366-571: A beneficiary's covered medical costs and many costs and services are not covered at all. The program contains premiums , deductibles and coinsurance, which the covered individual must pay out-of-pocket . A study published by the Kaiser Family Foundation in 2008 found the Fee-for-Service Medicare benefit package was less generous than either the typical large employer preferred provider organization plan or
488-526: A bill providing for healthcare for the elderly, all without success. In 1963, however, a bill providing for both Medicare and an increase in Social Security benefits passed the Senate by 68-20 votes. As noted by one study, this was the first time that either chamber “had passed a bill embodying the principle of federal financial responsibility for health coverage, however limited it may have been.” There
610-896: A component of the U.S. Department of Health and Human Services (HHS), administers Medicare, Medicaid , the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA), and parts of the Affordable Care Act (ACA) ("Obamacare"). Along with the Departments of Labor and Treasury , the CMS also implements the insurance reform provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and most aspects of
732-642: A conditional deal with the Taliban to withdraw United States troops from Afghanistan in 2021 . Trump met North Korea 's leader Kim Jong Un three times. He withdrew the United States from the Iran nuclear agreement and later escalated tensions in the Persian Gulf by ordering the assassination of General Qasem Soleimani . Robert Mueller 's Special Counsel investigation (2017–2019) concluded that Russia interfered to favor Trump's candidacy and that while
854-1088: A copay for outpatient drugs and respite care, if needed. The Monthly Premium for Part B for 2024 is $ 174.70 per month. Part B coverage begins once a patient meets his or her deductible ($ 240 for 2024), then typically Medicare covers 80% of the RUC-set rate for approved services, while the remaining 20% is the responsibility of the patient, either directly or indirectly by private group retiree or Medigap insurance. Part B coverage covers 100% for preventive services such as yearly mammogram screenings, osteoporosis screening, and many other preventive screenings. Part B also helps with durable medical equipment (DME), including but not limited to canes , walkers , lift chairs , wheelchairs , and mobility scooters for those with mobility impairments . Prosthetic devices such as artificial limbs and breast prosthesis following mastectomy , as well as one pair of eyeglasses following cataract surgery , and oxygen for home use are also covered. Anyone on Social Security (SS) in 2019
976-501: A dark picture of contemporary America, pledging to end "American carnage" caused by urban crime and saying America's "wealth, strength, and confidence has dissipated" by jobs lost overseas. He declared his strategy would be " America First ." The largest single-day protest in U.S. history, the Women's March , took place the day after his inauguration and was driven by opposition to Trump and his policies and views. The Trump administration
1098-417: A distinctive part of his political identity, and they have also been described by Republican political advisor Amanda Carpenter as a gaslighting tactic. His White House had dismissed the idea of objective truth , and his campaign and presidency have been described as being " post-truth ", as well as hyper- Orwellian . Trump's rhetorical signature included disregarding data from federal institutions that
1220-448: A final rule concerning eligibility for hospital inpatient services effective October 1, 2013. Under the new rule, if a physician admits a Medicare beneficiary as an inpatient with an expectation that the patient will require hospital care that "crosses two midnights", Medicare Part A payment is "generally appropriate". However, if it is anticipated that the patient will require hospital care for less than two midnights, Medicare Part A payment
1342-465: A long term disability that would prevent you from working, End-Stage Renal Disease, or Amyotrophic lateral sclerosis then you may be eligible for Medicare at an earlier age. Individuals receiving Social Security Disability Insurance (SSDI) benefits for 24 months are automatically enrolled in Medicare Parts A and B in the 25th month. Individuals with permanent kidney failure requiring dialysis or
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#17327654234991464-472: A major arms sale to Saudi Arabia ; denied citizens from several Muslim-majority countries entry into the United States; recognized Jerusalem as the capital of Israel ; and brokered the Abraham Accords , a series of normalization agreements between Israel and various Arab states . Trump withdrew United States troops from northern Syria, allowing Turkey to occupy the area . His administration made
1586-775: A management technique, resulting in low morale and policy confusion among his staff. Trump proved unable to effectively compromise during the 115th U.S. Congress , which led to significant governmental gridlock and few notable legislative accomplishments despite Republican control of both houses of Congress. Presidential historian Doris Kearns Goodwin found Trump lacked several traits of an effective leader, including "humility, acknowledging errors, shouldering blame and learning from mistakes, empathy, resilience, collaboration, connecting with people and controlling unproductive emotions." In January 2018, Axios reported Trump's working hours were typically around 11:00 a.m. to 6:00 p.m. (a later start and an earlier end compared to
1708-539: A month. A new income-based premium surtax schema has been in effect since 2007, wherein Part B premiums are higher for beneficiaries with incomes exceeding $ 85,000 for individuals or $ 170,000 for married couples. Depending on the extent to which beneficiary earnings exceed the base income, these higher Part B premiums are from 30% to 70% higher with the highest premium paid by individuals earning more than $ 214,000, or married couples earning more than $ 428,000. This extra amount
1830-564: A monthly premium in addition to the Medicare Part B premium to cover items not covered by Original Medicare (Parts A & B), such as the OOP limit, self-administered prescription drugs, dental care, vision care, annual physicals, coverage outside the United States, and even gym or health club memberships as well as—and probably most importantly—reduce the 20% co-pays and high deductibles associated with Original Medicare. But in some situations
1952-410: A patient, regardless of the actual amount of care. The actual allotment of funds is based on a list of diagnosis-related groups (DRG). The actual amount depends on the primary diagnosis that is actually made at the hospital. There are some issues surrounding Medicare's use of DRGs because if the patient uses less care, the hospital gets to keep the remainder. This, in theory, should balance the costs for
2074-496: A policy previously enacted under the Obama administration. Later, Trump falsely claimed that the Obama administration never tried to reform the police. Medicare (United States) Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It
