Two Failed Senate Health Care Bills, Eyes on the House

The Senate rejected proposals from Democrats and Republicans. What now?

Obamacare Premiums Will Spike

Health care premiums set to spike as Senate rejects ACA funding and a Republican alternative.

The Republican-controlled Senate voted Thursday to reject health care bills offered by each party, as the U.S. barrels toward a cliff with steep premium hikes for millions of Americans set to hit next month.

The failed votes raise the likelihood that enhanced Obamacare subsidies passed in 2021 will expire at the end of this year and cause premiums to double on average for some 22 million Americans who benefit from that funding.

Neither bill achieved the 60 votes needed to advance, kicking the issue into the political arena. Democrats hope to use the issue to mobilize voters in the 2026 midterm elections if there is no outcome to prevent the cost increases.

“The Republican plan is a ‘when you get sick, you go broke’ plan,” Senate Minority Leader Chuck Schumer, D-N.Y., said Thursday on the Senate floor.

Four Republicans Break Ranks Voting for Obamacare Extension

Sens. Susan Collins, R-Maine, Josh Hawley, R-Mo., and Lisa Murkowski and Dan Sullivan, both Alaska Republicans, joining Democrats to support it.

A competing bill, offered by Republicans, sought to let the ACA money expire and instead boost health savings accounts while making changes to the insurance marketplaces. It would allow adults earning under 700% of the federal poverty level to access $1,000 per year in a tax-advantaged HSA if they’re younger than 50, rising to $1,500 per year for those aged 50 to 64. And it would expand the availability of lower-tier “bronze” and “catastrophic” Obamacare insurance plans, which have lower premiums and higher out-of-pocket costs.

The bill, written by Sens. Mike Crapo, R-Idaho, and Bill Cassidy, R-La., failed by a vote of 51-48. Along with all Democrats, Sen. Rand Paul, R-Ky., voted “no.” Sen. Steve Daines, R-Mont., missed both votes.

The Debate

“Under the Republican plan, the big idea is essentially to hand people about $80 a month and wish them good luck,” Schumer said before the vote, saying the only viable plans to access that money have deductibles of $7,000 or more. “So, to get that $80 a month, you’re going to pay $7,000 off the top before you even get any health insurance. How ridiculous. How stingy. And how mean and cruel to the American people.”

Even some Republicans said their plan wasn’t enough, as it wouldn’t address the rising cost of insurance premiums.

“I think giving people more money to pay for their deductible is a great idea. I think we probably still need to do something on premiums, because you can’t use the HSAs on premiums,” Hawley said. “That’s just the law. So you know, there’s probably more to do there.”

Everyone knows there is a problem but there is no means to fix it other than a budget resolution.

A majority could have done something under Trump’s “One Big Beautiful Bill Act”, but that something was to let benefits expire.

Republicans own the problem now, and it shows in the polls.

Spotlight on the House – Discharge Petitions

I predicted enough House Republicans would sign a discharge petition to force a vote. Let’s check in on that idea.

Please note a Growing number of House Republicans sign on to effort to force vote on ACA subsidies — defying Speaker Johnson

As House Speaker Mike Johnson eyes a vote next week on a to-be-announced health care package, a growing number of House Republicans are revolting against leadership by trying to force a vote on extending the expiring Affordable Care Act enhanced subsidies.

Nearly a dozen Republicans — many from swing districts — have signed onto dueling bipartisan discharge petitions to extend and reform the subsidies in the hopes of bypassing leadership and triggering a vote on the House floor.

The speaker and GOP leaders, during a closed door meeting this week, provided Republicans a list of several options to address health care costs, according to multiple sources. Some of those options, sources said, include Health Savings Accounts (HSAs), cost-sharing reductions and making changes to pharmacy benefit managers. 

Lawmakers told ABC News they left that meeting with no clear consensus on how to address health care.

“You’re going to see a package come together that will be on the floor next week that will actually reduce premiums for 100% of Americans who are on health insurance,” Johnson said at his weekly news conference. “The overall system is broken, and we’re the ones that are going to fix it.” 

A group of mainly moderate Republicans, though, want to see the subsidies addressed by Congress before the expiration date. 

The discharge petitions would need 218 signatures for a vote to occur in the House, and it’s unclear if enough Democrats will provide their support to reach that threshold.

Most House Democrats have signed onto another petition led by Minority Leader Hakeem Jeffries to extend the subsidies for three years. 

Republican Rep. Brian Fitzpatrick of Pennsylvania filed a discharge petition that would extend the subsidies for two years, establish income caps for enrollees and regulate pharmacy benefit managers.

New Jersey Democrat Rep. Josh Gottheimer filed a separate but similar bipartisan discharge petition to extend the subsidies with reforms. 

As of Thursday, 11 Republicans had signed on to both discharge petitions.

