9+ Facts: What Has Trump REALLY Done for Puerto Rico?


9+ Facts: What Has Trump REALLY Done for Puerto Rico?

The federal authorities’s response to the island territory following the devastating hurricanes Irma and Maria in 2017, and subsequent help allocation, had been defining elements of the earlier administration’s relationship with Puerto Rico. Preliminary actions included declarations of main catastrophe, which licensed FEMA to coordinate catastrophe reduction efforts. These actions facilitated the supply of assets equivalent to meals, water, and momentary shelter.

The declared disasters opened the door to billions of {dollars} in federal funding allotted for restoration and reconstruction tasks. This help coated a broad spectrum of wants, from particles removing and emergency protecting measures to the restoration of infrastructure, together with energy grids and roadways. The velocity and efficacy of fund distribution, nevertheless, grew to become a topic of appreciable debate and scrutiny, with accusations of delayed or inadequate help surfacing from numerous quarters. The long-term affect of those federal actions continues to form the island’s restoration trajectory.

The specifics of catastrophe response, help allocation, and coverage selections regarding infrastructure tasks are detailed within the following sections. These concerns, together with their financial and social penalties, are explored by particular examples and information the place out there. Evaluation of legislative actions and govt orders related to the territory can be introduced.

1. Catastrophe declaration (Hurricane Maria)

The declaration of a significant catastrophe following Hurricane Maria was a pivotal preliminary motion that outlined the U.S. federal authorities’s, underneath the Trump administration, formal response to the disaster in Puerto Rico. This declaration, made in September 2017, triggered the provision of federal assets and help by the Federal Emergency Administration Company (FEMA). It licensed FEMA to coordinate catastrophe reduction efforts, offering funds for emergency work and the restore or substitute of broken services. This was the mandatory first step to mobilize a large-scale response.

The importance of the catastrophe declaration lies in its perform because the gateway to federal help. With out it, the stream of important assets, together with meals, water, medical provides, and momentary housing, would have been considerably hampered. Moreover, the declaration allowed for the deployment of federal personnel and tools to help with search and rescue operations, particles removing, and infrastructure assessments. The next allocation of funding for infrastructure restore, although usually criticized for its tempo and scope, was straight contingent upon this preliminary declaration.

Nonetheless, the effectiveness of the declaration’s implementation has been a topic of appreciable debate. Whereas it unlocked federal assets, criticisms arose in regards to the velocity of response, the adequacy of help offered, and the complexities of navigating bureaucratic processes. Regardless of the declaration, widespread energy outages, shortages of important provides, and challenges in accessing distant areas persevered for months. The catastrophe declaration, subsequently, represents a fancy intersection of meant help and perceived shortcomings within the precise supply of that help, highlighting the continuing challenges in catastrophe response effectiveness.

2. FEMA useful resource allocation

FEMA useful resource allocation represents a essential dimension of the Trump administration’s response to the catastrophe in Puerto Rico. The size and nature of those allocations mirrored coverage selections concerning catastrophe reduction and the prioritization of restoration efforts. Understanding these allocations is significant to assessing the precise affect of the federal authorities’s actions.

  • Emergency Reduction Funding

    Preliminary allocations centered on fast wants, equivalent to meals, water, momentary shelter, and medical help. The velocity and quantity of those assets had been factors of rivalry, with criticisms arising concerning delays and perceived inadequacies in addressing the fast disaster. These shortfalls formed public notion of the federal response.

  • Infrastructure Restore Grants

    Substantial funds had been earmarked for the reconstruction of significant infrastructure, together with the facility grid, roads, bridges, and hospitals. The awarding of contracts, the oversight of tasks, and the tempo of reconstruction all had direct implications for the island’s long-term restoration. These infrastructure tasks had been usually topic to prolonged bureaucratic processes, impacting the velocity of rebuilding.

  • Hazard Mitigation Measures

    Funding was additionally allotted for hazard mitigation efforts geared toward strengthening infrastructure towards future disasters. These measures included tasks designed to enhance resilience towards hurricanes, floods, and earthquakes. The effectiveness of those measures in decreasing future harm stays a topic of ongoing analysis.

  • Administrative Prices and Oversight

    A portion of allotted funds coated FEMA’s administrative prices and the bills related to oversight and monitoring of reduction efforts. The effectivity and transparency of those administrative processes had been usually scrutinized, with issues raised about potential waste or mismanagement of assets. These prices impacted the sum of money that went on to reduction efforts.