2196-536: A provision for additional coverage of skilled nursing care in the indemnity insurance policies they sell or health plans they sponsor. If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 90-day hospital clock and 100-day nursing home clock are reset and the person qualifies for new benefit periods. Hospice benefits are also provided under Part A of Medicare for terminally ill persons with less than six months to live, as determined by
2318-500: A real nut job ... I faced great pressure because of Russia. That's taken off." On May 11, Trump said in a videoed interview, "... regardless of recommendation, I was going to fire Comey ... in fact, when I decided to just do it, I said to myself, I said, you know, this Russia thing with Trump and Russia is a made-up story." On May 18, Rosenstein told members of the U.S. Senate that he recommended Comey's dismissal while knowing Trump had already decided to fire Comey. In
2440-511: A sitting president, Roberts criticized Trump's characterization of a judge who had ruled against his policies as an "Obama judge", adding "That's not law." In October 2020, twenty Republican former U.S. attorneys , among them appointees by each Republican president since Eisenhower, characterized Trump as "a threat to the rule of law in our country." Greg Brower , who worked in the Trump administration, asserted, "It's clear that President Trump views
2562-534: A transplant may qualify for Medicare, regardless of age. Individuals diagnosed with ALS are automatically enrolled in Medicare Parts A and B the month their disability benefits begin. Medicare has four parts: Part A, B, C, & D. Coverage under the first two (Parts A and B), as opposed to Part C plans, is referred to as Original Medicare . In April 2018, CMS began mailing out new Medicare cards with new ID numbers to all beneficiaries. Previous cards had ID numbers containing beneficiaries' Social Security numbers ;
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#17327654234992684-481: A variety of allegations, at least some of which had already been investigated or debunked. In spring 2018, Trump told White House counsel Don McGahn he wanted to order the Department of Justice to prosecute Clinton and Comey, but McGahn advised Trump such action would constitute abuse of power and invite possible impeachment . In May 2018, Trump demanded that the Department of Justice investigate "whether or not
2806-487: Is "held harmless" from the 2019 amount if the increase in their SS monthly benefit does not cover the increase in their Part B premium from 2019 to 2020. This hold harmless provision is significant in years when SS does not increase but that is not the case for 2020. There are additional income-weighted surtaxes for those with incomes more than $ 85,000 per annum. Public Part C Medicare Advantage and other Part C health plans are required to offer coverage that meets or exceeds
2928-419: Is agreed upon between the sponsor and the provider. The amounts paid for mostly self-administered drugs under Part D are whatever is agreed upon between the sponsor (almost always through a pharmacy benefit manager also used in commercial insurance) and pharmaceutical distributors and/or manufacturers. Medicare has several sources of financing. Part A's inpatient admitted hospital and skilled nursing coverage
3050-620: Is called the Income Related Monthly Adjustment Amount (IRMAA). Part A —For each benefit period , a beneficiary pays an annually adjusted: Part B —After beneficiaries meet the yearly deductible of $ 240 for 2024, they will be required to pay a co-insurance of 20% of the Medicare-approved amount for all services covered by Part B with the exception of most lab services, which are covered at 100%. Previously, outpatient mental health services
3172-517: Is different from Wikidata All article disambiguation pages All disambiguation pages Disambiguation pages to be converted to broad concept articles First presidency of Donald Trump Donald Trump 's tenure as the 45th president of the United States began on January 20, 2017, when Trump was inaugurated and ended on January 20, 2021. Trump, a Republican from New York , took office following his electoral college victory over Democratic nominee Hillary Clinton in
3294-761: Is eligible for Part D, which covers mostly self-administered drugs. It was made possible by the passage of the Medicare Modernization Act of 2003. To receive this benefit, a person with Medicare must enroll in a stand-alone Prescription Drug Plan (PDP) or public Part C health plan with integrated prescription drug coverage (MA-PD). These plans are approved and regulated by the Medicare program, but are actually designed and administered by various sponsors including charities, integrated health delivery systems, unions and health insurance companies; almost all these sponsors in turn use pharmacy benefit managers in
3416-478: Is funded by payroll taxes) and premiums paid by beneficiaries. Households that retired in 2013 paid only 13 to 41 percent of the benefit dollars they are expected to receive. Beneficiaries typically have other healthcare-related costs, including Medicare Part A, B and D deductibles and Part B and C co-pays; the costs of long-term custodial care (which are not covered by Medicare); and the costs resulting from Medicare's lifetime and per-incident limits. Originally,
3538-457: Is generally not appropriate; payment such as is approved will be paid under Part B. The time a patient spends in the hospital before an inpatient admission is formally ordered is considered outpatient time. But, hospitals and physicians can take into consideration the pre-inpatient admission time when determining if a patient's care will reasonably be expected to cross two midnights to be covered under Part A. In addition to deciding which trust fund
3660-403: Is largely funded by revenue from a 2.9% payroll tax levied on employers and workers (each pay 1.45%). Until December 31, 1993, the law provided a maximum amount of compensation on which the Medicare tax could be imposed annually, in the same way that the Social Security payroll tax operates. Beginning on January 1, 1994, the compensation limit was removed. Self-employed individuals must calculate
3782-506: Is no longer offered as of 2020, but anyone who has a Plan F may keep it. Many of the insurance companies that offer Medigap insurance policies also sponsor Part C health plans but most Part C health plans are sponsored by integrated health delivery systems and their spin-offs, charities, and unions as opposed to insurance companies. Medicare contracts with regional insurance companies to process over one billion fee-for-service claims per year. In 2008, Medicare accounted for 13% ($ 386 billion) of
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3904-402: Is the same no matter how much or how little the beneficiary paid as long as the minimum number of quarters is reached. Medicare-eligible persons who do not have 40 or more quarters of Medicare-covered employment may buy into Part A for an annual adjusted monthly premium of: Most Medicare Part B enrollees pay an insurance premium for this coverage; the standard Part B premium for 2019 is $ 135.50