Johnson threw cold water on the efforts by vulnerable Republicans hoping to hold a vote on the subsidies. 

“We’re working on a package of legislation that will reduce premiums for all Americans, not just 7% of them,” he said. 

Johnson Full of Sheet

Republicans are not going to come up with a magic solution in the next week or so that all republicans will support.

Even if they did it would have to survive the Senate.

In contrast, as soon a Democrats give up on a three-year extensions, they can force a discharge petition given that 11 Republicans had signed on to both discharge petitions.

Johnson’s magic plan is going nowhere unless it does indeed “reduce premiums for all Americans, not just 7% of them.”

Given that ACA premiums are rising over 100 percent on average, that would be quite the magic trick.

I await the math and the final cost.

Meanwhile, please recall my position, Republicans were foolish not to extends Obamacare for one year.

Any Bets on This?

Truth Social Nov 18, 2025, 5:57 AM: THE ONLY HEALTHCARE I WILL SUPPORT OR APPROVE IS SENDING THE MONEY DIRECTLY BACK TO THE PEOPLE, WITH NOTHING GOING TO THE BIG, FAT, RICH INSURANCE COMPANIES, WHO HAVE MADE $TRILLIONS, AND RIPPED OFF AMERICA LONG ENOUGH. THE PEOPLE WILL BE ALLOWED TO NEGOTIATE AND BUY THEIR OWN, MUCH BETTER, INSURANCE. POWER TO THE PEOPLE! Congress, do not waste your time and energy on anything else. This is the only way to have great Healthcare in America!!! GET IT DONE, NOW. President DJT

That lasted until November 25, when I reported Trump Ponders a Two-Year Extension of Enhanced Obamacare Subsidies

Why did we have a long shutdown? What did Republicans gain?

Observation of the Day

Flashback November 7, 2025 MishTalk Democrats Offer a One-Year Obamacare Extension Deal. Should Republicans Accept?

How I see it: “At some point, Republicans have to make a decision about whether or not they want to hold out for 100 marbles or accept 98.”

Republicans would be crazy not to accept this offer. It’s just one year. And they can block further extensions easily.

I await the final product and the final math.

Trump Says It ‘May Be Necessary’ to Extend Obamacare Subsidies

On November 27, 2025, I commented Trump Says It ‘May Be Necessary’ to Extend Obamacare Subsidies

Trump rejected a one-year deal. Any guesses for how long now?

Obamacare Q&A of the Day

Q: Is there any time to fix Obamacare to Johnson’s satisfaction by December 15?
A: No

Q: Johnson says he won’t hold a vote. What’s gonna happen?
A: If Johnson does not agree to hold a vote, all the Democrats and a handful of Republicans will force a vote by means of discharge petition. This is the same setup as the Epstein forced vote.

Q: What then?
A: It’s precisely hard to say, but Republicans will be scrambling. It’s entirely possible to see a multi-year extension plus extra goodies to buy Republican votes.

Q: What does Trump want?
A: Free money. UBI

Q: Wouldn’t that be worse?
A: Of course, the spigot would never stop.

Q: Could anyone have possibly predicted this turn of events?
A: Absolutely not. Oh … wait a second.

Accepting a one-year extension that Democrats wanted would have cost $35 billion.

Republicans did not accept a Democrat offer to take 98 out of 100 marbles. They demanded all 100.

And here we are.

Q: Does anyone want to go back and take that one-year extension?
A: Sorry. It’s too late now. We will be debating 2 or possibly even 3-year extensions.

Trumpcare for All?!

Please note Republicans Own Health Care Now, What Will They Do With It?

Put on your magic hat and and tell me the price tag for Johnson’s magic proposal to “reduce premiums for all Americans, not just 7% of them.”

If you believe that, Obamacare will soon be Trumpcare.

I await the magic math and price details.

Regardless, let me remind you this entire discussion could have been postponed until after the midterms with a simple one-year extension.

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Mish

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Jojo
Jojo
23 days ago

This is a good article form a couple of months back with lots of detail on the subject:

Extending the ACA Subsidies

By Bill King

October 14, 2025

Over the last week, the decision on whether to extend the ENHANCED ACA subsidies has increasingly become the defining issue of the shutdown. It is an issue that is fracturing the Republican Party and threatening to derail their midterm election prospects.

Unpacking the numbers

From the outset, the Affordable Care Act subsidized the purchase of health insurance by some lower-income Americans on the health insurance exchanges. The subsidy was based on a sliding scale that set a maximum a person would pay as a percentage of their income. The ceiling for the subsidy was originally 400% of the federal poverty level (FPL). Today, that is about $60,000 for an individual, a little over $80,000 for a couple, and $124,000 for a family of four. Anyone who exceeded that ceiling got no subsidy when purchasing their insurance.