The allocation of FEMA assets, from fast help to long-term infrastructure tasks and administrative prices, considerably influenced the island’s restoration trajectory. Assessing the effectiveness of those allocations requires contemplating each the meant objectives and the precise outcomes, factoring within the logistical challenges and bureaucratic complexities that formed the implementation of those catastrophe reduction efforts.

3. Infrastructure venture funding

Infrastructure venture funding constituted a significant component of the federal response to the harm in Puerto Rico, representing a long-term effort to rebuild and modernize the island’s essential programs after hurricanes Irma and Maria. The size and execution of those tasks have had a direct affect on the territorys restoration and future resilience.

  • Energy Grid Reconstruction

    A considerable portion of funding was devoted to rebuilding the facility grid, which was severely broken by the hurricanes. The main target was on not solely restoring energy but in addition modernizing the grid to boost its resilience to future storms. This concerned changing outdated tools, burying energy traces, and implementing sensible grid applied sciences. The execution confronted challenges associated to logistical hurdles, bureaucratic delays, and debates over the optimum method to grid modernization.

  • Street and Bridge Restore

    Funding was allotted for the restore and reconstruction of roads and bridges, important for connecting communities and facilitating the motion of products. Many roads and bridges had been severely broken or destroyed, hindering reduction efforts and financial exercise. Restore tasks had been prioritized based mostly on their significance for transportation and entry to important companies. Delays and price overruns plagued a few of these tasks.

  • Water and Sewer System Upgrades

    The territory’s water and sewer programs had been additionally focused for upgrades, aiming to enhance water high quality and sanitation. Ageing infrastructure and storm harm had compromised the reliability of those programs, resulting in water shortages and public well being issues. Funding supported repairs to water therapy vegetation, substitute of pipes, and upgrades to sewage therapy services. The modernization of those programs was essential for long-term public well being.

  • Hospital and Faculty Reconstruction

    Funds supported the reconstruction of hospitals and colleges, important for offering healthcare and schooling. Many services had suffered important harm, disrupting important companies. Reconstruction efforts centered on modernizing services, incorporating resilience measures, and guaranteeing compliance with constructing codes. The tempo and scope of those tasks had a direct affect on the provision of healthcare and academic alternatives.

These infrastructure tasks, whereas receiving federal funds, confronted numerous challenges, together with bureaucratic delays, logistical points, and debates over venture prioritization. The effectiveness of those tasks in restoring essential infrastructure and bettering the island’s resilience could have long-term penalties for the territory’s financial restoration and total well-being.

4. Catastrophe reduction delays

The delays in catastrophe reduction following hurricanes Irma and Maria represent a essential side of assessing the Trump administration’s actions regarding Puerto Rico. The tempo at which help reached the island, and the timeline for infrastructure restoration, considerably impacted the territory’s restoration. These delays increase questions on useful resource allocation, logistical effectiveness, and coverage prioritization.

Examples of those delays embody protracted waits for the supply of important provides, hindering fast reduction efforts. Bureaucratic hurdles, logistical challenges, and coordination points contributed to the sluggish distribution of assets. The delayed restoration of energy, water, and transportation infrastructure impeded long-term restoration. These delays had measurable financial and social penalties, exacerbating hardship and hindering efforts to rebuild. The sluggish tempo of infrastructure tasks, regardless of funding allocations, additionally extended the territory’s restoration.

In conclusion, the catastrophe reduction delays skilled by Puerto Rico following the hurricanes replicate not solely logistical challenges but in addition coverage and useful resource allocation selections made in the course of the Trump administration. These delays had substantial, detrimental impacts on the territory’s restoration and characterize a major think about evaluating the general effectiveness of the federal response. Understanding these delays is essential for informing future catastrophe reduction methods and guaranteeing a extra equitable and environment friendly response to comparable crises.

5. Debt restructuring proposals

Debt restructuring proposals characterize a essential side of the monetary panorama that was intertwined with federal actions towards Puerto Rico. The territory’s pre-existing debt disaster, exacerbated by the financial affect of the hurricanes, necessitated consideration of restructuring to realize fiscal stability and facilitate restoration. Federal insurance policies and potential interventions concerning this debt grew to become factors of focus in the course of the Trump administration.

