The American Economic Liberties Project (AELP) compiled this memo outlining how the second Trump administration, and especially the U.S. Department of Health and Human Services (HHS), can fulfill its promises to voters by reining in the consolidated corporate power imperiling Americans’ health.

It identifies five key problems: (1) brand-name drug monopolies, (2) prescription drug middlemen, (3) provider consolidation, (4) workforce shortages, and (5) vertical integration; charts recent executive branch efforts to tackle them; and recommends policy solutions for HHS, working in tandem with Congress to pass key legislative reforms, to make the U.S. healthcare system healthy again.