Once again: I understand the temptation to say this, and it's partly true, but a LOT of the healthcare cuts (including to Medicaid) kick in well before the midterms: acasignups.net/25/07/30/hea...
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According to the CBO, sequestration is going to kick in because of the deficit size and it will cause Medicare reductions unless a corrective bill is passed.
aug 18, 2025, 1:14 am • 1 0 • view
Yep, that’s on my list.
aug 18, 2025, 1:14 am • 0 0 • view
I get my insurance through the ACA in NY state. I am bracing myself for these horrible increases. I’m single with no kids so I’m in a better position than a lot of folks. I have no idea what lower income people with kids are going to do. Just a couple hundred bucks a month is huge to them.
aug 18, 2025, 1:03 am • 18 3 • view
The Repubs are hoping that ideology will override common sense before the effects of all of the cuts have had a chance to settle in.
aug 18, 2025, 5:22 am • 1 0 • view
Also not clear why waiting until 2027 would provide an opportunity to blame Democrats that they don't have now.
aug 18, 2025, 1:34 am • 1 0 • view
Also anything that goes wrong, like a hospital closing (and many rural hospitals already are) between now and then is theirs.
aug 18, 2025, 1:11 am • 2 0 • view
Based on the number of bad faith, grifty “follow-back” accounts choosing to spread this disinformation, I’m starting to wonder if it’s by design — telling people the massive hikes they’re about to see are NOT actually the result of the Republican bill.
aug 18, 2025, 12:42 am • 1 0 • view
This fight is so hard because Democrats tell people bad things are going to happen. They start to happen, then Democrats fight and fight and fight in Congress and the courts to mitigate the worst of them. Then people say ‘this isn’t as bad as you said it would be.’ Healthcare cuts are like that.
aug 18, 2025, 1:34 am • 3 0 • view
It will be bad before the midterms. If by some miracle Democrats get control in the midterm, the worst can be blocked. Then people will say ‘see, it never happened.’ Arghhhhh…p
aug 18, 2025, 1:34 am • 1 0 • view
That's the problem for people who want to both sides it... but the thing is, you can't have it both ways. The voting record in the House and Senate this year will tell you the whole story of what Trump and the GOP actually did, and to push that message to the voters wanting change.
aug 19, 2025, 1:54 am • 0 0 • view
Hospitals budget ahead of time. Their budgets are going to have to consider the massive incoming cuts. Some will close altogether. Budgets won't wait for midterms. The problem is conveying to people WHY those cuts will be happening.
aug 18, 2025, 5:00 am • 34 8 • view
there is no problem conveying why, the problem is people refusing to accept the why. you have to either be very stupid or willing to be very stupid not to know why.
aug 18, 2025, 5:32 am • 1 0 • view
A lot more than just Medicaid cuts are going to be terrible before the midterms
aug 18, 2025, 10:20 am • 1 0 • view
Even the most controversial provision of the #MAGAMurderBill, the Medicaid work reporting requirements, could kick in far sooner. The actual legislative text says that they have to be implemented on...
aug 18, 2025, 12:35 am • 44 17 • view
In other words, some states COULD potentially launch them BEFORE the midterms via a waiver if granted by the HHS Dept. And lo & behold guess what I found in the 2026 #ACA individual market rate filing from USAble Mutual Insurance in #ARKANSAS?
aug 18, 2025, 12:37 am • 37 19 • view
I primarily work in the senior market but do some ACA & under 65 individual and I am a little terrified to call my clients when rates come out soon.
aug 18, 2025, 12:44 am • 1 0 • view
Add to that- one aspect that hasn't been talked about pre-midterms is how the ACA plan rates & premiums are going way up. Carriers asked for large rate increases, & they anticipate tariffs affecting drug prices, and the pool of healthy people will be reduced w/higher premiums & deductibles.
aug 18, 2025, 12:42 am • 1 0 • view
Keep reading the thread lol...
aug 18, 2025, 12:48 am • 0 0 • view
Arkansas is one of the few states which briefly HAD work reporting requirements for Medicaid during the *first* Trump Administration until it was shot down by a federal judge at the time. This presumably means that they still have their prior approved waiver ready to be dusted off at any time.
aug 18, 2025, 12:38 am • 38 15 • view
But more to the point, one of the biggest, most damaging & most obvious examples is the one-two punch of 1) the improved #ACA subsidies expiring & 2) the Trump CMS's so-called ACA "integrity rule" being implemented, both of which happen on JANUARY 1, 2026...just 4 1/2 months from today.
