Trump Even took more Responsibility 3

New York City NY

Description

Great Healthcare for Americans Empowered American patients by greatly expanding healthcare choice, transparency, and affordability. • Eliminated the Obamacare individual mandate – a financial relief to low and middle-income households that made up nearly 80 percent of the families who paid the penalty for not wanting to purchase health insurance. • Increased choice for consumers by promoting competition in the individual health insurance market leading to lower premiums for three years in a row. • Under the Trump Administration, more than 90 percent of the counties have multiple options on the individual insurance market to choose from. • Offered Association Health Plans, which allow employers to pool together and offer more affordable, quality health coverage to their employees at up to 30 percent lower cost. • Increased availability of short-term, limited-duration health plans, which can cost up to 60 percent less than traditional plans, giving Americans more flexibility to choose plans that suit their needs. • Expanded Health Reimbursement Arrangements, allowing millions of Americans to be able to shop for a plan of their choice on the individual market, and then have their employer cover the cost. • Added 2,100 new Medicare Advantage plan options since 2017, a 76 percent increase. • Lowered Medicare Advantage premiums by 34 percent nationwide to the lowest level in 14 years. Medicare health plan premium savings for beneficiaries have totaled $nearly 1.5 billion since 2017. • Improved access to tax-free health savings accounts for individuals with chronic conditions. • Eliminated costly Obamacare taxes, including the health insurance tax, the medical device tax, and the “Cadillac tax.” • Worked with states to create more flexibility and relief from oppressive Obamacare regulations, including reinsurance waivers to help lower premiums. • Released legislative principles to end surprise medical billing. • Finalized requirements for unprecedented price transparency from hospitals and insurance companies so patients know what the cost is before they receive care. • Took action to require that hospitals make the prices they negotiate with insurers publicly available and easily accessible online. • Improved patients access to their health data by penalizing hospitals and causing clinicians to lose their incentive payments if they do not comply. • Expanded access to telehealth, especially in rural and underserved communities. • Increased Medicare payments to rural hospitals to stem a decade of rising closures and deliver enhanced access to care in rural areas. Issued unprecedented reforms that dramatically lowered the price of prescription drugs. • Lowered drug prices for the first time in 51 years. • Launched an initiative to stop global freeloading in the drug market. • Finalized a rule to allow the importation of prescription drugs from Canada. • Finalized the Most Favored Nation Rule to ensure that pharmaceutical companies offer the same discounts to the United States as they do to other nations, resulting in an estimated $85 billion in savings over seven years and $30 billion in out-of-pocket costs alone. • Proposed a rule requiring federally funded health centers to pass drug company discounts on insulin and Epi-Pens directly to patients. • Ended the gag clauses that prevented pharmacists from informing patients about the best prices for the medications they need. • Ended the costly kickbacks to middlemen and ensured that patients directly benefit from available discounts at the pharmacy counter, saving Americans up to 30 percent on brand name pharmaceuticals. • Enhanced Part D plans to provide many seniors with Medicare access to a broad set of insulins at a maximum $35 copay for a month’s supply of each type of insulin. • Reduced Medicare Part D prescription drug premiums, saving beneficiaries nearly $2 billion in premium costs since 2017. • Ended the Unapproved Drugs Initiative, which provided market exclusivity to generic drugs. Promoted research and innovation in healthcare to ensure that American patients have access to the best treatment in the world. • Signed first-ever executive order to affirm that it is the official policy of the United States Government to protect patients with pre-existing conditions. • Passed Right To Try to give terminally ill patients access to lifesaving cures. • Signed an executive order to fight kidney disease with more transplants and better treatment. • Signed into law a $1 billion increase in funding for critical Alzheimer’s research. • Accelerated medical breakthroughs in genetic treatments for Sickle Cell disease. • Finalized the interoperability rules that will give American patients access to their electronic health records on their phones. • Initiated an effort to provide $500 million over the next decade to improve pediatric cancer research. • Launched a campaign to end