January, 05 2011, 12:11pm EDT

How Conservative Attacks on Health Care Reform Will Affect You-Attempts to Repeal Affordable Care Act Have Serious Consequences
WASHINGTON
Conservatives are starting to implement their onslaught to repeal the
Affordable Care Act this week as Republicans take control of the House
of Representatives. They have scheduled a vote on January 12. If
conservatives have their way and repeal the Affordable Care Act, we will
go back to a health care system that failed millions of Americans: one
with skyrocketing costs bankrupting families and our budget, fewer
people with access to quality care, and more people at the mercy of the
health insurance industry.
Increasing premiums for millions of Americans. Prior to
passage of the Affordable Care Act, individuals and families were faced
with skyrocketing premiums. Premiums for individuals increased 120
percent and family premiums increased 130 percent from 1999 to 2009. The
Affordable Care Act controls these costs. In fact, the nonpartisan
Congressional Budget Office or CBO looked at the law's effect on
premiums in 2016 and estimated that the health reform law would cut
premiums for millions of Americans. These premiums cuts would be more
substantial for those in the individual market, most of whom will
receive subsidies to help cover the cost. According to the CBO, those
receiving help in the individual market would see their premiums reduced
by 56 percent to 59 percent less than they would pay without the law,
while also enjoy better coverage than what they currently receive.
Repealing the law means going back to a status quo of skyrocketing
premiums that made health insurance out of reach and unaffordable for
American families.
Killing 400,000 jobs annually. The Affordable Care Act helps
create as many as 400,000 jobs annually over the next decade by lowering
costs and helping promote a healthier workforce. It includes
cost-containment measures to slow the rate of growth of health care
spending. Small businesses in particular are helped through exchanges
that allow them to pool resources to lower costs as well as tax credits
to make it more affordable to offer their employees health coverage.
These cost-reduction provisions free up money that otherwise would be
spent on health care and allow companies to spend it hiring more
workers. In addition, a healthier workforce is a more productive
workforce. Those benefits disappear, as well as the jobs created along
with it, if the law is repealed.
Increasing costs for seniors by as much as $1,500 in 2011. The
Affordable Care Act eliminates the "donut hole" in the Medicare
prescription drug program by 2020. Seniors with high prescription drug
expenses before health reform had to pay full price for their
prescription drugs--without any help from their drug plan--once their
prescription drug spending reached a pre-defined limit. People who hit
this limit in 2011 will get a 50 percent discount on their name-brand
prescription drugs, saving some Medicare enrollees as much as $1,500 in
out-of-pocket drug costs. Those savings will not be realized if the
Affordable Care Act is repealed.
Hurting communities of color. Communities of color are more
likely to be uninsured, and they suffer from higher rates of chronic
illness than the rest of the population. The Affordable Care Act
addresses these inequities by expanding health insurance coverage and
improving access to primary care, including preventive services. These
provisions will be eliminated if conservatives have their way and repeal
the health reform law.
Increasing costs and deficits. The Affordable Care Act creates
tools to control the growth in health costs while improving quality of
care. Effective implementation can reduce administrative costs for small
businesses and individuals, promote greater use of preventive care, and
prevent unnecessary hospitalizations, saving as much as $2 trillion in
total health spending over the next decade. In addition, the CBO
estimated the law will reduce the federal budget deficit by $143 billion
over the first 10 years and more than $1.2 trillion over the next two
decades. Repealing the new law stymies these much-needed efforts and
reverts to the unsustainable status quo of skyrocketing costs that were
bankrupting our country. Make no mistake: The Affordable Care Act
provides Americans economic and health security with protections against
exorbitant premium hikes, better health benefits, and slower growth in
health care costs. Conservatives in Congress are intent on taking these
benefits away and going back to a health system that was failing
America. And, to top it off, they'd keep their benefits, while taking
away ours.
Americans deserve better. We need the Affordable Care Act.
