Health care affordability has become a pressing issue in today’s society, with rising costs causing concern among the public and politicians alike. In his recent State of the Union address, President Trump took aim at various players in the health care industry, pointing fingers at insurers and pharmaceutical companies for driving up costs. However, one glaring omission from his speech was any mention of hospitals, despite the fact that they are responsible for the largest share of health care cost growth.
The President’s speech focused on attacking health insurers for profiting off of Obamacare and pharmaceutical companies for charging high prices for prescription drugs. While he touted his administration’s efforts to lower drug prices through negotiations, he failed to address the significant impact of hospital costs on overall health care spending.
According to a recent analysis by the Kaiser Family Foundation (KFF), hospital spending accounted for 40% of the growth in national health spending between 2022 and 2024. This growth rate was nearly double that of physician and clinical services, the next fastest-growing component of health care spending. Despite this data, President Trump’s speech made no mention of hospitals or their role in driving up costs.
In his proposed Great Healthcare Plan, President Trump promised to increase price transparency for hospitals and insurers, requiring them to prominently display all prices for services. While this proposal aims to hold hospitals and insurers more accountable, it does not address the underlying issue of rising hospital prices.
The Federation of American Hospitals, representing for-profit institutions, welcomed the President’s call to lower health care costs but also called out insurers for their role in driving up costs. This response highlights the complex dynamics at play in the health care industry and the need for a comprehensive approach to addressing affordability issues.
In an election year, politicians must navigate the delicate balance between addressing health care costs and maintaining support from voters. While attacking insurers and drug companies may be politically expedient, targeting hospitals is a more complicated proposition. Hospitals are viewed as essential community resources, providing both care for the sick and jobs for local residents. As a result, politicians must carefully consider their approach to tackling health care affordability while also considering the impact on hospitals and their vital role in the community.
Overall, addressing health care affordability requires a multifaceted approach that takes into account the various factors driving up costs. By acknowledging the significant role hospitals play in health care spending and working towards greater transparency and accountability across the industry, policymakers can make meaningful strides towards making health care more affordable for all Americans.