the HIV/AIDS epidemic in America in the next decade. • Started a program to provide the HIV prevention drug PrEP to uninsured patients for free. • Signed an executive order and awarded new development contracts to modernize the influenza vaccine. Protected our Nation’s seniors by safeguarding and strengthening Medicare. • Updated the way Medicare pays for innovative medical products to ensure beneficiaries have access to the latest innovation and treatment. • Reduced improper payments for Medicare an estimated $15 billion since 2016 protecting taxpayer dollars and leading to less fraud, waste, and abuse. • Took rapid action to combat antimicrobial resistance and secure access to life-saving new antibiotic drugs for American seniors, by removing several financial disincentives and setting policies to reduce inappropriate use. • Launched new online tools, including eMedicare, Blue Button 2.0, and Care Compare, to help seniors see what is covered, compare costs, streamline data, and compare tools available on Medicare.gov. • Provided new Medicare Advantage supplemental benefits, including modifications to help keep seniors safe in their homes, respite care for caregivers, non-opioid pain management alternatives like therapeutic massages, transportation, and more in-home support services and assistance. • Protected Medicare beneficiaries by removing Social Security numbers from all Medicare cards, a project completed ahead of schedule. • Unleashed unprecedented transparency in Medicare and Medicaid data to spur research and innovation. ________________________________________ ________________________________________ Remaking the Federal Judiciary Appointed a historic number of Federal judges who will interpret the Constitution as written. • Nominated and confirmed over 230 Federal judges. • Confirmed 54 judges to the United States Courts of Appeals, making up nearly a third of the entire appellate bench. • Filled all Court of Appeals vacancies for the first time in four decades. • Flipped the Second, Third, and Eleventh Circuits from Democrat-appointed majorities to Republican-appointed majorities. And dramatically reshaped the long-liberal Ninth Circuit. Appointed three Supreme Court justices, expanding its conservative-appointed majority to 6-3. • Appointed Justice Neil Gorsuch to replace Justice Antonin Scalia. • Appointed Justice Brett Kavanaugh to replace Justice Anthony Kennedy. • Appointed Justice Amy Coney Barrett to replace Justice Ruth Bader Ginsburg. ________________________________________ ________________________________________ Achieving a Secure Border Secured the Southern Border of the United States. • Built over 400 miles of the world’s most robust and advanced border wall. • Illegal crossings have plummeted over 87 percent where the wall has been constructed. • Deployed nearly 5,000 troops to the Southern border. In addition, Mexico deployed tens of thousands of their own soldiers and national guardsmen to secure their side of the US-Mexico border. • Ended the dangerous practice of Catch-and-Release, which means that instead of aliens getting released into the United States pending future hearings never to be seen again, they are detained pending removal, and then ultimately returned to their home countries. • Entered into three historic asylum cooperation agreements with Honduras, El Salvador, and Guatemala to stop asylum fraud and resettle illegal migrants in third-party nations pending their asylum applications. • Entered into a historic partnership with Mexico, referred to as the “Migrant Protection Protocols,” to safely return asylum-seekers to Mexico while awaiting hearings in the United States. Fully enforced the immigration laws of the United States. • Signed an executive order to strip discretionary Federal grant funding from deadly sanctuary cities. • Fully enforced and implemented statutorily authorized “expedited removal” of illegal aliens. • The Department of Justice prosecuted a record-breaking number of immigration-related crimes. • Used Section 243(d) of the Immigration and Nationality Act (INA) to reduce the number of aliens coming from countries whose governments refuse to accept their nationals who were ordered removed from the United States. Ended asylum fraud, shut down human smuggling traffickers, and solved the humanitarian crisis across the Western Hemisphere. • Suspended, via regulation, asylum for aliens who had skipped previous countries where they were eligible for asylum but opted to “forum shop” and continue to the United States. • Safeguarded migrant families, and protected migrant safety, by promulgating new regulations under the Flores Settlement Agreement. • Proposed regulations to end the practice of giving free work permits to illegal aliens lodging meritless asylum claims. • Issued “internal relocation” guidance. • Cross-trained United States Border Patrol agents to conduct credible fear screenings alongside USCIS (United States