  • Oversight Board Affect

    The federally appointed Monetary Oversight and Administration Board for Puerto Rico performed a central position in creating and negotiating debt restructuring plans. Its actions, working underneath the Puerto Rico Oversight, Administration, and Financial Stability Act (PROMESA), had been topic to scrutiny and debate. The board’s mandate to impose fiscal austerity measures and negotiate with collectors usually clashed with requires prioritizing restoration and social companies. The administration’s stance on the board’s actions influenced the trajectory of negotiations and the ultimate phrases of any restructuring settlement.

  • Negotiation Methods with Collectors

    The administration’s method to negotiating with collectors affected the potential phrases of debt restructuring. Stances on prioritizing sure forms of debt, advocating for debt forgiveness, or implementing strict compensation phrases impacted the general debt burden on the territory and its potential to allocate assets to restoration efforts. The willingness of the federal authorities to doubtlessly again sure debt obligations influenced the dynamics of negotiations.

  • Federal Monetary Help as Leverage

    The potential use of federal monetary help as leverage in debt negotiations grew to become some extent of debate. The administration might have linked catastrophe reduction funds or different federal help to the territory’s willingness to simply accept particular debt restructuring phrases. This might have offered an incentive for Puerto Rico to succeed in an settlement but in addition risked penalizing the territory if negotiations stalled. The usage of federal help as a bargaining chip raised moral and sensible concerns.

  • Affect on Restoration and Funding

    The phrases of debt restructuring would in the end affect Puerto Rico’s capability to put money into its personal restoration and future financial growth. A positive restructuring settlement would scale back the debt burden, releasing up assets for infrastructure tasks, social applications, and financial stimulus initiatives. Conversely, a harsh restructuring settlement might perpetuate the territory’s monetary challenges and hinder long-term development. The extent to which the administration advocated for a debt restructuring plan that supported restoration and funding straight impacted the island’s prospects.

Debt restructuring proposals weren’t merely monetary devices however coverage decisions that had profound implications for the island’s future. The administration’s actions, or lack thereof, in advocating for particular debt restructuring phrases formed Puerto Rico’s monetary trajectory and impacted its potential to get better from the devastation wrought by the hurricanes. The diploma to which the federal authorities facilitated or hindered equitable debt restructuring represents a major measure of the administration’s actions towards the territory.

6. Tax incentives supplied

Tax incentives supplied to Puerto Rico represented a device meant to stimulate financial exercise and funding within the aftermath of hurricanes Irma and Maria. These incentives, applied by federal laws and administrative actions, aimed to draw companies and promote job creation on the island. Their effectiveness and long-term affect stay topics of ongoing evaluation.

  • Alternative Zones Designation

    Puerto Rico was designated as an Alternative Zone underneath the 2017 Tax Cuts and Jobs Act. This designation offered tax advantages to buyers who invested in designated low-income communities inside Puerto Rico. The aim was to encourage long-term funding in areas that wanted financial revitalization. Nonetheless, issues arose concerning whether or not the incentives would primarily profit rich buyers somewhat than straight addressing the wants of native communities. For instance, luxurious actual property tasks might qualify for tax advantages, doubtlessly diverting funding from extra urgent wants equivalent to inexpensive housing.

  • Part 199A Deduction for Certified Enterprise Revenue

    The Tax Cuts and Jobs Act additionally included a deduction for certified enterprise earnings (QBI) earned in Puerto Rico. This provision allowed enterprise house owners to deduct as much as 20% of their QBI, successfully decreasing their tax legal responsibility. The intention was to incentivize entrepreneurship and enterprise development on the island. Nonetheless, the complexity of the QBI deduction and its potential for disproportionately benefiting high-income earners raised questions on its distributional results.

  • Incentives for Manufacturing and Export

    Puerto Rico has traditionally supplied its personal tax incentives to draw manufacturing and export companies. The federal authorities’s actions might complement or battle with these current incentives. Coordinating federal and native tax insurance policies was essential to maximizing their effectiveness and avoiding unintended penalties. For instance, overlapping incentives might result in inefficient useful resource allocation, whereas conflicting insurance policies might create uncertainty for companies.