4026-463: Is used to pay for these various outpatient versus inpatient charges, the number of days for which a person is formally considered an admitted patient affects eligibility for Part A skilled nursing services. Medicare penalizes hospitals for readmissions . After making initial payments for hospital stays, Medicare will take back from the hospital these payments, plus a penalty of 4 to 18 times the initial payment, if an above-average number of patients from
4148-464: The 2016 U.S. presidential election , though Trump had chosen Bill Hagerty to begin planning for the transition in August 2016. During the transition period, Trump announced nominations for his cabinet and administration . Trump was inaugurated on January 20, 2017, succeeding Barack Obama . He was sworn in by Chief Justice John Roberts . In his seventeen-minute inaugural address, Trump painted
4270-463: The 2016 presidential election , in which he lost the popular vote to Clinton by nearly three million votes. Upon his inauguration, he became the first president in American history without prior public office or military background . Trump made an unprecedented number of false or misleading statements during his 2016 campaign and first presidency. His first presidency ended following his defeat in
4392-458: The 2020 presidential election to former Democratic vice president Joe Biden , after his first term in office. Trump was unsuccessful in his efforts to repeal the Affordable Care Act but rescinded the individual mandate . He sought substantial spending cuts to major welfare programs, including Medicare and Medicaid . Trump signed the Tax Cuts and Jobs Act of 2017 and a partial repeal of
4514-500: The American Medical Association , advises the government about pay standards for Medicare patient procedures performed by doctors and other professionals under Medicare Part B. A similar but different CMS process determines the rates paid for acute care and other hospitals—including skilled nursing facilities—under Medicare Part A. The rates paid for both Part A and Part B type services under Part C are whatever
4636-585: The Baby Boom generation into Medicare is projected by 2030 (when the last of the baby boom turns 65) to increase enrollment to more than 80 million. In addition, the fact that the number of payroll tax payors per enrollee will decline over time and that overall health care costs in the nation are rising pose substantial financial challenges to the program. Medicare spending is projected to increase from near 4% of GDP in 2022 to almost 6% in 2046. Baby-boomers are projected to have longer life spans, which will add to
4758-732: The Federal Bureau of Investigation (FBI) about his contacts with Russia. Flynn was fired amidst the ongoing controversy concerning Russian interference in the 2016 election and accusations that Trump's electoral team colluded with Russian agents. In July 2017, John F. Kelly , who had served as secretary of Homeland Security , replaced Priebus as chief of staff. In September 2017, Tom Price resigned as Secretary of HHS amid criticism over his use of private charter jets for personal travel. Kirstjen Nielsen succeeded Kelly as secretary in December 2017. Secretary of State Rex Tillerson
4880-535: The Federal Employees Health Benefits Program Standard Option. Some people may qualify to have other governmental programs (such as Medicaid) pay premiums and some or all of the costs associated with Medicare. Most Medicare enrollees do not pay a monthly Part A premium, because they (or a spouse) have had 40 or more 3-month quarters in which they paid Federal Insurance Contributions Act taxes. The benefit
5002-874: The President's Daily Brief , in favor of receiving oral briefings. Intelligence briefers reportedly repeated the President's name and title in order to keep his attention. He was also known to acquire information by watching up to eight hours of television each day, most notably Fox News programs such as Fox & Friends and Hannity , whose broadcast talking points Trump sometimes repeated in public statements, particularly in early morning tweets. Trump reportedly expressed anger if intelligence analyses contradicted his beliefs or public statements, with two briefers stating they had been instructed by superiors to not provide Trump with information that contradicted his public statements. Trump had reportedly fostered chaos as
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5124-536: The U.S. courts of appeals , more than any modern president in the first two years of a presidential term. Trump ultimately appointed 226 Article III federal judges and 260 federal judges in total. His appointees, who were usually affiliated with the conservative Federalist Society , shifted the judiciary to the right . A third of Trump's appointees were under 45 years old when appointed, far higher than under previous presidents. Trump's judicial nominees were less likely to be female or ethnic minority than those of
5246-435: The federal budget . In 2016 it was projected to account for close to 15% ($ 683 billion) of the total expenditures. For the decade 2010–2019 Medicare was projected to cost 6.4 trillion dollars. For institutional care, such as hospital and nursing home care, Medicare uses prospective payment systems . In a prospective payment system, the health care institution receives a set amount of money for each episode of care provided to
5368-413: The 10% of people with the most conservative online information diets." Brendan Nyhan , one of the authors of the study, said in an interview, "People got vastly more misinformation from Donald Trump than they did from fake news websites." In October 2018, Trump praised U.S. representative Greg Gianforte for assaulting political reporter Ben Jacobs in 2017. According to analysts, the incident marked
5490-421: The 1970s was formalized and expanded under President Bill Clinton in 1997 as Medicare Part C (although not all Part C health plans sponsors have to be HMOs, about 75% are). In 2003, under President George W. Bush , a Medicare program for covering almost all self-administered prescription drugs was passed (and went into effect in 2006) as Medicare Part D. The Centers for Medicare and Medicaid Services (CMS),
5612-399: The 2017 phone logs or email metadata of reporters from CNN, The New York Times , The Washington Post , BuzzFeed , and Politico as part of investigations into leaks of classified information. Trump continued his use of Twitter following the presidential campaign. He continued to personally tweet from @realDonaldTrump , his personal account, while his staff tweet on his behalf using
5734-653: The Affordable Care Act. In 2022, Medicare spending was over $ 900 billion, near 4% of U.S. gross domestic product according to the Trustees Figure 1.1 and over 15% of total US federal spending. Because of the two Trust funds and their differing revenue sources (one dedicated and one not), the Trustees analyze Medicare spending as a percent of GDP rather than versus the Federal budget. The aging of