For those below the ceiling, the government would pick up the cost of the insurance that was above a percentage of the person’s income. That ranged from just over 2% to almost 10%. According to CMS Marketplace data, the subsidy typically covered 75-85% of the premiums for this group. Before the expansion, nearly 9 million Americans received the subsidy, and they accounted for over three-quarters of all Marketplace enrollment. According to the Congressional Budget Office, the subsidy was costing the federal government about $50 billion annually.

During the pandemic, Congress expanded the eligibility criteria for the subsidy by eliminating the income limits. But the expansion was only temporary, scheduled to expire at the end of 2025. Since the expansion was adopted during the pandemic and was set to expire automatically, a narrative emerged that the expansion was a pandemic response that would no longer be necessary after the pandemic ended. But the truth is that the expansion had nothing to do with the pandemic. The pandemic was just a pretext to expand coverage, something Democrats had long sought to do. The automatic termination was included to reduce the projected effect on the deficit. This allowed Democrats to use the reconciliation process to avoid a Republican filibuster.

https://realclearwire.com/articles/2025/10/14/extending_the_aca_subsidies_153399.html

RonJ
RonJ
23 days ago

The U.S. allegedly allows some 4,000 food additives under GRAS, generally accepted as safe, while allegedly it is around 400 in Europe. GRAS can be proclaimed by a food company that wants to use a new additive. No FDA study needed. The microbiome is an important aspect of human health and it is unknown what the effect of all these different food additives have on the good bacteria in the gut. Pesticide residue is another issue which has an effect on good bacteria.

The medical system, including public health agencies, is not solving the problem of an unhealthy American diet, which is contributing to chronic disease and chronic doctor visits. Pharmaceuticals themselves, cause disease, as one can see just from listening to the disclaimers in the ads.

RonJ
RonJ
23 days ago

Was just watching a Ytube video of a doctor explaining that the yearly cycle of deaths from diseases, (heart, kidney, etc,) and infections, (Flu, etc,) peaks 1-3 weeks after winter starts and troughs 1-3 weeks after summer starts. Indicating amount of sunlight is the key. Vitamin D is an immune regulator, naturally obtained from sunlight or artificially from supplements during the winter months.

It seems to me that the allopathic medical system itself is failing to prevent or cure disease. A number of professionally credentialed critics see the flaws in the system. It has become an industry and the industry’s primary objective has become to protect itself, not the people it is supposed to be serving. I don’t find it a matter of how it is going to be paid for, as the allopathic medical system itself will not be changed.

Phil in CT
Phil in CT
23 days ago
Reply to  RonJ

Where’s the profit in keeping people healthy? The for-profit model doesn’t need healthy people.

QTPie
QTPie
23 days ago

Last I saw, the expected cost for a 1 year extension was like $24 billion. This is about one third of one percent of total annual federal outlays. Surely they can find something more consequential to fight over.

Jojo
Jojo
23 days ago
Reply to  QTPie

I’ve seen a $138 billion number.

QTPie
QTPie
23 days ago
Reply to  Jojo

I am referring to the cost of the enhanced subsidies (which is what the congress is arguing over right now), not to the total cost of the ACA subsidies.

Jojo
Jojo
23 days ago
Reply to  QTPie

I found an article that I will post above that states the cost of the enhanced subsidies was $40 billion/year. I am unsure where I got the $138 billion number from.

QTPie
QTPie
22 days ago
Reply to  Jojo

The non-partisan committee for a responsible federal budget keeps track of all the proposals here: https://www.crfb.org/sites/default/files/media/documents/ACA_Tracker_Table_12.11.25.pdf

The bipartisan Gottheimer-Kiggans proposal which probably has the highest probability of passing has a cost of $25 or $30 billion (depending on how you account for it) for a one year extension.

Last edited 22 days ago by QTPie
Fred Birnbaum
Fred Birnbaum
23 days ago

Both parties own the healthcare mess, despite what the regime media says. The ACA was a failure in terms of what it promised, but it was a political success because it is pushing the US to a single payer government run system. In healthcare there are NO solutions only trade-offs. A one-year extension of the subsidies is NOT a solution, just a delay.

JeffD
JeffD
23 days ago
Reply to  Fred Birnbaum

Here’s a solution: Have different tiers of medical professionals. Let the lowest tier handle people who come in with colds, hairline fractures, or small lesions that need stitches. If those people don’t see a clear diagnosis, have them refer the patient to the next highest tier. 80%+ of doctor visits are for routine stuff that would require no more than two years of medical training to diagnose and handle.

Last edited 23 days ago by JeffD
QTPie
QTPie
23 days ago
Reply to  JeffD

With the proliferation of PAs and NPs this is basically already happening.

A D
A D
22 days ago
Reply to  Fred Birnbaum

A lot of Democrat pundits were smirking when the ACA was passed because they said ACA will eventually fail and force the federal government to go to a single payer system.