More on health reform repeal from CAP:
- Repealing Health Reform Would Mean Billions More in Administrative Costs by Sonia Sekhar
- The Affordable Care Act's Repeal Would Leave the Doughnut Hole Open by Benjamin Hunt and Karen Davenport
- Caring for People of Color by Lesley Russell
- What Will Happen to Small Business if Health Care Is Repealed
To reach an expert at the Center for American Progress for comment on
Health Care Repeal attempts, please contact Megan Smith at msmith@americanprogress.org or 202.741.6346.
The Center for American Progress is a think tank dedicated to improving the lives of Americans through ideas and action. We combine bold policy ideas with a modern communications platform to help shape the national debate, expose the hollowness of conservative governing philosophy and challenge the media to cover the issues that truly matter.
LATEST NEWS
Chilean Judge Convicts US-Trained Pinochet Agents for 1976 Murder of Ronni Moffitt
The 25-year-old American, her newlywed husband, and former Chilean diplomat Orlando Letelier were driving to work at the Institute for Policy Studies in Washington, DC when their car was bombed.
Jun 23, 2026
The Institute for Policy Studies on Monday welcomed a judge's homicide convictions and prison sentences for three agents of former US-backed Chilean dictator Gen. Augusto Pinochet who murdered Ronni Karpen Moffitt, one of the progressive think tank's employees, during a 1976 car bombing targeting her colleague, the exiled leftist diplomat Orlando Letelier.
Last Thursday, Chilean Judge Paola Plaza González sentenced three former agents of the Directorate of National Intelligence (DINA)—Pedro Octavio Espinoza Bravo, José Octavio Zara Holger, and Raúl Eduardo Iturriaga Neumann—to 15 years' imprisonment each for the qualified homicide of Moffitt, who was 25 at the time she was killed with her Institute for Policy Studies colleague Letelier.
There is no legal status of murder in Chile, where homicides are divided into two categories, simple and qualified (aggravated).
On the morning of September 21, 1976, Moffit, Letelier, and Michael Moffitt—Ronni's husband of four months, who also worked at IPS—were on their way to work when the Chevy Malibu in which they were traveling was blown up in Sheridan Circle on Washington, DC's Embassy Row.
Michael, who was sitting in the back seat, survived the blast and watched as Ronni staggered from the mangled car, mortally wounded in the neck, drowning in her own blood. Letelier, whose legs were blown off and torso mangled, died before an ambulance arrived.
Never before and never since has a foreign diplomat been assassinated on American soil.

“For a half century, IPS has turned this heinous act of international terrorism into a force for justice and for lifting up new human rights champions in the United States and Latin America,” IPS executive director Tope Folarin said in response to the sentences. “We are thrilled to see this huge step towards accountability for the murder of Ronni Karpen Moffitt, a young American woman whose work to improve lives in her community and her world was cut tragically short.”
Moffitt's niece, Rebecca Karpen, said that "the recent sentencing of three of the men responsible for my aunt’s murder comes 50 years after their crime was committed—17 years after the death of my grandfather, Murray Karpen, who dedicated his life to fighting for justice for his daughter, and four years after the death of her brother, my father Harry, who carried her picture in his wallet for decades after his big sister was murdered."
"It is often said that justice delayed is justice denied," Karpen added. "So many of my family members who loved Ronni never lived to see this measure of justice applied, and that is a tragedy."
"So many of my family members who loved Ronni never lived to see this measure of justice applied, and that is a tragedy."
Plaza noted that the attack was planned under the direction of then-DINA Director Gen. Manuel Contreras Sepulveda and his deputy, Pedro Octavio Espinoza Bravo, as part of "a series of attacks outside the national territory against the lives of Chilean citizens" during Operation Condor.
The secret, US-backed effort, which ran from 1975-83, saw right-wing military dictatorships in Chile, Argentina, Uruguay, Bolivia, Paraguay, Brazil, Peru, and Ecuador collaborate on an international campaign of terror in which an estimated 60,000 leftists were killed, while tens of thousands of others were arrested and tortured.
