Dan Diamond, Washington Post reporter on the White House and health care, shares his reflections on President Trump’s swirling passions to reshape Washington’s built environment, with intense controversy surrounding the ballroom. What’s driving this, and where is it headed? On health, Dan reflects on where the Trump administration is heading, 16 months into its second term. Chris Klomp, the new COO at HHS, is emerging as a key figure attempting to bring order. It is not clear the multiple, piecemeal actions on lowering drug prices will deliver results that have meaningful political returns. Casey Means nomination seems doomed, perhaps CDC can escape its quagmire.