  • Monitoring and Oversight Mechanisms

    Efficient monitoring and oversight mechanisms had been vital to make sure that tax incentives achieved their meant objectives and didn’t result in unintended penalties equivalent to tax evasion or the displacement of native companies. The dearth of enough oversight might undermine the effectiveness of the incentives and erode public belief. Common evaluations of the incentives’ affect on job creation, financial development, and neighborhood growth had been important.

The tax incentives supplied to Puerto Rico underneath the Trump administration represented a multifaceted method to stimulating financial exercise. Nonetheless, their effectiveness relied on cautious design, implementation, and oversight. The extent to which these incentives translated into tangible advantages for the island’s residents and contributed to its long-term restoration stays a key think about evaluating the administration’s actions.

7. Oversight board affect

The affect of the Monetary Oversight and Administration Board for Puerto Rico, a physique established by the Puerto Rico Oversight, Administration, and Financial Stability Act (PROMESA), represents a major component in analyzing the Trump administration’s method to the territory. The board’s actions, working with federal authority, straight impacted fiscal coverage and useful resource allocation, thereby shaping the island’s restoration trajectory following hurricanes Irma and Maria. The board’s mandate to supervise Puerto Rico’s funds and restructure its debt meant that its selections on austerity measures, funds cuts, and negotiations with collectors had been integral to the territory’s financial future. As an illustration, the board’s imposition of austerity measures, equivalent to pension reforms and cuts to public companies, drew criticism for doubtlessly hindering restoration efforts and exacerbating social challenges. Federal inaction in straight countermanding or considerably altering the board’s insurance policies might be construed as tacit endorsement of its method, thereby influencing the general route of the territory’s restoration.

The interaction between the Oversight Board and the federal authorities, notably concerning the allocation of catastrophe reduction funds, supplies one other essential instance. The board’s management over Puerto Rico’s funds meant that it had appreciable affect over how these funds had been in the end spent. Selections on prioritizing infrastructure tasks, allocating assets to particular sectors, and managing budgetary constraints all fell inside the board’s purview. The Trump administration’s method to catastrophe reduction, whereas offering important monetary help, operated inside the framework established by PROMESA and the Oversight Board. The long-term results of those insurance policies will proceed to form the island’s fiscal panorama.

In abstract, the Oversight Board’s affect was inextricably linked to the federal authorities’s actions concerning Puerto Rico. The board’s selections on austerity, debt restructuring, and useful resource allocation had far-reaching penalties for the territory’s restoration and future financial prospects. Understanding the connection between the board’s actions and the Trump administration’s insurance policies is crucial for evaluating the general effectiveness and affect of the federal response.

8. Federal help distribution

Federal help distribution is a central component in evaluating the actions taken regarding Puerto Rico, notably following the devastating hurricanes of 2017. The way during which these funds had been allotted, managed, and in the end utilized has profoundly influenced the island’s restoration trajectory. Assessing the efficacy and affect of this distribution is essential for understanding the general nature and penalties of the federal response.

  • Allocation of Funds Throughout Sectors

    Federal help was allotted throughout numerous sectors, together with infrastructure restore, housing help, healthcare, and schooling. The distribution of funds amongst these sectors displays coverage priorities and the perceived wants of the island. Nonetheless, discrepancies between allotted funds and precise disbursement, coupled with reviews of bureaucratic delays and mismanagement, have raised questions concerning the effectivity of the distribution course of. For instance, whereas substantial funds had been earmarked for energy grid reconstruction, the sluggish tempo of venture implementation and the persistence of energy outages in lots of areas have prompted criticisms of the execution technique. The allocation technique and its execution characterize a essential aspect of the federal response.

  • The Function of Federal Companies

    Federal businesses equivalent to FEMA performed a central position in managing and distributing catastrophe reduction funds. These businesses had been accountable for coordinating help efforts, overseeing venture implementation, and guaranteeing compliance with federal laws. Nonetheless, the effectiveness of those businesses was hampered by logistical challenges, coordination failures, and allegations of insufficient staffing and assets. As an illustration, reviews of delayed help deliveries, cumbersome software processes, and inadequate communication between federal businesses and native communities have highlighted the challenges of managing large-scale catastrophe reduction operations. These reviews have impacted perceptions of the adequacy and effectiveness of the federal government’s response.

