Exclusive: Majority Of Americans Back Key Element Of Trump’s ‘Great Healthcare Plan’

A new poll indicates that the majority of Americans back President Donald Trump’s proposal to allow people to buy their own health insurance with direct funding from the government, as it is being mulled as a possible alternative to continuing Affordable Care Act subsidies.

OnMessage Public Strategies and the Insurance Watchdog Coalition asked 1,000 likely voters nationally their thoughts on a variety of health care issues from Jan. 15-18, including 59% who said they would back Trump’s health care pitch. A memo from the polling firm described it as a “center-right coalition” with that 59% being made up of 82% of Republicans and 51% of Independents. Twenty-eight percent opposed, 13% did not know or did not have an opinion.

Last week, Trump announced the “Great Healthcare Plan” pitch for Congress, as the president said in a video announcement last week that it “will truly make health care affordable again.”

The webpage for the policy states that it “stops sending big insurance companies billions in extra taxpayer-funded subsidy payments and instead sends that money directly to eligible Americans to allow them to buy the health insurance of their choice.”

Sixty-three percent of those polled said that health insurance companies should be the focus of policymakers “to solve the problems in health care” effecting them, with 13% saying pharmaceutical companies.

There was also 97% consensus on having “more transparency for health insurance companies so they can’t use secret rules or computer programs to decide who gets care and when” and that “health insurance pricing needs to be made more transparent so that patients know the cost for every appointment, procedure or prescription drug, allowing patients to make informed choices, driving down costs overall.”

In addition, 70% of those polled agreed with the premise that “health insurance companies should be forced to cover all drugs offered on the new government website without marking up the price,” in a specific reference to TrumpRx, a government website launched to help people find the lowest drug prices available for specific medications. Only 11% disagreed.

“While many Democrats believe that the issue of health care offers them political inroads, Republicans and the Trump Administration have the chance to go on offense with meaningful policy wins for voters as it relates to health insurance and have begun to do so,” the OnMessage memo stated.

Congress has been at odds over the Affordable Care Act subsidies that expired at the end of 2025, with the House voting to extend the subsidies for three years with the support of a handful of Republicans through a discharge petition. Talks have been murkier in the Senate on the continuation of the subsidies, as ACA plan premiums rose significantly for many, as many conservatives have argued it serves as evidence that Obamacare was not a fiscal sound policy to begin with.

Politico reported Tuesday that a bipartisan health care deal was achieved on some aspects of the debate, but not the subsidies.