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medicaid
The Republican Health Care Apocalypse
The only people in America whose health care isn’t about to get much worse are billionaires, who can hop into their private helicopters to see their private doctors. The rest of us? It's time for us to fight like hell.
Nov 14, 2025
Republicans are obsessed with taking your health care away. This spring, they cut $1 trillion from Medicaid, all to give massive tax handouts to billionaires. For the last month and a half they shut down the government rather than prevent premiums from doubling on average for 24 million people in the Affordable Care Act marketplace. And they “won.”
The number of uninsured Americans is about to skyrocket, which is exactly what Republicans want. It is what they fight for every day; to steal your health care.
These cuts are devastating for seniors, who rely on Medicaid to pay for nursing homes and other long-term care (which typically isn’t covered by Medicare). They are also disastrous for Americans aged 50-64, many of whom are in the ACA marketplaces and will have the largest premium increases. Many will have no choice but to drop their health insurance and pray they don’t get too sick before they turn 65 and become eligible for Medicare—literally gambling with their lives.
Even if you’re not on Medicaid or the ACA, the Republican cuts will make your health care worse. Without the Medicaid dollars they need to survive, hospitals and nursing homes across the country are already closing their doors. Far more will close in the next few years, with rural areas and inner cities hit hardest.
Republicans are ideologically committed to destroying health care at the behest of their billionaire donors.
The hospitals that remain open will have to cut staff due to lower revenue—even as their ERs are flooded with newly uninsured patients who have nowhere else to go. That means if you get hit by a car, you’ll likely have to go to a hospital further away and wait longer to see a doctor. All thanks to Republicans.
The only people in America whose health care isn’t about to get much worse are billionaires, who can hop into their private helicopters to see their private doctors.
Democrats are demanding that Republicans back off their draconian health care cuts. That’s what the just-concluded government shutdown was all about—Democrats refusing to vote for a budget that doesn’t fix the coming health care apocalypse.
Some Democrats thought that Republicans would come to the negotiating table and figure out a health care fix, if only out of political self-interest. But Republicans are ideologically committed to destroying health care at the behest of their billionaire donors.
House Republican Leader Mike Johnson is refusing to bring an extension of the ACA subsidies, which would prevent premiums from skyrocketing, up for a vote.
This refusal is why House Democratic Leader Hakeem Jeffries has put forward a discharge petition to obtain a three-year extension of the ACA subsidies. If the petition gets 218 signers, it forces a floor vote which also needs 218 to pass. There are 214 Democrats in the House.
Republicans are betting that by dividing Americans against each other, they can duck the blame for the health care apocalypse they created. Let’s prove them wrong.
That means we need only FOUR Republicans to cross the aisle and we can get the subsidies to pass the House, putting pressure on the Senate.
It comes down to these 25 Republicans, who are in extremely tight races and whose constituents are getting hammered by spiking premiums and disastrous Medicaid cuts:
Juan Ciscomani (AZ-06)
Kevin Kiley (CA-03)
David Valadao (CA-22)
Darrell Issa (CA-48)
Gabe Evans (CO-08)
Cory Mills (FL-07)
María Elvira Salazar (FL-27)
Mariannette Miller-Meeks (IA-01)
Zach Nunn (IA-03)
Bill Huizenga (MI-04)
Tom Barrett (MI-07)
Nicole Malliotakis (NY-11)
Tom Kean Jr. (NJ-07)
Mike Lawler (NY-17)
Mike Turner (OH-10)
Brian Fitzpatrick (PA-01)
Ryan Mackenzie (PA-07)
Rob Bresnahan (PA-08)
Scott Perry (PA-10)
Andy Ogles (TN-05)
Monica De La Cruz (TX-15)
Rob Wittman (VA-01)
Jen Kiggans (VA-02)
Bryan Steil (WI-01)
Derrick Van Orden (WI-03)
Republicans are betting that by dividing Americans against each other, they can duck the blame for the health care apocalypse they created. Let’s prove them wrong. That starts with flooding the phone lines of these Republicans and protesting outside their offices, to demand they save our health care.
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Medicare Advantage, Privatized Medicaid Could Cost Americans $2 Trillion Extra Over Next Decade
"If the administration were serious about curbing waste and inefficiency, it would start by reducing the diversion of public funds to these corporate intermediaries," argues a new paper.
