--- title: The Trump Administration’s Effect On Urology Practices description: Will the new Trump Administration have an impact on Urology Practices? You bet. Does anyone really know what those impacts will be? Discover a few insights. image: https://info.bhnco.com/hubfs/trump_administration_urology_practices2.jpg --- [![optional logo](https://info.bhnco.com/hs-fs/hubfs/BHN_logo-1.jpg?width=90&height=90&name=BHN_logo-1.jpg) Brighter Health Network Turn-key, On-site Medical Testing](http://www.bhnco.com/index.html) [Customer Sign in](http://www.bhnportal.com/) - [Home](https://www.bhnco.com/index.html) - [About us](https://www.bhnco.com/about_us.html) - Services - Urodynamic Services - [Urodynamic Testing Services](https://www.bhnco.com/Services/urodynamic-services.html) - [Urodynamics Training](https://www.bhnco.com/Services/urodynamics-training.html) - [Urodynamic Staffing Services](https://www.bhnco.com/Services/urology-obgyn-staff-services.html) - [Pediatric Urodynamic Services](https://www.bhnco.com/Services/pediatric-urodynamics-services.html) - Anorectal Manometry Services - [Anorectal Manometry Testing Services](https://www.bhnco.com/Services/anorectal-manometry-services.html) - [Anorectal Manometry Training](https://www.bhnco.com/Services/anorectal-manometry-training.html) - [Anorectal Manometry Staffing Services](https://www.bhnco.com/Services/gastroenterology-staff-services.html) - Other Services - [UroCuff Testing Servcies](https://www.bhnco.com/Services/urocuff-testing-services.html) - [Clinical Trial Support Services](https://www.bhnco.com/Services/clinical-trial-support-services.html) - [Medical Device Field Service/Support](https://www.bhnco.com/Services/medical-device-inservice-outsourcing-services.html) - [Careers](https://www.bhnco.com/BHN-Careers-Jobs.html) - [Blog](https://info.bhnco.com/blog) - Resources - General Resources - [Why outsourcing diagnostics is prudent?](https://www.bhnco.com/Resources/outsourcing-medical-diagnostics.html) - Urodynamics Resources - [What is a Urodynamics Test?](https://www.bhnco.com/Resources/what-is-a-urodynamics-test.html) - [Urodynamics - Useful Terms](https://www.bhnco.com/Resources/urodynamics-useful-terms.html) - [Urodynamics - Useful videos](https://www.bhnco.com/Resources/urodynamics-useful-videos.html) - [When should Urodynamics be performed?](https://www.bhnco.com/Resources/When-should-urodynamics-be-performed.html) - [Urodynamics Testing Best Practices](https://www.bhnco.com/Resources/urodynamics-testing-best-practices.html) - [Top 10 Urodynamics Mistakes](https://www.bhnco.com/Resources/top-ten-urodynamics-mistakes.html) - [Largest Urology Practices in U.S.](https://www.bhnco.com/Resources/largest-urology-practices-in-unitedstates.html) - [In-office Urodynamics Testing](https://www.bhnco.com/BHN_inoffice.htm) - Anorectal Manometry Resources - [What is Anorectal Manometry?](https://www.bhnco.com/Resources/What-is-anorectal-manometry.html) - [Anorectal Manometry - Useful Terms](https://www.bhnco.com/Resources/anorectal-manometry-useful-terms.html) - [Anorectal Manometry - Useful Videos](https://www.bhnco.com/Resources/anorectal-manometry-useful-videos.html) - [Why anorectal manometry?](https://www.bhnco.com/Resources/Why-anorectal-manometry.html) - [Contact](https://www.bhnco.com/contact.html) ![Collage_nurses_urodynamics_equipment.jpg](https://info.bhnco.com/hs-fs/hubfs/Collage_nurses_urodynamics_equipment.jpg?width=1920&name=Collage_nurses_urodynamics_equipment.jpg "Collage_nurses_urodynamics_equipment.jpg") ## BHN Healthcare Blog # The Trump Administration’s Effect On Urology Practices Posted by [Clark Love](https://info.bhnco.com/blog/author/clark-love) on Jun 15, 2017 1:18:34 PM - [Tweet](https://twitter.com/share) **![Trump administration and urology practices](https://info.bhnco.com/hs-fs/hubfs/trump_administration_urology_practices2.jpg?width=320&name=trump_administration_urology_practices2.jpg "Trump administration and urology practices")Almost 6 months into Donald Trump’s presidency, there are many unanswered questions regarding the present state of affairs in America.  Among the most daunting questions is what will happen in the United States in regards to healthcare. The phrase "your guess is as good as mine" comes to mind.  In this article, Trump’s administrations effect on urology practices will be discussed.** ## **Research Funding** At the top of President Trump’s proposal to balance the United State’s budget is significant cuts to grant funding for [scientists](https://info.bhnco.com/blog/urоdуnаmiсѕ-studies-why-do-them). While Congress ultimately reversed Trump’s cuts to the National Institutes of Health for 2017, it remains to be seen whether the agency will have limited funds for 2018, as Trump proposes. In 2016, [$506 million](https://report.nih.gov/categorical_spending.aspx) were awarded to researchers for the study of urologic diseases. In 2017, $522 million is estimated to be used towards urology research. For 2018, Trump hopes to slash $5.8 billion in funding from the NIH, which could dramatically affect research towards urological developments, particularly for prostate health and [urinary incontinence](https://info.bhnco.com/blog/what-is-incontinence-and-why-is-it-important). ## **Health Insurance** A major promise throughout President Trump’s campaign was the repeal of the Affordable Care Act (ACA), which provides people at or below the poverty line, as well as those with pre-existing conditions, an opportunity to purchase health insurance. While a satisfactory replacement for the ACA has