People forget it is not just about subsidies to help people get coverage. It also included a lot of restrictions on how health insurance can operate. They had to allow coverage for per-existing conditions and the ACA put limits on how much profits they could make so they couldn't price gouge or be careless about what care they approved or denied.

We are all gonna feel this, in ways beyond just premium rates.

Those insurance companies aren't going to give up all that welfare money that's been cut.
They're going to extract the balance from the rest of the customer base.
Those corporate jets and resort junkets don't pay for themselves.

CEOs will get big raises and people will go bankrupt or die

If the ACA expanded tax credits are allowed to expire, doesn't that mean the original tax credits and the ACA itself are still in place? I know that is still a disaster for a great many people and for rural hospital closures and all the other negative effects, but wouldn't the coverage for preexisting conditions still be in place?

The consumer protecting regulations are part of the ACA. They only talk about the subsidies because they don't want people to remember the rules the ACA placed on insurance companies. And that's why I keep posting reminders that the ACA is not just subsidies.

"Fool me once, Shame on you, fool me (lost count of how many times)......"

Mikey is losing control of the house.

Pleezze

say they would vote for extending the subsidies. It's not just Johnson, its all of them.

like empty greene, would be good enough.

When they reduced the penalty to zero, they thought they were killing it. They will not kill it.

That is over a year from now and Trump will still be President. In the meantime, millions will be hurt and lose insurance.

to kick in after the midterm elections. They can't even get that straight. The pain is already here. They are SOOOO screwed.

No caving this time

the ACA as an example of how the Ds helped Americans and how they continue to improve lives.

If the ACA subsidies are allowed to expire, republicans will suffer massive losses in the midterms, and they know it.

And it’s unlikely we’d get the 60 seats in the senate needed to bring back the subsidies. I’m not sure you and your fellow Canadians can relate to that.

not being able to afford insurance. You are also guaranteeing Dems take the House and Senate. And then they have to deal with Trump.
So 2029 when it's available IF the Dems are in control?

Many Republicans are terrified of the blowback from voters if the ACA subsidies expire before the midterms.

The CR expires in January, and (hopefully) Dems will demand the subsidies be reinstated as a condition for keeping the government open.

I think there will be more than a few republicans who will support reinstatement of the subsidies.

We may even get some votes from the wave of republican retirees who simply don’t GAF how Trump will react,

You have exactly Zero skin in the game
There's not a veto proof majority
Medicaid here is already going to he cut. HUD, and all other assistance, food assistance was cut, PBS, ICE terrorizing and kidnapping people.
Your happy go lucky outlook on all things trump administration being defeated, eventually... or whatever. We're already suffering at this administration's cruelty. Nothing has stopped the mad man and his henchmen
People are worried and have good reason. Stop poopooing everything! Stop patting us on the head and telling us it will be okay. It's not okay! We got 3 more years of not even close to okay!

We,might get votes? You're a US citizen? My understanding was you are Canadian?? Okay, confused now.

With many loved ones, including my kids and grandchild, still in the US.

I definitely have skin in the game.

Genetics anyone????

Every American has GENETICS!

🤬

That would be a death sentence for me.
☹️

I'm really sorry.

These political games are costing peoples lives.

before...

Bottom line is Republican duplicity is a known and time tested reality. Believe anything they say and promise at your own peril.

Zero concessions. They gave the Repukes everything they asked for and got nothing in return.

republicans made that promise worthless.

Republican promises are worthless.

This is about the"expanded subsidies", the old ones will still be in place. That is the only reason it is being ignored by the GOP.

Yes, ACA subsidies will continue in 2026, but the enhanced subsidies from the American Rescue Plan are set to expire, meaning many people will receive lower amounts or no subsidies at all. Without a new act of Congress, subsidies will revert to pre-pandemic levels, leading to a "subsidy cliff" where individuals with incomes over 400% of the federal poverty level will no longer qualify. This will likely result in significantly higher premiums for many enrollees in 2026.