Letelier was targeted because he was once a Chilean foreign minister under former socialist President Salvador Allende, who had become a prominent critic of the Pinochet dictatorship while living in exile after the US-backed 1973 coup that overthrew his democratically elected reformist government and brought Pinochet to power.
Other prominent leftists forced into exile during Pinochet's reign of terror—including former Army commander Gen. Carlos Prats and his wife Sofia Cuthbert—were assassinated during Operation Condor. In fact, Contreras and the three men convicted last week were also found guilty in 2010 of killing the couple in a 1974 car bombing in Buenos Aires.
Officials in the administration of US President Gerald Ford, including Secretary of State Henry Kissinger, knew Pinochet's government and other Condor partners were planning to murder their political opponents abroad. The State Department drafted warnings regarding the impending assassinations but withdrew them shortly before the Letelier-Moffitt killings.
In her sentencing order last week, Plaza affirmed the role of DINA Capt. Armando Fernández Larios in obtaining passports for members of the hit squad, as well as for US citizen Michael Townley, a US-born DINA operative who built the remote-control bomb and placed it under Letelier's driver's seat. According to court records, declassified documents, and media reporting, Townley consulted with notorious anti-Castro Cuban militants Orlando Bosch and Luis Posada Carriles—who were behind terrorist attacks including the bombing of Cubana Flight 455—while selecting operatives for the Letelier assassination.
However, last week's convictions and sentences were solely for Espinoza, Zara, and Iturriaga—and exclusively for Moffitt's murder.
In 1993, Contreras and Bravo were convicted in Chile for ordering and implementing Letelier's assassination. Contreras was sentenced to seven years in prison, where he died in 2015 while serving hundreds of years of cumulative sentences for Pinochet-era crimes. Bravo was sentenced to six years behind bars.
Townley, Fernández, and five right-wing Cuban exile militants were separately convicted in the United States in connection with Letelier's assassination. Townley served just over five years before being placed in witness protection due to his cooperation with investigators. Fernández was released after seven months, due to a plea bargain. Two of the Cubans served eight years; the convictions of their three co-defendants were overturned on appeal.
All three men convicted and sentenced last week for Moffitt's murder attended the US Army School of the Americas (SOA), then located in Panama. So did Contreras and Fernández.
SOA is sometimes called the School of Assassins and the School of Coups due to its notorious graduates and their crimes, including the drug trafficking Panamanian president Manuel Noriega, Bolivian despot Hugo Banzer, Haitian death squad commander Raoul Cedras, and Argentine “Dirty War” dictator Leopoldo Galtieri
At least hundreds of war criminals from throughout the hemisphere have been trained at the SOA, whose graduates planned, ordered, committed, or covered up some of the most notorious atrocities of the era, including the Guatemalan genocide; El Mozote massacre; assassination of Archbishop Óscar Romero; Jesuit massacre; and kidnapping, rape, and murder of four US churchwomen.
Juan Pablo Letelier, the son of Orlando Letelier and a former Chilean senator, called last week's sentences "an act of justice."
"Truth has prevailed," Letelier asserted. "Many years have gone by in this effort for truth and justice. Yet, with perseverance and with conviction, we’ve reached the point where, in a Chilean court, this act of terrorism in which an American citizen was assassinated by Chile’s secret police in 1976 has finally had a case, an investigation, and a sentencing of the three main people responsible."
"We hope that US government authorities will now consider that what has been done in Chile should also be done in the US regarding the investigation and the sanctioning of those responsible for this terrorist act," he added. "There are persons who are responsible for Ronni Karpen Moffitt’s death 50 years ago who are still in liberty on US soil, and there are pending Chilean requests for their extradition with which the US government has not complied."
Chile is seeking the extradition of Fernández, who was arrested by US Immigration and Customs Enforcement agents in Florida last year but has not been handed over to Chilean authorities to stand trial.
