The people that voted for Trump in 2016 thought they were getting a master deal maker. They didn't even with a Republican majority in the Senate and House. Now that the Democrats have the majority of the US House, the political ranting by Trump is no different than any other President that lost their party majority; when I (Trump) take the Senate and House in 2020 everything will be possible.

So, basically, those that are buying into Trump's promises of having a Republican health care policy that is better and cheaper than Obamacare once the majorities are back are simply willing to live through two more years of disappointment followed by two more years of gridlock. 

Evidently, Trump has a poor learning curve and his base does as well.

A woman standing in a West Virginia community health care clinic is asked what the answer is for health care. She stated, "I don't know, but, I know there is an answer out there somewhere." The same woman receives expanded Medicaid health insurance. She goes to this community clinic free of cost and receiving free medication. What does she mean there is an answer out there? She has her answer and so does the rest of America. What are they questioning for?

For Americans that can't afford their health care insurance yet and don't qualify for the Medicare Expansion, US Senator Whitehouse has a bill that introduces a new use for Medicare. He calls it "Medicare X" and it is purchased from the government through the exchanges.

There isn't much else to do except bring down the cost of medications.

Currently, some of the Medicare Advantage policies are reducing their Medication Formularies and excluding many of the modern medications on the market. These medications are still brand names and under the 11-year patent restrictions. That is not what is supposed to happen with Medicare in any form. 

These patients now face asking their physicians for different medications that are generic. This change in medication may not be possible for many patients and is a direct challenge to "Continuity of Care."

Pharmacists are currently going on the internet to access opportunity for patients like "Good Rx." Then they charge the patient the "Good Rx" price because the medication would be more expensive without the insurance formulary including them. I am not certain if patients are aware they are paying for the medication off formulary.

Eliminating medications from a health care insurance policy formulary beginning in 2019 is not just a patient care issue, it is a Wall Street issue. If those covered by Medicare are using only generics, it won't matter if the medications are covered by an 11-year patent and no one is buying them.