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Photo: Saul Loeb/AFP via Getty Images

If this is the end for the Trump administration, it will leave a legacy of failure on health care, and if he's re-elected, he'll have a lot of ground left to make up.

Why it matters: The administration failed to get almost anything it wanted — sometimes the setback was Congress, sometimes the courts, sometimes the administration itself.

  • The failed effort to repeal the Affordable Care Act in 2017 is at the top of that list.
  • The administration simply didn't enact any of its most aggressive proposals on drug pricing, including plans to change the way rebates are paid within the system, to reclassify some drugs within Medicare, and to tie Medicare's prices to other countries.
  • The biggest thing it did accomplish on drug prices — a regulation requiring list prices in TV ads — was blocked in court.
  • Medicaid work requirements, probably the most significant change the administration has pursued on its own, have also been blocked in court.

What's left: Rules requiring hospitals to disclose their prices could stick around, and President Trump did change the rules for short-term insurance plans that compete with ACA coverage, although a Biden administration could change those rules again.

  • And that leaves a legacy largely defined by the failure to contain the coronavirus.

Yes, but: There's still a big wild card outstanding, in the form of the Supreme Court case over the ACA.

Go deeper

Former FDA commissioner: "Reliable drug supply is absolutely critical"

Axios' Caitlin Owens and former FDA commissioner Mark McClellan. Photo courtesy of Axios Events

Having a reliable supply of pharmaceutical drugs throughout America will be "absolutely critical" to boosting affordability in health care during the Biden administration, former Food and Drug Administration (FDA) commissioner Mark McClellan said at a virtual Axios Event on Friday.

The big picture: McClellan, who served under President George W. Bush, says drugs having limited supply and limited competition leads to elevated pricing. He considers drug supply to be a national security and public health issue.

Mike Allen, author of AM
2 hours ago - Politics & Policy

First look: Anita Dunn advises Dems on economy message for '22

Signs from a President Biden event yesterday in Kansas City, Mo. Photo: Chase Castor/Bloomberg via Getty Images

In a midterm preview, top Democratic strategist Anita Dunn advises the party's House and Senate members to frame Republicans "as being against the economic interests of working Americans."

What she's saying: "Explicitly framing Republicans as opposing policies to lower costs does better than simply framing Republicans as the 'party of no,'" Dunn, White House senior adviser until August, writes in the memo.

JPMorgan: "Full global recovery" in 2022

Photo: Erik McGregor/LightRocket via Getty Images

JPMorgan Chase Global Research says in a forecast to clients: "2022 will be the year of a full global recovery, an end of the global pandemic, and a return to normal conditions we had prior to the COVID-19 outbreak."

The big picture: The bullish report sees "a return of global mobility, and a release of pent-up demand from consumers (e.g. travel, services)."