“Justice is slow," Letelier recently wrote. "There are many families in Chile who were victims... and they want justice... Armando Fernández Larios should never have been free in the United States.”
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Alan Greenspan, Longtime Fed Chair and Ayn Rand Disciple, Meets Ultimate ‘Invisible Hand’
"For decades, he preached that the self-interest of the predator was the invisible hand of the common good," Yanis Varoufakis said after the man who led the US central bank under four presidents died aged 100.
Jun 22, 2026
Alan Greenspan, whose policies during nearly 20 years as US Federal Reserve chair fueled soaring economic inequality and helped create the conditions for multiple economic crashes, died Monday at age 100 after a long battle with Parkinson's disease.
While many corporate media outlets published hagiographic obituaries lionizing the "Maestro" who presided over nearly two decades of low inflation, rising stock prices, and American economic confidence, critics focused on Greenspan's role in promoting dangerous deregulation and "easy money" policies that inflated financial bubbles, with sometimes disastrous results.
Robert Reich—who served as US labor secretary under President Bill Clinton during all of Greenspan's tenure—called him "in many ways the most powerful person in America" during that era.
"If any single person was responsible for the financial crisis of 2008, it was Greenspan."
"He maintained an iron grip over the Fed, and almost single-handedly decided on interest rates," Reich wrote. "He essentially fired George H. W. Bush by raising interest rates so high (ostensibly to ward off the inflation then threatening the economy) that the economy took a dive, and voters blamed Bush. This was enough to convince my boss, Bill Clinton, to do exactly what Greenspan wanted—which was to reduce the federal budget deficit and thereby destroy much of the agenda Clinton ran on (and I helped create)."
"I don’t want to speak ill of anyone who has passed. Greenspan was an extremely charming, intelligent, and thoughtful man," Reich added. "But the truth must be told: If any single person was responsible for the financial crisis of 2008, it was Greenspan. That crisis—the worst collapse since 1929, which led to the worst recession in decades, in which millions of Americans lost their jobs, savings, and even their homes—resulted from the deregulation of Wall Street that Greenspan advocated."
Former Greek Finance Minister Yanis Varoufakis wrote on X: "His epitaph? A singular, glorious confession, 'I found a flaw in my model of the world.' A flaw, he said, as though it were a leaky pipe, not a total collapse of the intellectual architecture that anointed him Oracle. For decades, he preached that the self-interest of the predator was the invisible hand of the common good.
"Then, in 2008, the beast devoured the table, and to his credit, he blinked, admitting that his entire worldview—the one that central bankers canonized and the world swallowed—was a fairy tale for rentiers," Varoufakis added. "He did not, of course, admit to culpability. That would require a moral compass, a device notably absent from his Ayn Randian toolbelt. No, he merely noted the flaw, as a meteorologist might note a gust of wind, and returned to his well-earned silence."
Born 10 miles from Wall Street in Manhattan's Washington Heights during one of the most infamous economic bubbles of all time, Greenspan was a protégé of libertarian writer and philosopher Ayn Rand and was influenced by the Atlas Shrugged author's moral defense of capitalism, her fierce advocacy of deregulation, and her insidious insistence that self-interest was socially beneficial.
Their relationship cooled as Greenspan embraced more mainstream economic policies despised by Rand and gradually became a leading steward of the very sort of state-shepherded system she deeply distrusted.
After heading President Gerald Ford's Council of Economic Advisers, Greenspan was appointed chair of the Fed by President Ronald Reagan in 1987. He would remain in the post well into George W. Bush's second term.
Greenspan generally favored low interest rates, especially after crises like the 1987 stock market crash, the 1998 Long-Term Capital Management crisis, and the 2001 recession. His fame grew after he suggested that the economy might be experiencing a tech-driven “productivity miracle," language that many investors took as validation that traditional valuation limits were obsolete.
Critics would later call it a "productivity mirage."