The Democrats knew this day would come.

bmcc
bmcc
23 days ago

the owners of the FEDRESNY is the bankers. this was the goal. the lightweights that believe they care about inflation or unemployment are gullible. i don’t care how “sophisticated” they think they are. read “creature from jekyll island” and get a real education on what the fed is. the amerikan treasury is just a funding operation for the world wide pax amerikan war mongering. we need to sell off the evil war bases from japan to korea to italy and germany and mideast………..it’s suicide of warmongering. but alas the people love it. democracy always work. since republic of plato was penned to explain this. healthcare for amerikans is not important. why we have what we have. obesity and shit food and stupid levels of cost of doctors and hospitals……….this stuff ain’t too complicated. history books littered with evil empires.

A D
A D
23 days ago

Federal government outlays or spending for Affordable Care Act (ACA) subsidies

2014: $23 billon First year of ACA
2017: $37 billion ~12 million enrolled
2021: $53 billion
2025: $138 billion Record enrollment (~23 million), 93% subsidized

So almost a double in the enrollment from 12 million to 23 million, yet about 4 times increase in subsidies :-/

That is about $500 a month in subsidies for each of the 23 million enrollees

Last edited 23 days ago by A D
Jon
Jon
23 days ago
Reply to  A D

How does that compare to employer provided health insurance? What procedures/medications/costs/profits are driving the increases? Why? What has Trump proposed to reduce those things?

Tollsforthee
Tollsforthee
22 days ago
Reply to  Jon

In our state, Most employees receive a subsidy equal to 75% of costs. So a single employee will pay $250/month of a premium of $800 to $1000. Family of four is around $1700-$1800/month.

The deductible might be $7500 or so a year.

It’s cheaper for employees due to a pool of people, a history of charges for that pool, and underwriters will look at how much they have spent over the past year.

Obamacare is more pricey; the individual lands on the insurance without a history, and on pool of included young healthy people to spread the costs over.

I owned a business with 50+ employees.

A D
A D
23 days ago

Bronze plan for Blue Cross Blue Shield for my friend (59 year old and self employed earning $60,000 a year with his wife who is covered under Veteran Affairs) is $1200 a month without subsidies for 2026, and with subsidies it is around $370 a month. So I guess if there are no subsidies then he has to pay $1200 a month.

David Heartland
David Heartland
23 days ago

We may as well be VERY clear: the TrumpCO plan screws the little guy and then they hang a MAGA LABEL on their plans.

THE BIDENCO plans meant free hand-outs to Non-Citizens.and then wink-winking all the while.

Choose your poison: GET SOME cheap Insurance under Democrats or get NO cheap insurance with the republicans and all the while BOTH parties move money into avenues of KICK-backs to themselves.

The entire system is a LOOTING arrangement and then they “DEBATE” shit to get us to ARGUE and blame one or the other.

Jon
Jon
23 days ago

Well, politically, its critical to ensure people here “free hand-outs to Non-Citizens”. Even if it is a trivial amount of money relative to everything else, MAGA will get rid of everything for everybody rather than Non-Citizens ever get anything free. That’s how we’re controlled, and it works magically.

peter
peter
23 days ago

Socialised medicine is the only way to have good and inexpensive healthcare for all.

bmcc
bmcc
23 days ago
Reply to  peter

the VA hospital system is 100% government cradle to grave care. that is karl marx dream. medicare and medicaide are quasi gov/private. a socialist dream. the private insurance market funded by government subsidies is a C suite private dream which is national socialist aka fascist. public control but private profits. the model of uninsured paying out of pocket and showing up at ER when they have the sniffles or broken legs are the aforementioned socialist dream. amerikans are grifters. would be better to pick any one of the many options in EU countries. of course the doctors there do not make the kind of loot here. open up medical schools and let us pump out tons more doctors and nurses. prices will correct. that is a dream in our crumbling warmongering empire. we have boats to commandeer and more countries to bomb.

Jon
Jon
23 days ago
Reply to  bmcc

Very few doctors make giant money in the US, though some do. The ones who make the giant money are usually highly specialized, doing semi-experimental procedures that only a handful of other doctors do. And the work they do is only partially covered by insurance, so they focus on the upper classes.

The big money is made by health insurance companies (hidden by “contractor” expenses), pharmaceutical companies and PBMs, Private Equity firms that own hospitals and large medical practices, and land owners who charge exorbitant rent to hospitals (often owned by the same PE firms that own the hospitals themselves, see Steward Medical).

Cut out all of that and US prices line up with Europe’s pretty much. But most Americans will never understand that, because the same people benefiting from this system also own most of America’s media, on the right and left. So it truly is hopeless. Americans have been whipped into screaming to cut healthcare for their neighbors while cutting 10 times that in taxes to billionaires.

