President Trump announced an outline for new health care legislation via a social media video on Thursday, but the plan does not address the escalating premiums faced by individuals and families who purchase health insurance through HealthCare.gov. These individuals are experiencing significant premium increases this month, exacerbating concerns about the affordability of healthcare.

The proposed legislation, dubbed the "Great Healthcare Plan" by Trump, focuses on four key areas: drug price reforms, health insurance reforms, price transparency for health costs, and fraud protections and safeguards, according to a White House fact sheet. Dr. Mehmet Oz, the chief of Medicare and Medicaid, hosted a press call to discuss the plan, emphasizing that the administration is seeking Congressional action to develop the legislation.

However, when pressed for specific policy details, Oz characterized the plan as a "broad framework," leaving many questions unanswered regarding how the proposed reforms would directly alleviate the burden of rising premiums for those insured through the Affordable Care Act (ACA) marketplaces.

The lack of immediate relief for ACA marketplace enrollees raises concerns among healthcare advocates and policy experts. Many families are already struggling to afford their monthly premiums, deductibles, and co-pays. Skyrocketing premiums could force some to forgo health insurance altogether, potentially leading to adverse health outcomes and increased financial strain in the event of illness or injury.

The Kaiser Family Foundation has extensively documented the challenges faced by individuals and families who do not qualify for premium subsidies under the ACA. These individuals often bear the full cost of their health insurance, making them particularly vulnerable to premium increases.

It remains to be seen whether Congress will take up the administration's call to develop the "Great Healthcare Plan" and whether any resulting legislation will address the immediate concerns of those facing skyrocketing ACA premiums. The future of healthcare affordability for millions of Americans hangs in the balance.