ReviewLancet regional health. Americas2025
Trump's second presidency begins: evaluating effects on the US health system.
Review in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Trial
- HIV prevention service disruption among transgender adults in the context of 2025 federal executive orders in the United States: a cross-sectional multi-state study.Lancet regional health. Americas · 2026Article
- Perspectives on sex and gender inclusion in clinical practice guidelines: a qualitative study.BMJ open · 2026Article
- Prevalence of elevated mental health symptoms, hazardous alcohol and other drug use, and their co-occurrence across sexual and gender identity in a national probability sample.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- The second Trump presidency: Health care themes, policies, and impacts in his first year back in office.Health policy (Amsterdam, Netherlands) · 2026Article
- Navigating a Geriatrics Academic Career in Uncertain Times: Collective Resilience, Persistence, and the Value of Community.Journal of the American Geriatrics Society · 2026Article
- No Roadblocks: How Mobile Primary Care Navigates Barriers to Health Access.International journal of environmental research and public health · 2026Article
- Navigating a Politicized Landscape: The Imperative for Activist and Advocate Leadership in Public Health Education.American journal of public health · 2026Article
- Insights on Recent National Policy Changes: Public Health Students' Experiences.American journal of public health · 2026Article
- Preferences for Shared Language for Health Equity Across the Political Spectrum.JAMA network open · 2026Article
- Lessons from biotech's unscientific evolution.Nature biotechnology · 2026Article
- Health effects of reductions in food assistance benefits in the USA.Lancet (London, England) · 2026Article
- PrEP-Related Medical, Structural and Institutional Mistrust among a Socioeconomically Diverse Sample of Black, Latine, Asian, and White Young Sexual Minority Men: Lived Experiences of Intersectional Inequity.AIDS and behavior · 2026Article
- Housing Instability Following Medical Debt Exposure Among US Adults, 2023 to 2025.JAMA network open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The first hundred days of the second Trump administration was unprecedented, with the administration taking remarkably aggressive, often questionably legal actions across health policy. This article uses the Health Systems Performance Assessment Framework to identify key policies regarding resources, financing, governance, and service delivery and their impact on the cost, quality, access, and equity of the US health system. The evaluation is largely negative. The administration, in its very energetic first hundred days, has already undermined resources, financing, and in particular governance in areas as diverse as oversight of long-term care, scientific research, and vaccination policy. Administration rhetoric and budget proposals called for severe reductions in health care access and actions to terminate services for particular groups, such as immigrants or gender minorities. Many of the particular actions, such as mass layoffs of specialist scientific and regulatory staff, will be difficult to reverse.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.