5856-458: The CFPB reduced enforcement of rules that protected consumers from predatory payday lenders . Trump scrapped a proposed rule from the Obama administration that airlines disclose baggage fees. Trump reduced enforcement of regulations against airlines; fines levied by the administration in 2017 were less than half of what the Obama administration did the year before. The New York Times summarized
5978-813: The Dodd–Frank Act . He appointed Neil Gorsuch , Brett Kavanaugh , and Amy Coney Barrett to the Supreme Court . Trump reversed numerous environmental regulations , withdrew from the Paris Agreement on climate change , and signed the Great American Outdoors Act but later issued an Executive Order undercutting its impact. He signed the First Step Act aimed at reforming federal prisons . He enacted tariffs , triggering retaliatory tariffs from China , Canada, Mexico, and
6100-607: The Donald Trump presidency (disambiguation) Inauguration of Donald Trump (disambiguation) Presidential transition of Donald Trump (disambiguation) [REDACTED] This disambiguation page lists articles associated with the title Presidency of Donald Trump . It may be possible to turn this into an article about the presidencies of Donald Trump. Retrieved from " https://en.wikipedia.org/w/index.php?title=Presidency_of_Donald_Trump&oldid=1259711776 " Category : Disambiguation pages Hidden categories: Pages with short description Short description
6222-716: The European Union. He withdrew from the Trans-Pacific Partnership negotiations and signed the United States–Mexico–Canada Agreement , a successor to the North American Free Trade Agreement with modest changes. The federal deficit significantly increased under Trump due to spending increases and tax cuts. Trump implemented a controversial family separation policy for migrants apprehended at
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#17327654234996344-713: The FBI/DOJ infiltrated or surveilled the Trump Campaign for Political Purposes," which the Department of Justice referred to its inspector general . Although it is not unlawful for a president to exert influence on the Department of Justice to open an investigation, presidents have assiduously avoided doing so to prevent perceptions of political interference. Sessions resisted several demands by Trump and his allies for investigations of political opponents, causing Trump to repeatedly express frustration, saying at one point, "I don't have an attorney general." While criticizing
6466-655: The First Amendment and he must unblock them. The ruling was upheld on appeal. His tweets have been reported as ill-considered, impulsive, vengeful, and bullying , often being made late at night or in the early hours of the morning. His tweets about a Muslim ban were successfully turned against his administration to halt two versions of travel restrictions from some Muslim-majority countries. He has used Twitter to threaten and intimidate his political opponents and potential political allies needed to pass bills. Many tweets appear to be based on stories Trump has seen in
6588-634: The Justice Department and the FBI as his own personal law firm and investigative agency." Early into his presidency, Trump developed a highly contentious relationship with the news media, repeatedly referring to them as the " fake news media" and "the enemy of the people ." As a candidate, Trump had refused press credentials for offending publications but said he would not do so if elected. Trump both privately and publicly mused about taking away critical reporters' White House press credentials . At
6710-427: The Justice Department replaced the prosecutors' proposed sentence with a lighter proposal. This gave the appearance of presidential interference in a criminal case and caused a strong negative reaction. All four of the original prosecutors withdrew from the case; more than a thousand former Department of Justice lawyers signed a letter condemning the action. On July 10, Trump commuted the sentence of Stone days before he
6832-646: The Medicare Board of Trustees to assist them in assessing the program's financial health. The Trustees are required by law to issue annual reports on the financial status of the Medicare Trust Funds, and those reports are required to contain a statement of actuarial opinion by the Chief Actuary. The Specialty Society Relative Value Scale Update Committee (or Relative Value Update Committee; RUC), composed of physicians associated with
6954-526: The Medicare program over their lifetimes, and how much someone living to the statistically expected age would expect to receive in benefits. They found differing amounts for the different scenarios, but even the group with the "worst" return on their Medicare taxes would have concluded their working years with $ 158,000 in Medicare contributions and growth (assuming annual growth equal to inflation plus 2%) but would receive $ 385,000 in Medicare benefits (both numbers are in 2013 inflation adjusted dollars). Overall,
7076-566: The Mueller probe, the Ukraine probe , immigration, and the COVID-19 pandemic . Senior administration officials had also regularly given false, misleading, or tortured statements to the news media, which made it difficult for the news media to take official statements seriously. Shortly before Trump secured the 2016 Republican nomination, The New York Times reported "legal experts across
7198-487: The Patient Protection and Affordable Care Act of 2010 as amended. The Social Security Administration is responsible for determining Medicare eligibility, eligibility for and payment of Extra Help/Low Income Subsidy payments related to Parts C and D of Medicare, and collecting most premium payments for the Medicare program. The Chief Actuary of the CMS must provide accounting information and cost-projections to
7320-655: The Service resigning on the same day. Trump's fiscal 2020 budget proposed a 15% funding cut for the Agriculture Department, calling farm subsidies "overly generous". The administration reversed a Consumer Financial Protection Bureau (CFPB) rule that had made it easier for aggrieved consumers to pursue class actions against banks; the Associated Press characterized the reversal as a victory for Wall Street banks. Under Mick Mulvaney 's tenure,
7442-543: The Trump administration's "general approach to law enforcement" as "cracking down on violent crime", "not regulating the police departments that fight it", and overhauling "programs that the Obama administration used to ease tensions between communities and the police". Trump reversed a ban on providing federal military equipment to local police departments and reinstated the use of civil asset forfeiture . The administration stated that it would no longer investigate police departments and publicize their shortcomings in reports,
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#17327654234997564-557: The U.S. has experienced democratic backsliding . Many prominent Republicans have expressed similar concerns that Trump's perceived disregard for the rule of law betrayed conservative principles. During the first two years of his presidency, Trump repeatedly sought to influence the Department of Justice to investigate Clinton, the Democratic National Committee , and Comey. He persistently repeated
