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Charles Gaba @charlesgaba.com

This year, a single parent w/1 child earning $40K/yr pays $61/mo (1.8% of their income). Next year they could be paying $214/mo (6.4% of income), or 3.5x more. A family of four earning $60K could go from paying $84/mo to $311/mo.

aug 28, 2025, 5:22 pm • 6 4

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Charles Gaba @charlesgaba.com

Finally, take a look at the last category: An older couple, just a year or two out from Medicare eligibility, who earn $90,000/year. Right now they're paying $638/mo for their Silver plan (8.5% of total income). Starting January 1st, 2026, they could see their premiums QUADRUPLE to $2,628/mo.

aug 28, 2025, 5:24 pm • 15 4 • view
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Charles Gaba @charlesgaba.com

AGAIN: This isn't happening "after the midterms." This will be happening just FOUR MONTHS FROM NOW, starting January 1st, 2026, unless Congress passes (and Trump signs) a bill extending the current Advance Premium Tax Credit (APTC) subsidy formula by another year (better yet, making it permanent).

aug 28, 2025, 5:27 pm • 29 8 • view
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Charles Gaba @charlesgaba.com

P.S. Oh yeah...my own family is among the ~450,000 currently-subsidized ACA enrollees looking down the barrel of dramatic rate hikes starting in January. If you find my healthcare wonkery useful & would like to support it, you can do so here, thank you! secure.actblue.com/donate/acasi...

aug 28, 2025, 5:30 pm • 16 4 • view
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NonnaRama @nonnarama.bsky.social

The real consequences of the #BigBillionairesBill. Must become apparent sooner rather than later. After midterms is too late.

aug 28, 2025, 5:32 pm • 1 0 • view
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Big Beautiful Blue Wall @buildbluewall.bsky.social

I'm guessing Trump will allow insurance companies to implement the new costs, then extend the credits in January so he can blame them.

aug 28, 2025, 5:32 pm • 0 0 • view
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Charles Gaba @charlesgaba.com

There's actually a small possibility of the GOP Congress actually extending them out next month (if only as a midterm backlash prevention measure), but even if they do, it'll probably be a half-assed version or will include a poison pill amendment so they can "blame" Dems for it failing.

aug 28, 2025, 5:34 pm • 1 0 • view
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Charles Gaba @charlesgaba.com

And actually, the contracts with the insurance carriers are locked in mid-September, so even if they do extend the subsidies the *gross* premium hikes will likely be locked in no matter what.

aug 28, 2025, 5:34 pm • 2 0 • view
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Big Beautiful Blue Wall @buildbluewall.bsky.social

That's what I meant. I just had to pick a 'too late' month that would provide Trump enough time to shift blame, yet have them locked in

aug 28, 2025, 5:42 pm • 1 0 • view
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Big Beautiful Blue Wall @buildbluewall.bsky.social

Is 24 million people enough to remove Trump? Or are they all liberals anyway? www.npr.org/sections/sho...

aug 28, 2025, 5:39 pm • 0 0 • view
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outtaflushing.bsky.social @outtaflushing.bsky.social

This insanity is what the subsidies have been masking. I'd been wondering what basic insurance would cost for a couple in their 60's: $30K/yr. When people talk about "buying in to Medicare" they're thinking what....$5K? Even with administrative savings it would be more like $20K as least.

aug 28, 2025, 6:00 pm • 1 0 • view
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statman-stu.bsky.social @statman-stu.bsky.social

So much for the BS from Republicans about lowering costs. On healthcare, they STILL don’t have a plan, 17 yrs later, other than to let private insurers charge whatever they want from those seeking insurance. Their cuts to Medicaid, & possibly Medicare, will harm millions & close hospitals, too.

aug 28, 2025, 5:26 pm • 2 1 • view