Jojo
Jojo
23 days ago
Reply to  Jon

The average MD makes around $300k annually. But many, especially in well known hospitals make high 6 figures to low 7 figures. Shed no tears for doctors!

Phil in CT
Phil in CT
23 days ago
Reply to  Jojo

Access to medical school should be expanded. If we are subsidizing health care, it should go towards subsidizing education for young people going into medicine, awarded on merit. If we had more medical workers doctors themselves could benefit with improved work/life balance.
We have family friends from Denmark and the wife is a pediatrician. It’s much more of a normal career there. She doesn’t earn like she would in the US, but she also has a reasonable patient load and is able to enjoy her own family. She also accrued no debt from medical school.

Last edited 23 days ago by Phil in CT
Jojo
Jojo
22 days ago
Reply to  Phil in CT

Which is why Denmark is one the happiest societies on the planet.
But that would never work in a Capitalism and greed gone wild society such as in the USA. Everyone wants to come out on top in the race of life, regardless of how it impacts others or their own community.

Regardless, doctoring, along with most to all other professions are destined to be replaced by AI and its robot workers in the relatively near future. So there is no need to expand medical instruction.

Green Mountain
Green Mountain
23 days ago

I love the Republicans concern about the cost of subsidies after they voted $50 billion for Homeland Security – with a number of no-bid contracts – and now preparing to vote a defense bill that will be the biggest ever. How many weapon systems are in production and already useless and grossly over budget. But none of this matters, we are saving the country. If Republicans cared one bit about the budget deficit they would go where the money is – defense and homeland security..

David Heartland
David Heartland
23 days ago
Reply to  Green Mountain

Exactly. ONE PARTY FUCKS US OPENLY (SAYING, “AIN’T THIS GREAT!”) and the other FUCKS US SECRETLY (in the shadows with handouts to the WRONG PEOPLE — non-Citizens).

CHOOSE YOUR POISON.

We are being raped.

bmcc
bmcc
23 days ago

agree, but alas old sport, the people here are fucking each other and themselves. democracy works. we all choose this in the majority. the uniparty is like pro wrestling. i still like to bet on pro wrestling. it’s an easy bet.

Jojo
Jojo
23 days ago

Would you consider letting an AI run things?

Jojo
Jojo
23 days ago
Reply to  Green Mountain

Don’t complain here or on blogs. It accomplishes nothing. Write your Congress people!

LM2020
LM2020
23 days ago

The whole sickcare scam is about to collapse in a heap and both parties are posturing for the 2026 midterms. This is going to end well!

David Heartland
David Heartland
23 days ago
Reply to  LM2020

The game is the convince either side to hate the other when there are NO SIDES (“UNIPARTY” – – all in “Cahoots”).

Phil in CT
Phil in CT
23 days ago
Reply to  LM2020

This both sides bullshit is just that, bullshit. Republicans control 3 branches of government now. This is happening now. It is 100% within the power of Republicans to pass the subsidies.

LM2020
LM2020
22 days ago
Reply to  Phil in CT

Our healthcare system is a failure. Passing subsidies is like sticking your finger in a leaking dike and thinking it’s going to stop it from collapsing. In 2009 Democrats had the presidency and both houses of congress and the best they could pass was something cooked up by the Heritage foundation.

Stu
Stu
24 days ago

The obvious move to me, is to “Vote Unanimously” and hope to grab at least one of the Independents.
Now treat it head strong, just like the Democrats “Shutting Down” Our Government, but This Time, they will be “Crushing Healthcare” For There Own Voters Once Again!!!

Neither Party can Go It Alone, as there isn’t enough votes to pass it. So like last time, “Hang It” around their necks Again, where it rightfully belongs! They Must Be 100% to pull it off, and/or Independents too., and Sit There as long as it takes once again! Obstruction doesn’t take sides, it causes one too!

Stu
Stu
24 days ago
Reply to  Stu

While they are at it, eliminate some of the (Silly) Tariffs on some “Key Components” that we rely on others for. At least until we can produce our own, or find another viable source. Tie this into the deal if you will…

Jojo
Jojo
23 days ago
Reply to  Mike Shedlock

Yes, I know this and have written about it in other threads. Again, the ACA original subsidies remain in place.

It is the ENHANCED subsidies, which were put in place for the Covid scamdemc and have been extended TWICE so far, that are expiring. It is time to stop extending them and let the chips fall where they may. Life’s a beach and then then you die, yes?

If the pain level becomes high enough, then the voters may finally force Congress to get off its duff and engineer a sensible solution that doesn’t expire just a few years in into the future. As in almost anything, Congress needs to be dragged to a solution.

Jojo
Jojo
24 days ago

I just changed my Medigap Supplement Plan N for 2026. $30/month cheaper than the provider I was with cost they were charging for next year. Yea!