  • Monitoring and Oversight Mechanisms

    Monitoring and oversight mechanisms had been meant to make sure the right use of federal help and forestall fraud and abuse. These mechanisms concerned audits, inspections, and reporting necessities. Nonetheless, issues have been raised concerning the adequacy of those mechanisms and the extent to which they successfully detected and addressed cases of mismanagement or corruption. The dearth of transparency within the allocation and disbursement of funds has fueled public skepticism and prompted requires better accountability. Strengthening monitoring and oversight mechanisms is essential for guaranteeing that federal help is used successfully and effectively.

  • Affect on Lengthy-Time period Restoration

    Federal help distribution had a direct affect on Puerto Rico’s long-term restoration prospects. The provision of funding for infrastructure tasks, financial growth initiatives, and social applications performed a vital position in rebuilding the island’s financial system and bettering the standard of life for its residents. Nonetheless, the effectiveness of those investments relied on cautious planning, environment friendly execution, and neighborhood involvement. The sustainability of restoration efforts and the extent to which they deal with the foundation causes of vulnerability stay key concerns. Federal funding, if distributed successfully, can catalyze long-term financial development and resilience.

The complexities inherent in federal help distribution replicate a variety of interconnected elements, from coverage selections and bureaucratic processes to logistical challenges and oversight mechanisms. Evaluating the general affect of federal actions regarding Puerto Rico requires a complete understanding of how these elements interacted to form the island’s restoration.

9. Energy grid rebuilding

The rebuilding of Puerto Rico’s energy grid following the devastation of hurricanes Irma and Maria constitutes a vital component of federal actions towards the island, particularly underneath the Trump administration. The just about full destruction of the grid highlighted the territory’s infrastructure vulnerabilities and necessitated a complete reconstruction effort. Funding allocation for this goal grew to become a defining side of the federal response, with billions of {dollars} earmarked for tasks geared toward restoring and modernizing the facility infrastructure. The progress, challenges, and outcomes of this rebuilding effort straight replicate the administration’s dedication and method to catastrophe restoration in Puerto Rico.

A key level of research lies within the prioritization and execution of particular rebuilding tasks. For instance, the awarding of contracts for energy restoration and grid modernization was a topic of scrutiny, with issues raised concerning the choice of contractors, the effectivity of venture administration, and the general tempo of reconstruction. Moreover, the emphasis on short-term fixes versus long-term resilience measures has been debated, with some critics arguing that the main target ought to have been on constructing a extra strong and sustainable energy system able to withstanding future disasters. The diploma to which federal oversight and technical help facilitated or hindered these efforts had a tangible affect on the restoration timeline and the final word effectiveness of the rebuilt grid.

In the end, the rebuilding of Puerto Rico’s energy grid serves as a tangible case research for evaluating federal catastrophe response. The allocation of funds, the choice of priorities, the administration of tasks, and the long-term outcomes of the rebuilding effort are all indicators of the administration’s affect on the island’s restoration. The extent to which the rebuilt energy grid meets the wants of Puerto Rico’s residents and companies, whereas additionally enhancing its resilience to future disasters, will function a long-term legacy of those actions.

Ceaselessly Requested Questions

The next addresses steadily requested questions concerning federal actions and insurance policies regarding Puerto Rico, notably in the course of the Trump administration. The intent is to supply factual data and make clear frequent factors of inquiry.

Query 1: What was the preliminary federal response to Hurricane Maria in Puerto Rico?

The preliminary federal response to Hurricane Maria in Puerto Rico included a declaration of a significant catastrophe, authorizing FEMA to coordinate catastrophe reduction efforts. This triggered the supply of important assets equivalent to meals, water, and momentary shelter. Search and rescue operations and particles removing had been additionally prioritized.

Query 2: How a lot federal funding was allotted to Puerto Rico for hurricane restoration?

Billions of {dollars} in federal funding had been allotted to Puerto Rico for hurricane restoration. This funding coated a variety of wants, from emergency protecting measures to infrastructure restoration, together with the facility grid and transportation programs. The precise quantity different over time as further allocations had been made.

Query 3: What had been the principle criticisms of the federal response to Hurricane Maria?

Criticisms of the federal response centered on the perceived slowness and inadequacy of help supply, bureaucratic hurdles, and logistical challenges in reaching distant areas. Considerations had been additionally raised concerning the transparency and accountability of federal businesses concerned within the reduction effort.

Query 4: What position did the Monetary Oversight and Administration Board play in Puerto Rico’s restoration?