Staunch devotion to low interest rates by Greenspan's Fed boosted stock prices and real estate values under "easy money" policies. Many investors came to believe that the Fed would intervene aggressively whenever markets fell sharply—the so-called "Greenspan Put."
However, since ownership of financial assets (and the firms that sell and promote them) is concentrated among the wealthy, it was the rich who benefited most from Greenspan's polices. When bubbles burst, as they did after the dot-com boom that ended in early 2000 and during the 2008 global financial crisis, the rich bounced back thanks to their diversified portfolios and bailouts, while middle- and lower-income households were wiped out through asset devaluation, foreclosures, and job losses.
"It is no exaggeration to say the global financial crisis of 2008 had an enormous and lasting impact on American life and the way ordinary people view elites," New York Times global economic correspondent Peter S. Goodman said on social media. "It is also no exaggeration to say that Alan Greenspan has as much responsibility for the crisis as an individual can."
"For those not old enough to remember, it is difficult to state his aura during his time of greatest influence," Goodman continued. "When he told Americans that they should buy houses and use variable-rate mortgages to do it, they listened. Much is made of his econ jargon-laden vernacular that went over the heads of nearly all listeners."
"That was central to the mystique," he added. "When he went to the Hill and spoke to Congress, most people had no idea what he was talking about but assumed that smarter kids did. And so his quasi-religious faith in the efficiency of markets as the ultimate insurance against risk went unchallenged and became dogma, and the risks kept building."
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‘Time to Sue This Liar’: Trillionaire Elon Musk Threatens Ro Khanna for Warning of 4.5 Million Child Deaths From DOGE Cuts
"The Dems should have a leader who Elon Musk is threatening to sue and wants imprisoned," said one political observer. "That's the right guy."
Jun 22, 2026
The recently crowned world's first trillionaire Elon Musk threatened Rep. Ro Khanna with legal action on Monday after the California Democrat pointed out the life-ending potential of foreign aid cuts made by the Department of Government Efficiency.
During an appearance on the "I've Had It" podcast on Saturday, Khanna (D-Calif.) said that there must be consequences for Musk, who in February 2025 used DOGE to curtail programs and cut funding for the United States Agency for International Development (USAID).
"There needs to be accountability for Elon Musk," Khanna emphasized. "You know, they’re celebrating that he created 4,400 millionaires, but they don’t talk about the 4.5 million children around the world who he possibly sentenced to death by dismantling USAID.”
A peer-reviewed study published by The Lancet in July 2025 estimated that proposed cuts to USAID could lead to as many as 14 million preventable deaths by 2030 worldwide, including the deaths of 4.5 million children under the ages of five years old.
Musk, who earlier this month became the world's first trillionaire, wrote in response to Khanna's interview that it was "time to sue this liar."
It's not clear how Khanna's statement could be defamatory given that it was based on research published by a prestigious medical journal.
Musk, in a separate reaction to Khanna's remarks about USAID, later added that the US lawmaker "should be in prison."
On Monday afternoon, Khanna posted a video in which he challenged Musk to debate him on the impact the DOGE cuts have had on people throughout the Global South who had previously benefited from USAID.
"The world's richest person has spent all day... going after me," Khanna said. "Why? Because I cited an academic study that his DOGE cuts may lead to the deaths of millions of children overseas. You know, Elon, I thought you were a free speech guy. Why not debate me on these issues instead of threatening lawfare?"
"You're not going to be able to intimidate me," Khanna added.
.@elonmusk let's debate. You game?
I am for free speech, not lawfare. pic.twitter.com/gThLggxiOW
— Ro Khanna (@RoKhanna) June 22, 2026
Mehdi Hasan, editor-in-chief of Zeteo News, said that Khanna’s willingness to directly take on Musk exhibited qualities that Democrats could use more of in leadership positions.
"He is picking/making the right enemies on the right, and really pissing them off," Hasan wrote of Khanna. "The Dems should have a leader who Elon Musk is threatening to sue and wants imprisoned. That's the right guy."
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