Events

Trump and the future of American health care

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Trump and the future of American health care

Margaret Foster Riley, Vivian Riefberg, Jonathan R. Crowe, Guian McKee (moderator)

Thursday, October 23, 2025
11:00AM - 12:00PM (EDT)
Event Details

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The second Trump administration has brought transformative changes to the U.S. health care system and to medical research and funding. From cuts to Medicaid and Affordable Care Act subsidies to cancellation of research grants and departures of scientific leaders, policy shifts have remade the landscape for health care and research. At the same time, many underlying challenges remain unaddressed. In this event, four Miller Center and UVA health care experts discuss what has happened, what it means, and where U.S. health care might be headed next. 

This event is organized by the Miller Center’s Health Care Policy Project.

When
Thursday, October 23, 2025
11:00AM - 12:00PM (EDT)
Where
The Miller Center
2201 Old Ivy Road
Charlottesville, VA
&
ONLINE
Speakers
Mimi Riley headshot

Margaret Foster Riley

Margaret Foster Riley, the Dorothy Danforth Compton Professor at the Miller Center, is professor of law at the University of Virginia’s School of Law, professor of public health sciences at the UVA School of Medicine, and professor of public policy at the University’s Frank Batten School of Leadership and Public Policy. She also directs the Animal Law Program at the law school. Riley has advised numerous state and federal agencies, including the Food and Drug Administration; the Environmental Protection Agency; the Department of Defense; committees of the National Institutes of Health, the National Science Foundation, and the National Academies of Science, Engineering, and Medicine; the Virginia Department of Health; and the Virginia Bar.

Vivian Riefberg headshot

Vivian Riefberg

Vivian Riefberg, a Miller Center faculty senior fellow, is a professor of practice at the Darden School of Business at the University of Virginia, where she holds a David C. Walentas Jefferson Scholars Chair. She retired as a senior partner with McKinsey & Company after 31 years with the management consulting firm. At Darden, Riefberg focuses on health care, consulting, and strategy across the private, public, and nonprofit sectors. She focuses on senior executive leadership with a particular focus on leading in uncertainty and solutions in health care. Riefberg is a frequent speaker at conferences, including the World Economic Forum at Davos, and is a contributor to leading industry publications on improving U.S. health care, addressing government productivity, and women’s leadership.

Jonathan Crowe headshot

Jonathan R. Crowe

Dr. Jonathan R. Crowe is a Miller Center faculty senior fellow and assistant professor of neurology and public health sciences at the University of Virginia. In addition to his clinical roles, Crowe regularly works with federal and state policymakers on the impact that health policies have on patients, their families, and their communities. Crowe earned a BA in Spanish and foreign affairs from UVA, where he volunteered in the Miller Center’s Presidential Recordings Program. He also holds a masters degree in global politics from the London School of Economics and a Master of Public Health from the Johns Hopkins University Bloomberg School of Public Health. He earned an MD from the Medical College of Georgia. 

Guian McKee headshot

Guian McKee (moderator)

Guian McKee is the White Burkett Miller Professor of Public Affairs at the Miller Center. He received a PhD in American history at the University of California, Berkeley, in May 2002, and is the author of Hospital City, Health Care Nation: Race, Capital, and the Costs of American Health Care (University of Pennsylvania Press, 2023) and The Problem of Jobs: Liberalism, Race, and Deindustrialization in Philadelphia (University of Chicago Press, 2008). At the Miller Center, McKee co-directs the Health Care Policy Project and serves as co-chair of the Presidential Recordings Program. His research focuses on how federal policy, especially in the executive branch, plays out at the local level in American communities.

About the Health Care Policy Project

The Miller Center's Health Care Policy Project examines the history of domestic and global health care challenges