President Donald Trump unveiled a multipart proposal on Thursday aimed at lowering prescription drug prices and reducing health insurance premiums, as well as increasing pricing transparency. He also vowed to hold big insurance companies accountable.

Health care has become a major policy issue in Congress. The recent government shutdown was caused by the minority party insisting on extending the deadline for the COVID-era, generous taxpayer subsidies in the Obamacare exchanges. This was in spite of the fact that when in the majority, they were the ones who set the deadline for Dec. 31, 2025.

The proposal, coming ahead of the midterm elections, falls far short of President Donald Trump’s promises to deliver a replacement for the Affordable Care Act.