7686-466: The US average rate. Part A fully covers brief stays for rehabilitation or convalescence in a skilled nursing facility and up to 100 days per medical necessity with a co-pay if certain criteria are met: The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment of $ 204 per day as of 2024. Many insurance group retiree, Medigap and Part C insurance plans have
7808-705: The United Nations . Days after the presidential election, Trump selected RNC Chairman Reince Priebus as his chief of staff . Trump chose Sessions for the position of attorney general. In February 2017, Trump formally announced his cabinet structure, elevating the Director of National Intelligence and Director of the Central Intelligence Agency to cabinet level. The Chair of the Council of Economic Advisers , which had been added to
7930-475: The United States–Mexico border, starting in 2018. His demand for the federal funding of a border wall resulted in the longest US government shutdown in history . He deployed federal law enforcement forces in response to the racial unrest in 2020 . Trump's " America First " foreign policy was characterized by unilateral actions, disregarding traditional norms and allies. His administration implemented
8052-487: The aftermath of Comey's firing, the events were compared with those of the " Saturday Night Massacre " during Richard Nixon 's administration and there was debate over whether Trump had provoked a constitutional crisis , as he had dismissed the man leading an investigation into Trump's associates. Trump's statements raised concerns of potential obstruction of justice. In Comey's memo about a February 2017 meeting with Trump , Comey said Trump attempted to persuade him to abort
8174-477: The aftermath of the Watergate scandal, inspectors general find themselves under systematic attack from the president, putting independent oversight of federal spending and operations at risk." Trump dismissed FBI Director James Comey on May 9, 2017, saying he had accepted the recommendations of Attorney General Sessions and Deputy Attorney General Rod Rosenstein to dismiss Comey. Sessions's recommendation
8296-706: The beginning of his presidency) and that he was holding fewer meetings during his working hours in order to accommodate Trump's desire for more unstructured free time (labelled as "executive time"). In 2019, Axios published Trump's schedule from November 7, 2018, to February 1, 2019, and calculated that around sixty percent of the time between 8:00 a.m. and 5:00 p.m. was "executive time." The number and scale of Trump's statements in public speeches, remarks, and tweets identified as false by scholars, fact-checkers, and commentators were characterized as unprecedented for an American president, and even unprecedented in U.S. politics. The New Yorker called falsehoods
8418-503: The beneficiary has 60 days continuously with no payment from Medicare for hospital or Skilled Nursing Facility confinement. Some "hospital services" are provided as inpatient services, which would be reimbursed under Part A; or as outpatient services, which would be reimbursed, not under Part A, but under Part B instead. The "Two-Midnight Rule" decides which is which. In August 2013, the Centers for Medicare and Medicaid Services announced
8540-511: The benefits are more limited (but they can never be more limited than Original Medicare and must always include an OOP limit) and there is no premium. The OOP limit can be as low as $ 1500 and as high as but no higher than $ 8000 (as with all insurance, the lower the limit, the higher the premium). In some cases, the sponsor even rebates part or all of the Part B premium, though these types of Part C plans are becoming rare. Medicare Part D went into effect on January 1, 2006. Anyone with Part A or B
8662-407: The cabinet by Obama in 2009, was removed from the cabinet. Trump's cabinet consisted of 24 members, more than Obama at 23 or George W. Bush at 21. On February 13, 2017, Trump fired Michael Flynn from the post of National Security Advisor on grounds that he had lied to Vice President Pence about his communications with Russian Ambassador Sergey Kislyak ; Flynn later pleaded guilty to lying to
8784-618: The conditions with the highest readmission rates were congestive heart failure, sepsis , pneumonia, and COPD and bronchiectasis . The highest penalties on hospitals are charged after knee or hip replacements, $ 265,000 per excess readmission. The goals are to encourage better post-hospital care and more referrals to hospice and end-of-life care in lieu of treatment, while the effect is also to reduce coverage in hospitals that treat poor and frail patients. The total penalties for above-average readmissions in 2013 are $ 280 million, for 7,000 excess readmissions, or $ 40,000 for each readmission above
8906-558: The course of his first six years in office. Trump's cabinet included U.S. senator from Alabama Jeff Sessions as attorney general , banker Steve Mnuchin as Treasury Secretary , retired Marine Corps general James Mattis as Defense Secretary , and ExxonMobil CEO Rex Tillerson as Secretary of State . Trump also brought on board politicians who had opposed him during the presidential campaign, such as neurosurgeon Ben Carson as Secretary of Housing and Urban Development , and South Carolina governor Nikki Haley as Ambassador to
9028-470: The day after the election, Trump was projected to have won Wisconsin (a flip from the previous presidential election ), thereby receiving enough electoral votes to secure the presidency, becoming the president-elect of the United States . Trump won the presidential election with 304 electoral votes compared to Clinton's 227, though Clinton won a plurality of the nationwide popular vote, receiving nearly 2.9 million more votes than Trump. Trump thus became
9150-418: The entire 2.9% tax on self-employed net earnings (because they are both employee and employer), but they may deduct half of the tax from the income in calculating income tax. Beginning in 2013, the rate of Part A tax on earned income exceeding $ 200,000 for individuals ($ 250,000 for married couples filing jointly) rose to 3.8%, in order to pay part of the cost of the subsidies to people not on Medicare mandated by
9272-530: The entire United States health care delivery system and not just to Medicare. U.S. citizens or permanent residents who have lived in the U.S. for at least five continuous years are eligible. Those who are 65 and older who choose to enroll in Part A Medicare must pay a monthly premium to remain enrolled in Medicare Part A if they or their spouse have not paid the qualifying Medicare payroll taxes. There are some instances where U.S. citezens might be able to enroll in Medicare earlier than age 65. For example, if you have
9394-629: The fifth person to win the presidency while losing the popular vote . The electoral votes were certified on January 6, 2017. In the concurrent congressional elections , Republicans maintained their majorities in both the House of Representatives and the Senate , and Speaker of the House Paul Ryan and Senate Majority Leader Mitch McConnell both remained in their posts. The presidential transition period began following Trump's victory in
