Stories by Sam Baker

Trump's shaky policy legacy

Illustration of a Make America Great Again hat with the letters falling off to the side.
Illustration: Aïda Amer/Axios

A great deal of President Trump’s policy record — on issues like health care, energy and even immigration — would need a second term to fully take root, and could be easily reversed if he doesn’t get one.

Why it matters: Trump is doing a lot: He has upended American politics, and his appointment of conservative judges will reverberate well beyond his presidency. But if — if — he were to be a one-term president, the substantive policy changes he’d leave behind could be short-lived.

Trump's shrinking health care legacy

President Trump, alongside HHS Secretary Alex Azar and Republican members of Congress
Photo: Alex Wong/Getty Images

President Trump came into office in 2017 with big ambitions on health care. But he’ll end this term with a lot less to show.

The big picture: If Trump ends up being a one-term president — and that’s not a prediction, just 1 of the 2 possibilities in 2020 — his health care legacy would be pretty modest.

The looming crisis in long-term care

Illustration of a lone rocking chair in a strip of light.
Illustration: Aïda Amer/Axios

Taking care of the aging population is a crisis in the making, and no one — not families, not government programs and not the health care workforce — is prepared for it.

The big picture: Providing health care to aging Baby Boomers will strain Medicare’s finances, but the problem is even bigger than that.