Have rotator cuff surgery scheduled for mid-Jan. Thankful I don’t have to worry about insurance coverage.

bmcc
bmcc
24 days ago
Reply to  Jojo

good luck.

JeffD
JeffD
24 days ago

“Given that ACA premiums are rising over 100 percent on average”

To clarify, Mish is referring to out-of-pocket premium costs for consumers. The unsubsidized premium cost (aka actual real world total premium cost) is going up by 18% on average, if I remember correctly.

Mark
Mark
24 days ago
Reply to  JeffD

And to further clarify if I pay $20 a month after the credits and it is now $40 a month one can say it went up 100%.

And all the high dollar examples are really just people over 8.5% of income and over 400% property level Again the democrats took advantage of the Covid mess to push their agenda for universal coverage Let’s start being honest with what we are really discussing Mish needs to see this for what it is He is too smart to be falling for this

JeffD
JeffD
23 days ago
Reply to  Mike Shedlock

Kaiser is referring to out-of-pocket costs, not unsubsidized premium cost. I can assure you that unsubsidized premium costs did nit double. They went up about 26% (my 18% figure was wrong after checking), as reported by KFF.

https://www.kff.org/quick-take/aca-insurers-are-raising-premiums-by-an-estimated-26-but-most-enrollees-could-see-sharper-increases-in-what-they-pay/

Here is where my 18% figure came fom:

In states that run their own Marketplaces, the average benchmark (second-lowest cost) silver premium, on which the tax credit calculation is based, is rising 17% next year.

Can a car company more than double the price of cars in one year? Of course not.

Last edited 23 days ago by JeffD
JeffD
JeffD
23 days ago
Reply to  JeffD

@Mish, I encourage you to parse the tiny linked article yourself to prove me wrong. It will save you some embarassment.

JeffD
JeffD
23 days ago
Reply to  Mike Shedlock

Yes, their out-of-pocket premium payments, after subsidies have already been applied (subtracted from) the cost of the actual insurance premium. My subsidy is about $1600 on an $1800 premium, so of course if the subsidy goes away, my out-of-pocket premium paid will go up by over 100%!

Last edited 23 days ago by JeffD
Mark
Mark
24 days ago

“Given that ACA premiums are rising over 100 percent on average, that would be quite the magic trick.”

This is just not true Mish. You keep falling for how they are trying to frame the issue. First off the credits given through the ACA are a reduction of the premiums. Premiums are going up the normal crappy 10% -20% a year in general. It is the enhanced credits that are going away. Your statement that premiums are going up 100% is just wrong and coming from someone with your background is disappointing. The people losing the enhanced credits will switch from Gold plans to Bronze plans and from PPO plans to HMO. And before one bitches this is not fair or unjust just remember nothing is free. If government starts covering everyone for health care it has to be paid for. These enhanced credits that were passed in the Covid mess were just an effort at universal health care. Just admit what we are fighting over. Given you are a libertarian you really need to refocus.

bmcc
bmcc
24 days ago
Reply to  Mark

correct. just went over this exactly with a family member in that exact situation. cost for a 32 year old self employed for 2026. only 270 per month for really good “coverage”. lots of complications in their health. blood stuff. i was shocked at how cheap it was. of course when i was on obamacare i paid zip. but i don’t like to brag. now i’m medicare / medicaide dual. i’m a flag officer in the free shit army. i just played the game of taxation and set up my career as a young fella. the w2 bitches really don’t get it. there are two tax codes. one for owners. one for employees.

bmcc
bmcc
24 days ago
Reply to  Mike Shedlock

if i am not mistaken i think only the covid era ENHANCED subsidies are going bye bye.

bmcc
bmcc
24 days ago
Reply to  Mike Shedlock

thanks. that seems a little bit above the FED’s inflation target, if my math skills are correct. we need to bring rates to zero for pedotus. i’m sure hassett will comply. bessent will be his boss.

JeffD
JeffD
23 days ago
Reply to  Mike Shedlock

Yes, out-of-pocket costs more than doubled. Actual unsubsidized premiums did not. Big difference. Mish’s response here to factual information being shared was extremely disappointing.

Last edited 23 days ago by JeffD
Tollsforthee
Tollsforthee
22 days ago
Reply to  Mike Shedlock

Mish, it is weird how people can’t follow what you’re saying.

Just give it a laugh and keep it up. This is the most important issue politically right now.

A D
A D
23 days ago
Reply to  Mark

I am wondering where the F&^# does the money go for Blue Cross Blue Shield of Jacksonville Florida when they get at least $1200 a month (non subsidized) for a Bronze Plan which has a $8000 annual deductible.

Is it to all the executives and managers at that non profit ? Is it to their “connected” contractors and subcontractors ?