9516-525: The first recipients of the program. Before Medicare was created, approximately 60% of people over the age of 65 had health insurance (as opposed to about 70% of the population younger than that), with coverage often unavailable or unaffordable to many others, because older adults paid more than three times as much for health insurance as younger people. Many of this group (about 20% of the total in 2022, 75% of whom were eligible for all Medicaid benefits) became "dual eligible" for both Medicare and Medicaid (which
9638-452: The first time the president has "openly and directly praised a violent act against a journalist on American soil." Later that month, as CNN and prominent Democrats were targeted with mail bombs , Trump initially condemned the bomb attempts but shortly thereafter blamed the "Mainstream Media that I refer to as Fake News" for causing "a very big part of the anger we see today in our society." The Trump Justice Department obtained by court order
9760-563: The following protected classes of drugs: anti-cancer; anti-psychotic; anti-convulsant, anti-depressants, immuno-suppressant, and HIV and AIDS drugs). The plans can also specify, with CMS approval, at what level (or tier) they wish to cover it, and are encouraged to use step therapy . Some drugs are excluded from coverage altogether and Part D plans that cover excluded drugs are not allowed to pass those costs on to Medicare, and plans are required to repay CMS if they are found to have billed Medicare in these cases. No part of Medicare pays for all of
9882-635: The forecasting of Medicare Trust Fund health and spending trends including but not limited to the Covid pandemic, the overwhelming preference of people joining Medicare this century for Part C, and the increasing number of dual eligible (Medicaid and Medicare eligibility) beneficiaries. In 2013 the Urban Institute published a report which analyzed the amounts that various households (single male, single female, married single-earner, married dual-earner, low income, average income, high income) contributed to
10004-513: The future Medicare spending. In response to these financial challenges, Congress made substantial cuts to future payouts to providers (primarily acute care hospitals and skilled nursing facilities) as part of PPACA in 2010 and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and individual Congresspeople have offered many additional competing proposals to stabilize Medicare spending further. Many other factors have complicated
10126-637: The groups paid into the system 13 to 41 percent of what they were expected to receive. Cost reduction is influenced by factors including reduction in inappropriate and unnecessary care by evaluating evidence-based practices as well as reducing the amount of unnecessary, duplicative, and inappropriate care. Cost reduction may also be effected by reducing medical errors, investment in healthcare information technology , improving transparency of cost and quality data, increasing administrative efficiency, and by developing both clinical/non-clinical guidelines and quality standards. Of course all of these factors relate to
10248-487: The hospital are readmitted within 30 days. These readmission penalties apply after some of the most common treatments: pneumonia , heart failure , heart attack , COPD , knee replacement , and hip replacement . A study of 18 states conducted by the Agency for Healthcare Research and Quality (AHRQ) found that 1.8 million Medicare patients aged 65 and older were readmitted within 30 days of an initial hospital stay in 2011;
10370-540: The inauguration crowd had been the biggest in history, a claim disproven by photographs. Trump's senior adviser Kellyanne Conway then defended Spicer when asked about the falsehood, saying it was an " alternative fact ", not a falsehood. The administration frequently sought to punish and block access for reporters who broke stories about the administration. Trump frequently criticized right-wing media outlet Fox News for being insufficiently supportive of him, threatening to lend his support for alternatives to Fox News on
10492-462: The investigation into Flynn. After Republicans won control of the U.S. Senate in 2014, only 28.6 percent of judicial nominees were confirmed, "the lowest percentage of confirmations from 1977 to 2018". At the end of the Obama presidency, 105 judgeships were vacant. Senate Republicans, led by Senate Majority Leader Mitch McConnell , prioritized confirming Trump's judicial appointees, doing so rapidly. By November 2018, Trump had appointed 29 judges to
10614-727: The leadership of President Lyndon Johnson , Congress enacted Medicare under Title XVIII of the Social Security Act to provide health insurance to people age 65 and older, regardless of income or medical history. Johnson signed the Social Security Amendments of 1965 into law on July 30, 1965, at the Harry S. Truman Presidential Library in Independence, Missouri . Former President Harry S. Truman and his wife, former First Lady Bess Truman became
10736-474: The media, including far-right news websites such as Breitbart and television shows such as Fox & Friends . Trump used Twitter to attack federal judges who ruled against him in court cases and to criticize officials within his own administration, including then- Secretary of State Rex Tillerson , then- National Security Advisor H. R. McMaster , Deputy Attorney General Rod Rosenstein , and, at various times, Attorney General Jeff Sessions. Tillerson
10858-610: The name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. President Dwight D. Eisenhower held the first White House Conference on Aging in January 1961, in which creating a health care program for social security beneficiaries was proposed. Various attempts were made in Congress to pass
10980-399: The new ID numbers are randomly generated and not tied to any other personally identifying information . Part A covers inpatient hospital stays. The maximum length of stay that Medicare Part A covers in a hospital admitted inpatient stay or series of stays is typically 90 days. The first 60 days would be paid by Medicare in full, except one copay (also and more commonly referred to as
11102-760: The nomination by winning a majority of the delegates to become the presumptive nominee for the Republican Party following the party's presidential primaries. Trump selected Governor Mike Pence of Indiana as his running mate , and they were officially nominated as the Republican ticket at the 2016 Republican National Convention . With Democratic president Barack Obama term-limited, the Democrats nominated former secretary of state Hillary Clinton of New York for president and Senator Tim Kaine of Virginia for vice president. Early on November 9, 2016,
11224-510: The official @POTUS account. His use of Twitter was unconventional for a president, with his tweets initiating controversy and becoming news in their own right. Some scholars have referred to his time in office as the "first true Twitter presidency." The Trump administration described Trump's tweets as "official statements by the President of the United States." The federal judge Naomi Reice Buchwald ruled in 2018 that Trump's blocking of other Twitter users due to opposing political views violated