I'm in favor of extending these but to be honest they do allow for gaming of the system. Wealthy individuals with large Roth or non-retirement balances can keep their MAGI really low every year and qualify for these. But we really don't want the IRS to start means testing based on net worth, so it is what it is.

just KNOW, that he was a man of honor and would keep his word re: an ACA vote?

Charlie Brown and the football, indeed…

This is the equivalent of pissing on us and tell us it's raining. Don't worry - they're going to let us vote on extending ACA subsidies!

The pressure got to them.
Everywhere and always, the revolution begins when the masses go hungry.
They voted for the status quo over populist upheaval.

it could get extended since now Trump has floated the idea of extending it granted his proposal isn't great but that shows to me that even he sees the political headwinds that could potentially threaten him and his presidency. Historically when Trump feels his livelihood is threatened is when he's willing to negotiate and give concessions.

but we knew this.

Before Krasnov got his Big Ugly Death Bill passed.

Medicaid and SNAP cuts are coming.

Only healthy people will have health insurance, the sick, the elderly will just have to die quickly.

Depopulation, eugenics, is the plan for Project 2025.

And worse stuff will happen after the midterms…. It’s hard to imagine

That date was already established years ago. BBB has a lot of issues, but had nothing to do with the enhanced subsidies expiring

No way, Christian’s ??? How could we see that coming?
This will hurt us all, but may be a kill shot on Repubelickins because it is obvious who is dumping shit on us all from a pig in a fighter jet.
Should be a meme of trump in that jet dumping shit on red hat zombies I bread lines, , our National Parks, all of our waterways, just all over the fucking country. And especially a view of a shit dump on OUR White House.

While Trump kept looking for creative ways to starve families.

It wouldn’t make an ACA fix any more likely.

For some, I suppose that shows “fighting” and the cruelty that flows from those decisions are ignored.

Your headline is also false, there will be a vote in the Senate, nothing else was assured.

The bottom line is that elections have consequences, and if Republicans really are determined to strip healthcare from millions, that is their prerogative, but it is a lesson they will have to learn anew come next November.

Instead of the patient being responsible for the $500 bill for a CT scan, they will be responsible for the entire amount the hospital billed for. Maybe $1500, maybe $2500. Customer doesn't pay, then they send it to the collection agency and declare a loss to the IRS for the rest.

A win / win for them.

collection agencies can't get blood from a stone. The KFF said that 50,000 people are going to die, (be murdered), per year.

down.

Thanks Chuck

Literally millions of people will die.

My adult child will not be able to afford healthcare anymore.

This is a living nightmare.

and the House will not vote at all.

and the House will not vote. it is gone already.

just not the left way

The expanded subsidies weren't part of the original ACA and have nothing to do with the rules on coverage requirements or minimum of premium spending on medical care. I think you're conflating two different things.

Fewer people will be covered, but we made a choice with the Inflation Reduction Act to extend for 3 years instead of longer. Yes that's what they worked out with Manchin, but it would have been easier to not include some other parts of the Green New Deal to make the reconciliation math work.

What you're proposing is effectively while in the minority in both houses of Congress and not having the presidency what we didn't/couldn't do when we had all three. It's not a fair argument that you're making to blame the group that made the deal while not looking at what we could have done to avoid the situation, and even more so by not including what was staved off by reopening the government.

And while the ACA is good, it's a bandaid on the problem of health care being expensive. It doesn't do much to address costs due to much higher usage which is why the subsidies are needed in the first place.

Estimates are as many as half of those currently on the ACA will not be able to afford coverage at all in 2026.

The only way the ACA works at all is if there’s many millions of Americans spreading the risk. The smaller the risk pool the more the marketplace shrinks as more insurers opt out. Remaining insurers must raise prices to cover the costs of the few(er) that remain. There are some markets that literally only have one insurer left. If more Americans leave the marketplace it will contract even more severely.

Vicious cycle until more (many? Most?) regions are left without any insurers on the marketplace.

You’re right that the ACA is an expensive bandaid but nobody's come up with a better system that covers such a vast pool of Americans (except M4A but Congress refuses to consider that. Ever.)

My assumption is Dems hoped they’d have control of/more leverage to face this situation in 2025 when it was put in place because of Joe Manchin. They gambled and lost.