aug 18, 2025, 12:41 am • 36 18 • view
Anyone who's been following me recently knows that I've been up to my ears in analyzing the 2026 #ACA rate filings for GROSS premium hikes *and* what the impact is gonna be on NET premiums for ~24 MILLION ACA individual market enrollees... and it's disastrous: acasignups.net/rate_changes...
aug 18, 2025, 12:43 am • 43 18 • view
Here's a small sampling: Michigan: +17% Nebraska: +20% Missouri: +23% Florida: +24% Kansas: +30% Tennessee: +35% Mississippi: +37% ...and that's just the GROSS increases for the small percentage who're paying full price today.
aug 18, 2025, 12:47 am • 46 24 • view
If you're among the ~22 MILLION #ACA enrollees who are receiving premium tax credits this year, you're probably about to be hit with some truly jaw-dropping NET rate hikes: For instance, in Little Rock, AR, a single 50-yr old earning $40,000/yr could see his premiums DOUBLE from $154/mo to $298/mo.
aug 18, 2025, 12:51 am • 60 36 • view
Not all inflation is eggs and gas 😗
aug 18, 2025, 3:56 am • 3 0 • view
In Phoenix, AZ, a 30-yr old single parent w/one child earning $30K/yr could go from paying $0 in premiums to $99/month...technically an infinite increase. In Boise, ID, a family of four earning $60K/yr could go from paying $85/mo to $311...a whopping 3.7x as much as they pay today.
aug 18, 2025, 12:54 am • 46 25 • view
And in Montgomery, AL, a 64-yr old couple earning $90K/yr, just one year out from being eligible for Medicare, could see their net premiums skyrocket from $637/mo to a jaw-dropping $3,186/mo...for the SAME POLICY. That'd be 43% of their gross income. 👀 acasignups.net/ira-subsidy-...
aug 18, 2025, 12:58 am • 66 41 • view
(And yes, my own family is among those who’re about to be royally screwed by this here in Michigan.) FWIW, if you find my healthcare wonkery useful & would like to support it, you can do so here, thanks! secure.actblue.com/donate/acasi...
aug 18, 2025, 1:12 am • 45 12 • view
Whoa Charles Gaba! That was a lot of work to enlighten Dems on this site. Many many thanks!
aug 18, 2025, 1:11 am • 2 0 • view
No one can afford this!
aug 18, 2025, 12:30 pm • 2 0 • view
One way to kill the ACA Aka Affordable Care Act is to make it UNAFFORDABLE!!!
aug 19, 2025, 1:21 am • 0 0 • view
Question? Are the rate increases being requested in states just for ACA enrollees or will they also apply to others who are not on ACA??
aug 18, 2025, 12:28 pm • 0 0 • view
Red state stampede.
aug 18, 2025, 12:39 am • 1 0 • view
Not gonna work this time.
aug 18, 2025, 11:44 am • 0 0 • view
Never forget that these cuts were initiated by THE HERITAGE FOUNDATION via the PROJECT 2025 Manual. Trump agreed to implement them through the "OBBB", GOP congressional members passed the bill. Trump signed these cuts on July 3rd. They work for THE HERITAGE FOUNDATION not Americans.
aug 18, 2025, 1:32 am • 1 1 • view
aug 18, 2025, 1:34 am • 0 0 • view
Rural hospitals are going to be cutting back in anticipation, not waiting for 2027.
aug 18, 2025, 1:17 am • 3 0 • view
I wonder if rural hospitals that close will ever reopen.
aug 18, 2025, 2:45 pm • 1 0 • view
They'll be gone by then.
sep 1, 2025, 2:14 am • 0 0 • view
I’m self-employed. I’m not entirely expecting to be able to afford (the already unaffordable) health insurance past 12/31/25.
aug 18, 2025, 1:09 am • 2 0 • view
People who worry that America can’t afford universal healthcare don’t understand the actual wealth gap. Combined, U.S. billionaires personal wealth (~$5.4T) exceeds the GDP of Japan ($4.4T), the world’s 3rd largest economy. Tax them. They can afford it.
aug 18, 2025, 10:32 pm • 1 1 • view
Thousands of people who get their insurance on the ACA marketplace are going to see double digit rate hikes at the end of this year.
aug 18, 2025, 1:28 am • 1 0 • view
📌
aug 18, 2025, 1:16 am • 1 0 • view