11346-617: The option of payments to health maintenance organizations (HMOs) in the 1970s. The government added hospice benefits to aid elderly people on a temporary basis in 1982, and made this permanent in 1984. Congress further expanded Medicare in 2001 to cover younger people with amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease). As the years progressed, Congress expanded Medicare eligibility to younger people with permanent disabilities who receive Social Security Disability Insurance (SSDI) payments and to those with end-stage renal disease (ESRD). The association with HMOs that began in
11468-572: The pace and volume of the president's misstatements means that we cannot possibly keep up." The Post found that as president, Trump made more than 30,000 false or misleading claims, increasing from an average of six a day in his first year as president to 39 claims a day in his final year. The most common false or misleading claims by Trump involved the economy and jobs, his border wall proposal, and his tax legislation; he had also made false statements regarding prior administrations, as well as other topics, including crime, terrorism, immigration, Russia and
11590-477: The patient's physician. The terminally ill person must sign a statement that hospice care has been chosen over other Medicare-covered benefits, (e.g. assisted living or hospital care). Treatment provided includes pharmaceutical products for symptom control and pain relief as well as other services not otherwise covered by Medicare such as grief counseling . Hospice is covered 100% with no co-pay or deductible by Medicare Part A except that patients are responsible for
11712-653: The political spectrum say" Trump's rhetoric reflected "a constitutional worldview that shows contempt for the First Amendment , the separation of powers , and the rule of law ," adding "many conservative and libertarian legal scholars warn that electing Mr. Trump is a recipe for a constitutional crisis ." Political scientists warned that candidate Trump's rhetoric and actions mimicked those of other politicians who ultimately turned authoritarian once in office. Some scholars have concluded that during Trump's tenure as president and largely due to his actions and rhetoric,
11834-526: The prevailing evidence "did not establish that members of the Trump campaign conspired or coordinated with the Russian government", possible obstructions of justice occurred during the course of that investigation. Trump attempted to pressure Ukraine to announce investigations into his political rival Joe Biden, triggering his first impeachment by the House of Representatives on December 18, 2019, but he
11956-493: The previous administration. Of Trump's judicial appointments to the U.S. courts of appeals (circuit courts), two-thirds were white men, compared to 31% of Obama nominees and 63% of George W. Bush nominees. Trump made three nominations to the Supreme Court : Neil Gorsuch , Brett Kavanaugh , and Amy Coney Barrett : Trump's own staffers, subordinates, and allies frequently characterized Trump as infantile. Trump reportedly eschewed reading detailed briefing documents, including
12078-465: The remaining 2,000 American troops in Syria would be withdrawn, against the recommendations of his military and civilian advisors. Trump fired numerous inspectors general of agencies, including those who were probing the Trump administration and close Trump associates. In 2020, he fired five inspectors general in two months. The Washington Post wrote, "For the first time since the system was created in
12200-481: The remaining costs by taking additional private insurance (medi-gap insurance), by enrolling in a Medicare Part D prescription drug plan, or by joining a private Medicare Part C (Medicare Advantage) plan. In 2022, spending by the Medicare Trustees topped $ 900 billion per the Trustees report Table II.B.1, of which $ 423 billion came from the U.S. Treasury and the rest primarily from the Part A Trust Fund (which
12322-584: The results . At a rally on January 6, 2021, Trump urged his supporters to march to the Capitol , where the electoral votes were being counted by Congress in order to formalize Biden's victory. A mob of Trump supporters stormed the Capitol , suspending the count and causing Vice President Mike Pence and other members of Congress to be evacuated. On January 13, the House voted to impeach Trump an unprecedented second time for incitement of insurrection , but he
12444-502: The right. On August 16, 2018, the Senate unanimously passed a resolution affirming that "the press is not the enemy of the people." The relationship between Trump, the news media, and fake news has been studied. One study found that between October 7 and November 14, 2016, while one in four Americans visited a fake news website , "Trump supporters visited the most fake news websites, which were overwhelmingly pro-Trump" and "almost 6 in 10 visits to fake news websites came from
12566-428: The risk of further incitement of violence" following the Capitol attack . Trump announced in his final tweet before the suspension that he would not attend the inauguration of Joe Biden . Other social media platforms like Facebook , Snapchat , YouTube and others also suspended the official handles of Donald Trump. Due to Trump's trade tariffs combined with depressed commodities prices, American farmers faced
12688-408: The same services as Parts A and B, usually with additional benefits. In 2022, Medicare provided health insurance for 65.0 million individuals—more than 57 million people aged 65 and older and about 8 million younger people. According to annual Medicare Trustees reports and research by Congress' MedPAC group, Medicare covers about half of healthcare expenses of those enrolled. Enrollees cover most of
12810-571: The same time, the Trump White House gave temporary press passes to far-right pro-Trump fringe outlets, such as InfoWars and The Gateway Pundit , which are known for publishing hoaxes and conspiracy theories . On his first day in office, Trump falsely accused journalists of understating the size of the crowd at his inauguration and called the news media "among the most dishonest human beings on earth." Trump's claims were notably defended by Press Secretary Sean Spicer , who claimed
12932-456: The same way as they are used by sponsors of health insurance for those not on Medicare. Unlike Original Medicare (Part A and B), Part D coverage is not standardized (though it is highly regulated by the Centers for Medicare and Medicaid Services). Plans choose which drugs they wish to cover (but must cover at least two drugs in 148 different categories and cover all or "substantially all" drugs in
13054-449: The special counsel investigation immediately; he also referred to it as "rigged" and its investigators as biased. After close review of recent Tweets from the @realDonaldTrump account and the context around them we have permanently suspended the account due to the risk of further incitement of violence. In February 2020, Trump tweeted criticism of the prosecutors' proposed sentence for Trump's former aide Roger Stone . A few hours later,