Citizenship and Immigration Services) adjudication personnel to reduce massive backlogs. • Streamlined and expedited the asylum hearing process through both the Prompt Asylum Claim Review (PACR) and the Humanitarian Asylum Review Process (HARP). • Launched the Family Fraud Initiative to identify hundreds of individuals who were fraudulently presenting themselves as family units at the border, oftentimes with trafficking children, in order to ensure child welfare. • Improved screening in countries with high overstay rates and reduced visa overstay rates in many of these countries. • Removed bureaucratic constraints on United States consular officers that reduced their ability to appropriately vet visa applicants. • Worked with Mexico and other regional partners to dismantle the human smuggling networks in our hemisphere that profit from human misery and fuel the border crisis by exploiting vulnerable populations. Secured our Nation’s immigration system against criminals and terrorists. • Instituted national security travel bans to keep out terrorists, jihadists, and violent extremists, and implemented a uniform security and information-sharing baseline all nations must meet in order for their nationals to be able to travel to, and emigrate to, the United States. • Suspended refugee resettlement from the world’s most dangerous and terror-afflicted regions. • Rebalanced refugee assistance to focus on overseas resettlement and burden-sharing. • 85 percent reduction in refugee resettlement. • Overhauled badly-broken refugee security screening process. • Required the Department of State to consult with states and localities as part of the Federal government’s refugee resettlement process. • Issued strict sanctions on countries that have failed to take back their own nationals. • Established the National Vetting Center, which is the most advanced and comprehensive visa screening system anywhere in the world. Protected American workers and taxpayers. • Issued a comprehensive “public charge” regulation to ensure newcomers to the United States are financially self-sufficient and not reliant on welfare. • Created an enforcement mechanism for sponsor repayment and deeming, to ensure that people who are presenting themselves as sponsors are actually responsible for sponsor obligations. • Issued regulations to combat the horrendous practice of “birth tourism.” • Issued a rule with the Department of Housing and Urban Development (HUD) to make illegal aliens ineligible for public housing. • Issued directives requiring Federal agencies to hire United States workers first and prioritizing the hiring of United States workers wherever possible. • Suspended the entry of low-wage workers that threaten American jobs. • Finalized new H-1B regulations to permanently end the displacement of United States workers and modify the administrative tools that are required for H-1B visa issuance. • Defended United States sovereignty by withdrawing from the United Nations’ Global Compact on Migration. • Suspended Employment Authorization Documents for aliens who arrive illegally between ports of entry and are ordered removed from the United States. • Restored integrity to the use of Temporary Protected Status (TPS) by strictly adhering to the statutory conditions required for TPS. ________________________________________ ________________________________________ Restoring American Leadership Abroad Restored America’s leadership in the world and successfully negotiated to ensure our allies pay their fair share for our military protection. • Secured a $400 billion increase in defense spending from NATO (North Atlantic Treaty Organization) allies by 2024, and the number of members meeting their minimum obligations more than doubled. • Credited by Secretary General Jens Stoltenberg for strengthening NATO. • Worked to reform and streamline the United Nations (UN) and reduced spending by $1.3 billion. • Allies, including Japan and the Republic of Korea, committed to increase burden-sharing. • Protected our Second Amendment rights by announcing the United States will never ratify the UN Arms Trade Treaty. • Returned 56 hostages and detainees from more than 24 countries. • Worked to advance a free and open Indo-Pacific region, promoting new investments and expanding American partnerships. Advanced peace through strength. • Withdrew from the horrible, one-sided Iran Nuclear Deal and imposed crippling sanctions on the Iranian Regime. • Conducted vigorous enforcement on all sanctions to bring Iran’s oil exports to zero and deny the regime its principal source of revenue. • First president to meet with a leader of North Korea and the first sitting president to cross the demilitarized zone into North Korea. • Maintained a maximum pressure campaign and enforced tough sanctions on North Korea while negotiating de-nuclearization, the release of American hostages, and the return of the remains of American heroes. • Brokered economic