Nov 07, 2025
US President Donald Trump and his Republican allies in Congress took a sledgehammer to Medicaid over the summer, justifying the unprecedented cuts by falsely claiming the program that provides health coverage to tens of millions of low-income Americans is overrun with waste and abuse.
But a new paper published Friday in the journal Health Affairs argues that if the administration actually wanted to target waste, fraud, and abuse, it would have been much better off taking aim at Medicare Advantage (MA) and Medicaid privatization.
The paper's authors estimate that overpayments to MA plans—which are funded by the government and run by for-profit insurers—and private Medicaid managed care will likely cost US taxpayers a total of $1.92 trillion over the next 10 years.
"Ending that waste would inflict losses on private insurers' shareholders and executives (the CEO of the largest MA firm made $26.3 million last year). But patients, not just government coffers, might gain," wrote Adam Gaffney, Danny McCormick, Steffie Woolhandler, and David Himmelstein.
"Even Congress' trillion-dollar cuts to Medicaid and food assistance amount to little more than half of the potential savings from de-privatizing Medicaid and Medicare," they added. "Reclaiming those funds would require reversing the decades-long trend of outsourcing to profit-seeking intermediaries and restoring Medicare and Medicaid as efficiently administered public programs."
Far from aggressively taking on Medicare Advantage fraud, the Trump administration handed MA plans a major gift earlier this year by approving an average federal payment increase of roughly 5.1%—more than double the 2.2% increase proposed by the Biden administration in January.
The authors of the new paper noted that the huge raise for MA plans, which are notorious for denying necessary care in pursuit of ever-larger profits, will add $25 billion in waste to the US healthcare system next year alone.
"If the administration were serious about curbing waste and inefficiency," they wrote, "it would start by reducing the diversion of public funds to these corporate intermediaries."
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'It Will Kill People': HHS Proposal Targeting Transgender Healthcare Could Cause Even More Hospitals to Close
One advocate said the proposed rule would force hospitals "to choose between providing lifesaving care for trans people or maintaining the ability to serve patients through Medicare and Medicaid."
Oct 30, 2025
A pair of extreme new Trump administration rules aimed at functionally banning gender-affirming healthcare for transgender youth could force even more hospitals to close down.
NPR reported Thursday that the Department of Health and Human Services (HHS) drafted a proposed rule that would prohibit federal Medicaid reimbursement for medical care provided to transgender patients younger than 18 and prohibit the same from the Children's Health Insurance Program (CHIP) for patients under 19.
Another proposed rule goes even further, blocking all Medicaid and Medicare funding to hospitals that provide gender-affirming care to youth.
As Erin Reed, an independent journalist who reports on LGBTQ+ rights, explained, this "would effectively eliminate access to such care nationwide, except at the few private clinics able to forgo Medicaid entirely, a rarity in transgender youth medicine."
The policies are of a piece with the Trump administration and the broader Republican Party's efforts to eliminate transgender healthcare for youth across the country.
Bans on gender-affirming care for those under 18 have already been passed in 27 states, despite evidence that early access to treatments like puberty blockers and hormones can save lives.
As Reed pointed out, a Cornell University review of more than 51 studies shows that access to such care dramatically reduces the risk of suicide and the rates of anxiety and depression among transgender adolescents.
The new HHS rules are being prepared for public release in November and would not be finalized for several more months.
But if passed, the ramifications could extend far beyond transgender people, impacting the entire healthcare system, for which federal funding from Medicare and Medicaid is a load-bearing piece. According to a report last year from the American Hospital Association, 96% of hospitals in the US have more than half their inpatient days paid for by Medicare and Medicaid.
It is already becoming apparent what happens when even some of that funding is taken away. As a result of the massive GOP budget law passed in July, an estimated $1 trillion is expected to be cut from Medicaid over the next decade. According to an analysis released Thursday by Protect Our Care, which maintains a Hospital Crisis Watch database, more than 500 healthcare providers across the country are already at risk of shutting down due to the budget cuts.
Tyler Hack, the executive director of the Christopher Street Project, a transgender rights organization, said that the newly proposed HHS rule would be "forcing hospitals to choose between providing lifesaving care for trans people or maintaining the ability to serve patients through Medicare and Medicaid."
"Today’s news marks a dangerous overreach by the executive branch, pitting trans people, low-income families, disabled people, and seniors against each other and making hospitals choose which vulnerable populations to serve," Hack said. "If these rules become law, it will kill people."
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