Back then and now.

It's still not the ACA as a whole. The self-insured market doesn't impact the regulations of the ACA. So it won't kill the ACA which was my point.

"in real terms" I meant it will be effectively dead. Some of the regs will still be in place. But the purpose to get most people on healthcare. Will be dead.

If all you focus on is the negative, especially when being inaccurate, you lead yourself into fear. Yes the self-insured market is going to suffer, but continuing the same path is just kicking the can down the road. We did that in 2022, and it is biting people in the ass today.

You also haven't explained how in the minority we were going to achieve what we couldn't in the majority. How was holding out going to magically change the makeup of Congress? Was Congress suddenly going to act like they just heard of the premium increases if we waited another week or months? If you are insisting that ending the extended subsidies will kill the self-insured market, wasn't that pretty set after the 2024 elections?

It's easy to throw stones. You and I didn't have to be responsible for making the call. No constituent is calling me up because they didn't get SNAP or they were furloughed while the government was shut down. But unless you have a plausible scenario for getting the subsidies that's more realistic than holding out, your contentions don't seem to be a fair estimate of where things would have gone. Sometimes different paths lead to the same destination. I don't see how an even longer shutdown was likely to change things.

The Republicans are working on a bill that will AUTOMATICALLY enroll people in the for-profit, predatory, "advantage" plans unless people take special action to opt out. And of course, once you are in "advantage' you are trapped for the rest of your life because the companies selling Medicare Supplemental policies will be able to deny people or jack up prices for pre-existing conditions.

That is already the case when a person consciously chooses "advantage", although 99% of the people don't understand that. They think they can switch back to Medicare at any time. They can, but not for the supplemental plans that have saved so many people from financial ruin.

Most people also believe that they can keep their doctors on "advantage". Almost every provider honors Medicare today, but "advantage" plans are usually very small networks you have to work within. Of course, if the Republicans remain in power, they will keep slashing the reimbursement rates for Medicare until Medicare is honored only by marginal providers as indigent care.

Everything that was built in the last 75 years is under fierce attack by the Republicans. And ironically, the MAGA people are among the hardest hit. We are also not getting much help from unions on this front because they figure health care benefits are the only thing that they can negotiate for.

Just do Medicare for all.

Good luck trying to sell penalties.

Double Bonus: The 8 Dems hastened the Epstein vote and upcoming R resignations.

will no longer be able to afford healthcare. What a win!!

Seems to be the GOP and "moderate" Democratic Party position.

Schumer and the 7 other Democrats who gave in are insured.

Senator Richard Durbin (Illinois, retiring)

Senator Angus King (I - Maine, term ends in 2030)

Senator Catherine Cortez Masto (Nevada, term ends in 2028)

Senator Jacky Rosen (Nevada, term ends in 2030)

Senator Maggie Hassan (New Hampshire, term ends in 2028)

Senator Jeanne Shaheen (New Hampshire, retiring)

Senator John Fetterman (Pennsylvania, term ends in 2028)

Senator Tim Kaine (Virginia term ends in 2030)


Plus 6 cavers in the House, all are centrist conservative Dems :

Jared Golden (Maine)
Marie Gluesenkamp Perez (Wash.)
Adam Gray (Calif.)
Don Davis (N.C.)
Henry Cuellar (Texas)
Tom Suozzi (N.Y.)

If you swap out Gray and replace him with Josh Gottheimer (N.J.) you have my 6 worst Dems in the House, and not just earned from this one vote at all.

But I’m sure Schumer was ok with it, if he wasn’t actually in on it.

allows a handful of Rethug Senators to sue and win potentially millions of dollars over the LEGAL gathering of phone records by Jack Smith (who did NOT tape the actual calls' content). Schumer did not tell anyone in our caucus and he and Thune dumped it in the bill at the last minute.


Chuck Schumer Signed Off On Provision That Could Pay Senators Millions

The new law lets senators sue for major damages if the Justice Department obtains their phone records without telling them.

https://www.huffpost.com/entry/senate-republicans-lawsuits-funding-bill_n_69164faee4b0dd708f3a178a