normalization between Serbia and Kosovo, bolstering peace in the Balkans. • Signed the Honk Kong Autonomy Act and ended the United States’ preferential treatment with Hong Kong to hold China accountable for its infringement on the autonomy of Hong Kong. • Led allied efforts to defeat the Chinese Communist Party’s efforts to control the international telecommunications system. Renewed our cherished friendship and alliance with Israel and took historic action to promote peace in the Middle East. • Recognized Jerusalem as the true capital of Israel and quickly moved the American Embassy in Israel to Jerusalem. • Acknowledged Israel’s sovereignty over the Golan Heights and declared that Israeli settlements in the West Bank are not inconsistent with international law. • Removed the United States from the United Nations Human Rights Council due to the group’s blatant anti-Israel bias. • Brokered historic peace agreements between Israel and Arab-Muslim countries, including the United Arab Emirates, the Kingdom of Bahrain, and Sudan. • In addition, the United States negotiated a normalization agreement between Israel and Morocco, and recognized Moroccan Sovereignty over the entire Western Sahara, a position with long standing bipartisan support. • Brokered a deal for Kosovo to normalize ties and establish diplomatic relations with Israel. • Announced that Serbia would move its embassy in Israel to Jerusalem. • First American president to address an assembly of leaders from more than 50 Muslim nations, and reach an agreement to fight terrorism in all its forms. • Established the Etidal Center to combat terrorism in the Middle East in conjunction with the Saudi Arabian Government. • Announced the Vision for Peace Political Plan – a two-state solution that resolves the risks of Palestinian statehood to Israel’s security, and the first time Israel has agreed to a map and a Palestinian state. • Released an economic plan to empower the Palestinian people and enhance Palestinian governance through historic private investment. Stood up against Communism and Socialism in the Western Hemisphere. • Reversed the previous Administration’s disastrous Cuba policy, canceling the sellout deal with the Communist Castro dictatorship. • Pledged not to lift sanctions until all political prisoners are freed; freedoms of assembly and expression are respected; all political parties are legalized; and free elections are scheduled. • Enacted a new policy aimed at preventing American dollars from funding the Cuban regime, including stricter travel restrictions and restrictions on the importation of Cuban alcohol and tobacco. • Implemented a cap on remittances to Cuba. • Enabled Americans to file lawsuits against persons and entities that traffic in property confiscated by the Cuban regime. • First world leader to recognize Juan Guaido as the Interim President of Venezuela and led a diplomatic coalition against the Socialist Dictator of Venezuela, Nicolas Maduro. • Blocked all property of the Venezuelan Government in the jurisdiction of the United States. • Cut off the financial resources of the Maduro regime and sanctioned key sectors of the Venezuelan economy exploited by the regime. • Brought criminal charges against Nicolas Maduro for his narco-terrorism. • Imposed stiff sanctions on the Ortega regime in Nicaragua. • Joined together with Mexico and Canada in a successful bid to host the 2026 FIFA World Cup, with 60 matches to be held in the United States. • Won bid to host the 2028 Summer Olympics in Los Angeles, California. ________________________________________ ________________________________________ Colossal Rebuilding of the Military Rebuilt the military and created the Sixth Branch, the United States Space Force. • Completely rebuilt the United States military with over $2.2 trillion in defense spending, including $738 billion for 2020. • Secured three pay raises for our service members and their families, including the largest raise in a decade. • Established the Space Force, the first new branch of the United States Armed Forces since 1947. • Modernized and recapitalized our nuclear forces and missile defenses to ensure they continue to serve as a strong deterrent. • Upgraded our cyber defenses by elevating the Cyber Command into a major warfighting command and by reducing burdensome procedural restrictions on cyber operations. • Vetoed the FY21 National Defense Authorization Act, which failed to protect our national security, disrespected the history of our veterans and military, and contradicted our efforts to put America first. Defeated terrorists, held leaders accountable for malign actions, and bolstered peace around the world. • Defeated 100 percent of ISIS’ territorial caliphate in Iraq and Syria. • Freed nearly 8 million civilians from ISIS’ bloodthirsty control, and liberated Mosul, Raqqa, and the final ISIS foothold of Baghuz. • Killed the leader of ISIS, Abu Bakr al-Baghdadi, and eliminated the