Trump’s handling of the COVID-19 pandemic will be debated by historians for generations. He regularly clashed with top public health advisers, including those on his own coronavirus task force. Trump also helped politicize mask wearing and social distancing. His regulatory agenda was derailed this year due to the pandemic, but he continued the drumbeat on ending surprise medical bills, lowering prescription drug costs and bringing more transparency to healthcare pricing. His biggest imprint may not be felt until next summer when the Supreme Court will rule on the Affordable Care Act. His nomination of Amy Coney Barrett created a decidedly conservative majority.