Just because its a non profit does not mean they don’t overpay the managers and executives.

Jon
Jon
23 days ago
Reply to  A D

How that works is CEOs, CFOs and major shareholders set up consulting companies that contract with the insurance company. Those consulting companies get paid hundreds of millions to provide essentially nothing. I know this because I have a good friend, and attorney in Jacksonville, who helps set these things up for a living (he makes a killing). The Florida property insurance market works exactly this way too. Florida Democrats in Tallahassee tried to pass legislation to make this illegal in Florida a few years back, but it was shut down hard by DeSantis. Guess who his major campaign contributors were!

randocalrissian
randocalrissian
24 days ago

Welcome to the Kakistocracy, featuring the Democrats and the Republicans. Pinch your nose.

Phil in CT
Phil in CT
23 days ago

“Both sides” bullshit. Republicans control all 3 branches of government. They could pass subsidies tomorrow if they wanted to.

Laura
Laura
24 days ago

I agree this may be an election issue however there are more tax payers paying for these subsidies than people receiving the subsidies. People paying for these subsidies have more incentive to vote.

HubrisEveryWhereOnline
HubrisEveryWhereOnline
24 days ago
Reply to  Laura

Do you believe all these “tax payers paying for these subsidies” want to get rid of all subsidies? Like:

Checks to farmers
Lower half of Social Security recipients (that receive more than they paid in)
Homeowners with a SALT tax deduction
Coastal homeowners with subsidized flood/hurricane insurance
Cities with US military bases
Red states (that pay less in federal income taxes than they receive in federal outlays)
Those favoring aid to Ukraine

Most taxpayers are probably getting a subsidy of some kind – since there are so many

Brutus Admirer
Brutus Admirer
24 days ago

Hubristic of you indeed to imply there is some kind of justice… in the money being taken from the taxpayers who earned it and redistributed by the organized crime syndicate (that is the Swamp) to the politically well-connected, after taking a massive cut for themselves. Let the chumps who love sending my money to Ukraine send their own.

HubrisEveryWhereOnline
HubrisEveryWhereOnline
23 days ago
Reply to  Brutus Admirer

I’m not implying anything about our current system of redistribution.

Laura comments here frequently about all the “takers” out there in our system. I want to know if she – and others – realize they are probably takers in someone else’s mind.

Riverbender
Riverbender
24 days ago

What an assortment of ad hominums you have there.

HubrisEveryWhereOnline
HubrisEveryWhereOnline
23 days ago
Reply to  Riverbender

Why are these ad hominems?

All these groups are actually getting subsidies and actively court politicians to give them up. Are you saying these people don’t realize their subsidy position? Or are taking them at gunpoint only?

If not, let’s say it out loud whose getting the subsidies Laura is stressed about.

bmcc
bmcc
24 days ago

you speak the truth. i’ve been on the free shit army for decades. it just happened by owning some small businesses in select industries where the writeoffs and tax credits were terrific. had negative tax forever. totally ridiculous but that was the rules of the game. like being a kid playing monopoly. read the rules before playing. the EITC and the student credits were my favorite idiotic negative taxes i received. bombs away girls. the MIC, the greatest grifters have VZ to bomb to protect our drugged out kids who demand to off themselves…………nihilism 101. crumbling empire 101. all basics of history.

Laura
Laura
23 days ago

I think we should get rid of ALL subsidies, deductions and money given to other Countries. America First.

Phil in CT
Phil in CT
23 days ago
Reply to  Laura

I would like to start by requiring all PPP funds to be repaid in full with interest immediately.

Tollsforthee
Tollsforthee
22 days ago
Reply to  Phil in CT

So when the government mandates that you shut down your business, they don’t have to compensate you in return?

HubrisEveryWhereOnline
HubrisEveryWhereOnline
23 days ago
Reply to  Laura

Sounds fine to me, Laura. But I ask again:

Are you writing to your Congressman/Trump to tell the US farmers “no more freebies”? Or asking why the boot-strap Republicans included an increase in SALT deductions (tax subsidies to wealthy homeowners) in the BBBA? Or any of the other subsidies I mentioned above?

Laura
Laura
22 days ago

I have personally met with my Congressman to advise of my positions. I also write to Trump on the White House website to advise him on my positions.

Frosty
Frosty
24 days ago

Single payor system is the only way with the insurance companies making huge profits and healthcare professional having to treat per insurance company coding mandates.

We simply need outcomes based medicine based on how well the patient will do for the resources spent. Without the insurance companies taking so much money out of the healthcare system, it can provide better care at lower costs.

