The president has won praise from both conservatives and liberals for such things as his proposals to require hospitals to post their actual, negotiated prices, and some strategies to lower drug prices. (Photo: Doug Mills/Pool via Bloomberg)

While many Capitol Hill Republicans want to avoid a repeat of the Affordable Care Act repeal debate, President Donald Trump keeps promising a health plan that will be "phenomenal" and make the GOP "the party of health care."

Last month, Medicare chief Seema Verma said, "We're actively engaged in conversations" on what to do. Earlier in August, Trump adviser Kellyanne Conway indicated an announcement might come this month.

Behind the pronouncements lies a conundrum: whether to stray beyond efforts underway to improve the nation's health care system — loosening insurance regulations, talking about drug prices, expanding tax-free health savings accounts — to develop an overarching plan.

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