The Monetary Oversight and Administration Board, established underneath PROMESA, exerted important affect over Puerto Rico’s fiscal coverage. Its selections on austerity measures, debt restructuring, and useful resource allocation impacted the territory’s restoration efforts. The board’s actions had been usually topic to debate concerning their potential penalties for social companies and financial growth.

Query 5: What tax incentives had been supplied to stimulate financial exercise in Puerto Rico?

Tax incentives supplied included Alternative Zone designations and provisions inside the 2017 Tax Cuts and Jobs Act, equivalent to deductions for certified enterprise earnings. These incentives aimed to draw funding and promote job creation in Puerto Rico. Their effectiveness and distributional results have been topics of research.

Query 6: How has the rebuilding of Puerto Rico’s energy grid progressed?

The rebuilding of Puerto Rico’s energy grid has been a fancy and ongoing course of. Substantial funding has been allotted for this goal, however progress has been uneven. Challenges have included logistical hurdles, bureaucratic delays, and debates over the optimum method to grid modernization and resilience.

These solutions present a concise overview of federal actions and insurance policies regarding Puerto Rico. Additional analysis and evaluation are inspired for a extra complete understanding.

The next part will discover the long-term affect of those actions and insurance policies on the territory.

Analyzing Federal Actions

When researching the affect of federal coverage on a particular area, notably in occasions of disaster, a scientific method enhances readability and accuracy. Analyzing actions requires cautious consideration of a number of elements.

Tip 1: Differentiate Between Declarations and Actions: It’s essential to tell apart between coverage declarations and tangible outcomes. A catastrophe declaration, for instance, is a vital first step, however its effectiveness is set by the next useful resource allocation and implementation. Merely citing the declaration is inadequate; analyzing the velocity and scale of help supply is paramount.

Tip 2: Consider Useful resource Allocation: Quantify the quantity of federal funding allotted to particular sectors (e.g., infrastructure, housing, healthcare). Examine how these funds had been distributed and what number reached the meant beneficiaries. A disparity between allotted and obtained funds warrants additional investigation into potential inefficiencies or boundaries.

Tip 3: Assess Logistical Effectivity: Examine the logistical challenges encountered in the course of the implementation of federal initiatives. Determine bottlenecks, delays, and coordination failures that hindered progress. Inspecting supply occasions for important provides or the length of infrastructure tasks supplies perception into logistical effectiveness.

Tip 4: Study Lengthy-Time period Outcomes: Transcend fast reduction efforts and assess the long-term penalties of federal insurance policies. Analyze whether or not infrastructure tasks enhanced resilience to future disasters. Consider the affect of financial incentives on sustained job creation and financial development. The main target needs to be on measurable and enduring results.

Tip 5: Analyze the Function of Oversight Our bodies: When relevant, assess the affect of oversight boards or businesses concerned in implementing federal insurance policies. Consider their effectiveness in guaranteeing transparency, accountability, and accountable useful resource administration. Examine any cases of mismanagement, corruption, or conflicts of curiosity that will have undermined the meant objectives.

Tip 6: Think about Legislative and Government Actions: Study particular legislative actions (legal guidelines) and govt orders signed. Perceive what these orders are supposed to do or what legislation it meant to implement. The efficient execution is significant to think about as coverage and intentions can differ.

By using these analytical methods, a complete understanding of federal actions might be achieved. This method ensures a nuanced and evidence-based analysis, shifting past generalizations to supply a transparent evaluation of the affect.

The ultimate part will discover ongoing challenges and future concerns associated to federal coverage and catastrophe restoration.

Federal Actions and Puerto Rico

This exploration has examined what has trump achieved for puerto rico, specializing in actions taken in response to the 2017 hurricanes and their broader implications. Key areas thought-about embody catastrophe declarations, FEMA useful resource allocation, infrastructure venture funding, debt restructuring proposals, and tax incentives. Evaluation reveals a fancy interaction of meant help, logistical challenges, and coverage selections that formed the territory’s restoration trajectory.

The lasting penalties of those federal actions require continued scrutiny. Understanding the successes and shortcomings of previous efforts is crucial for creating simpler catastrophe response methods and guaranteeing a extra resilient future for Puerto Rico. Additional analysis into the long-term financial and social impacts is warranted to tell future coverage selections and promote equitable outcomes.