not yet been introduced into Congress, a repeal of the current ACA could be both good and bad for urology practices. The ACA has mandated numerous regulations that some physicians believe have hindered their ability to maintain a close relationship with their patients, particularly due to cumbersome electronic paperwork. Removing this regulation – as well as others – could lead to a more direct connection between patient and physician. Additionally, deregulation could provide the opportunity for medical companies to promote their products in new ways and with fewer stipulations. The overall result could be enhanced technology from private firms as well as more patient / doctor interaction. On the other hand, the Trump administration’s proposals could potentially leave millions of Americans uninsured, meaning that fewer patients would be able to afford preventative care and procedures for non-life threatening disorders. Therefore, fewer Americans would be able to receive preventative prostate exams or expensive [urodynamic tests](https://info.bhnco.com/blog/urodynamics-can-patients-reliably-verbalize-incontinence-symptoms) for diagnosing disorders such as [pelvic organ prolapse](https://info.bhnco.com/blog/pelvic-organ-prolapse-and-urodynamics), [stress incontinence](https://info.bhnco.com/blog/role-of-urodynamics-in-stress-incontinence-a-critical-appraisal), urge incontinence, pelvic pain, and difficulty urinating. [![Get a Urodynamics Staffing Quote Now!](https://no-cache.hubspot.com/cta/default/1835638/2fa5ecda-96a5-456e-bc7e-15c5d048c76b.png)](https://cta-redirect.hubspot.com/cta/redirect/1835638/2fa5ecda-96a5-456e-bc7e-15c5d048c76b) ## **Fewer Regulations** As a businessman, President Trump has promised fewer regulations in health care, particularly the pharmaceutical industry, which could trickle over to medical devices. For urologists, the deregulation of medical devices could result in more affordability of implants such as transvaginal meshes and similar items. Additionally, deregulation could reduce the amount of paperwork that needs to be performed, saving urologists time and money. For some physicians, this would be a welcome change under the Trump administration. ## **USPSTF Reform** The US Preventative Services Task Force (USPSTF) was formed to serve as an independent panel of experts to review the effectiveness of clinical preventative services. In May 2012, the USPSTF recommended against the screening of prostate cancer with prostate-specific antigen. There has largely been concern regarding the recommendations of the USPSTF and the manner in which it has justified limiting access to routine preventative care. In January, the USPSTF Transparency and Accountability Act of 2017 was introduced to Congress and is backed by the American Urological Association, Large Urology Group Practice Association, and Association of American Colleges and Universities. With a dramatically decreased focus on regulations and government spending by the Trump administration, this act is likely to be approved, with the possibility of the USPSTF being dismantled entirely. For urology practices, that means a return to annual prostate cancer screenings as well as fewer hesitancies among patients for preventative care. ## **MACRA** Many physicians have wondered what effect – if any – the Trump administration will have on the Medicare Access and Chip Reauthorization Act (MACRA) that was enacted in 2016. Bipartisan support of MACRA does not take into consideration the push-back from doctors, which are concerned of its consequences. For instance, a doctor shortage crisis is likely, due to the exodus of doctors from Medicare, as well as due to the struggles caused by implementing this law into independent [urological practices](https://info.bhnco.com/blog/listing-of-largest-urology-practices-in-us). By 2018, half of a doctor’s fees will be directly tied into quality of care and outcome measures, with eventually 90% of reimbursement to be linked with these measurements. For urologists, who treat patients with disorders that are not widely understood and for which treatment outcomes can be unpredictable, MACRA has potential to be extremely disruptive. Many urologists hoped that Trump would approach MACRA with the same repeal goals as were promised for the ACA. However, Seema Verma, the Trump-appointed director of the Centers of Medicaid and Medicare Services has openly supported MACRA and even applauded Congress for its enactment. Ultimately, there is little hope for urologists that MACRA will be repealed by the Trump administration.     Topics: [General Urology Information](https://info.bhnco.com/blog/topic/general-urology-information), [urology](https://info.bhnco.com/blog/topic/urology) We hope our blog is helpful.  Please leave us your thoughts and feel free to share any posts of interest to you on your social media accounts using the social media links at the top. ### Subscribe to Email Updates ### Recent Posts ### Posts by Topic - [urodynamics (34)](https://info.bhnco.com/blog/topic/urodynamics) - [Urodynamics Testing (24)](https://info.bhnco.com/blog/topic/urodynamics-testing) - [Anorectal Manometry (9)](https://info.bhnco.com/blog/topic/anorectal-manometry) - [urodynamics equipment (8)](https://info.bhnco.com/blog/topic/urodynamics-equipment) - [General Urology Information (7)](https://info.bhnco.com/blog/topic/general-urology-information) - [Medical Practice Operations (7)](https://info.bhnco.com/blog/topic/medical-practice-operations) - 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