The only beneficiaries of our present insurance system are the insurance companies.

randocalrissian
randocalrissian
24 days ago
Reply to  Frosty

You say “We simply need outcomes based medicine based on how well the patient will do for the resources spent” as if that process would not be pure partisanship in how to interpret the data

Brutus Admirer
Brutus Admirer
24 days ago
Reply to  Frosty

Obamacare collectivized medicine in a fascistic direction to make it so bad people would cry out for fully socialized medicine (“Single payor” being the euphemism). But they miscalculated how strong all the vested interests they created would be. Single payor may be as hard to get to as the real solution: a free market.

Back in 1960 when American medicine was a reasonable facsimile of free market, doctors made house calls.

bmcc
bmcc
24 days ago
Reply to  Brutus Admirer

obamacare was a backdoor medicaide for all and a huge grift for the insurance lobby. i said in 2008 they should just rename hartford CT, the insurance city, to obamaville. the greatest insurance salesmen evah.

bmcc
bmcc
24 days ago
Reply to  Frosty

medical schools need to be 10x as many. doctors in usa run a guild like they are not anything more than glorified mechanics. the answer is simple. take your pick of dozens of rich countries on planet. throw a dart and copy it. also it might help if we did not allow farmers and grocery stores to sell poison slop for food. this empire is a bunch of grifters from doctors to patients to our great and wise PEDOTUS DJT. democracy works. we got what we want and deserve. good and hard.

MelvinRich
MelvinRich
23 days ago
Reply to  Frosty

Don’t forget the overpaid medical establishment. Talk to a doctor about how important the Medicare/Medicaid system is to his bottom line. The government provides a guaranteed demand for services. The real beneficiaries of the system are the medical professionals.

It’s a crazy expensive medical system with no cost controls, either free market or direct government control. Insurance companies are merely balancing financial risk with cost of premiums.

MPO45v2
MPO45v2
24 days ago

Republicans own the problem now, and it shows in the polls. 

Isn’t it absolutely amazing how impotent republicans are on just about everything?

Obamacare was signed on March 23, 2010… Let that sink in for a minute, it’s been over 15 years going on 16 soon and repubs haven’t been able to do a damn thing in all that time despite controlling all branches on/off during those 15 years.

So why do people keep voting for these clowns? Oh well, midterms will come, things will be fixed for a short period of time until the circus and clowns return.

But the good news is all the MAGA folks can take pride in owning the libs while they wait for the bankruptcy judge to hear their case. Well, at least the ones that don’t die from lack of healthcare, prescriptions or medical devices because it’s too expensive.

Then again maybe that was the plan all along….to kill as many seniors as possible and bankrupt the ones that survive. Winning! /s

Got exit strategy for a better Q.o.L?

Laura
Laura
24 days ago
Reply to  MPO45v2

People continue to vote for Republicans as they are the lesser of two evils. Republicans let the rich get richer and the Democrats tax the middle class to give FREE stuff to the poor, lazy and irresponsible people.

MPO45v2
MPO45v2
24 days ago
Reply to  Laura

Let’s see how that works out in 2026 for the middle class…..I think we both know repubs will be kicked out in droves in the midterms.

Of course, it won’t matter to me either way 🙂

randocalrissian
randocalrissian
24 days ago
Reply to  MPO45v2

Owning the libs is getting quite expensive, ain’t it?

Six000MileYear
Six000MileYear
24 days ago

Neither proposals were failures. The Hastert principle says never put a bill up for a vote unless the outcome is known. The purpose of the votes was to comply with an agreement to reopen the government.

tezza
tezza
24 days ago

HSA / High deductible health plan for everyone (including seniors) would be the answer, with the amount deposited int the HSA phasing out as taxable income rises. But then again, that would be too rational and upset too many factions.

El Trumpedo
El Trumpedo
24 days ago

The subsidy going away, serves both parties: the Democrats think it will win them the midterms, and the Pigs think it will help push everybody into civil unrest so they can declare martial law and take over permanently.

The coming recession will be deliberate, brought to you by both parties:

MPO45v2
MPO45v2
24 days ago
Reply to  El Trumpedo

Oracle stock getting hammered, down almost 50% from peak. What’s the issue?

https://www.tomshardware.com/tech-industry/artificial-intelligence/oracle-reportedly-delays-several-new-openai-data-centers-because-of-shortages-tight-material-and-labor-supply-frustrate-expansion-plans-possibly-by-a-year-or-more

Bloomberg’s sources familiar with the projects reportedly blame shortages of skilled labor and ‘materials’ for the setback, though it is unclear whether by ‘materials’ they mean building materials, shortages of data center equipment, or shortages of materials for building out infrastructure surrounding AI data centers.

Skilled labor an issue you say? Hmmm…who’s been warning about the demographic crisis for a while now? If this keeps up the AI bubble will burst and down goes Frasier (economy) in a one two knockout punch.

El Trumpedo
El Trumpedo
24 days ago
Reply to  MPO45v2

The issue is: Oracle is a Crock of Shit, and the lid just came off.

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