world’s top terrorist, Qasem Soleimani. • Created the Terrorist Financing Targeting Center (TFTC) in partnership between the United States and its Gulf partners to combat extremist ideology and threats, and target terrorist financial networks, including over 60 terrorist individuals and entities spanning the globe. • Twice took decisive military action against the Assad regime in Syria for the barbaric use of chemical weapons against innocent civilians, including a successful 59 Tomahawk cruise missiles strike. • Authorized sanctions against bad actors tied to Syria’s chemical weapons program. • Negotiated an extended ceasefire with Turkey in northeast Syria. Addressed gaps in American’s defense-industrial base, providing much-needed updates to improve the safety of our country. • Protected America’s defense-industrial base, directing the first whole-of-government assessment of our manufacturing and defense supply chains since the 1950s. • Took decisive steps to secure our information and communications technology and services supply chain, including unsafe mobile applications. • Completed several multi-year nuclear material removal campaigns, securing over 1,000 kilograms of highly enriched uranium and significantly reducing global nuclear threats. • Signed an executive order directing Federal agencies to work together to diminish the capability of foreign adversaries to target our critical electric infrastructure. • Established a whole-of-government strategy addressing the threat posed by China’s malign efforts targeting the United States taxpayer-funded research and development ecosystem. • Advanced missile defense capabilities and regional alliances. • Bolstered the ability of our allies and partners to defend themselves through the sale of aid and military equipment. • Signed the largest arms deal ever, worth nearly $110 billion, with Saudi Arabia. ________________________________________ ________________________________________ Serving and Protecting Our Veterans Reformed the Department of Veterans Affairs (VA) to improve care, choice, and employee accountability. • Signed and implemented the VA Mission Act, which made permanent Veterans CHOICE, revolutionized the VA community care system, and delivered quality care closer to home for Veterans. • The number of Veterans who say they trust VA services has increased 19 percent to a record 91 percent, an all-time high. • Offered same-day emergency mental health care at every VA medical facility, and secured $9.5 billion for mental health services in 2020. • Signed the VA Choice and Quality Employment Act of 2017, which ensured that veterans could continue to see the doctor of their choice and wouldn’t have to wait for care. • During the Trump Administration, millions of veterans have been able to choose a private doctor in their communities. • Expanded Veterans’ ability to access telehealth services, including through the “Anywhere to Anywhere” VA healthcare initiative leading to a 1000 percent increase in usage during COVID-19. • Signed the Veterans Affairs Accountability and Whistleblower Protection Act and removed thousands of VA workers who failed to give our Vets the care they have so richly deserve. • Signed the Veterans Appeals Improvement and Modernization Act of 2017 and improved the efficiency of the VA, setting record numbers of appeals decisions. • Modernized medical records to begin a seamless transition from the Department of Defense to the VA. • Launched a new tool that provides Veterans with online access to average wait times and quality-of-care data. • The promised White House VA Hotline has fielded hundreds of thousands of calls. • Formed the PREVENTS Task Force to fight the tragedy of Veteran suicide. Decreased veteran homelessness, improved education benefits, and achieved record-low veteran unemployment. • Signed and implemented the Forever GI Bill, allowing Veterans to use their benefits to get an education at any point in their lives. • Eliminated every penny of Federal student loan debt owed by American veterans who are completely and permanently disabled. • Compared to 2009, 49 percent fewer veterans experienced homelessness nationwide during 2019. • Signed and implemented the HAVEN Act to ensure that Veterans who’ve declared bankruptcy don’t lose their disability payments. • Helped hundreds of thousands of military service members make the transition from the military to the civilian workforce, and developed programs to support the employment of military spouses. • Placed nearly 40,000 homeless veterans into employment through the Homeless Veterans Reintegration Program. • Placed over 600,000 veterans into employment through American Job Center services. • Enrolled over 500,000 transitioning service members in over 20,000 Department of Labor employment workshops. • Signed an executive order to help Veterans transition seamlessly into the United States Merchant Marine. ________________________________________