President Donald Trump has rolled out what he is calling 'The Great Healthcare Plan' and the single most important thing to know about it is that it's not really a plan. A real plan would have details and numbers, plus experts on standby to explain and defend it. It would reflect weeks of behind-the-scenes work, and represent the beginning of a serious, persistent effort to get a bill through Congress. That is not what the White House produced. The online summary is just 350 words and fits on a single printed page. The extended 'fact sheet' clocks in at just 825 words. There are days Trump writes more than that in his posts on Truth Social. And it's not like those 825 words are dense with policy substance. About a third is a summary of some modest—er, 'historic'—executive actions Trump has already taken. The rest is a list of ideas either Trump or Republicans in Congress have endorsed before, with no guidance on the specifics that it would take to turn them into legislation. It's hard to know what kind of effort went into this proposal; probably there were some knowledgeable, diligent wonks at the Office of Management and Budget or the Domestic Policy Council staying up late recently to craft and vet the document's language. But the reaction on Capitol Hill was a collective shrug, which suggests the White House didn't spend much time coordinating with the people whose input and support would be necessary to pass a healthcare law.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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