In 2025, chronic diseases took the spotlight in America, with the Trump administration focusing on the issue under the influence of health secretary Robert F. Kennedy Jr. A commission was established to address childhood chronic illnesses, resulting in two reports. Legislation inspired by the Make America Healthy Again campaign was passed in statehouses nationwide, and both private and public entities began prioritizing efforts to combat disease. Even the Supplemental Nutritional Assistance Programs removed soda from their menus in an effort to promote better health.
However, despite these efforts, the root causes of chronic diseases affecting millions of people remained largely unchanged, if not exacerbated. The administration’s initial actions included cuts to scientific research and public health expertise, while Congress reduced benefits supporting the health of low-income Americans. Kennedy’s promises, particularly in the MAHA campaign, fell short or were watered down, except for the significant changes made to federal vaccine policy that introduced skepticism into government ranks.
As we approach 2026, there are three key issues to keep an eye on that could further shape Kennedy’s legacy and potentially have a positive impact on chronic diseases:
- GLP-1 Price Drops: The lowering prices of GLP-1 drugs like Ozempic, Wegovy, and Zepbound could have a significant impact on public health. These medications have shown effectiveness in weight loss and reducing cardiovascular risk, making them crucial in addressing obesity and related conditions. The potential benefits of wider access to these drugs could lead to a decline in obesity rates and may even have implications for treating substance use disorders.
- New Dietary Guidelines: The upcoming dietary guidelines are expected to challenge existing recommendations on saturated fat and ultra-processed foods. Kennedy’s push to overturn limits on saturated fat could impact the meat and dairy industries, while addressing ultra-processed foods could bring attention to healthier eating habits. Changes in school meal programs and military cafeterias may reflect these new guidelines.
- Health-Boosting Experiments in Rural America: The Rural Health Transformation Program, with its substantial budget, aims to improve healthcare access in rural areas. States are submitting proposals for funding, focusing on new technologies, data-driven solutions, and prevention strategies to address chronic diseases in rural communities. The winning projects will receive federal support to implement and evaluate their plans.
These developments highlight the ongoing efforts to combat chronic diseases in America and the potential impact of policy changes on public health. As we look towards 2026, it will be crucial to monitor these initiatives and their effects on improving the well-being of individuals across the country.