13176-589: The special counsel investigation in July 2019, Trump falsely claimed that the Constitution ensures that "I have to the right to do whatever I want as president." Trump had on multiple occasions either suggested or promoted views of extending his presidency beyond normal term limits. Trump frequently criticized the independence of the judiciary for unfairly interfering in his administration's ability to decide policy. In November 2018, in an extraordinary rebuke of
13298-588: The standards set by Original Medicare but they do not have to cover every benefit in the same way (the plan must be actuarially equivalent to Original Medicare benefits). After approval by the Centers for Medicare and Medicaid Services, if a Part C plan chooses to cover less than Original Medicare for some benefits, such as Skilled Nursing Facility care, the savings may be passed along to consumers by offering even lower co-payments for doctor visits (or any other plus or minus aggregation approved by CMS). Public Part C Medicare Advantage health plan members typically also pay
13420-740: The worst crisis in decades. Trump provided farmers $ 12 billion in direct payments in July 2018 to mitigate the negative impacts of his tariffs, increasing the payments by $ 14.5 billion in May 2019 after trade talks with China ended without agreement. Most of the administration's aid went to the largest farms. Politico reported in May 2019 that some economists in the United States Department of Agriculture were being punished for presenting analyses showing farmers were being harmed by Trump's trade and tax policies, with six economists having more than 50 years of combined experience at
13542-455: Was acquitted by the Senate on February 5, 2020. Trump reacted slowly to the COVID-19 pandemic , ignored or contradicted many recommendations from health officials in his messaging , and promoted misinformation about unproven treatments and the availability of testing. Following his loss in the 2020 presidential election to Biden, Trump made unproven claims of widespread electoral fraud and initiated an extensive campaign to overturn
13664-529: Was based on Rosenstein's, while Rosenstein wrote that Comey should be dismissed for his handling of the conclusion of the FBI investigation into the Hillary Clinton email controversy . On May 10, Trump met Russian foreign minister Sergey Lavrov and Russian ambassador Sergey Kislyak . Based on White House notes of the meeting , Trump told the Russians, "I just fired the head of the FBI. He was crazy,
13786-548: Was begun in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS). Medicare is divided into four Parts: A, B, C and D. Part A covers hospital, skilled nursing, and hospice services. Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is an alternative that allows patients to choose private plans with different benefit structures that provide
13908-519: Was characterized by record turnover, particularly among White House staff. By early 2018, 43% of senior White House positions had turned over. The administration had a higher turnover rate in the first two and a half years than the five previous presidents did over their entire terms. By October 2019, one in 14 of Trump's political appointees were former lobbyists; less than three years into his presidency, Trump had appointed more than four times as many lobbyists than his predecessor Barack Obama did over
14030-797: Was covered at 50%, but under the Medicare Improvements for Patients and Providers Act of 2008 , it gradually decreased over several years and now matches the 20% required for other services. They are also required to pay an excess charge of 15% for services rendered by physicians who do not accept assignment. The deductibles, co-pays, and coinsurance charges for Part C and D plans vary from plan to plan. All Part C plans include an annual out-of-pocket (OOP) upper spend limit. Original Medicare does not include an OOP limit. All insurance companies that sell Medigap policies are required to make Plan A available, and if they offer any other policies, they must also make either Plan C available as well. Plan F
14152-487: Was created by the same 1965 law). In 1966, Medicare spurred the racial integration of thousands of waiting rooms, hospital floors, and physician practices by making payments to health care providers conditional on desegregation . Medicare has been operating for almost 60 years and, during that time, has undergone several major changes. Since 1965, the program's provisions have expanded to include benefits for speech, physical, and chiropractic therapy in 1972. Medicare added
14274-521: Was due to report to prison. In response to the mid-2020 George Floyd protests , some of which resulted in looting, Trump tweeted on May 25 that "when the looting starts, the shooting starts." Not long after, Twitter restricted the tweet for violating the company's policy on promoting violence. On May 28, Trump signed an executive order which sought to limit legal protections of social media companies. On January 8, 2021, Twitter announced that they had permanently suspended Trump's personal account "due to
14396-479: Was eventually fired via a tweet by Trump. Trump also tweeted that his Justice Department is part of the American "deep state" ; that "there was tremendous leaking, lying and corruption at the highest levels of the FBI, Justice & State " Departments ; and that the special counsel investigation is a " WITCH HUNT !" In August 2018, Trump used Twitter to write that Attorney General Jeff Sessions "should stop"
14518-611: Was fired via a tweet in March 2018; Trump appointed Mike Pompeo to replace Tillerson and Gina Haspel to succeed Pompeo as the director of the CIA. In the wake of a series of scandals, Scott Pruitt resigned as Administrator of the Environmental Protection Agency (EPA) in July 2018. Secretary of Defense Jim Mattis informed Trump of his resignation following Trump's abrupt December 19, 2018, announcement that
14640-404: Was incompatible to his arguments; quoting hearsay, anecdotal evidence, and questionable claims in partisan media; denying reality (including his own statements); and distracting when falsehoods were exposed. During the first year of Trump's presidency, The Washington Post 's fact-checking team wrote that Trump was "the most fact-challenged politician" it had "ever encountered ...
14762-525: Was later acquitted by the Senate again on February 13, after he had already left office. Trump was elected for a second non-consecutive term in 2024 and will start his second presidency as the 47th president on January 20, 2025. Donald Trump officially announced his candidacy for the nomination of the Republican Party in the 2016 presidential election on June 16, 2015, at his Trump Tower residence. In May 2016, Trump clinched
14884-426: Was uncertainty over whether this bill would pass the House, however, as White House aide Henry Wilson's tally of House members’ votes on a conference bill that included Medicare “disclosed 180 “reasonably certain votes for Medicare, 29 “probable/possible,” 222 “against,” and 4 seats vacant.” Following the 1964 elections however, pro-Medicare forces obtained 44 votes in the House and 4 in the Senate. In July 1965, under
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